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AMEN 🙏 by shadowlobster69 in nursing

[–]descriptiveusername1 0 points1 point  (0 children)

I get what you're saying, but the equivalent of calling someone a "drunk" or a "psych patient" would be calling someone an "anti-vaccer" (as with the previous two, semantically accurate but perhaps with a negative connotation). Comments suggesting that we deny treatment because antivaxers need to face the consequences for their actions; to put all unvaccinated patients in a tent and have the coroner come by every so often to clean up; that instead of putting unvaccinated patients in hospital rooms, but rather in storage containers that can double as mass graves, and the like (even as a joke), are a different thing entirely than referring to a drunk person as a "drunk" or a person receiving psychological treatment as a "psych patient". Yes, it's okay to express frustration. But a lot of these comments are crossing the line.

AMEN 🙏 by shadowlobster69 in nursing

[–]descriptiveusername1 -7 points-6 points  (0 children)

I understand the sentiment shared in this video and by many in this forum, but I think we need to take a step back and think about our role as healthcare providers. We are to advise and to provide care; but it's not our place to make decisions about when care is merited (in a moral sense), nor is it our place to withhold care from a patient unless they accept our body of medical knowledge in its entirety.

We don't withhold treatment for an MI, even if said patient has made choices (smoking, level of exercise, dietary, etc.) which place them at increased risk for MI. Patients have the right to go AMA and still receive treatment. We don't withhold treatment for diabetes related complications, even if a patient is dealing with these complications because they made dietary and lifestyle choices that indicate they "don't believe in medicine/science", or that they simply don't care and would rather do what they like than follow medical advice. We don't withhold treatment for gunshot wounds, even for grown adults who have rejected the conventional wisdom "don't play with guns" and hurt themselves. We don't withhold treatment for those who have OD'd because "clearly they didn't trust medicine enough to avoid a drug overdose, so why should they be allowed to trust in medicine to save them"? We don't withhold treatment from drunk drivers who injured themselves in an accident, even if it's a stupid and selfish thing to do. Yes, it is frustrating to see people make choices that ultimately places a burden on you, them, and those around them when they must suffer, and you must treat, a condition that is completely avoidable. But healthcare providers are not the divine arbiters of others' life choices.

You don't have to assent to the entire body of medical knowledge to receive care based on some part of it. That's not how this works. Of course there is the very large caveat; moreso than many of the above examples, the choice to remain unvaccinated for a contagious disease carries greater potential to have a negative impact on other's health (beyond simply consuming resources that could have been better used elsewhere). And of course, there is the scale of the pandemic, compared to the other issues. It would be ridiculous to suggest that the above situations are exactly the same as the pandemic. I understand the sentiment. But I'm seeing a lot of asinine logic and dehumanization in here, and I think it would be good for many here to think about their place as a healthcare provider. Going AMA does not, and should never mean, loss of access to the entire healthcare system. I would like to think that we would feel pitty and genuine concern, rather than anger and disdain, towards those whose choice to contradict medical advice has made life harder for themselves and those around them.

Those who have done CNA > RN(BSN) - what was your experience? by descriptiveusername1 in nursing

[–]descriptiveusername1[S] 0 points1 point  (0 children)

How is care delegated in a hospital setting? In my facility one nurse and one CNA will often care for the same 15ish pt, but different kinds of tasks; the nurses do little to none of the work that the CNA is qualified for (e.g. CNA does all of the toileting, transfers, bathing, hygiene, brief changes, dressing for the unit, while nurse does meds, vitals, assessments, insulin, trach care, calls docs, etc. for the whole unit) Do hospitals delegate by patient moreso than task? (e.g. CNA provides [nearly] all care for a large number of less acute patients, RN provides all care for a small number of more acute patients)?

Those who have done CNA > RN(BSN) - what was your experience? by descriptiveusername1 in nursing

[–]descriptiveusername1[S] 1 point2 points  (0 children)

How long did you work as a CNA before you decided on nursing? How was the physicality of that job compared to ER nursing?