By Jessie Leasure

January 3, 2021

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The City That Opened The Doors To A Whole New World

New Orleans was my very first of 6 travel nurse assignments. Almost 4 years ago now.

At the age of 23, I had moved over 1,000 miles away from home, on my own– my car packed to the brim– to a place where I truly didn’t know a soul.  I had 2 years experience as a medical surgical nurse, and was headed to a hospital where they told me not to linger around outside..

I knew nothing about NOLA.

[Mind you, I grew up in the middle of nowhere with virtually no neighbors, surrounded by amber waves of grain, and had never really left] I was TERRIFIED.  I had cried for an entire week before my departure date. Dramatically saying goodbye to everyone and everything as if I were being shipped overseas against my will.

Constantly wavering back and forth over my decision to dive into the unknown.

I remember gripping the steering wheel down the driveway with the most exhilarating feeling I’ve ever had. I pretended to cry one last time, but I couldn’t.  It was just me, myself, and the open road– My fears suddenly shifted to pure adrenaline and excitement! I was going to be a travel nurse in New Orleans!

To say that New Orleans completely changed my life would be an understatement.

travel nurse in new orleans

I had never felt so free.  I got my first apartment on my own. I met many incredible people that became lifelong friends. I fell in love with jazz and the southern storms. I danced like nobody was watching. I learned the streets like THAT was my job. I immersed myself into the food and culture, and learned as much as I could.

New Orleans was also the first place I forced myself to go to a restaurant by myself; shaking with my heart beating out of my chest– I ordered a glass of red wine, drank it fast, and left. I learned so much as a travel nurse in New Orleans.

But I did it.

What I’m getting at is this:

I can’t imagine what kind of person I’d be today if I had never made that first move to be a travel nurse in New Orleans.  All it took was taking one easy step, saying “what’s the worst that could happen?” Picking up the phone.. and letting go.  Suddenly, a whole new world was opened up to me. One that I literally couldn’t even imagine before. I was hooked. There was no going back to my previous way of merely existing.

When I finally left for my next destination, after 6 months of learning, growing, expanding through the challenges (and a whole lot of memorable nights).. I cried all the way through Louisiana and Mississippi.  Being a travel nurse in New Orleans had been such a profound experience.. I couldn’t even describe it. I didn’t know whether to be happy or sad.

I even remember my Facebook post:

“Until next time New Orleans “

No picture. No real words. I was speechless.  Funny, it’s taken me 4 years to put this all into words, but sometimes you don’t even realize the impact something, or someone, or some moment has on you– until you’re able to look back with a new set of eyes.

Now here’s why I’m sharing today–

For the past few weeks, the thought of New Orleans has been popping up DAILY for me, (there’s a reason they say NOLA lives in you forever)..

And NOW I’ve figured out why.

It’s the feeling of absolute freedom.. of exhilaration.. of feeling SO alive in the moment I could cry.

My soul remembers.

It’s a personal guidance call to face my fears AGAIN. To level up. To just take one step into the unknown, to remind myself why I’m here, and what life is supposed to feel like.  It’s a challenge to get to a whole new world and way of life that I can’t even imagine right now.

The best part is– every time I’ve ripped the band-aid off and just done whatever it is.. It’s ALWAYS paid off.

And what I’ve come to find is this:

The fears are always going to be there. The reasons NOT to do something are going to outweigh the reasons to do it when you’re skeptical or scared or doubtful.

It’s important to remember that your brain WILL try and stop you. That’s it’s job.. to protect you from straying from your personal status quo and level of comfort.

Wavering back and forth over a big decision..? Totally normal. That’s your heart and brain arguing over what’s best for you.

But when and if you can push past those thoughts and have COURAGE.. THAT’S when YOU take control and when the REALLY GOOD stuff flows in. That’s when you learn more about yourself and grow.

That’s when LIFE happens.

You then teach yourself that it’s ok to follow desires, it’s ok to take risks, it’s ok to listen to the heart once in a while..

And you’ll wonder why you waited so long to live.

P.s I’m simply sharing in the hopes that someone who is on the fence of choosing between comfort and something big and scary… that they choose the scary one. Take the chance. Opportunities don’t remain the same forever.


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By The Gypsy Nurse

October 15, 2014

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Ebola Fear

There is a ton of Ebola fear and controversy in the media.  Blame is being placed on the CDC, the Hospitals, the Nurses.  When HIV/AIDS broke out in the 80’s we as a society experienced many of the same things that we’re seeing today with Ebola.  Fear, Panic, Media sensationalism.

The NY Times has a run-down of the news from that time-period that you might say is being replicated now with Ebola

The AIDS Epidemic:1981-1987

1981: Unusual Outbreaks

June 5
The Centers for Disease Control and Prevention’s newsletter Morbidity and Mortality Weekly (MMWR) makes a reference to five cases of an unusual pneumonia in Los Angeles.

July 3
Rare Cancer Seen in 41 Homosexuals
The C.D.C.’s MMWR publishes its first description of a outbreak of 41 cases of Karposi’s Sarcoma, a rare skin cancer.

