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How  does  extreme  weather  impact  upon  the  workload  of  nurses  in  the  community?

Challenges community nurses face

Extreme weather increases the number of casualties who visit the hospital. This is because, sometimes it is of an unexpected nature, or overwhelming and people are still caught off guard. Extreme weather of unexpected nature includes earthquakes, tsunami, volcano eruption and even blizzards. Sometimes the weather prediction is not right and people are caught in the wrong place at the wrong time. Sometimes rain begins slowly and ends up as a flood.

For farmers, pedestrians, animals and people living in lowlands and valleys, they are affected the most. In extreme cases, both people and animals die from floods. When an earthquake takes place, it is likely for people living in mountain and hillsides experience mudslides. The land shifts and houses crumble and people die. This makes for several casualty and fatal cases. The worst slides recently have hit the people of Sierra Leone and the recent earthquakes in Japan and Mexico have left people devastated.

When a flood hit a small town in Italy, a historical ridge collapsed due to the force of the water, killing dozens. The impact of extreme weather means the emergency and trauma units of the hospitals are full to capacity. It also means there are several hysterical and hurt people, including a family who needs to be comforted. This is the job of the nurses. To support the family members as they take shifts to also treat the injured. It is a hard task, that takes a lot of emotional effort and patience.

The workload is so heavy, all nurses are needed on deck. This means those who were on leave, are summoned back to work to care for the injured and sick. They may also have to work overtime depending on the traumatic effects of the extreme weather. The US and Australia have historically had cases of wildfires, where the heat waves experienced during summer season causes spontaneous burning of their woodlands. This results in several people losing their homes and some of them, their lives due to the force and spread of the wildfire.

This is why trauma response is important. It is important to give your nurses adequate training on how to respond to disaster relief cases and be fast and efficient. Time is of the essence, it helps to work quickly in such cases. To save a life and move to the next person who needs you. This includes the obvious first aid which every seriously injured patient needs as they await doctor’s treatment and diagnosis. Nurses are responsible for the pre-care before going to see a doctor and the aftercare for treatment and medicine administration.

They take your high blood pressure, weight, get to know your symptoms and medical history to determine the next best course of action. If training is not done or completed by nurses, when faced with the influx of patients on the day of a disaster, they become patients too. They panic because they do not know how to respond. They become overwhelmed by the large numbers of patients and family members wanting answers on their loved one’s status. They also become anxious because they are worried about their loved ones too.

Prepare for the worst but hope for the best. This saying should embody the entire hospital staff attitude, and as a reminder, always stay calm. When in a frenzy, be the person who can be relied upon, who can rally others to a calm stated of mind, and field questions slowly while also asking for help. In these difficult situations, a nurse becomes a leader. She must lead both patients and relatives to a safe place mentally and physically as well. Through treatment, the following procedure and delivering support where it is needed.

Therefore, after considering this article, an efficient emergency response needs to be put in place for natural disaster relief. For the benefit of both patients’ and hospital staff alike.

Can  intimate  relationships  between  health  professionals  be  harmful  to  patient  care?

Can intimate relationships between health professionals be harmful to patient care?

Intimate relationships at the workplace is a complex situation at best. This is because it complicates the work environment. For your immediate colleagues, managers, and other staff. However, this does not mean that both parties cannot have successful careers in the same organization. After all, it is commonplace for people to meet and fall in love at work. If it goes well, some even proceed on to marry.

The reason why having a relationship at work is discouraged is because it can make the environment uncomfortable for other employees. For example, when the couple has a fight, it can be awkward working in a team with two people who do not want to talk to each other. It makes it uncomfortable when there is tension in the room, secret arguments and of course office gossip.

If the couple breaks up, it is even worse. They are uncomfortable around one another. They try to avoid each other, however, sometimes it is not possible. In the case of a relationship between a doctor and a nurse for example, if the nurse is allocated to her former partner’s service, she must work with him and vice versa. In such a case, the relationship may be so strained that they underperform. Making it a poor experience for their patient, who goes at a loss.

It may also lead to unexplained absences at work to deal with personal issues. It will also affect their state of mind when the relationship is on the rocks, causing absent mindedness and poor judgment. As for the other employees, working with the spouse or significant other of a direct supervisor can be cause for an accusation of favoritism. Even if the person in question has merit and the right qualifications, the staff is bound to discuss or include discrepancies surrounding a promotion, or other benefits due to their personal relationship. It becomes harmful to patient care when the involved couple neglects their duties like forget to administer medication and treatment. Perhaps schedule needed tests or update patients on their medical history and next steps for a healthy recovery.

It is also harmful when favoritism comes into play, overlooking the person with better skills and experience, to look good in front of their significant other.

