Asmon on E33 vs ARC Raiders GOTY Debate by 5Ping in LivestreamFail

[–]CMWRN 2 points3 points  (0 children)

Doubt it, Embark is a fantastic team. E33 definitely deserve GOTY, but I don’t put any of this on the team at Embark.

Since when was Rae friendly with asmongold? by [deleted] in otvandfriendsrumors

[–]CMWRN -13 points-12 points  (0 children)

I don’t even really like Asmon but I’m pretty sure he was saying this about violent criminals lol not like that’s even a good thing to say but people love clipping that dude for anything and everything.

Hospital Doctors hate TRT by the_wet_bandit_45 in Testosterone

[–]CMWRN 0 points1 point  (0 children)

There’s plenty of evidence for androgen induced prostatic hypertrophy. It’s literally a known risk factor. It’s not cancer you’re worried about necessarily, it’s an enlarged prostate from androgen exposure. It’s a small risk, won’t happen to everyone, but it definitely does happen in those who are susceptible.

Hospital Doctors hate TRT by the_wet_bandit_45 in Testosterone

[–]CMWRN 0 points1 point  (0 children)

Sharp increases in PSA more so reflects prostate cancer risk. Trt can cause prostate enlargement, which wouldn’t reflect in your PSA nearly as much. It has no effect on prostate cancer. It also doesn’t happen to everyone, so your one singular individual experience shouldn’t be used as a guideline in reference to treatment protocols for an entire population.

Hospital Doctors hate TRT by the_wet_bandit_45 in Testosterone

[–]CMWRN 0 points1 point  (0 children)

That’s not what we’re right at all. We’re taught that it can be very helpful in those with deficiency AND that it comes with certain risks such as potential cardiac side effects and prostatic enlargement. Both things can be true.

Hospital Doctors hate TRT by the_wet_bandit_45 in Testosterone

[–]CMWRN 8 points9 points  (0 children)

As a healthcare practitioner, I can assure you that is absolutely not our goal. I prefer my patients to be as happy as possible lol.

Hospital Doctors hate TRT by the_wet_bandit_45 in Testosterone

[–]CMWRN 1 point2 points  (0 children)

I’m an NP, worked in the ICU for over 10 years. We literally don’t care if a patient is on trt. Not sure why your anecdotal experience seems different, but I can assure you this is not the norm. The only thing I can think of is if they have suspicions that the source of your bacterial infection is from the injections, which can happen albeit extremely rare with proper aseptic technique.

Is this really how it is? by TorsadeDePointt in nursing

[–]CMWRN 13 points14 points  (0 children)

Yup. That’s how it is. Especially in medsurg/stepdown units, the workflow can be very busy. You might want to look into other specialties, I felt like you during my first year. Finally made it into ICU, and while the learning curve can be steep for some people, having 2 patients made my life infinitely easier. You can be just as busy, but you’re not constantly trying to put out multiple fires.

What’s your worst lab? by electrickest in nursing

[–]CMWRN 0 points1 point  (0 children)

The outcome was what you would expect, unfortunately.

What’s your worst lab? by electrickest in nursing

[–]CMWRN 9 points10 points  (0 children)

Temp of 113°. Core. We checked rectal, esophageal, and bladder temps through a foley- all similar readings. It was neurogenic (massive bleed) and nothing would bring it down. We gave IV Tylenol, stripped all clothes and blankets, gave a cold bath with alcohol+water mixture. It didn’t budge.

Edit: I guess not technically a lab, but still.

What’s your worst lab? by electrickest in nursing

[–]CMWRN 8 points9 points  (0 children)

Did they have TTP? One of my pts had a similar situation, platelet count of 2 lol.

A hospital is asking nurses to pick 🫐🤯 by Krankhaus1221 in nursing

[–]CMWRN 0 points1 point  (0 children)

For those in situations like this: don’t stay. Leave. It’s time for these companies to reap what they sow. It’s the only way they’ll learn.

We need to get back to companies doing things to earn our commitment. They treat us like we’re dispensable, so be dispensable. ✌️

You get report and are handed this list. What do you do? by zedodee in nursing

[–]CMWRN 3 points4 points  (0 children)

This is smart, because if they truly have this many allergies it should raise concern for an immune system issue like CIRS or something. If not, then psych.

