Tag Archives: RN

Does a hospital’s right to hire smokers trump a patient’s right to breathe clean air?

I was recently in the hospital to get a head start on trying to control the leaky cellulitis/lymphedema/edema causing havoc and pain on my left leg and life.  For an entire day all my experiences in the hospital were incredibly good… until…

The new aide came closer to take vitals until she was close enough to smell cigarette smoke on her.  “Smoker”?  I asked – she said, “Yes” and continued to wrap the blood pressure cuff around my left arm and placed the thermometer into my mouth.

For whatever reason when she finished with the blood pressure, she held on to the handle of the thermometer and I smelled the smoke on her fingers held next to my nose.  My mouth was tight around the thermometer and now could not breathe without smelling her smoke and I pulled away and said, “Your fingers reek of cigarette smoke.”

She agreed and I suggested she wash her hands.  She said she did but the smoke smell did not come off.  I was trapped – a hospital patient forced to inhale cigarette smoke from a hospital worker.  She said she would get someone else to do my vitals.

Funny thing.  I was in that hospital because of a forty-year smoking habit and developed emphysema (COPD) due – probably – to smoking.

I stopped smoking in 1997 – a tough time that took me over two years to get over the gut wrenching addiction urge to smoke again…and here I was trapped in the hospital, forced to inhale smoke from a hospital employee reeking of cigarette smoke.  The irony of all their outside hospital signs proving they were a “Smoke-free” hospital and grounds was laughable.

I complained.  The hospital person I complained to told me they would get someone else to do my vitals…that I did not have to have a smoker helping me.  I asked about the other seniors – any patient – who would probably not complain of being forced to inhale the toxins of cigarette smoke from a hospital employee for fear of retaliation…no one seemed concerned about them.  Apparently, the issue is only an issue with me, an ex-smoker, as far as the hospital is concerned.

A few hours later, the RN came in with the vials of antibiotics and other meds that went directly into my veins.  He dropped one vial, hesitated, picked it up, hooked it into the devise going directly into my vein, and plunged the contents inside.  Neither of us said a word.  I remember thinking, isn’t this hospital floor dirty?  And hoped the contents of the vial stayed uncontaminated.

As an almost thirty year hairdresser, if I dropped a comb on the floor it was cleaned and re-sterilized before touching a patron.  Apparently, hospitals are different.

A while later it was time to hook up the oxygen tube to my bipap.  I pulled to get it for her but the end was stuck between the hospital bed wheel and the metal bedframe I’d just lowered.  I left to visit the bathroom and when I came back, the hospital employee had ‘fixed’ it.

I looked and she had placed the deformed tube end on my machine but had not pushed it on to secure it.  I did it and went to bed…wondering why an employee was allowed to reek of cigarette smoke and work around patients….wondered why an RN didn’t throw the vial away and get a new one for the patient when it dropped to the dirty floor…wondered why the tube end of the oxygen tube wasn’t replaced by a clean, sterile one when it had been lodged against the dirty hospital bed wheel.

To be clear…I do not care if the hospital person smokes.  I care when her/his right to smoke interferes with my right to breathe clean air – especially in a hospital.

I was discharged and came home the next day.

Am I overreacting and expecting too much from a hospital?

Thanks for reading… Sharon O’Hara

Meet a Medical Miracle Baby – Gabriel Ryder Hawkins

Gabriel Ryder Hawkins is a medical miracle.  He is alive.  Moreover this joy filled little person is a reminder that miracles do happen thanks to stellar medical care.  He reminds me anew of life’s miracles and blessings here on earth.  Thanks to great medical care at Harrison and Mary Bridge in Tacoma and Dr. Ron Wood and his medical team especially..

Gabriel celebrated his first birthday on Tuesday with a birthday party and a  houseful of family and friends.  A year ago first time mom, Christine Jones gave birth in Harrison Medical Center where she has worked almost four years but baby Gabriel was not thriving and taken to Mary Bridge in Tacoma where Dr. Ron Wood and his medical team operated after three days of testing…his heart wasn’t working right and the new infant was fading.  {transpisition of the great arteries}  Gabriel was kept 14 days after the surgery and began thriving almost right away.  He is a lucky little person and his parents have a great support system in place headed by his Aunt Shantie, a future RN who helped explain what was happening to the worried young parents.

Following are a few photos of Lucky Little Prince giving a glimpse of the first year of life for this medical miracle baby.   Gabriel already has his first motorcycle awaiting him – tucked in between the two big motorcycles in the garage.

I should mention that Gabriel’s mom, Christine has been a CNA almost seven years, four years working with elders and takes classes to become an RN …Gabriel thrives in no small way because he gets love and superb medical care at home.  His daddy Uriah, does stuff to windows in high rises – he is a glazier.

Thanks for reading….Sharon O’Hara

Olympic College Nursing Program Treats 2010 – Meet Charlene and Amber

I can’t let 2010 slip away without showing a few photos about one of my 2010 highlights – the joined Harrison Medical Center and Olympic College RN Nursing program.

I had the privilege of being a senior /patient type for two charming OC nursing students who paid weekly, two hour visits to my home during the fall quarter.

