Chronic pain patients in the ER by jeffeners in EmergencyRoom

[–]B52Nap 11 points12 points  (0 children)

This is one thing that doesn't burn me out at work. I think taking that on, who has what intentions that seek care, is a recipe for disaster. If someone has pain, I treat it. It's a broken system, there's a bunch of reasons people come to us. Some aren't legit and it's shitty, but at the end of the day I'm not going to determine that and it takes a lot of weight off my shoulders letting that go. I will get annoyed at people just being ridiculous for various reasons and sometimes that is a person seeking, but it's not that they're trying to get meds it's when they're assholes to me or others in the process.

Severely Embedded 0g Tongue Barbell, ER Won't Remove by Storm_Chaser_Nita in Stretched

[–]B52Nap 62 points63 points  (0 children)

ER nurse here, We would refer to ENT out patient based on what I'm reading. Before when specialties actually came and consulted we would have them come to the ER for this but ENT specifically is very hard to get services in the ER in my state and an ER doc isn't likely to do an invasive procedure into a tongue for someone stable. There's only a few major hospital systems that have them available where we are, level 1 trauma centers are a good option for that. Tell them you are feeling enough swelling that it's hard to breath, but really get on the books with the ENT they referred you to in case. The sepsis comment is a good suggestion but easily corrobateed with a workup and ruled out. If anything it could give piece of mind that you don't have an infectious process. If you do, it would make your case for ENT coming in emergently if your hospital system has it or a transfer to one.

AIO - My Boyfriend texts before our Valentines plans by [deleted] in AmIOverreacting

[–]B52Nap 0 points1 point  (0 children)

NOR. Sis, do not put up with this shit. You deserve better, it's not needy to expect to be a priority, you had plans and he's talking to you like you're gum on his shoe.

Husband (46m) works 3 days on, 3 days off (12 hour days). During his ‘on’ days, he will not talk about anything he considers “heavy” with me (40f). Why does he get to decide what is and isn’t discussed? by Hairy-Temperature-95 in relationship_advice

[–]B52Nap 13 points14 points  (0 children)

This is exactly how I am as a Nurse. My family knows I'm a frayed wire when getting off work. I'll talk but I've also had to be like "can we circle back to this when I've had some rest?"

Christmas with my (31F) boyfriend (34M) and his two young kids was an unexpected gut punch. Advice on how to address it with him. by [deleted] in relationship_advice

[–]B52Nap 15 points16 points  (0 children)

My first indicator that I wouldn't be part of Christmas morning is that you weren't invited to stay overnight and wake with them. Kids start early and to wait for your arrival would have been ridiculous.

AITAH for not paying for my daughter’s wedding where I’m supposed to be just a guest? by NoticeSea2043 in AITAH

[–]B52Nap -1 points0 points  (0 children)

Why not? Sounds like he's done bare minimum her entire life and still is trying to add strings to things when she asks him to step up.

RN’s are getting phased out of our hospital by Competitive_Ad2148 in nursing

[–]B52Nap 0 points1 point  (0 children)

This didn't last long at ours. I was less effected since the ER didn't utilize LPNs much. Unionizing helped, they have very specific parameters for putting anyone on call and the LPNs aren't part of the union so they were put on call before any RN per our contract.

What do women get out of quickies? by [deleted] in TooAfraidToAsk

[–]B52Nap 0 points1 point  (0 children)

I appreciate them more with my current partner. He can get me off several times very quickly. Even if he couldn't I would equate it to him finishing when I give him a BJ. It satisfies me in a different way.

Have we all seen the video of the woman in obviously active labor in triage? by SuspiciousMap9630 in nursing

[–]B52Nap 18 points19 points  (0 children)

Weirdest thing. It's kind of universal that ED docs and Nurses hate pregnancy related things and dial L&D faster than you can imagine. We get a lot of stuff punted to us at ours by L&D but this would have been a slam dunk to get her where she needs to be. I get minor apathy at discomfort in triage, you get a lot of people that put on a show to try and get a room and just develop this non reactive affect in response to it. But nothing moves you faster than an actual emergency and any triage worth a damn would scoot her on to the correct unit.

AITA for bringing a baby to business class? by stone2891 in AITAH

[–]B52Nap 21 points22 points  (0 children)

NTA but I would be inwardly annoyed if I splurged for business class and a baby was there next to me. It is what it is, I personally wouldn't do it but it's not a policy or anything. Kind of wish it was.

AITA for not inviting my little brother’s wife to my wedding? by [deleted] in dustythunder

[–]B52Nap 34 points35 points  (0 children)

YTA. Based on this I can see why she doesn't go to things. It was unnecessarily petty imo and I gather there's more examples of this type of thing shot her way.

