Nurse here. Yep it took about 2 years until it all clicked, but always learning. What's your unit? It sounds like your coworkers are also burned out if they are bullying you. Do you have a nurse educator? Maybe they could guide you on things you are unsure about or need more practice with. Is there a way you can transfer to another unit that may be a better fit? If you are not stuck at that hospital under contract, look into travel nursing when you get a year under your belt. Sometimes there are local opportunities. Some hospitals have New Grad positions where they try to ensure their new nurses are mentored properly to build confidence.
If you are stuck at that unit/hospital, try to keep pushing through. Build that thick skin. Regarding confidence: fake it til you make it, but always ask questions and make sure patient safety is your top priority. Try not to think of your coworkers ask trying to push you to do things their way as a bad thing. IMO, everyone has a different way of doing things. Observe coworkers techniques and adapt to whatever works best for you. I go by the old "kill them with kindness" technique. Pleasantly thank them for showing you their way of doing things, but in the end you do you as long as you keep your patients safe.
Can you switch shifts? If so, perhaps give that a try. When I was burned out on days, I switched to nights and the tempo and personalities were different.
It is hard. And the only ones who understand are those who have gone through it. In the end, if it is truly wrecking your soul, it is not worth it. Try to stick it out if you can, but not at the expense of your mental, physical, or emotional well being.
I wish you the best. Feel free to DM me if you want to chat any further on this topic.
As a Floridian, I was disgusted to receive an email several month ago from the office of the Surgeon General advising against getting Covid vaccines and boosters knowing a majority of folks who receive this email will take this as best recommended practice. Folks, it is your choice, but please talk to your doctor to help guide you in such decisions.
This is neat, however the problem that caused ischemic PAD in the first place (diabetes) will still be there and continue to do damage if not controlled.
I think it's more of an HCA for-profit thing. All my coworkers who have ever worked for HCA rarely had anything good to say about that company. Businesses that are for profit do not put patient care above all else. By trying to squeeze more profit out they cut staffing and quality equipment and increase mandatory overtime. In the end it's the staff and moreover the patients who suffer.
CHF in this case is the abbreviation for the Swiss franc (currency). I was quite confused initially reading it as CHF as the medical abbreviation for Congestive Heart Failure. Was wondering how heart failure and arthritis were related for a sec. :)
I am going to lock this post, though I would rather remove it. The information provided on the video and the video creator's website is not proof or evidence. The studies referred to are 8+ years old, which in the research community is considered outdated. Just because a site has .org does not mean it contains reliable information. Scientific evidence is more than stringing along several poorly correlating studies done by individual companies or persons. Also, what may work for some may not work for you and vice-versa. Everyone's biology, physiology, and other relevant backgrounds are different and should be taken into consideration when posting health-based information.
You are free to bring up topics to discuss here, but next time you post a video with a wall of text directly from the video summary, I will remove it. If you want to start out with a personal discussion and link information within your post to check out, I will consider allowing it as long as the intention is to create a constructive discussion, not merely being dismissive of alternative viewpoints.
Furthermore, I will update community rules as the action of posting links videos with no (or no original context to initiate a healthy dialogue between users) has become more prevalent. Please consider this a warning.
Care to add a TL:DW (too long: didn't watch) summary or any supporting discussion?
I watched it. Some good points, but very jargon-y and technical. Never heard of Bret Weinstein before.
IMO it would be better in the future to post something more than a link to a video we should watch. Will likely remove similar posts in the future with just video links without any other context or input from OP.
The information in the links you provided have no proof of scientific evidence or research studies to support them.
An investigational nasal spray may help folks with paroxysmal supraventricular tachycardia (PSVT) safely and quickly slow their heart rate on their own.
Up to 2 million people in the U.S. experience rapid-fire heartbeats from time to time, and many end up in the hospital for treatment.
But an investigational nasal spray may help folks with paroxysmal supraventricular tachycardia (PSVT) safely and quickly slow their heart rate on their own.
"Currently, PSVT is treated with intravenous medication administered in the emergency room or by paramedics when vagal maneuvers are not effective, which is the majority of cases," said study leader Dr. James Ip, an associate professor of clinical medicine at Weill Cornell Medical Center in New York City.
Vagal maneuvers are physical actions such as bearing down that make the vagus nerve slow your heart down.
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At 160 to 250 heartbeats a minute, Ip said PSVT can be scary, but it isn't usually life-threatening.
When self-administered as a nasal spray, etripamil can slow heart rate in 30 minutes, according to a clinical trial funded by its maker, Milestone Pharma. Etripamil is a calcium channel blocker, a class of drugs known to slow down heart rates.
No medications are currently approved to treat PSVT without direct medical supervision, researchers said in background notes.
"This is a game changer because patients can now treat their own PSVT episode by themselves and avoid calling an ambulance or going to the emergency room," Ip said.
The study was published Wednesday in the Journal of the American Heart Association. Milestone Pharma plans to submit a new drug application to the U.S. Food and Drug Administration in October.
The new research is an extension of a previous trial of the nasal spray. Folks were 58 years old, on average, and had experienced 9.7 PSVT episodes in the previous year. Most were taking long-acting medications to prevent rapid heartbeats.
They wore an electrocardiogram (ECG) patch linked to a cellphone to transmit data about their symptoms. During PSVT episodes, they did a vagal maneuver, and self-administered the nasal spray if the rapid heartbeat continued. They kept the ECG patch on for five hours after the episode.
