#CHWs

[clearway-safety-store]

PIPE MARKING LABELS /MEP IDENTIFICATION LABELS SUPPLIER IN UAE

[sunnunderthesun]

Must it be this difficult to survive as a Community Health Worker?

The Ministries of Health in the Global South and billionaire-run charitable organisations reportedly face "several constraints" when it comes to paying the community health workers, most of them underprivileged women, they're heavily reliant on in executing their respective big-budget healthcare programmes. But the organisations actively promote their concern for the health and wellbeing of other impoverished women.

Bill and Melinda Gates Foundation has granted funds to Women in Global Health "to research the status of women's leadership in the health sector in Nigeria, Kenya and India". However, the foundation hasn't yet been able to move on any further from "thinking critically" about how to support the community health workers.

Only 25% of women occupy leadership positions in health globally when over 65% of jobs in the health sector are held by women. About six million female health workers hardly receive any financial compensation for their life-saving services. Despite being the only source of primary health care to the poorest sections of the society, many community health aides have no access to transport facilities that would enable them to deliver their services in a timely manner without having to exhaust themselves by walking long distances to visit the targeted households. In regions plagued by conflict, these workers find it even more challenging to help the sick in the absence of essential supplies and transport.

Philanthropists, "in collaboration with" the governments of the respective countries their charitable programmes are put in place, find it cost-effective to budget healthcare programmes without giving the community health workers their due. These overburdened and unsalaried health workers, having no proper formal training, enough personal protective equipment, and protection against gender-based violence, are left to explore ways to lobby politicians from their remote locations in the hope of beginning to receive a living wage.

When frustrated community health workers go on a strike to claim their deserved remuneration, poverty-stricken adults and children are badly affected. The world's largest community health workforce, the Accredited Social Health Activists (ASHAs), are still keeping up their fight for a fixed minimum wage and other basic benefits that any person performing tasks on behalf of the government should be entitled to.

We have social entrepreneurs commercialising Africa's issue of inadequate access to healthcare to solve it. It's disturbing to imagine a community health worker trying to interest the caregivers of a sick child into purchasing a solar lamp and other products in exchange for a diagnosis. These community health workers, at the mercy of the entrepreneurs who are slow to hire and quick to fire, will lose their only source of income – about 20 USD a month – if they fail to become successful salespeople. These workers, also labelled as "agents" by the social entrepreneurs, end up spending their hard-earned money on purchasing their respective employers' products to sell to the poor at a near-market price. Even the charitable organisations that take pride in giving the community health workers financial (based on "the geographic differences in labour costs") and non-financial incentives are simply the enablers of wage slavery.

However, a Coalition of these organisations began in 2019 after claiming to have demonstrated that salaried (the amount of the salary being as low as 10 or 20 USD per month) and digitally equipped community health workers can stop preventable deaths in the outlying parts of Africa where more than 80% of the community health workers still remain unpaid.

The essence of health aides has been known since the late 1800s when Russia's Feldshers treated people in the rural regions in the absence of physicians. But the the idea that the community health workers deserve a salary for their back-breaking work just started being popularized, through "in-depth research" and "advocacy", by the Coalition which is now composed of about five thousand community health workers, for-profit companies and corporations, and other non-governmental organisations.

But why do these social entrepreneurs, investing in micro-franchising Africa's health sector by training and monitoring the community health workers using advanced technology, avoid paying their employed workers a living wage? Well, they simply blame the World Bank for asking the respective governments of the countries they work in to avoid inflating the workers' wage bill...

For many rural healthcare workers who are merely treated as volunteers in the least developed nations, joining hands with the Coalition, that emphasizes on a goal of technologically upgrading the services of the community health workers, may be their only way towards getting any recognition, even if it's a monthly stipend of 30 USD, from their respective governments. At a time when many care workers of the USA, the country that dominates the international financial institutions like the World Bank, would rather wait tables at an eatery than work in the health sector, it's probably too early to imagine a bright future for the community health workers in economically poor countries. The question is, when will the few individuals in power face "constraints" that prevent the inequitable distribution of wealth in this world?

[mofffun]

unfiltered set photos + offshots for kingoh ep35

[dinnfameron]

Seven Sentence Sunday

I was tagged by @smblmn, and I actually finished my writing goal this week! I finished the Can't Hardly Wait AU real, actual draft. I have edits left to do, but no more [write this scene] brackets for me!