August 29
2 Fatal Diseases Focus of Inquiry
Two rare diseases have struck more than 100 homosexual men in the United States in recent months, killing almost half of them, and a medical study group has been formed to find out why.

December 10
Researchers report in The New England Journal of Medicine that harmless viruses and bacteria can often cause fatal illnesses in homosexual men.

By the end of 1981: 121 deaths

1982: Anxiety, Confusion
447 deaths

May 11
New Homosexual Disorder Worries Officials
A serious disorder of the immune system that has been known to doctors for less than a year – a disorder that appears to affect primarily male homosexuals – has now afflicted at least 335 people.

August 8
A Disease’s Spread Provokes Anxiety
The New York Times reports about the growing anxiety among gay men.

December 10
Infant Who Received Transfusion Dies of Immune Deficiency Illness
The C.D.C. reports that an infant died of acquired immune deficiency syndrome (AIDS) after receiving multiple transfusions.

The Ebola Fear

This fear is real and warranted.  Hospitals are being criticized for not providing proper PPE (Personal Protective Equipment) and nurses are being criticized for not utilizing the equipment properly or not following protocol. i.e. the recent discussions of the Dallas Nurse diagnosed with Ebola after flying commercially.

In July of this year TedTalks had a conversation about the drawbacks of the US being a ‘reactive society’. Being reactive isn’t necessarily the right way to respond but it is a response. Fortunately, here in the US we at least have this option. As policies and procedures are modified, staff are being trained and proper equipment is being provided. These are all late in coming but they are coming and for this, we should be thankful.  It’s not the pro-active response that many of us would have hopped for or expected but there are things being done. There are several items that can be addressed that take some of the ‘blame’ away and put information and education in the hands of those on the frontline dealing with this deadly virus and we are now beginning to see hospitals and health care facilities begin to implement and deal with these items.

Positive Responses and Implementation of Change

In a recent discussion via the Gypsy Nurse Network on Facebook, the question on ‘positive response’ was asked.  What are hospitals and health care facilities doing to manage this virus? We got some great responses and proof that the Hospitals and Health Care systems are beginning to work on the issues at hand. (Note: The following quotes are from actual nurses working in the mentioned hospitals)

EQUIPMENT, TRAINING, SUPPORT, EDUCATION
“I work in an ED, we have a new cart with all the equipment on it that would be needed. It includes instructions for putting on the PPE and removal of it, and we have all been oriented to this cart. The 2 isolation rooms in this ED are also the first 2 rooms closest to the lobby.”

North Shore Medical Center in Salem, MA

“I’m in ER. We have had frequent updates in our shift change huddle for a couple of months. Inserviced on isolation transport module. Maps of Africa and information posted in all triage rooms. Recently because of circumstances have increasing education including donning and doffing equipment and PAPPER respirators.”

– MMC in Portland, ME

 “At John Peter Smith hospital in Fort Worth, TX we have now added a question on the triage and admission assessment asking about recent travel. I don’t work in ED but I know that they have been doing drills in case of a case coming to us.”

JPS Fort Worth, TX

“At St. Louis university hospital a town hall meeting was held . Protocol set up for the Ebola pts. A strict PPE with N95 and suits not plastic gown will be wore special training for the nurse only two MD will handle all the cases.”

– St Louis University Hospital, St Louis , MO

“Policy in place, memos posted, online training including how to take special PPE on & off. Hazmat suits ordered by Infection Control. new “first contact” screening tool (specific questions about travel & symptoms) house wide. And this is an HCA hospital! Designated area of care here in Reston that includes most remote room, limited staff, & ICU goes to them with portable equipment should the need arise. We’re as ready as anyone can be, I think!”

HCA, Reston, VA

“Also at an HCA in LaFayette, Louisiana. Had a mandatory meetings Mon and Tues where we got handouts and questions answered, online review of donning PPE and focusig on the taking off. Implemented a “buddy system” if/when working with EVD patients to help hold each other accountable with keeping precautions clear. Special carts created. And HCA is having pts being treated as air born and staff is to wear n-95’s instead of just surgical masks.”

– HCA Hospital Lafayette, LA

“Numerous CEUs on Ebola and new policies in place on PPE, discussed contamination of the OR equipment and how an isolation area being set up on another floor, ready for the worst. Doubt very much the OR stuff will come into play since unlikely a pt would survive any procedures when hemorrhaging is a key component of the disease.”

– Undisclosed Hospital in Miami, FL

“We had a staff meeting today to discuss how to properly wear PPE and we are wearing the gear they wear when doing total joints and will have a buddy watch us put it on and take it off to help prevent accidental contamination”

Inova Fairoaks


 Education is Key

For those of us in the medical field, education is KEY!  Not only to educate ourselves but our patients, families and communities.

The Following guidelines are copied from: http://www.cdc.gov/vhf/ebola/

Guidance & Recommendations

Infection Prevention and Control of Ebola Virus Disease in US Hospitals
Posting date: Wednesday, August 20, 2014
Faculty: David T. Kuhar, MD

Patient Evaluation

Laboratory (specimen collection, transport, testing, submission)

Protecting Healthcare Workers

Diagnosis

General Information