Arizona Nurse - October 2021

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Page 10 • Arizona Nurse October, November, December 2021 The Joy of School Nursing During COVID-19 (No, Seriously!) Jacquelyn Martin, RN Recently, my daughter was sent home from preschool with a runny nose and cough. She’s a teething toddler, and these symptoms are expected. Still, I dutifully took her to her pediatrician to rule out COVID. He laughed and wrote us a note for school. As a parent, it was inconvenient, yet in my daily work as a school nurse, I was having these same conversations with parents and sending students home with congestion or fatigue - innocuous symptoms that, in years past, would not have warranted a sick day. In fact, I used to have a little speech I would give to students with colds, about how colds can linger for up to a month and, basically, they need to power through. Pre-pandemic school nurses administered daily meds and treatments, assessed injuries, checked throats for swollen tonsils and scalps for lice and provided students, staff, and families with education NursingALD.com can point you right to that perfect NURSING JOB! NursingALD.com about health concerns. With COVID, we still do all that, but we’re also at the frontlines of triaging COVID symptoms, contact tracing, and leading school health policy. And, as stressful as it has been, I have loved every minute of it (almost!). I am so proud that throughout the pandemic, my school has had no school-transmission of COVID-19. I attribute this to nursing leadership resulting in evidence-based policy. When the pandemic first started, I saw it as an opportunity for nurses to educate our populations about basic infection prevention methods like proper handwashing and masking (and later, vaccination). As nurses, we know how to search for and interpret credible information and deliver effective education. Nurses should also use these skills to become involved in health policy-making at all levels. School nurses can keep our communities healthy even amidst a pandemic. We must simply power through… but with a mask! A Requiem for Florence Matthew J. Parker With a BA in English Lit from Arizona State University and an MFA in creative writing from Columbia, I know a lot of poets. So when I got an idea last October to supply short, original poems to our hard-working nurses here in Arizona and indeed across the country in the midst of this pandemic, I messaged a handful of them on Facebook. Not a single one wrote me back, let alone provided a poem. Their willful silence reminded me that there really is something to the label of the elite that’s often plastered on the literary, even though I was never really one of them. Indeed, I was working construction at the time and had just volunteered for the AstraZeneca Vaccine. It was there I met a Nurse named Jamie with an Albert Einstein tattoo. She was a stand-in for all of you. So I wrote this poem myself, hoping it brings a note of hope to her and all of our brave nurses and frontline workers who find themselves again trapped in the trenches. Amid yet another gathering of darkness, I offer this token to remind you all that messages of renewal often come from the tiniest of creatures. Nightingale They say stars only shine at night, but I know better. I’ve seen them during the day in scrubs flitting from bed to bed from EU to ICU worn as their masks carrying their own light, their own fire unto a world gone dim it’s a calling, they say like birds who also sing by night. Free to Nurses Privacy Assured Easy to Use E-mailed Job Leads Nurse Positions Available! • RN • LPN • Student Assigned • Substitute Nurses Must have authorization to work in U.S. as defined by the Immigration Reform Act of 1986 and current AZ RN or LPN license. Great Schedule, Excellent Benefits! To apply or for more information, please visit our website at: www.dvusd.org “A” Rated Pre-K–12 School District Now Hiring for Registered Nurses for the following Departments: (Some departments include working 72 hours and getting paid for 80 hours) Medical/Surgical Operating Room/Surgery Emergency Room Intensive Care Pediatric Acute Labor & Delivery We are looking for strong, driven, compassionate Nurse Leaders, come join us. Sign on Bonus Excellent Benefits Package Subsidized Housing options Very Competitive rates Loan Repayments options available www.tchealth.org • 928-283-2432 TCRHCCHR@tchealth.org 1 hour from Grand Canyon, Monument Valley, Lake Powell and Flagstaff.
October, November, December 2021 Arizona Nurse • Page 11 What Really Works in Preventing Falls Jacquelyn Martin, RN Many nursing interventions aimed at fallprevention like bed alarms (Chan et al., 2017; Timmons et al., 2019), toileting programs (Fehlberg et al., 2017), encouraging non-slip footwear (Hartung & Lalonde, 2017), one-on-one observation ( Fehlberg et al., 2017; Greeley et al., 2020), and patient mobility and safety education (Luzia et al., 2018; Naseri et al., 2019; Zachary et al., 2020) do not significantly reduce the number of adult in-patient fall events or fall-related injuries. Therefore, my objective was to identify statistically significant, nursing-led fall-reduction interventions that can feasible and independently be implemented by nursing staff. I searched for recent, peer-reviewed articles on nursing-led interventions addressing adult, in-patient fall prevention and then screened for content, quality, evidence level, and bias, leaving only the highest quality articles which returned statistically significant results. Five articles met these inclusion criteria. When considering practice change, three themes emerged: hourly nursing rounding, keeping eyes on patients, and using an interdisciplinary approach. Hourly Rounding. Jones et al. (2019) found that hourly rounding was effective in reducing falls across hospital settings (p
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