Leadership Checklist

Clue/Hint

Yes

No

Score

First Responder

Code Blue/Code Pink Team

CCU, MICU, SICU, NICU, PICU, ER

ACLS/PALS certification

BLS

Evidence of Premature and Preventable Deaths

Evidence of Workplace violence

Death Sudden and Unexpected

Age of Patient at Death

CODE BLUE/CODE PINK

Inquest data

Video – see riot video – SJRCC, Ashley Smith video

Pictures

Obituary evidence

Other – websites – Moms stop the Harm

Flawed and Deadly

Clinical Practice guidelines

ACLS/PALS algorithm

Opioid Manager

Outdated/Flawed Methadone guidelines

Diabetes guidelines flawed and deadly

Crash Carts improperly stocked

Narcan Nasal Spray

Interosseous Access equipment

Oral airway suction equipment missing

Correctional Nurse

PTSD- Self Diagnosis - November 7, 2017

Suicides and other trauma perpetuated by MYTHS

No one ever died from opioid withdrawal

Changes to Clinical Opioid Withdrawal Scale (COWS)

Overdoses

Upon release from correctional facility

Safe Injection

Oxymoron – leads to more deaths

Jail house deaths

Premature and Preventable

More than one preventable jail house death in nurse’s work history

Deaths in Community

Many deaths post-release from correctional/hospital facility

Sudden failure from University

Failed out of UNB – sudden and unexpected

VERY WOUNDED HEALER!!

Nurse’s Reaction to Deaths

Extreme behavior

Takes personal responsibility for deaths: labels it as ‘accountability’

Rewrites CNA’s CODE of Ethics

Nurse Raises concerns

Opioid Manager Flawed and deadly

ACLS/PALS algorithm, flawed and deadly

Bradycardia with a pulse algorithm, flawed and deadly

Other flawed resuscitation guidelines internationally

Gaps identified in international resuscitation algorithms

Evidence of Death/deaths

Preventable death of Child - disturbing

Evidence of Wrongful Conviction

Many – women crying, “I can’t get treatment”

Evidence of Child getting organs taken

Child lacked access to Narcan Nasal Spray

Evidence of Violent episode

i.e. Riot video, shanks, knives, guns, etc.

Evidence of Trauma from MVA, etc.

Trauma resulted in mixed overdose during resuscitation     – See Lady Diana Spencer autopsy

*Witness to multiple violent episodes against self or others

*Violence documented in incident reports

*Violence documented in newspaper article

*Nature of crime documented in CanLii

Employer incident reports, videotaped evidence, etc.

Family member incarcerated

*Family is who you say it is – provide picture

“Stressed-out thief sentenced to 25 months”

Former WORK Colleague(s) incarcerated

“Judge gives woman eight months for fraud, theft”

“Nurse apologizes for trying to steal drugs”

Others reincarcerated who were cared for in ICU, then in jail

“Addict sentenced to seven Months

Debriefing

Post critical event(s)

Appropriate debriefing

Suicide versus opioid withdrawal

Nurse does something REALLY CRAZY

Orders Narcan Nasal Spray into Canada

FULL BLOWN PTSD (on steroids)

Nurse writes Nasty letters, emails, etc.

Feels better – short-term FIX

Evidence of job Change

ICU    Correctional facility

Acute care to correctional nursing

Correctional Nursing to Advanced Clinical Practice Researcher

Can’t escape the harm

Witnessed Natural

Disaster

i.e. Flood in Calgary

Witnessed man-made disaster

i.e. Lac Megantic – Photos upon request

Taser Death (s)

American Taser Research flawed

CREDIBLE MEDS

Needs to add a few more opiates to list of medications that prolong the QTc interval

Family first to notice

And question PTSD

Spouse may be the first to recognize signs and symptoms of PTSD

Substance Abuse in Nurses

Ask the Question:  Is this PTSD?  Note, not all nurses who have PTSD use substances, but many do including OPIOIDS, ETOH, THC, prescription drugs, theft of drugs