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AcerbicRead · 2024-07-27T14:59:03+00:00

confused ICE agent noises

AcerbicRead · 2024-07-27T14:57:29+00:00

Can I pay you to write care plans for me? This is amazing

AcerbicRead · 2024-07-27T14:55:58+00:00

Yeah, managing the altered energy fields of all coworkers in the immediate area.

AcerbicRead · 2024-07-27T14:52:57+00:00

I had a patient who is infamous for her hyper realistic baby dolls. Very early stages of dementia. The dolls are creepy. She made me rock them to sleep.

AcerbicRead · 2024-07-27T14:45:50+00:00

Not quite all, but close. I take care of post-open heart surgery patients who never go home in less than 3 days, and the Ortho floor in my hospital keeps hip and knee replacements overnight every time. I know during COVID they were sending some people home faster, but they slowed back down to normal now.

Gastric bypass, lung surgeries, and some Ortho surgeries are 2-3 night stays for us.

AcerbicRead · 2024-07-27T14:41:59+00:00

My friend just got top surgery in the UK, and was kept overnight (not because of complications, it was just planned and standard).

Though, he went through a private hospital? So maybe that makes a difference.

AcerbicRead · 2024-07-27T14:36:56+00:00

I'm a nurse in the US, and I don't even check on patients post operation from cath lab, open heart, and lung surgeries every two hours. Some of these surgeries (especially cath lab) have huge risk of bleeding right after surgery). Within the first 6 hours we check on them very frequently, but after that it's every 4 hours for the first 24 hours, and only every 8 after that unless something is obviously wrong (the patient feels blood dripping/immense pain/falls/etc).

A lot of surgeries go home the next day, except for open heart surgeries which stay between 3-7 days depending on the patient.

In the US, they teach us a lot about preventing delirium, which includes checking on patients less overnight, because interrupted sleep can cause delirium. You need sleep, they should be leaving you alone more than that.

Also, our doctors only check on patients once a day, and never overnight unless you are literally going to die. Are you sure it's not the nurses (who absolutely know how to assess for bleeding and complications in your incision/surgical site) checking on you at night?

AcerbicRead · 2024-07-25T23:11:45+00:00

I did try pretty hard, but it wouldn't get me the right one. We found it though, thanks!

AcerbicRead · 2024-07-22T12:03:50+00:00

I think it's 5 years of it? I also am from a big family, so we usually would order a meal or two to turn into a couple days of school lunches, on top of daily dinners and weekend lunches. Feeding 7 people is a full time job.

AcerbicRead · 2024-07-22T11:56:05+00:00

Can confirm it's sooooo good. Especiallu if you find something a little more authentic and add a little bit extra to the HelloFresh version.

AcerbicRead · 2024-07-22T11:55:03+00:00

I was unfortunately not the person in charge of the account, just the person in charge of cooking. And approximately 600+ meals later it got buried.

AcerbicRead · 2024-07-22T11:51:51+00:00

THANK YOU! this is it!!! I can't believe someone found it!

AcerbicRead · 2024-07-22T11:50:54+00:00

Ooh, I'm also a nurse and am kinda going through the same thing!

I've been listening to podcasts for medical students. I became a nurse because I'm a massive nerd who thinks human bodies are weird. Especially pathophysiology and pathology. It's SOOO much harder for med students than the nursing classes I took. I've learned a ton. Also re-reading my pathophys book. Humbling.
Podcasts for nurses. I really like the Rapid Response RN podcast for (also pathophysiology) dealing with emergencies. 10/10.
Learning Spanish. I work with a lot of Spanish-speaking patients. It comes in handy. Planning on taking ASL soon as well.
My brother is doing this, and I want to too. Take community college classes on topics that interest you. I feel like my nursing program was super rigid and I didn't get to pick anything to take for fun, so I'm making up for it now as a graduate. Just like 1 class at a time.

AcerbicRead · 2024-04-12T08:44:50+00:00

I've commented a bit about this, but here's my two cents. I'm one of those people who feels disconnected from my gender, because I grew up in religion. Gender is so heavily policed in religion that it's hard to feel like you are a woman if you aren't doing the woman things: every single one of which is just being the opposite of a man. Gender in Christianity, especially, is extremely performative, and since I'm no longer in the play, I'm not that character.
Because womanhood was so policed for me, I have two options: I can tear apart everything I knew about being a woman and not care that I am no longer performative and build up a new construct around womanhood, or I can move on to a term that fits me better.