“You only have a couple big regrets from high school?” David asks after a moment. “What,” Patrick says, and it’s a challenge more than a question, like he already knows something’s coming.  “No, nothing,” David deflects. “It’s just, I remember when you bleached your hair for tech week in baseball last year.” “It was the semi-finals, David, not tech week. That’s not a thing.” He sounds exasperated, but David can make out the hint of a smile in his peripheral vision. “Neither is toner where you come from, apparently.”

This fic is 87% banter, 10% nineties pop culture references, and 3% plot.

No pressure tagging @swiftlythebest @statueinthestone @roseapothecary @stereopticons @blackandwhiteandrose @mostlyinthemorning and anyone else who may want to share what they're working on. 💖

[clancyycat]

chewing on him

[amewinterswriting]

Last Line Tag

I've been tagged by @ahordeofwasps, @tailoroffates and @author-a-holmes to share the last line bit of writing I've done. And since I've been recently ambushed by a new WIP idea, you get a very small sneak peek into a short story I'm tentatively calling Two Lefts.

Chwith lowered her hands, patting the scabbards at her hips by way of reassurance. They held the kind of protection she trusted, something she could hold and use for herself.

Tagging @by-allison-kai, @winterandwords, @ashen-crest and @sam-glade

[campanauz]

E chiaramente stasera in un impulso folle ho comprato un biglietto per andare a Genova domani (il mio giorno libero) per cui naturalmente sono le due e mezza e non riesco a dormire manco col sonnifero

[wrestlingwiththoughts]

Innovator vs. The Bruiser, CHW Backyard Wrestling, October 13, 2012

When major companies like All Elite Wrestling have lost your attention and you find it too much of a hassle to catch up on the comings and goings in companies in Japan and Mexico, you need to recharge with the most primal form of professional wrestling: barely trained and probably unpaid amateurs doing it for the passion and love of pretending to hurt each other with their bodies and assorted trash cans, baking sheets, and tables that don't quite break the first time you put someone through them. Indeed, sometimes, you just need to watch some backyard wrestling.

In this case, Innovator and The Bruiser fight for the right to hoist their chosen nation's flag above the sacred grassy alley of the CHW Backyard Wrestling universe. Innovator is representing Canada, while The Bruiser is representing Scotland. Because they're backyarders, the selling is qualified by the uncertainty of whether they're actually, unintentionally hurting themselves and each other. When The Bruiser gets slammed on a stop sign resting on top of a metal briefcase, is it actually selling, or is he actually hurt? In this way, backyard wrestling gets at the verisimilitude even more effectively than trained, professional pro wrestling.

Beyond that, I was gleefully cackling at Innovator and The Bruiser's creativity, such as The Bruiser hitting a toaster into Innovator's crotch with a kendo stick. And I have to give kudos to Innovator's attention to detail, such as making sure that The Bruiser is fully covered by his Scottish flag before climbing the ladder to secure the Canadian flag on the pole for the victory. Of course, I also cracked up when Innovator fell off the ladder after saluting the Canadian flag.

If nothing else, Innovator and The Bruiser kept a brisk pace for their match, and I could feel the escalation in their disdain for each other as they battled to honor their respective countries. Their strikes looked good enough, and I thought Innovator's flag-assisted Gory Special on The Bruiser looked really good. (Is it because Innovator was actually choking The Bruiser with flag? Possibly!) In general, the submissions looked tight, and the selling was good enough, since you generally couldn't tell what the line between selling and actually feeling hurt was. I felt recharged about wrestling after watching this match.

[whatisshelties]

When are Shelties going to allow color headed white dogs???? They're in the rough collie standard????

[edithlevy]

The auction is now live. Go to https://www.32auctions.com/aworkofheart2023 Indulge in so@e fine art for your home while raising much needed funds for tiny hearts…the Pediatric Cardiac Critical Care Unit (PCCCU) at Hadassah Hospital. .. .. #chw #hadassah #fundraiser #fineart #artoftheday https://www.instagram.com/p/CpBTYaHp0fz/?igshid=NGJjMDIxMWI=

[clearway-safety-store]

[dinnfameron]

Seven Sentences Sunday Monday

I was tagged by @trickiwooao3.

I am thisfuckingclose on my Can't Hardly Wait AU, y'all. I stuck these two in a bathroom over a year ago, and they might actually make it out some day soon.

