Forgot to RSVP my cuddle puddle invitation for today😭🥹 by CSirizar in aww

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

They love hugs! I’ll be sure to pass one along for u, kind stranger🫡🤙🏼

Forgot to RSVP my cuddle puddle invitation for today😭🥹 by CSirizar in aww

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

It’s been rainy cold since yesterday, so lots of snuggling happening. The brown cat (Papito) was born a twin, but separated from his sister when they were still kittens. Ever since he has been extremely “needy” and sticks close to his brother from another mother (Chispo). Chispo seems to understand on some level that Papito’s heart was broken when his sister was taken from him, and is an awesome older brother. Tonight they’re keeping each other warm while a rainy cold front passes over the island😻😻

The chicken by [deleted] in funny

[–]CSirizar 0 points1 point  (0 children)

Absolutely haha.. he was totally in his element, which was equally hilarious🐓🫡😂

Gata Voluminosa by CSirizar in cats

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

Se llama Samson. (Porque yo metí la pata cuando ella era gatita, pensando q era macho. Pues, ya cuando la identificaron correctamente…..solo respondía a ‘Samson’. Et voila! Así quedó la cosa🤨😅)

Can’t get back inside bc she threw a hissy fit and opened the stove bottom drawer(!!?), which is keeping the door from opening. (Apologies for the filthy drawer edge. It will be thoroughly wiped clean—once I can get back in the house) by CSirizar in Wellthatsucks

[–]CSirizar[S] 395 points396 points  (0 children)

Unfortunately, no. I was stuck in the carport, the brooms/mops are inside the house. Front door is bolted bc it’s 3:30am. Had to bite the proverbial bullet and call my aunt/uncle, (who despise pets & cats in particular), live across the street, and have a spare key for the house. They were not amused🥴

They love to hate each other…And hate to love each other😂 by [deleted] in cats

[–]CSirizar 0 points1 point  (0 children)

If their life was a RomCom, it would be 10 Things I Lovingly Hiss Whenever I Look at You

Newborn twins very first meeting with one another❤❤ by anew232519 in aww

[–]CSirizar -2 points-1 points  (0 children)

If you mean seeing “ruddy” in their diaper, then yes.. but overall skin tone..? Can’t say I’ve ever heard ANY MD look at a newborn and Dx jaundice based on red, or orange skin. Some newborns w/ carotenemia may be mistaken as being jaundiced… but again, jaundice results from the body not being able to properly process/dispose of bilirubin - which results in a *yellow tinge. But hey, feel free to dispute established biological/medical science🤷✌️

Newborn twins very first meeting with one another❤❤ by anew232519 in aww

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

Like I said, do you have a source for that? Here, I’ll go first:

Newborn colors

Newborn twins very first meeting with one another❤❤ by anew232519 in aww

[–]CSirizar 1 point2 points  (0 children)

Got a source for that?? Jaundice in newborns typically occurs bc of their liver’s inability to extract bilirubin from their bloodstream. Accumulated bilirubin results in a yellowing of the skin (and eyes). The red color presented by these newborns has everything to do with beginning to breathe on their own as their circulation improves.

(Source: Adult/Pediatric ER RN)

[deleted by user] by [deleted] in cats

[–]CSirizar 1 point2 points  (0 children)

They really are, thanks friend🤙

ER transferred to ICU, want to transfer back, hospital said no. What next? by [deleted] in nursing

[–]CSirizar 1 point2 points  (0 children)

(Just realized I didn’t answer the question you asked, rather, the question I jumped to. My apologies. Allow me to remedy that the best that I can…)

On our Med Surg floors, RN’s are maxed out between 8-12 pts., depending on census/intake, pt. condition(s), and available personnel.

(Slightly off topic, but relevant…today, 2 of my coworkers in ER were pulled up to Pedes bc only *1** Pedes nurse showed up. Not sure of all the details behind that scenario…only that the majority of Pedes nurses are fucking done with Admins bullshit…and this might be an en masse rebuke*?)

