Thursday, June 4, 2009

An Understanding.

so everyone is entitled to their opinion, here's mine.

Days short of my one year anniversary as a RN, I find myself watching from the sidelines the passion my fellow co-workers have for their jobs and their patients...

As most of you have heard, as of 7am yesterday, 3rd day of Jun 2009, the unionized nurses of EHMC were locked out. As a result, informational picketing commenced. At first, I didn't quite understand what was going on. All I knew was that, from then on, I was unemployed.

  

Staffing issues were the deal breaker for negotiations. Safe staffing. Numerous times, I've witnessed the floor file for unsafe staffing because of the "ridiculous" nurse to patient ratio. Now, what is the ideal patient ratio? Well, it depends on the acuity, the level of care a patient needs. Nowadays, people are becoming more sick with multiple diagnoses and treatments. We use a program called "OptiLink" that helps us organize staffing as well as project census with the ratio. According to the site it's a "Patient Classification System" designed to:
  • display real patient demand, enabling you to balance assignments: meet cost, quality, and staff satisfaction goals on each shift
  • measure real-time acuity adjusted actual census: deploy and manage required staff precisely and efficiently
We are able to assign Low, Medium, High, and Extreme to a patient depending on the classifications the staff have developed. High is assigned if the patient falls into one of the factors, the most common are: total dependent care with ADLs, high risk for falls or injuries, procedure or treatment requiring more than one hour. Don't be surprised if a lot of these patients are complete care. They can't wash, feed, or even turn themselves. Some of them sundown to the point where they become violent, where we have to call security. Even then, there's not enough staff in security to cover the rest of the hospital. Imagine RNs spending a lot of time trying to de-escalate the situation, risking their lives to help the patient who has no control and while protecting the rest of the floor and staff. The time spent away from the rest of the patients accumulates, and by that time, the nurse has missed their break, and is now trying to catch up with the rest of their duties before the shift is over. Rushing. An increase in staffing would allow the nurses to distribute the patients more evenly. It's safer. So basically, what I'm saying, is that why are we using this system, a lot of the patients are actually HIGH, and staffing doesn't provide more RNs? Not only RNs, but the PCAs and probably sitters also. It's hard.



The claims of average nursing salary over $100k ?!?! What is that? I don't see it. If they do, it's like 14% of them. Those RNs have earned it. Their 30+ years experience. The lives they've saved and helped. The new RNs they've trained and retained. The MAGNET recognition 2 years in a row!!! 

Now about overtime. Overtime happens because of the acuity. So many things have to be done in such a short amount of time. More people to available to work, would mean less overtime. Safer staffing.



Extra 30 minutes without pay? Sure. 15minutes before and 15minutes after. How is that going to work with families and their schedule? Kids have to go to school, someone has to pick them up, babysitting?

How come more $$$ was spent to hire temp RNs? They have room, board, transportation. As I saw them enter and leave via coach bus. I saw the ones leaving looking so tired and overwhelmed. They're called "scabs." I don't know why; I'm assuming a metaphor. They are nurses, too, doing their job. I quite don't agree with the term. It's so harsh. Perhaps, it was the experience from 3yrs ago where the temp RNs hired cursed, gave the finger, and were mean to them. I do hope they understand how stressful the job is. Patient population has dramatically changed from 20 years ago. 



As for the media, the proposed contract that was offered to the union... unacceptable. The use of vague words leaves management to use loop holes. What is the difference between "no changes" and "no significant changes"? It's like handing over a blank check.. too dangerous.. would you sign something without reading the fine print?





i'm done for now...

Tuesday, May 19, 2009

First Adventures with a HD Video Camera

the first day I got the camera...

after a few hours of charging the battery and half an hour of cutting and pasting and adding text with iMovie 08.. here's the end result hahaha.. let me know.. unfortunately i can't figure out how to make the video smaller or make the blog page wider.. so i'm placing the link instead.. feel free to comment.. HAHA, this is a learning process after all..


next up.. cooking videos perhaps? pics? my adventures in  the kitchen? the process from finding fresh ingredients, to the chopping block, the cooking, and serving.. HAHAHA.. i'll drag the rest of the family into the adventures.. some one has to hold the camera.. or better yet, some one has to demonstrate how to do these things.. =D

Monday, May 11, 2009

Celebrating Mother's Day 2009

mothers and their children, nieces, nephews, and grandchildren on a beautiful spring day having a bbq at home. 