In a horrible scenario, a break up can ensure to become sexual harassment from a begrudged ex. This makes it extremely difficult to work, and after some time the harassed party may choose to leave their job, or report the case. In both cases, the patient is left hanging. Without either their favorite doctor or nurse to continue treatment. Also having a history with patients does give them comfort and helps them to feel calm in an otherwise panicky situation. Making them the one at the losing end.

Keeping it professional is also an option, and the only one when you want to continue building your career as you develop a personal relationship as well. Leaving out personal arguments when making professional life decisions (for the patient) is best. Knowing how to cope and present yourself even in the face of a personal adversity, calls for maturity and professionalism from both parties. In addition, dating someone you work with can make both parties happy who have little time to spend on social activities, seeing your partner at work can make you happier and as a result, work better.

Workplace romance often develops into marriage, as the couples who pursue workplace romance often feel they are ready for commitment. In that case, they receive a lot of support from colleagues and staff. It is more likely for colleagues to show disapproval when the two engaged are either both married, or one of them is. Making it difficult to work with people who resent your choices. It is also likely to get looks of disapproval when the person you are dating is someone whom you report to directly. Otherwise, most employees do not have a problem with developing romantic relationships at work.

Should  night  nurses  make  more  than  the  nurses  on  the  day  shift?

Benefits of working night shift nurse

Working hours favor people differently. There are those who work best at night, and others who do their best work at the crack of dawn. The same way others can catch a nap on any afternoon, and those who find it hard to sleep while the sun is out. We are different people; therefore, our preferences are different.

The schedules for the day and shift are shared with the nurses and most of the time, they pick their own shifts. Prioritizing the times and dates that work best for them. Therefore, no nurse should be paid more than the other except when covering an extra shift, working overtime or they simply have better qualifications. In such a case it is based purely on merit.

During this time, it is justifiable to pay more but not become of the time of day. In addition to that, nurses receiving training on how to respond to shifts and workplace etiquette. Before signing up for the job they are aware of the working conditions and agree to them without duress. This makes it easier for the employers when nurses are expected to cover the night shift, and it is not an excuse to ask for more pay. Although, you can ask for a change in your shift or negotiate with a co-worker to suit your needs.

When it comes to working the night shift, a balance needs to be established so that nurses do not also experience burn out. It is good to balance because it also establishes a work-life balance. A parent is able to take their kids to school, nurses can also enjoy social activities during the day. Attend festivals, visit friends and family.

Maintaining a routine, whether it’s the day or night shift it is good to maintain it because it will help you establish a good sleeping routine and keep you healthy. When you maintain a daily schedule your body also adjusted to your night shift routine. Sometimes the night shift can come with its disadvantages. You may find yourself drinking too much coffee, or binge eating and binge-watching as patients sleep. This is an unhealthy lifestyle, and this kind of activity or lack thereof can lead to the shift work sleep disorder.

When you do work that is detrimental to your health, it is good to address it before it becomes worse but better to avoid it altogether. Therefore, when choosing the night shift, it is good to make sure that it aligns with your health goals to be able to perform your job well. Sometimes you work in a role that costs you more than the job. Overworking, or working in a role that costs you your health, it may be better not to take the job at all.

When you are a daytime worker it is easy to take sleep for granted and sleep later each night only to wake up tired. Fatigue is a problem at work. When you are fatigued you cannot work properly because your body is not at its prime level. It may also lead to other health issues because fatigue can, in fact, become a medical issue if you do not remedy the problem through sleep and better self-care. When working rotating shifts, be sure to make it constant as well. This allows your mind and body to get used to the routine and adapt accordingly.

The working hours of a nurse typically run between 36-40 hours a week. On average an American registered nurse earns about $32 an hour with a median annual income of about $67,000. Meaning per week they receive about $1000. It can be a rewarding career if done the right way. Hospitals do offer nurses pay for overtime, or as a bonus. During overtime hours, the pay per hour is higher and for those who are eager to make more, this is a good opportunity. This is the only time when it should qualify when done responsibly.

How  can  major  trauma  units  be  run  more  efficiently  and  cost-effectively?

How can major trauma units be run more efficiently and cost-effectively?

Should cost-efficiency savings even come into the equation in life or death situations?

Trauma stations at a hospital are very important. If treated with negligence or oversight, even bureaucracy it can cost someone their life. This, however, should never be the case. As a hospital is put in place, and staffed with trained lifesavers, saving a life should come before anything else. If the value for human life is out first, then that means the people who are responsible and accountable for the trauma unit will always put people first. Putting people first means being efficient in every sense.

There are procedures put in place on how to best respond to trauma patients as fast as humanly possible to save their lives. This means following a drill. Similar to the way firefighters respond. It also means that the best people are on sight and on call whenever they are needed. This also means that there is a special communication policy that is followed to deal with trauma patients, and that does not mean settling the bill first before admission for inpatient.