The nursing/patient/senior program is super and I was lucky they had room to fit me into the program.  I knew it would be a fun experience and I agreed when my oldest granddaughter said no shot was involved.  All that was needed is a real person and/or family.

I will do almost anything to help medical students progress, thought it would be interesting, and knew it would be fun.

What I didn’t expect was the growing attachment I felt toward these girls and know that great things are ahead for them and their patients.  May love and best wishes follow them always as they touch other lives as they have mine.

The Harrison Medical Center and Olympic College Nursing partnership is an awesome success if the two nursing students I met weekly for fall quarter 2010 is an example.

Charlene Engelland and Amber are opposites in personalities but joined in their intense dedication to learning medicine and patients.

Both are personable, funny, and professional in manner and appearance.  I looked forward to every visit and enjoyed learning along with them and from them.

They took turns checking, among other things, temperature, pulse, blood pressure and I learned there is a pulse on the upper foot between the big and adjoining toe.  All these years have gone by and I never knew there was a pulse there.

Charlene, left and Amber, right…

My photo editing skills aren’t there…sorry…

Charlene’s shoes were made for dancing…. too bad I’ve misplaced the edited version of this photo (uncluttered it)

Charlene’s live patient test for one of Harrison Medical Center’s finest RN/instructor, Mary.  Mary works in my favorite area, the “M” department..

Thank you,  Ladies, for a wonderful experience!… Sharon

Btw:  Another highlight of 2010 is the miracle birth and life of our latest great-grandson.  I call him the Lucky Little Prince because in the old days he would have died.  He was born with medical issues – his heart.  He not only survived, he is thriving after complicated heart surgeries after his birth.

The Lucky Little Prince’s mom works at Harrison Medical Center full time, taking classes to be an RN.  Proud daddy, our youngest grandson, works around high rises.

Happy New Year Everyone!

More later… Sharon O’Hara

A New Tess, No More Oxygen Tank and Hose in the Nose

Once upon a time, there was a woman called Tess who lives in Port Angeles. She wore a hose in her nose tethered to an oxygen tank that followed her wherever she went.

Without supplemental oxygen, Tess’s blood/oxygen saturation (normal is 100) dropped to 82 with mild exertion. Her FEV1 (standard gage

Tess, Fit and Living Life Without Oxygen
Fat and Sassy No More-.Healthy and Sassy Nowdays
for COPD) was 34.

Tess is an exuberant woman who knew the prognosis was not good.
Luckily, she learned of the University of Washington and UC San Francisco Schools of Medicine, Shortness of Breath Study, applied for the one-year study and was accepted.

COPDers are different and roughly, 10% of COPDers are Alpha. Alphas inherit the disease.
I am a plain COPDer, Tess is an Alpha and has already lost one brother and sister to the disease.

Immersed in the study, Tess began slowly and lasted five minutes on the treadmill. Gradually, with difficulty, she continued to increase her speed careful not to drop below the 90% saturation level.
Tess’ slow five minute beginning had jumped by the end of the first month, to 30 minutes at 2mph, and included increased speed and fast bursts of speed.

By the end of 6 months, Tess had lost 4 pounds and decided to join Weight Watchers to increase her weight loss. Exercise made her able to be more active but the weight loss needed more help. Time passed and Tess got stronger and dropped weight, including her cholesterol. The cholesterol dropped 50 points to a healthier 200 points.

By the end of the yearlong study, Tess lost over 40 pounds and walked a steady 3.5 mph on the treadmill. She nearly tripled her speed in the final study 6-minute walk from the first 6-minute walk.

Now we are coming to the part I do not understand…Tess does not need oxygen anymore, her sats stay above 95 and she had all the oxygen equipment picked up and out of her house.

Until now, I have thought once on oxygen, always on oxygen. Wrong.

Tess has lost 52 pounds to date and looks forward to her son’s wedding in two weeks without worry about running out of oxygen nor the hassle and worry of dragging a tank around.

The opportunity to join the University of Washington’s Shortness of Breath Study ends this month, March 2010.

I wholeheartedly recommend and urge COPDers to apply…your life will change for the better. More importantly, the combined results of the study will benefit COPDers who come after us – our children and grandchildren.

Who are the researchers?
“The study is under the direction of Dr. Ginger Carrieri-Kohlman, Professor in the School of Nursing at UC San Francisco and Dr. Huong Q. Nguyen, Assistant Professor in the School of Nursing at University of Washington, Seattle. Dr. Carrieri-Kohlman is an internationally known expert in the research and treatment of dyspnea. She has led the Dyspnea Research Group on studies of shortness of breath self-management in patients with lung disease for over 15 years. Dr. Nguyen’s research has been focused on developing and testing Internet-based education and support interventions for people with chronic illnesses.

Our collaborators include Drs. Steve Lazarus and Josh Benditt from UC San Francisco and U Washington Schools of Medicine, respectively. They are both well known for their excellent research and clinical practice with people who have chronic lung disease.

We have a stellar research team: UCSF: DorAnne Cuenco, RN PhD, Krista Sigurdson, BS; UW: Pam Weisman, RN, MS, Lynn Reinke, RN, MS, Sarah Han, RN, and Cheryl Beardsless, BS. “

https://www.managesob.org/RS/StudyII/

More later… Sharon O’Hara