Due to the fact that his phone is deader than his chances of escaping this night without the need for long-term therapy, David has no way of knowing how long they’ve been trapped in here. It seems like hours, but that could also be because this is basically the sixth circle of hell. Patrick has a watch. Of course Patrick has a watch, but David will wait out eternity before giving him the satisfaction of asking for the time.  Patrick also won’t stop jiggling his fucking leg, the stupid carabiner of keys on his belt loop clattering with each stilted movement, and David is beginning to wonder which common bathroom items could be used to bludgeon someone to death.

Feel free to gently nudge me periodically this week as I try to work my way through my first big round of edits.

Not tagging anyone, but if you want to share something, please do.

[mxddyhero]

Reblogging this to add that it helped make his calligraphy neater since he didn't need to worry about his hand smudging the ink.

Also can u imagine banri being a snarky little shit when they're handcuffed together and then juza just looks at him, moves the pen to his other hand and carries on writing like bro would be shook I think.

Him being able to play and teach guitar and drums left handed, so any mankai members could go to him for help with techniques or new skills.

Being able to flawlessly paint the nails on both hands without smudges.

Random Juza headcanon: he's ambidextrous.

It was just something he was always able to do? As a kid, he didn't think much of it, but Muku was super impressed. He tried to teach him how to write and draw with their non-dominant hand, but they gave up 20 minutes in.

The first time Juza gets in a bad fight, he comes out largely unscathed (at least compared to the guy that came after him), but his knuckles were pretty sore. No big deal, he can just use his other hand to write.

I just think ambidextrous Juza is neat,,

[massispost]

New Post has been published on https://massispost.com/2024/06/caucasus-heritage-watch-sounds-the-alarm-azerbaijan-massively-destroys-cultural-heritage-in-artsakh/

Caucasus Heritage Watch Sounds the Alarm: Azerbaijan Massively Destroys Cultural Heritage in Artsakh

Caucasus Heritage Watch’s latest report on Armenian cultural sites targeted by the Azerbaijani regime found a 75% increase in destroyed sites since fall 2023. Validating experts’ warnings of Azerbaijan’s advanced destruction of Armenian cultural heritage in Artsakh, a new report by Caucasus Heritage Watch (CHW) confirms a 75% increase in destroyed sites across the region since the mass displacement of its indigenous ethnic Armenian population last year, says a story in Hyperallergic. Through satellite image comparisons between fall 2023, when more than 100,000 ethnic Armenians were forced out of their homeland by the autocratic Azerbaijani regime, and spring 2024, CHW’s latest report draws attention…

[dawkacynizmu]

piątek 30/08

☪︎ podsumowanie

może wyjść z tego odrobinę dłuższy post :>

miałam dzisiaj jechać z mamą i siostrą na zakupy, priorytet to kupić te rzeczy do szkoły ale moja mama chciała też na jakieś spożywcze pójść, do rossmana na jakiś targ z warzywami ogółem wszędzie. razem jeszcze musiałyśmy pójść do sądu, taka tam sprawa związana ze spadkiem. umówiłyśmy się na 11 moja siostra przyjechała o 12 z chłopakiem który przywiózł nam 3kg brzoskwiń z działki xD na śniadanie zjadłam wafle ryżowe z twarogiem z dżemem, zawsze jak gdzieś jadę to wolę coś lekkiego przez pewne pozostałości bo chorobie lokomocyjnej. pierw był ten nieszczęsny sąd, potem się rozdzieliliśmy, oni na obiad a ja z mamą na lumpy.

ona znalazłaś obie zwykle dresowe spodnie, ja tą niebieską koszulkę. kręciła nosem że kolor brzydki ale mi się podoba, basic. rozglądałam się za czymś jeszcze gdy mama wyłowiła nagle drugą, bardzo ładną koszulkę. spojrzałam na nią już podjarana, patrzę jednak na rozmiar a tam M...ale powiedziała mi żebym wzięła, bo wygląda na małą. i o dziwo miała rację. jest luźna w klatce piersiowej i rękawach ale nie wygląda jak worek, sięga gdzieś do połowy brzucha CO MNIE ZASKOCZYŁO, wyobraziłam sobie ze komuś z rzeczywistym rozmiarem M ledwie musi cycki zakrywać xD ta niebieska jest świetna, również fajna w rękawach (nie lubię takich krótkich przez które ręce wyglądają na grubsze) i kończy się mniej więcej na linii spodni co mi się podoba, idealna na dni gdy nie chcę paradować z odkrytym. mijaliśmy faceta który zawsze siedzi pod galerią ze swoimi 3 dużymi psami na kocu, przy sobie ma puszki, ponoć zbiera na właśnie na te psy, jak wpłacisz możesz je pogłaskać. przypomniałam sobie taką sytuację przez którą moja mama nie lubi podobnych osób zbierających kasę xd widziałyśmy raz faceta na wózku inwalidzkim, siedział zimą przykryty kocem i zbierał pieniądze, kilka godzin później wpadliśmy na niego w Lidlu gdzie normalnie chodził 😭 rzuciłam kilka drobnych dla typa z pieskami, za dużo razy go mijaliśmy no i poczułam wewnętrzną potrzebę. chciałam tak to dyskretnie zrobić aby mama mi nie truła że po co, że to oszust pewnie, wrzuciłam więc i miałam już ruszyć dalej gdy krzyknął za mną EJ ALE CHODZ POGŁASZCZ PIESKI!!

