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How are nurses surviving when dehydrated? I work inpatient COVID, wear PPE and am sweaty. JHACHO says no water bottles on the unit,the break room only. I’m busy, I average walking 4.1 miles/12 hr shift. Mostly, I feel I’m passing out. Suggestions?

March 9th, 2022

Tell JCAHO to get off their ass and put on that PPE for 12 hrs without water break

March 8th, 2022

Find a new job. I quit mine. I got sick of all the bullshit. Good luck 🍀

March 29th, 2022

I am also on the front lines and have learned that NO ONE is going to take care of me but me. The hospital doesn't care if you pass out. So, take your PPE duds off and go in the break room and get a drink of your water. YOU have to take care of you....and, if it means someone has to wait a few minutes (assuming they're not bleeding out their eyes), then they wait. So far, this has worked for me.

March 21st, 2022

Ask your manager if you can have a hydration station/cabinet in your station where you keep bottled waters to keep hydrated throughout the shift. We did that in our unit. It was very accessible.

January 15th, 2023

I worked ICU last year. I would go in the break room in between patients to grab a drink. As I learned in EMS, you come first. The patients come second. If you pass out or get sick you can’t help anyone.

December 20th, 2022

The 34 bed unit I work in became a dedicated COVID unit for 2 years. It is important to stay hydrated. Our break room was just outside the unit fortunately so I flat out took the time to doff the gear, hand hygiene and take 2 minutes to hydrate. I guarantee that no one is going to check up on you to make sure you’re ok, so it is up to you to take time to hydrate, use the bathroom or just take a minute and reset.

April 1st, 2022

The Joint Commission is a joke. I keep my covered water bottle close by, anyway. If anyone tells me to put it away, I’ll ask them to take care of my patients for 30 minutes so I can go on the lunch that I’m always missing because of understaffing.

March 22nd, 2022

I ignore them and keep my water bottle at my desk. So do my coworkers.

March 22nd, 2022

That is what they say no drinks but look in the cabinets and the black box at the nurse stations. You have to keep yourself healthy or you become a pt.

March 22nd, 2022

Have water bottle holders on the computer carts where the nurse documents. Not having water close by is unacceptable.

March 22nd, 2022

Bring a water bottle with a lid and go about your day. You have the right to be hydrated. Stick it in a drawer or under the desk. If possible bring bring a small one you can put in a cargo pocket. It's bad enough we don't get lunch half the time. I refuse to walk around weak and dehydrated. Employers usually know when joint commission is coming. You can put it in the break room then if you want.

November 25th, 2022

Fuck The Joint Commission

March 25th, 2022

If you work night shift, management isn't around do you can do whatever you need to do. I used a patient pitcher with a lid each shift and left it on my computer station. We only had to follow the no water rules when they knew State or someone was coming to inspect. Now I work in an OR and there really is no water except on breaks so one of my coworkers recommended a camel pak.

March 21st, 2022

Yes, you must comply with the regulations. Here is where having exceptional management comes into play. Let them know exactly how you are feeling. I know in many areas staffing is tight, but working in some extra 10-15 minute breaks to keep your staff feeling healthy, and maybe more importantly, supported, may be just what you need. Offering this as a solution to your management team is definitely something you can do. They are also swamped right now, and just might be extremely happy to put your solution into practice. Remember, no matter where you are in the chain of command, keeping everyone healthy, safe, and feeling respected, is always a priority.

supportedOOffering this as a solution this as a solution

January 24th, 2023

As a Manager, to solve this problem, I was able to create “hydration stations” in areas nearby each section of the unit. It needs to be a designated area where absolutely no patient care activities occur. It needs to be where no specimens, etc. are placed. It needs to be labeled with a sign that specifies it is for hydration only. It can be a little cubby, table, sink area with shelves, where staff can keep their COVERED water bottles. Try to champion these type of areas with your Manager. It works, believe me.