Of the 169 participants, 105 self-administered at least one dose of etripamil over seven months. Etripamil restored heart rate to normal within 30 minutes in 60% of 188 PSVT episodes, and within an hour in 75% of the episodes, the study showed.
Of 40 participants who self-treated two PSVT episodes, 63% responded to the medication within 30 minutes. What's more, people were good at detecting when they were experiencing these rapid heart rhythms, with 92 having one or more episodes confirmed by their ECG patch.
Ip said there were no serious heart-related adverse effects from the drug, and the most common side effects were nasal congestion or runny nose.
"The safety has been consistently demonstrated as a single dose, after a repeat dose after 10 minutes [if the first dose doesn't work], and after repeat dosing for multiple events," he said.
By contrast, oral medications take longer to work and may be associated with safety concerns such as fainting and low blood pressure, Ip said.
The drug is also being studied in people with a common heart rhythm disorder called atrial fibrillation (a-fib) and in children aged 6 to 17.
Outside experts agree that if approved, this nasal spray could be a game changer for the millions of people who experience rapid heartbeats.
"In the future, this could be a very effective and safe way for patients to treat themselves for this bothersome condition," said Dr. Deepak Bhatt, director of Mount Sinai Heart and professor of cardiovascular medicine at the Icahn School of Medicine in New York City.
Current treatment options for PSVT aren't always ideal, added Dr. Javier Banchs, director of electrophysiology and pacing at Baylor Scott & White Health in Dallas.
Catheter ablation uses a narrow plastic tube to kill cells responsible for the heart rhythm problems and is highly effective, but not everyone is a candidate or wants to undergo the procedure, he said.
Vagal maneuvers like straining, washing your face, drinking ice-cold water, or lying on your back with the legs elevated above the heart level don't always work either, Banchs said.
"A drug called adenosine, which can only be given through intravenous access, has been the pharmacological treatment of choice, but the success of a drug like etripamil in clinical trials has been long waited for," he said.
Dr. Adam Shapira , a cardiac electrophysiologist at Baylor Scott & White Health in Dallas, agreed.
"Having a safe, effective and self-administered pharmacological agent to terminate PSVT is a breakthrough," he said. "This agent will likely become the treatment of choice."
More information
The U.S. National Library of Medicine has more on paroxysmal supraventricular tachycardia (PSVT).
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I am a nurse and agree with your analysis of the article and information provided. Thank you for your input.
When doctors tell a patient “It’s all in your head,” that’s medical gaslighting. Here’s how to address an issue that disproportionately impacts the health of women, LGBTQ individuals and the elderly
When doctors tell a patient “It’s all in your head,” that’s medical gaslighting. Here’s how to address an issue that disproportionately impacts the health of women, LGBTQ individuals and the elderly.
Death is, of course, inevitable, but discussing it and how to face it certainly is not. A new review aims to discover what makes a 'good death.'
Hello all beings of the fediverse. I wanted to discuss something that may be hard for some but has recently come to my doorstep. My father-in-law has been fighting a terminal illness for quite some time. He's elderly and just recently took a turn for the worse physical and mentally. Prior to this he was still able to live independently, although unable to drive and had meals provided.
Since his recent decline and visit to the hospital, he is no longer able to make appropriate decisions and he can barely get around without full-time assistance. His appetite is greatly decreased as well as his fluid intake. He sleeps most of the day.
Prior to this, he had made his wishes known and decided that if he were to get to such a state, we would have hospice care. Well, that reality has come. I am thankful my husband and his sister are able to care for him throughout the day and we have nursing assistants coming over to help, especially as he declines and becomes unable to make it to the bathroom or even turn himself because he will become increasingly weak throughout the rest of his time.
Although I prefer my privacy, we have agreed to move him in with us, as I feel it is only fair for him to be cared for with dignity and be amongst loved ones.
I am a nurse by profession and have experienced many patients in their twilight. Many families want "everything" to be done for 90 year old Nana who is frail and fragile. I personally don't like doing CPR on any patient, but knowingly I will break Nana's ribs and if we do manage to get her back, chances are she will be on a breathing tube and likely have brain damage. She also will likely not be able to eat and will need additional tubes to provide nutrition as her muscles continue to atrophy. Hopefully there will be enough staff to keep her cleaned and turned as the boney areas get worn from friction, heat, moisture, lack of blood flow, and time creating bed sores. I have seen way too many of those. Once even so big you could fit your fist in each buttock cheek.
Getting back on track... Just curious how you envision caring for your loved ones when the time comes? What does your culture do in these times? How would you like your death to be?
Please stick to serious and thoughtful replies. This is a touchy subject for many but it is an inevitably for us all.
About 3 years ago my husband and I stopped reheating anything in plastic containers. We still use them to store food in, but mainly have switched to glass containers.
We also invested in good water bottles that we use daily when in transit or at work.
We don't really use straws much but have been gifted reusable straws and occasionally use them, mostly for guests.
We recycle and have become more conscientious over the years in making greater attempts to avoid purchases that involve environmental contaminants.
Am a nurse, but consider myself a bit of a computer geek. Was an avid Reddit user, but left in protest of the changes and never looked back. I've enjoyed participating in the growth of lemmy, learning the system by trial and error in throughout the migration. Has been really enjoyable, reminding me of when I switched over to Linux a bit in the early 2000's before becoming an avid gamer.
I know a lot of the non-tech savvy folks and younger generations were disappointed when joining lemmy and learning it isn't a polished platform like most other commercial social media is, but imo that's part of its charm, knowing it is a growing, living work in progress with the many dedicated developers devoting their free time to continually improve it.