Dear Urban HCWs,

As people get sicker with delta, and rural sites are forced to perform procedures that are just at the tip of our capabilities, please be kind if you see what looks to you like shoddy workmanship from a rural site. 🧵/1 #NurseTwitter #AbLeg
If our chest tube dressings are not exactly how you would do them in an ICU, know that we have done our very best, and that we don't always have the newest and best supplies. We have been underfunded in that respect and are doing what we can to stabilize and send out. /2 #AbLeg
If you see in the charting that we didn't do vitals on our critical patient as they would have in a tertiary centre, know that we are typically working with one or two nurses only for some rural ER's at a time. There are simply not enough nursing hands to get to it. #AbLeg
If we forget to call you to give report before our patient shows up in your department, it is super annoying I know, but know that we probably haven't done it on purpose or to be malicious. When you only have 2 staff and a full dept of critical pts, sometimes we forget. #AbLeg
We ARE trying. We are trying our hardest at being jacks of all trades and feeling like masters of none. Rather than calling the sending ER and lambasting them, give us a joke or commiserate that we are all in this together. Because we are. /5 #AbLeg
We know you guys are also under pressure, but there are more resources in the cities. Please bear with us if things aren't done to your standard. We care about our patients and are doing our best, as patients arrive sicker and sicker to us. /6 #AbLeg
If we ever get to the end of Covid, maybe we can have a huge nursing party. Urban and rural can come together and say "holy crap, that was HECTIC, but we made it!". Until that can happen, please be kind when you receive a patient from us. We are trying really hard. /End #AbLeg

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More from @KatuniaOB

30 Aug
We look at each other with frustration. We’ve both been on the receiving end of anti-vax people yelling at us for asking if they have it. The phone rings and it’s yet another diversion from a bigger Centre that is being over run with Covid. /1 #AbLeg #COVID19AB #abpoli
Every dept is short on staff. Everyone is exhausted, but we plod on because we do honestly care. The news from other hospitals gets worse and worse. We are fed snippets of what other places are experiencing. We cross our fingers that no one serious comes in and needs /2 #ableg
To be transferred because there will likely not be a bed for them in any provincial ICU soon. We look to the govt for some type of leadership, ANYTHING AT ALL. Radio silence. Even the Matt’s have slunk into their Best Summer Ever holes. /3 #AbLeg #COVID19AB
Read 5 tweets
22 Aug
Let’s discuss private healthcare for a minute. I have a loved one waiting for joint replacement that can barely walk. Yet they are not “urgent” enough for surgery, AND the AB govt has absolutely decimated healthcare so there are no surgical spots anyway /1 #abpoli #ableg #cdnpoli
Due to pain and inability to get basic needs met, this person has looked at private costs for the replacement. The surgery only takes place in Ont (I assume it’s due to availability of OR space) so they would have to pay to travel to Toronto for the consult. /2 #abpoli #cdnpoli
So on top of having to pay for travel costs, the consult is $750. The CONSULT. To see if they are a candidate for surgery. The surgery itself out of pocket is $30K. PLUS you have to travel back for reassessment 2 weeks post surgery or stay in Ont /3 #abpoli #cdnpoli
Read 6 tweets
20 Aug
As I sat listening to the RN webinar with Dr. Hinshaw, I somehow was expecting even the slightest budge on mask mandates. I don’t know why I was optimistic, it ended up being soft ball question after soft ball question. There were two questions that were /1 #COVID19AB
Already widely debunked and IMO shouldn’t have been included in a medical discussion. She mentioned that mask mandates don’t work because people fight the mandate, so you have to weigh the pros and cons. It was so utterly disappointing that neither rising case /2 #COVID19AB
Numbers, the reclassification to airborne that needs to happen with delta, or anything about back to school was addressed in any fashion. It was an absolute waste of time. She stressed vaccines, but there were no strategies to deal with low vax uptake in the north. /3 #COVID19AB
Read 4 tweets
16 Aug
I remember when I started nursing, I went in it thinking it was going to be great; a lifetime career in AB. We had some older nurses who survived the 1988 strike and what I didn’t understand was there was an entire generation laid off during /1 #IStandWithABNurses #NurseTwitter
The Klein years. An ENTIRE generation of nurses lost to other provinces or countries. I didn’t fully realize the scope of it until many years into my nursing career, and many of the “experienced” crowd were starting to retire. Without that generation / 2 #IStandWithABNurses
Of nurses in between the retirees and the “newbies” (me) suddenly I became one of the “experienced” ones. It was a rough transition considering the massive gap in knowledge between those nursing for 20+ years and those for under 5 at that time. /3 #IStandWithABNurses
Read 7 tweets
16 Nov 20
A lot of people have been complaining about how AB shouldn't be "at capacity" yet. I don't know who needs to hear this, but we were at capacity BEFORE Covid. Our health service has been gutted for years. Started with Klein, continues on and on. /1 #AbLeg #abpoli #abhealth
Nursing and other support services were decimated with Klein. Hospitals were closed, no increased spending on programming was done to an effective level. Each govt after that did not spend enough money to build the system with population growth. /2 #AbLeg #abpoli #abhealth
The NDP tried to spend some money on Lab services, and a new hospital in Edmonton. It was a good start, but not nearly enough for the population increases that AB was seeing. And if you look at the rural picture, it's even bleaker. /3 #AbLeg #abpoli #abhealth
Read 9 tweets
15 Nov 20
After arguing with a family member over what a cohort is, I felt the need to rehash what a cohort should be in Covid times. Cohort means one other family. One. You should not be going out with friends to dinner. #AbLeg #abhealth #abpoli /1
You should not technically be attending religious services if we are to take this Covid second wave seriously. Cohort means ONE other family that also sees no one else but your family. Their only contact is YOUR family. That’s what makes a cohort. #AbLeg #abpoli #abhealth /2
This thing is already hectic in the hospitals and in HCWs of all kinds, with staffing, covering for isolations and trying not to get Covid yourself. Saying that your extended family is your “cohort” without them also agreeing to limit their contact with others doesn’t work. /3
Read 4 tweets

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