Friday, December 30, 2011

Why I Love My Job

Everyone can always tell you the negative aspects of their employer.  No matter how much money you make, you have something negative to say about your job.  Well today I am here to say something positive about mine and why I love what I do.  I work as a Registered Nurse  in the Medical Intensive Care Unit of a teaching hospital.  Most of our nurses take pride in their job.  One of the best qualities I find in  our physicians and nurse is we go above and beyond the call of duty for our patients.  A person could have no chance at all for survival and we will do everything under the sun to try and keep them alive if it is the wishes of the family.  When there is no hope, we provide a glimmer with our duty to save lives.  We get cursed out, scrutinized and sometimes even threatened in our line of duty.  We high five each other when our teamwork pays off and we enable someone to go home to their loved ones.  We also cry and empathize with those losses we have to share with families when no matter what we tried, it seemed to fail.

When all is said and done, I am a proud member of this team and I take my hat off to every doctor and nurse who helps to provide the quality of care we give.  

Have a job you are proud of?  I would love to hear your comments.

Thursday, December 22, 2011

A parent's nightmare

One of the worst feelings a parent can ever have is not being able to make their child feel better.  This time of the year is the worst time for respiratory infections in most people but especially babies.

Respiratory syncytial virus (RSV) is a very common virus that leads to mild, cold-like symptoms in adults and older healthy children. It can be more serious in young babies, especially to those in certain high-risk groups.RSV is the most common germ that causes lung and airway infections in infants and young children.. The virus spreads through tiny droplets that go into the air when a sick person blows their nose, coughs, or sneezes. Children in daycare environments will generally spread the virus to other babies around them. Mainly because you can catch RSV if a person with RSV sneezes, coughs, or blows their nose near you. You touch, kiss, or shake hands with someone who is infected by the virus. You touch your nose, eyes, or mouth after you have touched something contamined by the virus, such as a toy or doorknob.  This is also why hand washing is so important.  It one of the best protective barriers you have for infections.

In general, RSV symptoms include: 

Bluish skin color due to a lack of oxygen (cyanosis)
Breathing difficulty or labored breathing
Cough
Croupy cough (often described as a "seal bark" cough)
Fever
Nasal flaring
Rapid breathing (tachypnea)
Shortness of breath
Stuffy nose
Wheezing

Many hospitals and clinics can rapidly test for RSV using a sample of fluid taken from the nose with a cotton swab.  Antibiotics do not treat RSV. Mild infections go away without treatment. Infants and children with a severe RSV infection may be admitted to the hospital . Treatment will include Oxygen, Moist (humidified) air, Fluids through a vein (by IV).

A breathing machine (ventilator) may be needed. 

A simple way to help prevent RSV infection is to wash your hands often, especially before touching your baby. It is important to make certain that other people, especially caregivers, take steps to avoid giving RSV to your baby.

The following simple steps can help protect your baby from getting sick:

Insist that others wash their hands with warm water and soap before touching your baby.
Have others avoid contact with the baby if they have a cold or fever. If necessary, have them wear a mask.
Be aware that kissing the baby can spread RSV infection.
Try to keep young children away from your baby. RSV is very common among young children and easily spreads from child to child.
Do not smoke inside your house, car, or anywhere near your baby. Exposure to tobacco smoke increases the risk of RSV illness. 

The drug Synagis (palivizumab) is approved for the prevention of RSV disease in children younger than 24 months who are at high risk for serious RSV disease. Ask your doctor if your child should receive this medicine.

Lets keep our babies happy and healthy.  

Thursday, December 15, 2011

Demanding Patients and Families

Sometimes patients and their families make you want to pull your hair out!  It really bothers me when you are doing everything you can for a patient and it never seems to be enough.  Mostly it is the family whom you can't seem to please.  Can you move mother's head? Can you fluff her pillow?  Father needs to be moved again. I think dad is in pain.  Can you get some ice water?  All of these questions come after you have just left the room is what makes it even worse.

 I could see if your family member wasn't being cared for but when the nurse is going over and beyond to make them comfortable you should back off a bit.  The continuous nagging and nit picking can seriously reduce the going over and beyond because apparently no matter how well you care for the patient it won't be enough. 

Then you have the patients who forget how to do anything for themselves when they come to the hospital.  If your legs and arms still work you can wipe your own butt!  The hospital isn't a place for you to be waited on, it is a place for you to get better and go home.

I'm sure you have a story to tell so let us hear it.  Maybe you were a demanding patient, if so tell us why.  Feel free to post your comments.

Wednesday, December 7, 2011

Home Remedies

Growing up I remember my parents and grandparents had remedies for everything.  My mother always made tea out of orange peels for us to drink when we had a cold.  Grandmother made her own cough syrup which consisted of honey, lemon and peppermint.  I think the adults added whiskey to theirs.  My uncle always coated his chest with Vick's vapor rub, turned on the heat and got under a blanket to sweat it out.  Tried that once and thought I would die.  My latest discovery was a hot toddy and I believed it worked.  My kids grandmother said she would rub garlic under the bottom of their feet to keep them from getting sick.  She said it worked. There are also lots of herbal remedies out that also work.  Some people believe they have to have prescribed medications like antibiotics and prescription cough syrup to get better. 

Experts tell us colds take time.  Antibiotics are not necessary unless there is an infection.  The steam from your hot drinks will help open your nasal passages.  This includes hot milk despite the old wives tell of it increasing mucus formation.  Also be sure to include those essential vitamins like Vitamin C and Zinc to boost your immune system. Dressing properly will help too.

Have any home remedies or tips you would like to share?  Drop a line or two and share.