April 3rd, 2022

i saw a bottle with long tubbing to be put in the mouth to dring. may be you could conceal under PPE?

March 23rd, 2022

Add Liquid IV packets to your water so you get more from your few drinks. Try and grab a drink whenever you pass the break room. Just a sip here and there means a lot!

March 23rd, 2022

Mine is not a covid unit but the rules are the same because of JHACHO. Staff will take water bottles to non-patient care areas closer than the break room to get water/hydration.

February 6th, 2023

So, it really originated as an OSHA rule designed to keep our water bottles from being contaminated by blood borne pathogens from patient specimens, etc. One way our facility demonstrates compliance is by having designated drinking stations on each unit. It’s literally a plexiglass box with a door we keep our water bottles in on the units. But it keeps them safe from getting contaminated and so far has passed a few TJC inspections.

March 21st, 2022

Try a camel back, looks like a small back pack with a straw, no water bottle, no regs on this as far as I know.

February 6th, 2023

Definitely go the CAPR/PAPR route. Not only is it safer but also you get cool air blown on your face while wearing a suffocating gown that makes you sweat balls. N95s don't fit my face well as I'm a larger than average human (6'2", 215 lbs) and I haven't been able to pass a fitness test so the hospital I work at has a responsibility to provide CAPR/PAPRs for nurses like me. If not its an OSHA violation. Look into it!

February 6th, 2023

Nurses call the shots… whether injections or shots of water! You take care of you the best way possible at all times!

February 6th, 2023

Well, that is unacceptable isn’t it! What about a commercial water drinking station where you take a fresh cup every time? You must stay hydrated. If your superiors don’t care about you, you have to care about yourself and do what you need for your health. If you pass out from dehydration and it goes to court, the lawyers on the other side are going to ask why didn’t you hydrate? It’s your responsibility. You’re a nurse; you’re invaluable! Take charge! Good luck! 🫂

January 5th, 2023

I keep water on the floor whether they like it or not. I did 100-120oz /day to feel optimal and my job isn’t worth my health. I also take supplements for electrolytes. I recommend a brand like Body Health that doesn’t have sugar or added chemicals. I take their reds supplement for a natural energy boost without the crash and their electrolytes because I get lightheaded a lot. Both have all 8essential amino acids as well.

December 23rd, 2022

Yeah I To

December 23rd, 2022

When I was in the Army Reserve and we had to be in MOPP Gear (military PPE) it was the commander responsibility to insure all the troops were managed properly and kept in good health (we were not in combat zone mind you)
Buddy aid to make sure breaks were taken, water was consumed and everyone was managed

IF soldiers when down from heat exhaustion, dehydration or getting exposed to the substance it showed on the commander Fittness record. Even to day if too many troops have issue the commander is the first to get relieved.

My suggestion is the Joint should do the assessment the managers and administration as to how well they take care of the staff. IF staff are dropping out , literally or figuratively, the bosses should loose their accreditation, jobs and licenses.!

December 21st, 2022

Hi I suggest wearing the full PAPAR. I may feel a bit much at times but it has the air to blow into you mask so it keeps you cooler than just the n-95, plus you more protected. Give it a try :)

December 21st, 2022

Wow! Fortunately I was off of work during these pandemic days!!. You must stay hydrated no matter what!. You must find time to drink water! Don’t have to take a break to drink water!. 12hour shifts are really busy but to provide good nursing care you have to be well taken care of too!!. Quit if you must!!.

March 22nd, 2022

Before wearing the PPE’s grab a couple bottles water to your pockets. Also it will be nice to have wireless vending machines on the road though 🤷🏾‍♂️🤷🏾‍♂️🤷🏾‍♂️

March 22nd, 2022

I also am dehydrated and hungry no water and no lunch. I try to keep a bag of nuts for energy

March 20th, 2022

This is an OSHA requirement. The Joint Commission has no standard on this. In Leadership, it says you must comply with law and regulations. OSHA has regulations that must be followed