Such behavior is ludicrous because a critical patient can die while waiting for a relative to make the deposit or access to their funds are allocated and so forth. Accidents happen at any time on any given day, and this also includes Sunday. Most financial institutions are closed on a Sunday and if a hefty amount is needed to sort the bill, some of these procedures need to take place in the presence of a bank manager or for next of kin of the account to appear in person.

Keeping that in mind, money should never come before a life. The vocational training of doctors and nurses does not permit that it should be in that order. Cost efficiency should not into the equation for life and death. Unless new medical equipment can be purchased to make treatment better and cost-effective for both staff and patients. To help organize for a more efficient trauma unit a team leader(s) should be put in place.

TEAM LEADER

For example, the head trauma surgeon can be accountable for the way the trauma unit is being run. He can also delegate duties and clear other doctors and nurses he deems necessary to attend to the most critical patients. He can also train the main trauma team, on how to respond in cases of emergency to save time and make the process streamlined and efficient.

With help from other doctors, he can assemble a team, that already has the know-how and experience with dealing with trauma to respond quickly and be able to improvise when needed. Such doctors tend to be military and disaster relief doctors who have spent time in the field dealing with victims of traumatic events.

PATIENT FIRST

This should always be the policy. If it has not been revised, the hospital policy needs to take on a more human approach in special cases to recognize the profitability is saving the lives of needy patients, before securing the cheque.

EQUIPMENT

The best equipment should be on standby. The most effective should be in this unit to attend to those who need it most. Not that it is never in use unless it is a trauma case. No. In fact, it should be in use for all the patients who need it dearly, but when a fast response is needed, having it close by saves time and they get first priority. This all serves up as part of being efficient.

COST

Atraumatic unit should look at cost, yes. However, it can be done second. After treatment has been delivered and the patients are in stable conditions. In-house accountants and insurance dealers can look into the finances of the victims to establish a payment channel, so that the hospitals are able to continue running, to serve others.

Is  racial  discrimination  a  problem  in  the  nursing  profession?

Is racial discrimination a problem in the nursing profession?

Introduction

For a long time, people of color have been mistreated and overlooked. They have been cast as being successful in only the entertainment and sports industry. People of color have been overlooked for bigger and better positions for decades, because their superiors believe that they are not good enough for the positions of manager, doctor, partner and the liked for decades now. For people of color, it is more than just about breaking the glass ceiling, they need to cross the cultural barrier as well, and that includes racial discrimination at the workplace.

Racial Discrimination In Nursing Profession

Unfortunately, racial discrimination does not start at the corporate level. It begins at the admissions office in college. It is a widely known fact that people of color have a lower acceptance rate to Ivy league schools and college in general. Not because they are lacking in skills or smarts. But because admissions administrators and boards favor white students over non-white applicants. This is a problem that the Obama administration tried to curb through the that the Trump administration has recently made a move to eradicate and reduce the little advantage Obama had secured for ethnic students to access high-quality education.

As a result, fewer ethnic students make it into pre-med and med class to graduate as doctors and nurses. Every graduate is an achievement to be celebrated in the ethnic communities. This means that, by reversing the Obama administration laws that made the admissions process in schools an even playing field, the new laws will keep the process at an unequal and unfair advantage for white students. Making the workforce for the nurses at a higher percentage for more white nurses as compared to non-white nurses.

This has negative effects that can be seen in patients who prefer t have white doctors attend to them instead of a non-white. In the same case, they would also prefer white nurses because of a misconception that the non-whites are not as qualified. Many a time the patients may deny it, but It comes down to the color of their skin. In another scenario, nurses of an ethnic background may feel isolated and lonely being the only one on their team or shift being a person of color. It can be difficult to relate with people of a different background who do not share the same experiences, heritage or history as you.

More than that, being the only different one it is easier to be singled out for harder tasks, or unwanted shifts that to be thrown your way. Collaborating with others can be difficult in an unfriendly environment. The workplace then becomes a place full of tension and stress, rather than a fulfilling atmosphere for vocational work to take place. This ultimately results in a high turnover for people of color, who are often put in uncomfortable situations both at work and in a society that pushes them to relinquish their jobs for peace of mind and seek better opportunities.

Racial discrimination in nursing is a factor. The perception is that only people of color can or should work as nurses because it is a job secondary to a doctor. A caregiver is expected to be black or Hispanic. When the roles are reversed, some patients are surprised or taken aback even. This shows that the level of discrimination does not only exist in the industry but it has also become a social norm. Sometimes, patients make derogatory requests like “I don’t want colored nurses in my room”. The hospitals are then forced to abide to please the patients and protect personnel from potentially a volatile patient.

This goes two ways, one the patient fails to receive sufficient care in the event a ‘colored nurse’ is the only one available, and the second is the nurse walks around with a heavy heart from racial discrimination and prejudice in the workplace. Serving up a negative impact for all parties involved.

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