Forum Replies Created
-
Posts
-
Hello, Kelly here, a RN in CTU.
Will the research/information in this article change or influence your practice? If so how?
I really enjoyed the article “Work-Life Balance Is a Cycle, Not an Achievement.” I enjoyed the step by step approach it took to boil the stress down one might be feeling. I recently did this approach myself when I left the float pool (love you all still!!) I had always worked 3 days a week since graduating nursing school, and working the 4th day as silly as it sounds, seemed like a lot more. I felt more tired and more crunched for time to keep up with home things and even though for my family schedule being done at 4 was probably a little easier, mentally it wasn’t better for me.What other questions does the article raise about current practice?
As mentioned above by others, these articles aren’t geared towards the healthcare working force. I actually feel like the opposite actually happened to healthcare workers in general during the pandemic. I feel like work-life balance, probably as a whole probably was worse. Short staffing, sick staff, people working in covid units or ED’s that would isolate once they got home from their families to keep them healthy, you heard of all of that during the pandemic.Do I agree or disagree with the authors?
I found the point about the specific ages of children at home being a factor very telling. My husband had a couple of coworkers whose kids are in that lower age range, and they both definitely felt more stressed trying to work from home than his coworkers with older kids. The coworkers with the younger kids were so ready to get back to the office, even if it is only 2-3 days a week now.conrad.369 You are so correct that we are treating more and more complex patients in the outpatient setting. I think you are completely right that paying close attention to these labs are vital in preventing/catching TLS.
hsu.243 Everything you are talking about when you used to work inpatient to prevent TLS, I actually was thinking when I was reading these articles specifically when talking about rasburicase was it sounded more like inpatient interventions. Have you had many cases in the outpatient world where rasburicase was used?
1. Something I found interesting/learned in the article by Tammy Mackiewicz, it said that TLS more commonly occured 48-72 hours. I work in CTU and several of our studies require TLS monitoring. We check for it at 8 hours and again at 24. I can recall a couple of times where the provider wanted the patient to come back at 48 hours if the 24 hour labs needed interventions.
2. Questions I have in my practice after reading this is both articles mentioned Rasburicase being used a lot, that isn’t a drug we use here very often at all. Allopurinol, hydration, kayexelate, and phoslo is more what we use here. I would be curious why we don’t use it much.
3. I agree with the conclusion from the 2nd article about having order sets in how to treat TLS already provided. It gives a quicker access for RN’s to intervene to help with TLS situations. It reminds me of the orders we have laid out for us in our treatment plans.
Melissa, I agree about transforming a room for people to escape to, or maybe even eat lunch in. I actually do think OSU offers like yoga sessions outside in the summer time (or at least they used to), the problem being, finding the time to actually attend events like that during the day. Pt care is really hard to step away from, especially when staffing is tight.
Katie, that is an interesting point about several people leaving for traveling. I would think for short term more money at least makes it seem more tolerable right, more justifiable. But, in all reality, I agree with you, if you aren’t addressing the root of the problem, it will probably rear it’s ugly head again.
Good Morning, my name is Kelly and I work in our outpatient float pool. I had picked these articles because I just felt like the topic was relevant right now 🙂
1. I learned about the factors that can attribute to burnout among the nursing population. I found it interesting that age and gender were both brought up but then both kind of shoved aside as there are studies that show support for both sides of the spectrum with those factors. Except, they did weigh age into the equation when taking into account the outpatient burnout was higher, but the population of those outpatient nurses were older.
The factor that spoke to me the most is the lack of control can lead to burnout. I think we have all experienced a feeling of lack of control during this pandemic being asked to do things that may be out of our comfort zone. Wondering what factors spoke the most to others that read this article?
2. One way these are going to influence my practice was the second article. I just finished setting up massage chair sessions for our group on 2/17. After reading the positive effects massage had on the nurses that participated in the program, I figured this would be something worth pursuing.
3. The first article mentions how relationships with coworkers was one of two most commonly used coping strategies to deal with burnout. This did raise the question for me of, working in ambulatory JCRU, it isn’t quite as easy to have those close work relationships since we don’t have a home base. Are there steps we could take to make it easier to lean and rely on each other for debriefing or coping? Or maybe this isn’t something that needs addressed?
Greg, I agree that it will take time for insurance companies to see the long term benefit of proton radiation. I just wonder how long considering how long it has seemed to make it to us as a treatment? It really is too bad that insurance companies can have that much control over healthcare.
Stephanie, we were talking in unit council that it seems like this type of radiation would be beneficial especially for our head and neck patients since they experience so many side effects with current radiation. It would be interesting to see the difference in outcomes for this population.
My name is Kelly Harms, I am a RN in ambulatory JCRU.
1. I learned the benefits of proton radiation therapy over photon radiation therapy. I honestly did not know anything about proton radiation therapy. Proton therapy directs just at tumor site and less residual to surrounding areas, causing less issues from radiation.
2. One major question that raised for me was what took so long for proton radiation to become more available for patients. In the Meckling article it states that as early as 1946 is when it was first proposed as cancer treatment. Is it a cost issue for equipment? It seems like a big time gap for it just to be coming to the new facility at Morehouse especially if it is much easier treatment than photon radiation.
3. I agree with the authors conclusion from the Jama article. It seems to me that insurances would want to look into approving this type of radiation for patients because the long term cost effectiveness. If there are less problems from radiation, that means less hospitalizations and costs associated with radiation toxicities.
karafa-I agree schools could be an easy measure to use to increase vaccine status, however, I just feel like the push back would be so huge. Even if it’s voluntary and given with signed consents, after this last year and half and aversions to simple measures to prevent the spread of covid, I feel like the pushback would be huge.
hsu-did your sons school offer the covid vaccine?
smith- that is so cool your old unit did a study and found it reduces the risk of reoccurence!
What was the knowledge gained from the article?
I found it very interesting and quite alarming that HPV was being transmitted to health care workers in on surgical cases associated with surgical smoke from patients who have HPV virus. I also learned that the original HPV vaccine approved in 2006 only covered 4 strains and the new one in 2014 covers 9 strains.
What other questions does the article raise about current practice?
I have a couple of questions from each article. First being, what have we done since the 2018 study in the 4 areas to increase vaccine compliancy. I.E. (missed clinical opportunities, increasing parents acceptance of vaccination, maximize access to vaccine, and global uptake)
Second being, I’d be curious of staff- willingness to receive HPV vaccine working in treating HPV associated conditions.
Do you agree/disagree with the conclusions of the author, why?
I do agree with the sentiment that proper education needs to be taught regarding vaccinations and that taking those opportunities to educate should be taken. I feel like many times people get their information from the wrong sources these days (i.e. social media) regarding such important topics.
