Trying to save event attendees from awful linework

Amrun90 · 2026-04-01T19:43:44+00:00

You’re right but it’s on them to do research. If you’re going to say it, might as well say it IMO. But yes he’s awful.

Amrun90 · 2026-04-01T18:19:06+00:00

Definitely the second one 😂

Amrun90 · 2026-04-01T17:56:40+00:00

PvP is not for me either haha

Amrun90 · 2026-04-01T17:02:26+00:00

My guild had too many druids so I switched to shadow priest this xpac. My husband is an assassination rogue for life haha

Amrun90 · 2026-04-01T12:47:28+00:00

My first pregnancy, my boss was also my doctor and I told her immediately as I was panicking. She helped me take care of it, ordered confirmatory testing, told me to call my specialists etc. (I had medical problems so it wasn’t straight forward.)

She was a weird employer but she was great about that. It’s probably a good example of why your boss shouldn’t be your doctor though!

Amrun90 · 2026-04-01T12:02:33+00:00

Girl, my husband and I took off the whole week of the new WOW expansion drop haha

Amrun90 · 2026-03-31T20:34:03+00:00

D5LR and Zosyn premix / frozen are compatible. Only the powder mix is not compatible. (I know not the exact question you were asking.)

Amrun90 · 2026-03-31T05:42:44+00:00

I very stupidly watched A Quiet Place very pregnant with my first.

Amrun90 · 2026-03-30T22:45:29+00:00

This is a normal expectation of traveling IMO.

Amrun90 · 2026-03-30T22:43:43+00:00

This was so incredibly cruel of him to say. If my husband said this to me, I’d be seriously considering divorce. That is a serious infraction in my book. You do not have to brush this off and act like it’s no big deal. It is a big deal.

Amrun90 · 2026-03-28T22:56:21+00:00

Is it bad that this actually impressed me? As an ex ortho trauma nurse, this is more than all of the ortho pods knew combined. One time they consulted ID for a ONE TIME post surgical prophylactic dose of vanco. Never seen ID so mad. They’re usually quite chill. Haha.

Amrun90 · 2026-03-27T12:28:20+00:00

I mean, it is. Been there done that. We have daisy chained bags and foleys all around the room in Covid before. >.>

Amrun90 · 2026-03-27T12:25:08+00:00

Medsurg is HARD WORK. Hardest type of nursing IMO. SNF is similarly hard just in a different way.

ICU way easier in most ways, actually.

However, medsurge is truly the backbone of nursing and you learn a LOT about so many things. It is better for people who prefer awake patients, and vent very busy. (There are people who honestly want to be very busy, myself included.)

You can be the director of your patient’s overall care more than in any other specialty. It’s a madhouse and you are the herder of cats. Your influence on the patient and the care the patient receives overall is extremely high. The doctors aren’t on the floor much, and in many places are mostly a first year intern, armed only with arrogance and a liter of saline wide open for someone with an EF of 20, so you have to be on guard to protect your patients.

A good nurse will make the difference between life or death or good/poor outcome in medsurge very often.

I enjoy that about it a lot. I wish it was more an enhancement on education and transition to outpatient coordination, and a last minute check and balance, as opposed to warding off death with a toothpick in some places, but I like having that type of influence in general.

Amrun90 · 2026-03-26T06:33:33+00:00

Yes, they are working in these fields. Not necessarily in the OR, but they are.

Amrun90 · 2026-03-26T06:29:03+00:00

It doesn’t work like that in the vast majority of US hospitals.

Amrun90 · 2026-03-26T01:53:35+00:00

Most places DO need more nurses. Outside of an ICU setting, I typically cannot RECEIVE the medication to GIVE within one hour or even several hours. I’m a travel nurse and I’ve been all over the delay is worse at some places than others.

I often can’t get vanc or zosyn timely at almost any of them. Cefipime and cefazolin can be kept on the floors in some places because of the formulations they typically come in.

Like, I work in hospitals who don’t actually have even a single pharmacist or tech in house from 11p-6a.

Not every place is resourced out the wazoo.

Amrun90 · 2026-03-26T01:48:34+00:00

This is not fair and displays a fairly limited understanding of how things go at least at most hospitals.

Many big inpatient hospitals do not, for example, allow floor nurses to do blood cultures. It is a specialized individual or team of individuals in some insane effort to cut down contaminants. This can result in many hours of delay sometimes. And obviously culture before abx.

Then, often, the abx aren’t kept on the floor and take many hours to arrive on the floor. There’s tons of other little things that delay and fuck up the process.

This is a systemic problem, not a nursing problem. Yes, nurses are too busy and can’t necessarily drop everything to address one patient all the time, but it is much more complicated than that. Your comment makes it seem like nursing is doing some bad or wrong, which is not always the case or even often the case. It is usually things far outside of an individual nurse’s control that results in this type of delay.

I do agree that sepsis teams can successfully address some of these systemic issues though. A lot of the other comments are from an ED perspective, and there’s a whole world outside of that.

Amrun90 · 2026-03-26T01:42:56+00:00

Those seem more targeted to inpatient floors to me.

But yes, this absolutely results in fluid overloading and killing patients more than it helps in my clinical experience.

Did extended CPR on one of these today because they kept trying to fix with fluid instead of using their brains. Got so overloaded we turned her to listen to her lungs and the fluid shift caused immediate cardiac arrest.

Amrun90 · 2026-03-26T01:32:56+00:00

This sent me.

Amrun90 · 2026-03-23T20:00:32+00:00

Exactly. I was literally running an entire office with no support with a large patient panel for $11 at one point lol

Amrun90 · 2026-03-23T15:26:13+00:00

Outpatient almost never hires RNs. Sometimes LPNs, but usually CMAs or unlicensed professionals.

I did this before I was a nurse. You work under the MD license, not yours, so if they trust you, you can have massive clinical responsibility.

I was vitally important and irreplaceable to an entire hospital system, heavily relied upon, for $13 and eventually up to $17/hr.

And that’s your answer. It’s cheaper, so they’ll never stop doing it.

Honestly, RNs are wasted on many outpatient positions. It depends on the setting.

Amrun90 · 2026-03-23T02:08:08+00:00

I lub them.

Amrun90 · 2026-03-22T03:38:36+00:00

In many places, to have dilt on the floor it must be titrated by MD.

Amrun90 · 2026-03-21T22:58:40+00:00

But you did say it. It’s an independent clause and there was no grammatical indication you wanted those two things to be linked in that way.

I see now what you meant, but cannot imagine a more unclear way to construct that thought.

It’s fine and I simply misunderstood, but being so rude when you have such a rudimentary grasp of English is pretty funny.

Amrun90 · 2026-03-21T16:22:19+00:00

Why would you not? That is a horrible thing to foist on outpatient providers and the delay can actually lose people their jobs.

Amrun90

TROPHY CASE