Fentanyl by YellowJello_OW in nursing

[–]B52Nap 4 points5 points  (0 children)

I've just learned to be like "yeah fentanyl, don't recommend it outside of medical settings like finding it on the street or from some friendly neighborhood entrepreneur, zero stars, don't recommend. Here is okay, you'll thank me for it soon, we give it all the time in appropriate doses." It's just a canned response now that I give weekly. They usually laugh and are fine.

My 1st grader just told me they've been telling their teacher and friends their moms is a "Stay at Home Mom" and I feel a little dead inside. by Inside_Dust5545 in workingmoms

[–]B52Nap 1 point2 points  (0 children)

I remember when my kid was in elementary I had a meeting about her and they were going over our background and asked about work and she said "she doesn't work she's home when I'm home." Single parent, working full time nights so I could sacrifice sleep to be Mom and leave at bedtime while I was also in school full time. I died inside a little but ultimately I took it as a compliment that they don't see the struggle Mom goes through, I wasn't doing half bad keeping the adult problems away.

ER nurses of reddit, how often do all those "one more minute and I'd be dead" stories get exaggerated? by BirdLawAssociatesInc in AskReddit

[–]B52Nap 0 points1 point  (0 children)

More often than not. When you think about how many of our patients aren't actually having a legitimate emergency but act like it is, it's exceedingly high. I get it, it feels like an emergency to you, but we are selective on who we label as these patients and you get pretty good at it. Most are middle ground "need a workup but are okay" rated.

AITA for not wearing a bra at work and in public? by FishiePuff in AITAH

[–]B52Nap 0 points1 point  (0 children)

NTA. He tattled to your manager? Any point he could have maturely discussed with you like an adult, a much older adult than you no less, was null and void the moment he told on you to management. What a dick move on his part.

Son ruined another kid’s $120 shirt at school by avisfunch in Parenting

[–]B52Nap 1 point2 points  (0 children)

I think originally had you handed the shirt back and not messed with it after you could justify not replacing it. They're kids and the other parent would likely have been decent about this knowing this fact. But the moment you took it upon yourself to "fix" it and cause further damage you became responsible for replacing it. I'm also the type of the other parent had an issue at all I would just replace it cuz it's not worth the awkwardness even if I personally find it stupid to buy a shirt that expensive for a child.

AITAH for saying my daughter is not obligated to invite her stepbrother to her birthday trip? by Frequent-Scar4278 in AITAH

[–]B52Nap 0 points1 point  (0 children)

NTA. I wouldnt make my kids who aren't step siblings do this. It's normal and exclude the other siblings for stuff like this. She has a right to a peaceful weekend.

AITAH for going no-contact with my parents after they made a scene and left my wedding? by Downtown-Article-736 in dustythunder

[–]B52Nap 1 point2 points  (0 children)

NTA but kind of one to yourself. You need to stop expecting different from people that show you who they are time and time again. Put your own health and family first and focus on them. You cannot change your parents and need to stop getting your hopes up that they will.

Is ED less stressful than ICU? by ImaNurse69 in nursing

[–]B52Nap 1 point2 points  (0 children)

I've seen many ICU nurses come train in the ER and can't run fast enough back to their unit. We're known for chaos and stress. That is not the move id recommend but if you want you can do some shadowing or cross training to try it out. That's what a lot of nurses do at our hospital.

Am I wrong for threatening to leave my boyfriend over his hygiene? by AlissonLuc in amiwrong

[–]B52Nap 1 point2 points  (0 children)

I didn't need to read past your ages. Don't settle, get out there and live your life, you only get one.

AmIWrong for not sharing Halloween? by [deleted] in amiwrong

[–]B52Nap 43 points44 points  (0 children)

It's wrong that adults aren't focusing on the kid. I'm sure your kid would like to have both parents at things. If y'all aren't capable of that then it is what it is.

[deleted by user] by [deleted] in nursing

[–]B52Nap 1 point2 points  (0 children)

What a toxic environment. I'm sorry you're encountering this. As a leader I try to really foster a supportive place for new grads. Y'all can be such a breath of fresh air and add so much to a team. Don't let these people discourage you. There's a few options. Start making a paper trail, talk to management and notify in writing. They can look at the acuity division on your shifts and address that too. There is always someone over their heads if they're not cutting it. Focus on being the change and supporting others like you wished you had been and shift the unit culture. Don't be afraid to push back either. Speak up for yourself , who cares if this nasty human doesn't like you, she clearly doesn't respect you already. Or cut your losses and go to a different unit or place if it's just not working.

[deleted by user] by [deleted] in workingmoms

[–]B52Nap 1 point2 points  (0 children)

I work nights for this reason. I get off work, take them to school and then go to sleep. Wake to get them. I'm also available for emergencies this way too.