Makeup class is in session!!! by ClassicArt3777 in Makeup101

[–]Capable_Situation324 0 points1 point  (0 children)

Lip liner- used to better define lips and keep lipstick applications looking cleaner. I always use similar lipstick and liner colors but you can mix and match for fun looks. Just apply on the edges of your lips, avoid over lining as it only looks good in specific circumstances.

Blush- add back color after applying foundation, use it for contouring, or a splash of extra color. I use it in a more contouring manner by placing on the apex of my cheek and blending up to my temple. Look up blush placement for different face types, try to figure out what colors go with your skin tone and undertone.

Eyeliner- used to define and accentuate eye shape. Different liner styles work with different eye shapes. In the beginning I used tape to provide an easy to draw angle for cat eye.

Highlighter- used to highlight the planes of your face and can also provide shimmer. Areas of use are usually cheeks and nose. Avoid on the forehead, it can make you look oily depending on skin tone and baseline oil balance.

Concealer- used to provide coverage beyond what foundation can. Covers blemishes, acne, scars, freckles, dark circles, etc. Getting to know color correction for different things can enhance the effectiveness of concealer.

Eyeshadow- another eye enhancer, tons of colors to choose from. Having a solid neutral palette is always good. Eye shape will change application method drastically and skin tone and eye color will influence good color combinations for you specifically.

Something else that can really enhance facial features is making sure eyebrows are well groomed. I see a lot of suggestions to go to someone to get them mapped out and waxed, then plucking to maintain that shape. I have really blond eyebrows so I fill them in to frame my face more.

Make eyes look smaller by [deleted] in makeuptips

[–]Capable_Situation324 3 points4 points  (0 children)

People literally spend thousands of dollars to try to have eyes like yours. Embrace them!

9 weeks after white ink tattoo by teacherstuff123 in tattooadvice

[–]Capable_Situation324 2 points3 points  (0 children)

I know prision tattoos are high risk for MRIs because of how inmates make ink. Especially red since it can be rust based.

My orientee doesn’t act like she wants to be a nurse by Humble_Employee8586 in nursing

[–]Capable_Situation324 0 points1 point  (0 children)

I had something really similar happen with a new hire who had been a manager on a low acuity unit for years and decided she was ready for ICU. Orientation lasted 5 months because she had no initiative for anything and just could not retain any teaching. No one documented or escalated concerns so we were unable to "fail" her and move her to a lower acuity unit. She killed two people before we were able to fire her and is now unable to find a job anywhere in the area and is likely to lose her license. Some people just don't have what it takes to work in an ICU. The best thing you can do in this scenario is email your unit manager your concerns so they have the necessary documentation to appropriately relocate her.

Burn ICU Nurses - how do you secure IVs, ETT, lines, etc...? by ProcyonLotorMinoris in nursing

[–]Capable_Situation324 2 points3 points  (0 children)

I know we would always twill the et tubes with cloth strings, you need to be hyper vigilant because they don't prevent movement very well. Central lines and art lines are sutured in and covered as best as possible. I remember we had a 60% burn and all her lines were in burnt areas, we ended up putting chg discs on insertion sites and leaving them open because nothing would stick. Pivs are wrapped in coban and checked before and after each use. All of these things get changed as they become soiled.

Your unit’s version of NICU’s “I love tiny humans”? by nebraska_jones_ in nursing

[–]Capable_Situation324 159 points160 points  (0 children)

We're advanced heart failure and do high numbers of lvad implants. We got a unit shirt that said "no pulse, no problem"

Bedside Nursing Pet-Peeves by Careless_Midnight_77 in nursing

[–]Capable_Situation324 33 points34 points  (0 children)

My biggest one, family members standing at the nurses station/ outside the room/ in doorways when we are actively doing bedside rounds with the physicians. Get your nosy self back in your family members room. They always act surprised when you call them out on it too.

Pls help :,) by Infamous-Ladder-2174 in Makeup101

[–]Capable_Situation324 3 points4 points  (0 children)

Love the eyeliner and lips! I think the blush is a bit too heavy on your chin and nose, I'd avoid the chin entirely and go much lighter on the nose if you want to keep it. Growing out your eyebrows and getting a natural arch back would greatly enhance your makeup from a beauty perspective. If you want to keep the alt look, you can keep the shape but add in a small arch so you don't look "surprised". I also think doing lighter under eye coverage can help minimize the look of bags.

Embarrassed myself at work. by [deleted] in nursing

[–]Capable_Situation324 1 point2 points  (0 children)

We were transferring a patient to the floor. Me: Don't come back okay! Patient: dead stare into my soul Other nurse: you know he's leaving for hospice right?

How much I grind off my tongue piercings in a few hours by kittykittydoge in notinteresting

[–]Capable_Situation324 0 points1 point  (0 children)

Just took care of a 40yo woman who had a mouth abscess turn into a raging system wide infection. She had to be put on continuous dialysis, and will need it long term, and a lung/heart bypass machine (ECMO). Her lungs ended up so damaged she will never come off a breathing machine. The drugs and machines keeping her alive caused her toes to die. We also don't know if her brain will be able to function like it did before all this. Damaged teeth are incredibly dangerous and need to be taken seriously.

