J Marie Booklets

3/26/2020

The Coronavirus and the DNR Ethical Dilemma (Video)



Hospitals across the country - and the world - are having to face an ethical question when faced with this pandemic and a shortage of ventilators and PPE. Who lives and who dies?

I also talk about how some medical facilities are conducting temperature checks on visitors and employees, and how the Governor of Florida is ordering all residents fleeing New York to Florida to self-quarantine for 14 days. Let’s see how well this turns out.

3/19/2020

The Coronavirus and the Unit Secretary (Video)


In this video, I talk about everything that I'm seeing as this outbreak continues.
3/05/2020

Precepting Student Unit Secretaries (Video)

Some student unit secretaries maybe teens or they may be adults doing their clinical. 

My motto has always been to let them "become me" and not to simply just watch me. 

The ones that I trained never got to see the "good stuff" they used to say to me. They barely saw a Code Blue happen. They usually came in on the tail end of open-heart surgery. 

So to mediate that, if there was a Code Blue on our sister floor, I would take them. Of course, the wouldn't be in the room in the way, but they would be close enough to see some action. 

That's the nature of the beast of a hospital. It can be nice and quiet for hours and then the shit hits the fan. 

Train the student Unit Secretaries to be you so that they'll be ready just like you are. 
3/03/2020

Thinning Patients' Charts (Video)



Occasionally you will need to thin a patient’s chart. Thinning the chart would occur when the patient has been in the hospital for a long time.

This is NOT the same as breaking the chart down when they are discharged. A thinned chart and a chart for a patient who is discharged should be placed in separate places.
2/29/2020

A Quick Way to Reach the Patients as a Unit Secretary (Video)



Usually, the patient will press the call light when they need the nurse or help to the bathroom.

But there is a time where you use the call light to call them.

How?

Watch the video above to find out.

2/27/2020

Screening Calls to Protect Patients' Information (Video)



You will need to learn how to screen calls for those calling to obtain information regarding a patient. If the family is in the room, or if the patient is alert and orientated, then offer to transfer the call to the family or patient.

If the caller objects stating that they do not “want to disturb” the family/patient, then offer to have them speak to the nurse/Charge Nurse.

This could be a sign of family dynamics, that you do not need to be apart of.

2/25/2020

Become A Super User (Video)



When the hospital went from paper to electronic, they created a group of secretaries called “Super Users”.


These “Super Users” were on call 24 hours, had their own dedicated phone extensions and were there to walk the doctors, and staff through the process of entering orders into the computer system. 

2/22/2020

Catching Hell as a Unit Secretary (Video)


One theme that I keep seeing in my YouTube channel's comment section is from new Unit Secretaries and their frustrations at work. 

And I'm not talking about the normal stress that comes with working at a hospital. I'm talking about the extra pettiness from other co-workers. 

After seeing one too many of them, I said to myself, "These new secretaries are catching hell."

So I made a video explaining why this may be happening and what they can do about it. 

Watch the video above and feel free to add your comments below. 
2/20/2020

Different Types of Isolations (Video)





These are a few isolations precautions that you will need to know because you will be seeing at least one of these every day. 

Airborne Isolation. Used for diseases or very small germs that are spread through the air from one person to another. A perfect example of this is tuberculosis, measles, or chickenpox.

Contact Isolation. Used for infections, diseases, or germs that are spread by touching the patient or items in the room. Examples of this MRSA, VRE, C-Diff, open wounds, etc.

Droplet Isolation. Used for diseases or germs that are spread in tiny droplets caused by coughing and sneezing. This includes pneumonia, influenza, and more.

Enteric Isolation. Important in preventing and controlling C. difficile-associated diarrhea.

Neutropenic Isolation. Neutropenia is a condition associated with a low white blood cell count. People who have less than 1,500 neutrophils per microliter of blood are considered neutropenic. Therefore, their bodies are less likely to be able to fight infections.

2/18/2020

What Goes on a Isolation Kit? (Video)





When a patient is placed in isolation, you will need to order an isolation kit. The following things will need to be included in the kit.

Gowns. One or two boxes of gowns are usually placed on the kit. Most isolations will require the caregiver or visitor to gown up before entering the room.

Gloves. Latex Gloves, usually purple, although some facilities will use black.
 
Masks. Depending on the type of isolation that the patient is in, either a facemask or an N95 will need to be placed on the isolation kit.

Disposable Stethoscope and Blood Pressure Cuff. A disposable stethoscope and blood pressure cuff will be placed on the kit to decrease the chances of spreading diseases from one patient to another.