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As far as I know a 2 year student can be the lower level of nurse and the 4 year can be the higher
Are you referring to nurse practitioners at 4 years? That's a different animal.
M
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First off 2 year nurses have largely been booted from most hospitals I have work in for inadequate training for acuity.@Splinty is this true?
I feel like I've got a truly unique and encompassing view of this as I have military and civilian roles. Indeed, to supplement the civilian hospitals we did run covid centers...tent hospitals, oxygen, army medics, etc.
Once the patient decompensates (based on oxygen need) they are transferred to the main hospital.
We could spin this up again as we have done in various capacities throughout the pandemic.
The main issue I would see with it is that isn't really where we are seeing the bottleneck.
The hospitalized med/surg covid wing patients still have a TON of other medications and consideration beyond covid. Indeed this entire thread is full of people discounting covid deaths as "dying with covid" because they die of heart attacks, renal failure, etc.
We have shut down day surgery and swung those nurses to the covid side. These are full RNs with years of non-covid nursing experience. They can manage all these meds but I have received more phone calls every day I'm on call than at any other time in my entire career. There is not a real 6th sense on this stuff. And the patients are such a crap shoot. I've had them go down the tubes inside of 16 hours of admission depsite only needing 2L NC on arrival and also had them go to LTAC for a 6 weeks smolder on high flow.
"COVID Techs" as being envisioned would only benefit the scant number of patients on nasal cannula that have no need for monitoring of meds and comorbidities. Even just the steroids that are cheap and easy to administer...what's the plan for sugars and electrolyte derangement? But even then, ok let it ride. You still have almost no patients that meet the technician model and as is selected by the virus the patients sick in the hospital are most likely to have a ton of other medical comorbidities needing a nurse.
And finally in every patient that just needs a few liters of oxygen and to take some meds. Why don't I just send them home with oxygen and a pulse ox? Well that's exactly what I currently do.
Technicians would fit somewhere between CNAs and RN and would be just more personnel doing what a continuous pulse ox and tele could do anyways.
That's what Ontario needs because we won't hire doctors. Not what we need for the Rona though.
M
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M
member 1013
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@Shinkicker r u?!
You honestly don't believe that 2 years and an endless supply of money couldn't have solved most of these problems?
M
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What are you trying to show me?!
M
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They are radiological experts!
20 months of dealing with covid patients. But you need specialized training in every area of nursing as your baseline before getting there.
When someone walks out of basic mechanic school are they able to diagnose and fix anything that comes in? If you throw a Diesel engine in there then they have to have specialized training for the Diesel engine. Or special training to also be able to rebuild a transmission. Right?
Same with nursing. You have the med surg which is generalized (or basic, not easy either)nursing. If you move to a respiratory unit then you get trained there. If you move to cardiac, you get trained there.
Med surg nurses don't take care of vented patients unless it's long term through a trach. They send the to ICU.Some med surg areas won't take care of bi pap patients, they send to ICU. Med surg doesn't take care of patients on a cardiac drip (med through IV). They send them to ICU.
Covid patients that go bad are usually vented, on sedation drips, paralytic drips, blood pressure drips, etc. All of which the nurse has to know the parameters of titration of each one, which one to titrate and when to titrate it.
5 extra class hours of microbiology
I did over 15000 hours of training after medical school. And I've got chiros always there reminding me of their extensive microbiology knowledge!
It's real ring dinger.
It's not really a great comparison. Yes, we would throw them to the wolves with the understanding that someone more experienced would be keeping an eye on them, and that a car doesn't get worked on while it's running. A mechanic also has 3-5 years experience in the field before they're what would be considered off on their own.
Ultimately, I'm not saying my solution is perfect by any stretch of the imagination, but we've had almost 2 years and literally infinite amounts of money spent on the pandemic and the medical establishment is still using all the same thing they were when the pandemic started and they said "We just need a few weeks to figure out how to handle this."
Here the government added ICU beds, and now won't hire anyone to staff them.
So do you think you'll ever be good enough to chiropract?
Wait I thought there was already staffing shortages?
View: https://twitter.com/tmmac5/status/1429874386341879820?s=21
View: https://twitter.com/tmmac5/status/1429874386341879820?s=21
How in the fuck did he get back on twitter?
gosh. you might need to re-read that in it's entirety. Don't just skip to the "Results".
I read the abstract, then lost interest. When I got to the part where they said N95's leak more than they thought and that the surgical and cloth masks are even worse I was like "I'm good."
nurses be nursing yo
honest question
I completely understand if you don't wanna respond to that question
What state is offering the most per week for a nurse?
Oregon is gonna lose some from the vaxx mandate taking effect early october, already way understaffed
What condition physically are the majority of "these patients"?
honest question
I completely understand if you don't wanna respond to that question
What state is offering the most per week for a nurse?
Oregon is gonna lose some from the vaxx mandate taking effect early october, already way understaffed
that's not how long it takes to learn how to do the routine/low-level tasks, and that's all it takes to free up a lot of experienced resources for intense care.
That's called "confirmation bias" and "cherry-picking data"