Nurses: In the Face-Off With COVID, We’re Doing ‘Alright’

We did alright during the HIV/AIDS epidemic. We’ve done alright during Ebola. We’re doing alright during COVID. We’ve done alright through war, earthquakes, tsunamis, landslides, and typhoons. We’re neither politicians, nor business owners; we’re not in banking or finance (though some of us might have a side hustle or two).

We’re nurses, and we show up.

Let’s be clear, alright is not “OK,” it’s not “good,” and currently it’s “head barely above water.” Alright is persistence, though, and it’s perseverance. We’re all suffering. Those of us who have worked in past epidemics are having flashbacks, we still don’t have enough protective gear, and we’re scared to death of bringing COVID home to our loved ones.

Here’s a real gem, to boot: When COVID started and picked up exponential speed in the U.S., we were touted as heroes. And now as the waves of cases roll in again, because of the extraordinary financial hit that health care has taken we’re the first to be flexed off and furloughed.

“Hey hero, thanks for your service! We can’t pay you any longer. Good luck.”

Why we keep showing up.

But we’re doing alright, and this is why: There is a sense of profound meaning in the work that we do. As impossible as it is some days, when we provide […]

Every Frontline has a Backline: What Nursing Can Learn from Rugby

Photo credit: KJ Feury

Have you ever had a day at work that could only be fixed by an ice cream from your favorite creamery or by a hug from your best friend? Every shift during the height of the COVID-19 pandemic felt like this.

Unfortunately, because I work as an RN in a pediatric ICU at a large hospital in northern New Jersey, social restrictions that coincide with COVID-19 forestalled my usual comfort measures. After the start of the COVID-19 pandemic and during my reassignment in the COVID-19 ICU, I could no longer truly “leave” work. Work came home and walked with me throughout my day.

Dozens of IV pumps lining hallways, countless boxes of gowns, gloves, masks, and rubber shoes scattering the unit; ventilator alarms sounding; coworkers with surgical caps and masks, only identifiable by their eyes. The once medical–surgical unit transformed into a critical care unit equipped to care for COVID-19 patients.

After donning and doffing personal protective equipment (PPE), giving medication, adjusting ventilators, and updating families, you leave your 12+ hour shift wondering if you did your best. In the chaos of an unfamiliar unit, caring for patients with an unfamiliar virus, did I do everything to create the best outcome for my […]

Leaving WHO? Now?

Vital global health needs.

The July cover of AJN shows a nurse-midwife counseling a new mother in Ghana. We obtained this photograph from Jhpiego, a U.S.-based nonprofit organization that has been providing health services for women and families in developing countries since 1974. Not only does this image pay tribute to the Year of the Nurse and Midwife, but it’s a reminder that though the world’s attention is focused on the mounting cases of COVID-19, other vital global health care needs deserve our attention and our support. Infant and maternal mortality; communicable diseases like TB, Ebola, and malaria; and health crises arising from disasters, poverty, and war don’t pause while we deal with this outbreak.

A stunning departure.

I’m still in disbelief that the United States has given the World Health Organization (WHO) notice that it is pulling out of the organization. In May, the White House threatened to cut funding and leave, claiming that the WHO favored China and thus mishandled the COVID-19 outbreak (this was after praising them in April). This week, the United States confirmed it will leave the WHO. A global pandemic hardly seems the time to stop collaborating with other countries as the whole planet seeks solutions to combat this new and deadly coronavirus. […]

Food or Meds? The Lose-Lose Choice Facing Some Older Americans

Food insecurity was already common in older adults before the pandemic.

image by congerdesign from Pixabay

Years ago, when I worked as an ED nurse at Bellevue Hospital, one patient who became a favorite was a charming octogenarian named Sam. He would frequently present in congestive heart failure or pulmonary edema. He always responded quickly to treatment and often just needed a bit of furosemide to get rid of excess fluid.

After one of his almost monthly admissions, we found out that Sam relied on canned soup for much of his diet. The high salt content would cause him to retain too much fluid. He knew the salt wasn’t good for him, but soup was cheap and sometimes all he could afford.

What is food insecurity?

The United States is one of the world’s richest countries, yet we know that hunger is a common problem for many people. Older adults, especially those over 65 with multiple chronic conditions and who take multiple medications, are especially at risk for food insecurity—the inability to afford healthy and nutritious food.

Hard choices for elderly on a fixed income.

Many older adults live on fixed incomes and many don’t have supplemental insurance to cover medications. Some may have to choose between paying for medication or paying for other necessities like housing and food.

Many rely on programs like Meals on Wheels or food banks, but a number of these programs were suspended, at least for a time, during the early days of […]

Racism, Social Justice, and Nurses

By Karen Roush, PhD, RN, FNP-BC

The murder of George Floyd under the knee of a police officer, following so quickly on the murders of Ahmaud Arbery, shot down while jogging in February, and Breonna Tayler, an EMT with plans of becoming a nurse who was killed by police in her own home in March, coalesced years of anger, fear, and despair into an extraordinary outcry for racial justice that has not been seen since the civil rights movement.

Black Lives Matter.

Credit: National Nurses United

The chilling casualness with which Derek Chauvin ended George Floyd’s life over nearly nine agonizing minutes exposed more dramatically than anything else why we need to insist that black lives matter. The fact that it took four days for any charges to be brought against Chauvin, and over two months for the murderers of Mr. Arbery to be charged, only serves to reinforce what many have been saying for a long time, that all lives do not matter equally.

People have filled the streets of large cities and small to march in solidarity for racial justice and the end of police brutality. (Looters and rioters are not part of the protests and unwelcome by those marching for justice.) Not everyone may agree on how to […]

2020-06-12T13:22:12-04:00June 11th, 2020|Nursing, Public health|3 Comments
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