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February 13, 2016

Narcan – Judgey McJudgeyPants.

By | Dead, Health, Healthcare Policy | 7 Comments

Narcan is being sold over the counter with education in many places now.  You can hear the screams of the self-righteous and uninformed from a million miles away.  I am going to assume that any person who reads this and is completely scandalized by my attempt to educate about narcan is simply uninformed and requires tutoring.  Because I don’t want to assume that you think ‘Those Damn Junkies Ought To Die’

Well, then.narcan

As a former ER Nurse, I love me some narcan.  It can turn an essentially dead person into a swinging, puking whirlwind of life in a moment.  Heroin overdose? Have 0.4 mg of This Party is OVER! And hopefully you got it fast enough that we have saved your brain.  So you can live to go to rehab someday.  This is because all people are precious, and I want all of them to live for as long as they can.  I am a grieving parent, myself (pedestrian accident) so I am firmly wired into the community who have lost their children due to drug overdose.  I wish there had been a vial of Narcan sitting there when my friends found their kids down.  Seriously.

Narcan does need to be sold with education, especially because of the half-life.  We all know they can obtund again in 20-30 minutes.  Or an hour.  They still have to come to the hospital, and they need to know that.  However, we cannot control that.  We can only give them this one precious second chance at life.  Yes, there are side effects associated with Narcan, but none of them are as serious as dead in 3 minutes.  We can usually fix the other ones.narcan2

And now we are giving it to the police as well! This is wonderful! The police usually get to scenes much faster than the ambulance, and they can inject it and save that person, who may go on to change lives for the better someday.  Maybe they will speak at your kids school about the dangers of drugs, and convince your kid to never try heroin WHEN it is offered to them. Because it will be offered to them.  And if you think it won’t, come visit me and I will take you to an extremely affluent area of St Louis where kids are dying in record numbers from heroin overdoses.  Good kids.  Smart kids.

And if you think that this will not save anyone, Let me direct you to this Time Magazine article about a 2013 study, and the use of Narcan in the community since 1996.

Sick people do not deserve to die because you disagree with their choices, Judgey McJudgeyPants.   

 

Love,

 

Janie

 

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Today’s Janie Events – interesting interaction with a Nurse Executive

By | Advocacy, Good Works | 5 Comments

Climate change in a hospital is always difficult, and no organization can rival the VA for making slow, deliberate changes.  The wheels of the government turn slowly, and all.  Hopefully all of that time is put to good use, deciding what will be best for our vets.

The VA has a promotion system that can only be described as ‘somewhat cumbersome’ if you are being conservative.  It is a giant pain in the hind parts if you are being blunt.

I sent in my promotion application, and was denied.  Naturally this was quite upsetting to me, as I am already doing the work of the next level.  Get your BSN, kids.  It matters.

In the VA, you are allowed to apply for reconsideration when things like this happen.  I wrote my ‘rebuttal’.  Then I received an email from a Nurse Executive.  She wanted to meet with me, and I felt like I was being called into the principal’s office to be told that I need to get my BSN if I expect promotion at all.light

As usual, I am really glad to admit when I am wrong. 

This was awesome! She helped me see what I could do better with my request for reconsideration! She explained how important it is to go into great detail to explain what I have accomplished to paint a picture for our Nursing Professional Standards Board.  It was a great explanation and I think it will really help to accomplish my goals. She also said that she would prefer an all BSN RN staff, but that is ok.  She still wanted to help me.

Sometimes you just have to trust that your upper management does in fact have your interests and your career development in mind.  I may not get my promotion, but at least I know that one of our Nurse Executives really went above and beyond to lift up a fellow nurse and help me reach my goals.rise

Maybe it is a good time to reconsider the motivations of your Nursing management staff. I did.

Maybe it is time for all of us to lift each other up.  Our patients depend on it.

 

Love,

 

Janie

 

 

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