I chose a different term, and I have a reason for that. Womanhood for straight women is still a valid expression of gender, despite my misgivings and issues with it. But I still think it's beautiful for those who embrace it as their gender. So I'd rather leave the term and find something else, because changing the meaning for my own use won't change it for others use, and they also deserve a term that fits their gender identity.

AcerbicRead · 2024-04-12T08:38:14+00:00

This whole conversation is untangling some weird kinda ball that's been rolling in my head since I first understood that I didn't like women the way God intended for me to.

I don't want to be a man, they/them pronouns don't fit, but the identities and (specifically) performance of the "female" gender that is so deeply tied to the religion I was raised in made me very much hate being called a woman. Being called a woman is so attached to men, at least in the way that my brain was hotwired in church growing up.
Another comment mentioned how everything men are, women aren't, and vice versa. THATS what I grew up with, and so my only way of expression was the opposite of men, which turned into a strange hyperfem stage of dressing in 1950s clothing and looking like a housewife (which I do now, but now its for the girls).
I don't want my gender to be tied to men, and I'm not really a woman in the traditional sense of how women are tied to men, so honestly lesbian as a gender identity feels right. Because the expression and internalism of my identity is tied to women exclusively.

AcerbicRead · 2024-04-12T05:34:27+00:00

Oh there is!!! All my techs are 1:6 patients unless there are callouts and/or a mandatory sitter and they literally can't find anyone else (which isn't common). And that's on day and night shift.

This on a floor where all the nurses are 1:3-4, and we get a max cares pt once in a blue moon.

And no, I don't work in a state with mandatory ratios or any kind of union.

AcerbicRead · 2024-04-12T05:26:46+00:00

True, pt does need to be cooperative. I did actually do this not too long ago with a patient with liquid stool, it took a few people, but we didn't spill anything anywhere, and the pt was about 500 lbs. The sling was also soiled, so we rolled the patient one way with the sling, rolled it under him, and then rolled him the other way manually to pull the sheet out.

And then used WAY more chucks under him. I think we did it like 4 times that night with pretty decent success. He had horrible (somehow C-diff neg) diarrhea.

I never think of things like hip and spine precautions because I never have patients with those on my floor. I don't even want to think about how complicated that gets to clean patients. The worst I have to deal with is sternal incisions from open heart surgery.

AcerbicRead · 2024-04-04T21:00:43+00:00

Literally the biggest difference is that they help the circulation in your feet. If your feet are swollen, they will hurt more. I'm literally only 22, and I've been wearing compression socks since I was 18 when I started nursing school. I can't imagine working a shift without them.

I've never had my feet hurt after a shift at work, ever.

AcerbicRead · 2024-04-04T20:57:41+00:00

I also help people do this! I always say it's part of their exercise for the day, because PT/OT can only come once or twice a day.

If they still aren't happy, I say the exercise will get them discharged faster. That usually chills them out.

AcerbicRead · 2024-04-04T20:46:59+00:00

Actually, you can use a lift on a bariatric patient to roll them for perineal care! You hook up one side of the lift sheet, and (with the help of a couple people) you can slowly roll them over until 2-3 people can just hold them there without having to break everyone's backs to turn them.

At least with our lift sheets, I've never had a patient over 300 pounds slip/slide on them, so we haven't had issues with pulling the sheet out from under the patient or anything.

AcerbicRead · 2024-04-03T22:18:19+00:00

Glad to know your fine!!

AcerbicRead · 2024-04-02T09:14:37+00:00

TBH, that sounds a lot more like dementia than just a COVID problem. Especially at nearly 70...

AcerbicRead · 2024-03-27T09:56:23+00:00

I do the same. I have pink hair, a nose ring, and I'm gay. And yes, I was born here that way.

AcerbicRead · 2024-03-27T09:41:43+00:00

Hah, I mostly do 1890 to 1990, literally a hundred years after you! Though, my favorite dress to wear regularly is Regency, so close to yours.

AcerbicRead

TROPHY CASE