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WEDNESDAY, SEPTEMBERΒ 20, 2023

HUDDLE

Good Morning, Readers!

Our family is rapidly growing! In the past week alone, we have added over 1,000 subscribers to our TNB fam! I want to give a warm welcome to all of the new faces here!


Are you one of our new readers? Tell us about yourself and what you want to read here.

Today's Top Beats

😷 Masking Woes
💰 Medicaid Cuts
😵‍💫 Post-Shift Rumination

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Stay Curious!
Hannah W. Berns
Chief Operating Officer

Masking Woes

With Covid-19 making a solid return this season, we’re also looking at the return of masks β€” and new mask guidance from the CDC. But nurses and other clinicians are outraged that the draft wording says there’s no difference in protection between surgical masks and N95s (which oddly contradicts the conclusions of a 2022 CDC report). The draft further recommends N95s be reserved for β€œpandemic-phase” viruses, or those that are new that people have little immunity against, completely ignoring that even common flu viruses can harm vulnerable populations.

On the Chopping Block

With a government shutdown looming, Congress is looking to curb funding for the Medicaid Disproportionate Share Hospital program by $32 billion from 2023 through 2027. This program supports hospitals that serve a significantly disproportionate number of low-income under- and uninsured patients. More than 250 hospitals and hospitals are urging Congress to slice that cut in half, as the need for this funding is greater now than ever with the increases in hospital expenses since the pandemic started. The American Hospital Association also pushed against the cuts in a separate statement.

They Knew That Already

An FDA advisory panel has concluded that oral phenylephrine β€” found in more than 250 drugs for congestion β€” is ineffective as a decongestant and should be removed from products in the future. But pharmacists at the University of Florida knew this at least 30 years ago when their research showed phenylephrine is destroyed in the stomach. In the early 2000s, meth users’ ingredient of choice was pseudoephedrine, leading to increased restrictions on it and leaving just one easy-to-get, FDA-approved option: phenylephrine. Experts’ arguments against phenylephrine were largely ignored.

TODAY'S TOP VITAL

25%

Only one in four physicians recommend a career in medicine to young people.

PRN

THE BREAK ROOMΒ WITH SELF-CARE CATALYST

Post-Shift Rumination

Are you ruminating post-shift and struggling to let go of the workday? Maybe you are thinking about your patients, if you did everything, or worrying about forgetting something, but it’s time to truly leave work at work:


1. Pause and Reflect: Slow down and use post-shift reflection techniques to process the day and practice self-compassion.


2. Identify What You Are Feeling: Not sure what that even looks like? When you are burned out, it can be hard to know. If that’s you, look at this feelings wheel, to name it. Name it to tame it.


3. Practice Self-Kindness: Celebrate your successes and employ post-shift affirmations to boost self-esteem and increase confidence. Avoid the β€œI’m not good enough” mindset; you are more than capable!

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Self-Care Catalyst helps healthcare professionals optimize their wellbeing and eliminate burnout through mentorship, education, and community. Connect here!

TODAY IN THE CHART

Is It Really Preventative?

When wellness trends and concierge services masquerade as preventative care, it's hard to sift through what can truly make us better and where the money flows.

SUPPLYΒ ROOM

I Want To Break Free

Are you looking to break free from the bedside? Get closer to your goal of working remotely and drinking your coffee when it’s still warm with Nurse Fern’s resume template.

BREAK ROOM

Snack Attack

A nurse’s 12-hour shift is grueling, and ensuring we meet our daily nutritional needs can be difficult. Check out this list of super simple, healthy, three-ingredient snacks that you can take to work on the go!

DISCHARGE INSTRUCTIONS

Do you think you’re a nurse leader? Come back tomorrow when Sarah from New Thing Nurse tells us which nurses are the true leaders.

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