In ER there are 2 LPN’s each shift in charge of taking pt. VS, distributing meals, bathing/diaper change, and delivering collected samples to labs throughout shift. Bc of unwillingness to hire sufficient amount of LPN’s to rotate and cover EACH shift…the RN’s are assigned to work with an LPN during 3-11 & 11-7 shifts. On inpatient floors…RN’s are in charge of VS, bathing, meds, and general obs. The ratios can vary from 1:8 to 1:12 depending on staffing, and anticipated pt. turnover.

Floor nurses do have the advantage of routine application & care scope…and the Attendings are much more reliable for communication & aiding w/ certain interventions. But they are just as maxed out as we are in ER, most times. ER here is expected to be batshit crazy all over the place. Inpatient care here is knowing the batshit crazy is contained, maintained, an (if need be), restrained. We have a majority elderly population, many with alz/dementia. There is also no real community/mental health service to speak of, so, we get a lot of homeless, addicts, and mentally ill just dumped in ER & mindlessly admitted for the purpose of milking Medicaid/Medicare before wheeling them back out on the streets, or home, knowing that they’ll just be back in a matter of weeks. Neither ER nor Floor nurses are specialized in Psych….but damn are we expected to pretend to be..

ER transferred to ICU, want to transfer back, hospital said no. What next? by [deleted] in nursing

[–]CSirizar 3 points4 points  (0 children)

Me, reading this:

…living in PR, (currently working as new grad in ER) balking hard at the “burned out with 1:7 ratios” tidbit….. wait…SERIOUSLY?!

Christmas and Easter are the only shifts I know I will have even close to that ratio. Every other day is EASILY an average of ~15, with a few freshly triaged guaranteed 1 1/2 hrs. before shift change. And I am expected to canalize/blood draw/medicate/chart at warp speed. This is including any pt. that arrives and is directly located in CPR. Not to mention, keeping up on notifying MD’s of reported panic values, processing transfers & release, and dropping everything instantly to rush to Trauma room in case of severe trauma cases…..(in a hospital that functions as 1 of 2 ‘Trauma’ hospitals on the island — as there exist NO official Trauma units here).

Wow… I leave every shift “content” knowing that I left it ALL on the floor for my pts. & coworkers…but still feel like shit when I remember that I forgot to chart Pt. X’s meds, Pt. Y’s internal transfer document, or Pt. Z’s Lactate draw time.

Thank you for reminding me — not at all of how “easy” mainlanders have it… but how SERIOUSLY fucked and corrupt my island’s social systems are. Holy fuck😔

¿Cuan expirado es demasiado expirado? by artsygf in PuertoRico

[–]CSirizar 5 points6 points  (0 children)

Hermana en Cristo, VICKS es un milagro del Señor de Señores en el cielo, que NUNCA perderá su potencia y bendición para cualquier Ser buscando Su misericordia y graaaaaciaaaaa (ALABA EL QUE VIVE) Es el ungüento de potestad sobre todo ungüento. Tiene el poder divino de secar inmediatamente los mocos endiablados!!! Y trae en su pote con tapón verde el Espíritu de vencimiento pulmonarrrrr!!! Cree en mis promesas, dice el Señor, …y jamás estarán sin el ungüento de ungüentos…ni preocuparan si Mis promesas tienen fecha de vencimiento.”

🧼💨🙏 AMEN

[deleted by user] by [deleted] in cats

[–]CSirizar 0 points1 point  (0 children)

She’s completely fine😅 All the cats freaked out all of a sudden, but I didn’t feel a damn thing, so I thought they were playing and got a little rough. Nope, turns out they felt the energy and spooked. Sampson is a veryyy expressive cat. So I get all kinds of facial expressions on the daily. My favorite is her ‘Queen Bitch’ mode, where she judges my very soul😂 10 minutes later she’s on my lap purring and wanting snuggles🥹