1. the food: the filipino finger foods. lumpia, bbq, sweet corn, chicken, lechon kawali + various fruits and appetizers
From Mother's Day 2009

2. pancit: rice noodle dish with veggies and protein, in this case, chicken
From Mother's Day 2009

3. sweet plantains. delicious!
From Mother's Day 2009

4. fruit salad: watermelon, cantaloupe, honey dew, pineapple, blackberries, and strawberries
From Mother's Day 2009

5. chicken salad + pasta: slightly tart to freshen the palette
From Mother's Day 2009

6. who knew there were papayas?! those strawberries are uber ripe..
From Mother's Day 2009

7. upon seeing the big lens on the camera, my dear niece begins her modeling career. HAHA. kids are so cute.
From Mother's Day 2009

8. new summer flavor: peaches, berries and cream...
From Mother's Day 2009

7. proper way to eat finger foods. ^___^
From Mother's Day 2009

8. matching cousin and little brother
From Mother's Day 2009

9. bbq in the front yard / patio
From Mother's Day 2009

10. flowers
From Mother's Day 2009

11. the boys ganging up on their uncle
From Mother's Day 2009

12. i need a break..
From Mother's Day 2009

13. stop chasing me!! 
14. brotherly love... awww.. 
From Mother's Day 2009

15. boys will be boys.
16. got you!
From Mother's Day 2009

i realized that as far as my skills go, manual mode isn't do-able when such ephemeral moments like these need to be captured. when i want to be artistic with "still-life" i will do manual mode. otherwise, it's full out automatic with pre-set modes. Learning to effectively switch lenses fast and composing a shot is another story HAHAHA.

  • canon Rebel XTi
  • canon 50mm f/1.4 with B+W UV filter
  • canon 70-200mm f/2.8 L with B+W UV filter
  • canon 580EX E-TTL flash
  • canon BG-E3 battery grip
  • magic, skills, and most likely luck...
conclusion: i need more practice for the wedding..

what's next: learn to use a video camera. i abandoned that hobby because equipment was overwhelming for me. canon GL-2 to be exact. stacks of mini-dv tapes and editing them gave me a headache. i'll practice some more and see what's in store for me..

Monday, March 16, 2009

Mt. Creek Pond Skimming 09

As a first time viewer, I was so giddy, I just kept firing shots... here are some highlights

1. My brother's equipment
From Mountain Creek Pond Skimming 2009
2. Line at the Cabriolet
From Mountain Creek Pond Skimming 2009
3. Thumbs Up! 
From Mountain Creek Pond Skimming 2009
4. Pineapple Bowling
From Mountain Creek Pond Skimming 2009
5. My lil bro cheering from the sidelines
From Mountain Creek Pond Skimming 2009
6. The Crowd on the other side of the pond
From Mountain Creek Pond Skimming 2009
7. Hannibal Lecter Skimmer
From Mountain Creek Pond Skimming 2009
8. The Wet Crowd
From Mountain Creek Pond Skimming 2009
9. Soggy Fries
From Mountain Creek Pond Skimming 2009
10. Judges 
From Mountain Creek Pond Skimming 2009
11. Rare Skier
From Mountain Creek Pond Skimming 2009
12. Touch Down! 
From Mountain Creek Pond Skimming 2009
13. Retro Blue Guy
From Mountain Creek Pond Skimming 2009
14. Woah! check out the faces of the crowd..
From Mountain Creek Pond Skimming 2009
15. 610,514,108,109
From Mountain Creek Pond Skimming 2009
16. Mad Hatter Skier 
From Mountain Creek Pond Skimming 2009
17. I'm OK!
From Mountain Creek Pond Skimming 2009
18. ^__^
From Mountain Creek Pond Skimming 2009
19. Donatello!
From Mountain Creek Pond Skimming 2009
20. Hands Up!
From Mountain Creek Pond Skimming 2009
21. =)
From Mountain Creek Pond Skimming 2009
22. Switch Skier!
From Mountain Creek Pond Skimming 2009
23. The prizes.. sans the wakeboard set.. 
From Mountain Creek Pond Skimming 2009
24. Creepy Wendy's Guy! winner of the wakeboarding set! 
From Mountain Creek Pond Skimming 2009
25. Judges Deliberate .. 
From Mountain Creek Pond Skimming 2009
26. Harlem Globetrotters Team! 
From Mountain Creek Pond Skimming 2009
27. Reggae Band! they played very awesome covers of pop songs.. so chill.. I seriously thought i was somewhere on the beach.. HAHAHA
From Mountain Creek Pond Skimming 2009

well, that's about it for now, just click on the link to the album if you want to see more.. HAHAHA.. enjoy everyone!