The Code Cart Or "Crash Cart."

This is the heart of every unit. It’s the last weapon in the arsenal( get to know the meaning of arsenal not the football club); the final measure standing between this life and the next. Its function and its contents are universally known by nurses across the continuum. 

Also read: Team Mafisi

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You should certify it every 2 years to ensure that you are up to date with the latest evidence for optimal outcomes. You should run “mock codes” to train for the many scenarios that require precision and sound judgement. You should check it daily to ensure that it is properly functioning and equipped with the tools and medications designed for the single purpose of prolonging life and preventing death. Any missing item, oversight or misstep can mean the difference between success or failure. 

 Also read : Nurse Are Rude

No matter what is happening around us, when the Crash Cart is activated, nothing else in the nurse’s world matters in that moment. We form one team. We assume one role. We speak one language. And we unite together with one mission- to save a life. 

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When was the last time you familiarized yourself with the crash cart?

When was the last time your crash card was updated? 

YOUR PENIS CAN PREDICT THE FUTURE

Wait, I'm not saying that it can tell you the best future partner or which career path to tow but it is clinically recognized as a future predictor of heart disease.

Many Cardiovascular diseases leads to damage of the endothelial cells of the blood vessels leading to hyper-inflammation.

📷 credit: fb 

This rapidly prevents arteries and veins from pumping oxygenated blood around the body which leads to the heart being starved of oxygen causing "Myocardial infarction" (what is commonly called heart attack).

Other conditions like atherosclerosis or hypertension can also cause heart attack - but whatever the cause, there are often no warning signs.

No signs usually except sudden problems in your sexual life (performance and satisfaction). Unless you can manage to be doing ECG to predict any heart disease occurance

This is because your penile erection requires a healthy blood flow.

Therefore when you have any issue with blood circulation, your penis will not have enough blood to engorge to the required level and behold, you start reducing performance in the bedroom.

That is why you need to seek help immediately your sexual performance starts dropping........you might just save your life.

Dear Queens, help your significant other by calling their attention if you notice a repeated dip in their sexual performance.

DOES SIZE REALLY MATTER?

 This has been a subject of debate over the years and as usual in things concerning sexuality, there as been more emphasis on the male than the female therefore I beg to look at the female perspective. 

 Within the reproductive organs of a female stands the replica of the penis called the clitoris.

☝️

You can now order your clitorial designed pillow

 Also read: HIV and immune boosters

 Made from the same tissue of the penis, almost the same length of the average penis (about 5.1 inches sometimes up to 8 inches) and even more sensitive than the penis (I guess what a man can do, a woman can do better). 

 If the clitoris is of the same make as the penis and there are debates on how the size of the penis matter in sexual satiety, does the size of the clitoris matter in a woman's sexual satisfaction as pertaining ability to achieve orgasm? The size of the clitoris does not really matter, but the size of the clitoral hood does matter.

  The clitoral hood affects attainment of orgasm because it's affects the amount of sensation that can get to your clitoris. This is why many women easily reach orgasm why masturbating than when with a partner. 

Also read: Watch Out this ladies in campus

 Clitoral hood is the fold of skin that surrounds and protect the glans clitoris (it is the female equivalent of the male foreskin).

 The clitoral hood protects the sensitive glans clitoris from irritation and excessive sensation (maybe from underwear). 

 It retracts when the clitoris is aroused (just like the male foreskin) although level of retraction differs. The thicker your clitoral hood, the more pressure needed to reach orgasm. 

 Sometimes, the clitoral hood might adhere and not retract at all thereby blocking the clitoris from being stimulated which results in sexual frustration. 

Also read: Sexy Girl In Campus

 Dear Queens, your sexual satisfaction is not only the responsibility of your partner, it's pertinent to know and understand yourself so you can guide your partners right for mutual satisfaction.

  #sexualhealth #reproductivehealth

MY MOST CHALLENGING SHIFT

Nurses play one of the most vital   roles in delivery of care within the healthcare industry ,caring for people when they are at most vulnerable and offering support are some of  the fundamental tenants of  of nursing.

Night shift are horrible, but I prefer it to Day duty because I love to have my days to myself.