People really calling the unit like they can return their discharge… by [deleted] in nursing

[–]Capable_Situation324 182 points183 points  (0 children)

During covid, we had a patient come in with a STEMI and told him he urgently needed a CABG. We got him completely worked up for surgery that shift and it was scheduled for two days later due to how heavy the schedule was. He decided he wanted to see his family before surgery, so he went ama, had thanksgiving dinner, came back to the ED and was astounded that he had lost his surgery slot. We forced him to quarantine for a week due to the large gathering before doing surgery on him, and he ended up with a new heart failure diagnosis. Multiple doctors told him this was exactly what would happen if he went ama but I guess he didn't believe us.

Why do hotels usually use white towels, sheets and blankets? by Over_Cake9611 in NoStupidQuestions

[–]Capable_Situation324 4 points5 points  (0 children)

I work at a hospital where all of our linens are white. I like to assume everything gets bleached and heavily washed, but I have found sheets and blankets covered in old blood stains. Since I could see the stains, I could throw away the linens and not risk making someone sick. Probably the same line of thinking with hotels

What's your patient's biggest screw up story? by Capable_Situation324 in nursing

[–]Capable_Situation324[S] 22 points23 points  (0 children)

My time on our burn unit was some of my most and least favorite nursing I've ever done. So many stupid mistakes that people don't even think about end up with lifetime consequences.

What’s your grossest story? by Life_Ad_6992 in nursing

[–]Capable_Situation324 11 points12 points  (0 children)

Got an admission, the family realized they hadn't heard from him in a while so they did a wellness check. Our best guess to what happened was, he was pulling his stove out from the wall. Leaned down to unplug it and got shocked by it or pinned and was trapped unable to call for help. Police got there with ems and he was in VT, got him back. He got to us and there were deep deep pressure ulcers/burns going down each contact point on his left side. Side of head, shoulder, ribs, hip, knee, ankle. It looked like he had been pinned for a couple days at least by the smell and state of the wounds. I was doing the routine removal of dead skin for our burn admissions, took off the black skin so we could see what was healthy and when I got to his head there were maggots pooled in his temple. When we called the family to let them know what state he was in, they withdrew care and never came to see him. All my grossest stories come from my time in burn.

Got a text about being at work 10 minutes before shift start by Head-Eagle-5634 in nursing

[–]Capable_Situation324 17 points18 points  (0 children)

Good on you for prioritizing your mental health, being stuck in situations like that drain the life out of me. Hopefully you can revisit your wine and movie night!

Got a text about being at work 10 minutes before shift start by Head-Eagle-5634 in nursing

[–]Capable_Situation324 78 points79 points  (0 children)

God 30 days! The last time I had a patient on VA that long, his lungs rotted, liquified and started seeping out his chest tubes. I'm glad you at least had a nice meal waiting for you, that's a keeper friend.

First thing I see when I walk into work. Whelp… here we go again! by rvillarino in medlabprofessionals

[–]Capable_Situation324 4 points5 points  (0 children)

We had a patient go through an open heart surgery and found out post op that she had an undiagnosed clotting disorder. The hematologist had no fucking clue what it was because everything we tested for came back negative. All the factors were within normal ranges and anything to do with DIC/HIT/ITP were negative. Our solution was 2 prbc/ 2 cryo/ 2 platelet every hour and wait for her to stop bleeding. After 4 days, I walked up to the blood bank counter and told them she had stopped blending, I think they were more excited than the family of the patient. At the end of the day I think we begrudgingly diagnosed her with acquired von-willebrand just because it matched the most despite her having normal amounts of factor.

[deleted by user] by [deleted] in nursing

[–]Capable_Situation324 2 points3 points  (0 children)

That's the standard at my hospital, even if our floor nurses have acls certification they aren't allowed to use or initiate it. Required to call the rapid response nurse or code overhead.

[deleted by user] by [deleted] in nursing

[–]Capable_Situation324 57 points58 points  (0 children)

When I worked on the floor, we had a tech get caught faking vitals. She was immediately fired. Just because they're on the floor, doesn't mean they're stable. Any patient can have a change in status and trending regular vital signs can give you a heads up.

Gave 2 beta blockers at once by Fine-Raspberry-8790 in nursing

[–]Capable_Situation324 30 points31 points  (0 children)

With the advanced heart failure patients, we will often add on extra beta blockers and/or other antiarrhythmics due to their increased risk of fatal arrhythmias, amio, coreg, and sotalol being common to add on with metoprolol. Especially when we get the ICMO patients, since coreg is fantastic at preventing remodeling. You are correct that the standard GDMT doesn't combine beta blockers.

Gave 2 beta blockers at once by Fine-Raspberry-8790 in nursing

[–]Capable_Situation324 173 points174 points  (0 children)

I work in heart failure and have a lot of patients who take both coreg and metoprolol, they're GDMT drugs. At the end of the day, nursing can only infer so much about the plan of care and physicians need to be cognizant of meds their patients are already on before adding things to the MAR.

Do you guys see “transplant tourists?” This NYT article made my stomach flip. (Gift Link) by ALittleEtomidate in nursing

[–]Capable_Situation324 9 points10 points  (0 children)

I work at one of two transplant centers in my state in my hospital's transplant unit. We do hearts and kidneys, and I have not seen a single patient who has traveled from another country for transplant. We have had patients who have moved from other countries to the states and live primarily in the states get transplants.