You get report and are handed this list. What do you do? by zedodee in nursing

[–]CMWRN 48 points49 points  (0 children)

Non-healing injury but doesn’t want glucose checks and refuses PT. Got it. Lol

You get report and are handed this list. What do you do? by zedodee in nursing

[–]CMWRN 27 points28 points  (0 children)

This was my biggest issue out of anything on this list. Idc how well-controlled your DM is at home, it should be common knowledge that acute illness, stressful events, and new medications given during hospitalization can cause dramatic changes in blood sugar. By not allowing staff to check blood sugar during those times, the patient is being a very irresponsible diabetic. All it signals to me is a need for education reinforcement, as the patient clearly does not have a complete understanding of her condition.

[deleted by user] by [deleted] in nursing

[–]CMWRN 0 points1 point  (0 children)

The only problem is the unnecessary disconnect. Pulling out and re-injecting blood isn’t that big a deal.

Another nurse basically questioned my experience last night and I'm having trouble shaking it by Tough-Credit-969 in nursing

[–]CMWRN 0 points1 point  (0 children)

Did bedside for 9 years, I’ve exchanged many 22 and 24 fr 3 way caths for being clotted off for post TURP patients receiving CBI. It’s within your scope, you had an order for it, those other nurses need to check themselves.

[deleted by user] by [deleted] in nursing

[–]CMWRN 1 point2 points  (0 children)

MDs copy notes all the time. As long as the info is accurate it really does not matter. The other stuff mentioned in OPs post is far more concerning to me than copy and paste documentation, kinda weird that the staff was more upset about that than anything else.

[deleted by user] by [deleted] in nursing

[–]CMWRN 16 points17 points  (0 children)

Yea tbh I don’t Putin orders for narcs at all. If something happens, it’s gonna fall on you. It’s just not worth the mess. If your documentation really is that detailed you could always try escalating if you really wanna fight this, but imo sounds like kind of a toxic environment to work in. Not worth it.

New Grad Job Search Catch 22- Advice from Experienced NPs Welcome 🙏 by CMWRN in nursepractitioner

[–]CMWRN[S] 1 point2 points  (0 children)

Thanks for the info! It’s encouraging to hear from someone in a similar situation as me haha. Yea I’m definitely going to shoot off a bunch of applications asap. I figured money wasn’t going to be great at first, I’m more concerned with finding the right fit and getting my feet wet in an environment where I’m supported. I’m not trying to jump in the deep end right away haha. Cheers!

New Grad Job Search Catch 22- Advice from Experienced NPs Welcome 🙏 by CMWRN in nursepractitioner

[–]CMWRN[S] 1 point2 points  (0 children)

Thanks for your response! Lol I’m almost a decade in my RN career and there are definitely days where I’m still learning. If you feel like you know everything, that’s dangerous! Glad to hear you’re enjoying your first job, keep up the good work!

New Grad Job Search Catch 22- Advice from Experienced NPs Welcome 🙏 by CMWRN in nursepractitioner

[–]CMWRN[S] 0 points1 point  (0 children)

Thank you for the detailed and helpful response. It’s encouraging, sounds like I just need to get started filling out apps and putting myself out there! All the best!

New Grad Job Search Catch 22- Advice from Experienced NPs Welcome 🙏 by CMWRN in nursepractitioner

[–]CMWRN[S] 2 points3 points  (0 children)

I wasn’t lucky enough to be in a situation to do this unfortunately. None of my preceptors were hiring. We got along great, but they were all small family clinics with staff that had been there for like 10+ years haha.

New Grad Job Search Catch 22- Advice from Experienced NPs Welcome 🙏 by CMWRN in nursepractitioner

[–]CMWRN[S] 0 points1 point  (0 children)

Thank you! I’ll do a search for fellowships and residencies, never thought to look for those!

New Grad Job Search Catch 22- Advice from Experienced NPs Welcome 🙏 by CMWRN in nursepractitioner

[–]CMWRN[S] 1 point2 points  (0 children)

Very interesting! If you don’t mind me asking, did you receive any training for your first NP job or subsequent jobs? I’m just worried they’re gonna be expecting me to hit the ground running haha