I was on my Second in a row and I was tired- the sort of tired where your eyes feel hot and sunken and blinking takes three to four seconds, and you never knew a reflex could be so tortuous.

Also read : Disunity In Nursing... The Way To Go

On that day , I took over ten patients, six were critical, I mean four of them on non rebreathable mask and two in NIV Helmet Ventilation but oxygen saturation was less than 60% on oxygen 15L/minutes and 45L/min respectively at that moment. I knew am in for a sleepless night.

I was monitoring vital signs every quarter hourly and also answering & calling Covering Nursing Office about state of patients and need for more oxygen cylinders, Oxygen buzzler and Alarm were the only Music tune I could here after every few hours. 

Funnily enough there was also a bird that was producing a similar tone to that if Oxygen Alarm, so I had to go and check the percentage of oxygen available in the cylinders. 😂😂

My attention was drawn to one of the patient at around 1am, On getting to the him, he was already gasping, SPO2 has dropped to less down 50%....then 30%. We immediately informed the Physician , all emergency medication including CPR despite not recommended in Covid set up prove abortive. I lost my patients 😭😭

Also read: Beautiful Brainy Girl

As if that was not enough, my attention was drawn to another patient that was panting for air. I couldn't save this other patient too
I lost 2 of my patients on that dreadful night😭I was so confused and helpless.
I didn't start writing report until around 7am when I am supposed to be handing over the shift. I was tired and exhausted. And I ended up closing that shift at 1Oam.
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That day I learnt that, no matter all we do to save a patient life. What will be will surely be and that God has the final say, He alone can give and take life...

Then I look at one of the bereaved son and this quote by Arthur Golden  flash my mind-

"Grief is a most peculiar thing; we're so helpless in the face of it. It's like a window that will simply open of its own accord. The room grow cold but we can do nothing but shiver. But it open a little less each time, and a little less; and one day we wonder what has become if it"

Also read: Bullying and harassment in nursing
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What really helped me that night was  staying positive through out the shift and this helped a lot in achieving greater job satisfaction even though I end up losing patients , I know I have try my best.

#TheCovidNurse #TheNurse

HIV + And Immune Boosters

Boosting the immune system is not that easy. None of the so-called ‘immune boosters’ that you see advertised in our country have been proven to help people with HIV…the only thing they boost, is the bank accounts of the people who sell them.

Your immune system is highly complex. It consists of thousands of different cells and enzymes that interact in many complicated ways. Along with the brain, the immune system is possibly the most complicated system that exists. This is one of the reasons why it is extremely difficult to find a way to boost it. The best natural and God-given way to boost your immune system is to wash your hand evertime you eat anything, avoid eating spoilt food, having unprotected sex, avoid breathing droplets that someone has coughed out, and I dare say; avoid kissing anyhow. Germs can enter your body according to the kind microbes they are and through means I stated above. Once a germ is inside your body, your immune system goes to to war against it. You need cells known as phagocytes to attack these germs and destroy them using a number of bodily chemical weapons….and no amount of ‘immune boosters’ can do this job. It is your natural immune system and it alone that can figure out these germs and protect you against them by producing antibodies to fight them. One kind of cell involved in making all this work is a T lymphocyte (T-cell). Some of these T cells have a receptor called a CD4. CD4 cells in your body are produced naturally by your immune system…not the ‘immune boosters’.

When your CD4 is low…all you need is an ARV regimen coupled with protected sex, washing of your hands before eating, avoiding eating spoilt food and kissing…in that way you immune system can be assisted in naturally producing more CD4s to fight germs in your body and thus stay healthy…not the ‘immune boosters’…There is no scientific evidence that ‘immune boosters’ boost the immune system.

Determined To Give More.

I lost my mum about 15 yrs ago.

I was in form 1, in certain precious Mixed Day School, Nyambare Mixed Secondary School

I blamed God and asked why He took her.

I promised to build her a house and buy her a beautiful car when I got a job 🚗😍

She left before I could do these.

God took Majuma and saved her more years of headaches, agony and suffering.

When I was done crying, I took time to think and ruminate about everything she has been to us and done for us.