pisałam wczoraj że uwielbiam lody i naszło mnie dzisiaj, że nie ma gorszego uczucia niż kupienie smaku który okazuje się średni. mam taką swoją ulubioną budkę gdzie za każdym razem jak jestem biorę inny smak, najbardziej polubiłam się z nutellą na którą miałam dziś ochotę...ale skusił mnie sernik królewski I NIE WARTO to smakowało jak zwykła śmietanka ale kwaśna 😭 oddajcie mi moje kalorie. pisałam ostatnio o tym że szukam jakiejś fajnej bluzy ale większość nadruków wywołuje u mnie zażenowanie (szczególnie te typu NEW YORK LOS ANGELES) nie mogłam znaleźć żadnej ciekawej, patrzyłam już nawet na taką z napisem DETROIT no kolor miała tak fajny że bym to przebolała...ale wtedy zobaczyłam taką.

ładnie leży. cute.

potem przyszła pora na zeszyty i trochę zgłupiałam stojąc przed półką z nimi xD zupełnie nie wiedziałam ile mi będzie potrzebne, chciałam jakieś najbardziej basic i najlepiej jak najtańsze. wzięłam bodajże 5, mama zapytała "a to nie za mało?" powiedziałam "to weź jeszcze ze dwa, obojętnie jakie" i kurde wzięła takie od razu przeznaczone do jakiegoś przedmiotu xD do geografii i fizyki gdzie geografie mam z tamtego rok a na fizyce nie notujemy. ale ściąga z tyłu przydatna. mam nadzieję że nie zostanę aresztowana za używanie zeszytu z napisem "geografia" na biologi.

do tego czarne długopisy, korektor, nic więcej stwierdziłam że nie potrzebuję. jakiś czas temu kupiłam w pepco takie zakreślacze bo chcę robić ładne notatki w tym roku, zobaczymy jak to wyjdzie, trzymajcie kciuki.

gdy wracaliśmy była potworna kłótnia mojej mamy z siostrą (kwestie spadkowe) one nie potrafią porozmawiać ze sobą bez skakania do pysków. jechaliśmy więc we wrogiej atmosferze, po chwili zapytała czy chcę jechać z jej chłopakiem i ich znajomymi nad jezioro. w pierwszej chwili odpowiedziałam że okej, nie znałam żadnych szczegółów. po dłuższej chwili odebrała telefon od tych znajomych którzy pytali kiedy będą, odpowiedziała że około pół godziny. lampka mi się w głowie zapaliła bo jak to, jak jeszcze musimy wrócić, a w samo to miejsce jedzie się z 20 minut. nie chciałam jechać tak na łeb na szyję, powiedziałam że jednak nie jadę, ale mnie przekonywała i westchnęłam, powiedziałam no dobra. gdy dojechaliśmy powiedziała "leć się przebrać w strój i jedziemy" a ja miałam takie kurwa, weź mi daj wejść do domu kobieto. chciałam wziąść ze sobą jakąś wodę, może coś na ból głowy bo mnie bolała, przebrać się w ten zasrany strój, pomoc mamie zakupy rozpakować, a oni czekali w tym czasie w aucie niemalże z zegarkiem w ręku. założyłam nawet tę górę od stroju, serio chciałam tam jechać, popływać i poleżeć nad wodą ale tak mnie jakoś wkurwiło że nie dali mi nawet sekundki na zrobienie, widziałam po ich minach że się spieszą, a ja byłam wciąż niegotowa, więc powiedziałam żeby jechali beze mnie. i nie wiem co się stało ale moja siostra z matką tak się odpaliły nagle XDD coś że czemu kurwa od razu nie mówiłaś mu tu czekaliśmy na ciebie zawsze tak z tobą jest debilko nie potrafisz się na nic kurwa zdecydować (wstawcie przecinki gdzie uważacie za potrzebne) rozumiem jeszcze uniesienie siostry ale najgłośniej krzyczała moja matka, chyba wylewała jakąś nagrodzoną frustrację bo zaczęła mi wypominać jakieś stare sprawy, nie fajnie. poszłam do pokoju i się popłakałam wciąż w tej jebanej niewygodnej górze od stroju.