Majuma & Her son (Otieno)

Also read : Grace

She lived a life of IMPACT.

She wanted His son to be doctor (off course Nyar Pedha didn't know the difference between a doctor and A Nurse) and tried a few times to make sure Baba Majuma (am talking of the son of Majuma 😂😂 I named my daughter after my Beautiful Mum)

God got her to work and serve the community as a casual, preparing for people Shambas (Orak) to make sure ni nyithinde ochiemo To odhi eskul.

Also read: Bullying In Nursing

She served them all faithfully and didn't entertain nonsense. (Majuma ne kwinya). Her relationship with all people earned her respect.

She impacted lives for Jesus and preached the gospel of peace 

Immediately after her death there was alot of dramas that happened (This a long story for my next write up)

I had given up with life, I knew I won't go to school. The prayers she used to do helped us. Nafoyo loved God and staunch Injili Takatifu Church Member, I guess she could  now be a layleader when she was still alive.

Upon her death I discovered how much she truly impacted her generation.

Now I asked myself, Oduor Otieno how will you fit into these shoes?

Majuma junior

She left great footprints in the sand of time...unforgettable impact was made.

As a registered nurse, I am now more determined than ever, to touch lives and use my knowledge and influence to:

Majuma junior & Her mum

✈️Nurse patients back to health, educating them at the bedside and taking this education to the social media too.

I know many people are sick but will rather stay at home and scroll over posts on social media than surrender to the healthcare system.

✈️Get people reconciled back to God or help them find Him.

✈️Mentor and coach more nurses and show them how to live a more amazing and extraordinary life.

✈️Coach and educate more pregnant women ...giving without holding back.

Dear Professional,

Dear Honourable Nurse,

Dear business person(s),

Dear Social media user

It's not about the length of your life or the number of years you stayed around on surface earth.

It's about the level of impact you have made and how many lives you have positively transformed.

Make a firm decision today to give all your energy into working to make someone's live better.

Today i decided to have 1 minute of silent from 5.00am remembering and giving respect to Josephine Majuma.

It's Normal, I Do It Ones Year.

And yes!

The Nurse is Okay and better

Importance Of Starting Early Antenatal Clinic in Relation To Prevention of Mother To Child Transmission

……… I had just finished with the first patient of the day: A man and his wife who had just started on ARVs. I gave them a 2 week course and asked them to come after the two weeks.. The next patient was a beautiful bubbly 8 year old girl brought in by her uncle. She was all smiles and extended her hand to greet me .

 I went on to fill her prescription as I was chatting with her on how she takes her medication. I was actually impressed because she not only knew the number of pills to take but also the exact time to take the medication. Apart from the normal ARVs and Septrin  she was to be put on Isoniazid preventive therapy(Used to prevent TB) .. I remember packing her a bag full of drugs to last her 1 month. All this while she looked at me.. Quite keenly then out of nowhere she asked ‘daktari sasa nikimaliza hizi dawa zote si nitakuwa nimepona na sitarudi kuzikunywa tena?’. I froze for a second… Multiple questions crisscrossed my mind.. ‘she does not know her disease? How do I tell this sweet baby that she will take these drugs for as long as she lives?How do I look into those hope filled beautiful eyes and tell her the truth? Will she even understand? My eyes filled up with tears and before they could drop, I mumbled to my colleague’ Aloli kuja umalizie hapa siskii vizuri ‘… I ran out and cried my heart out in the washroom.. When I regained my composure and went back, Nyaramba (Not her real name) had already left. Her innocent face has since not left my mind..

Today, I want to talk to you… Yes, you who may be HIV positive or negative. You who refuses to go to the HIV tests to know your status. The pregnant lady who refuses to go for antenatal and ends up getting a baby who is HIV positive. I want to talk to the spouses, girlfriends or lovers who refuse to get tested.. Who spread the virus knowingly or unknowingly. Do you sometimes sit and think of the consequences of your actions? Do you know how hard it is to explain to a child that they inherited HIV from their parents?

Get Started Today. Let’s all prevent Mother To Child  Infections. The early The Better.