o 15.30 zjadłam obiad czyli serek wiejski z owocami, musicie mi na słowo uwierzyć że on tam jest xD będę jadła taką kombinacje teraz codziennie bo mam mnóstwo owoców w domu a tak najłatwiej je przyswoić + białeczko. nie wiem czy o tym mówiłam, że zaczęłam zauważać małe ślady schudnięcia. przebierając się w przebieralni zobaczyłam mniejszą ilość tłuszczu na brzuchu, miałam na sobie nawet koszulkę którą w lipcu zamówiłam i wrzuciłam głęboko do szafy bo nie podobało mi się jak opina moje grube ręce, dziś miałam ją na sobie i czułam się w niej w porządku. nie jest to zbyt drastyczna zmiana, nogi mam wrażenie że nic się nie zmieniły, dowiem się w sumie w poniedziałek, kiedy się zmierzę. tak na oko spadły może 2kg? mam nadzieję że ten pierwszy tydzień szkoły przyniesie lepsze rezultaty, przez mniejszą ilość czasu łatwiej mi będzie trzymać się limitu. nie podjęłam jeszcze decyzji co robić w kwestii ćwiczeń, wcześniej robiłam to 6 razy w tygodniu, teraz w sumie mogłabym kontynuować to przez ten pierwszy luźny tydzień, a potem zmniejszyć ilość. przemyśle to na dniach.

[macgyvermedical]

RN Scope of Practice

I recently learned something that was pretty interesting about the RN scope of practice.

In hospital settings, we tend to think of registered nurses as carrying out the orders of physicians and advanced practice providers. In a hospital just about everything needs an order, including things that in nursing school we were always told were under our scope of practice-like ambulating the patient, dietary plans, positioning, wound care, etc...

So I was wondering- what can a registered nurse do without an order? Do we have our own scope of practice if we were to, say, freelance?

It turns out, yes- I can only speak for the state of Ohio, but outside a facility that requires an order, an RN can actually do a lot in the way of independent practice. The reason everything requires an order in a hospital setting is facility policy, not law.

Here is what the Ohio Revised Code says the RN Scope of Practice is:

"Identifying patterns of human responses to actual or potential health problems amenable to a nursing regimen

Executing a nursing regimen through the selection, performance, management, and evaluation of nursing actions

Assessing health status for the purpose of providing nursing care

Providing health counseling and health teaching

Administering medications, treatments, and executing regimens authorized by an individual who is authorized to practice in this state and is acting within the course of the individual’s professional practice

Teaching, administering, supervising, delegating, and evaluating nursing practice."

"RNs have independent licensed authority to engage in all aspects of practice specified in Section 4723.01(B), ORC, except that, when providing nursing care pursuant to Section 4723.01(B)(5), ORC, the RN must have an order from an individual who is authorized to practice in this state and is acting within the course of the individual's professional practice for administration of medication or treatments or for the regimen that is to be executed."

Basically, if you read down that list, the only thing that actually requires an order is #5. But other than that, RNs are allowed to independently practice without medical direction, as long as we are doing something that is within our scope.

What does that mean? Well, if you look at number 1, we can identify patients who can use nursing care. If you look at number 2, we can independently select, use, and evaluate the effectiveness of nursing interventions such as positioning, diet, oral hydration, non-pharmacological pain, anxiety, and nausea control, run codes if we have ACLS, etc... If you look at number 3, we can do pretty much any physical assessment. If you look at number 4, we can provide health coaching and teach health education to the public. And if you look at number 6, we can teach nursing students, delegate to those lower on the nursing hierarchy, and study nursing practice academically.

So what does that look like? Well, an RN can independently select a patient who could benefit from nursing care, assess that patient, advise nursing interventions that may help them, perform those interventions or delegate them to an LPN, STNA, or CHW, evaluate the effectiveness of those interventions, provide health education to that patient, and pass along that knowledge to a next generation of nurses, STNAs, and CHWs.

So I just want you to know, RNs, future RNs, and writers that write RNs, an RN is an independent license. You do not need a medical provider to practice nursing, only to do things that fall under a medical scope of practice.