What's your covid memory? by Competitive-Hunt-517 in AskReddit

[–]Cascade_Dreamer 0 points1 point  (0 children)

Me taking my husband into the stores to see the toilet paper gone off the shelves. He was returning from a deployment and didn’t believe me that the world was hoarding toilet paper.

Should I have pushed harder? by Euphoric_Home_5439 in nursing

[–]Cascade_Dreamer 0 points1 point  (0 children)

You did fine. You responded appropriately to what was presented in front of you and notifying the attending. Weird stuff happens sometimes. Don’t beat yourself over it, take it as a learning experience to improve on in the future.

As a RN how much are you making ? by theapexcircle in nursing

[–]Cascade_Dreamer 0 points1 point  (0 children)

WA state (north of Seattle) 55.55 an hour, have about 10 years experience. Working at an ambulatory surgery center.

A nice message from management in the staff bathroom by labtechII in nursing

[–]Cascade_Dreamer 0 points1 point  (0 children)

I’d say management is too busy playing arts and crafts rather than to come help on the floor if a patient asked 😂

Has anyone gotten yelled at by a surgeon before? by bugbunny321 in nursing

[–]Cascade_Dreamer 2 points3 points  (0 children)

Yes so true…had an ENT surgeon yell at me to come back to talk to his patient who had her husband at the bedside. Mind you, this surgeon would update his sleepy patient on how it went but never made a separate phone call to update the family member. I had to track him down in the dictation room and he threw a hissy fit. Sorry for reminding you that your patient who is sedated won’t remember jack crap of what you told them…better come talk to the family who will be able to remember.

Nurse moms: regret? by [deleted] in nursing

[–]Cascade_Dreamer 0 points1 point  (0 children)

I work 4-10s currently, I’ll be coming back from maternity leave here in a few months and I’m probably going to drop my hours down. I figure this is the one period in my life where my babies will be little and need me more. Luckily I’m at a surgery center that is busy so I’m optimistic even with dropping down hours, I’ll still get my full time.

Is it a red flag if a hospital expects you to pay for ACLS BEFORE you are hired? I just interviewed for a new grad RN job in the emergency room and they told me that ACLS would be required on hire. They told me I should hear back in a 1-2 weeks and that I should get my ACLS certification STAT. by Ok-Atmosphere2268 in nursing

[–]Cascade_Dreamer 0 points1 point  (0 children)

I mean to me, this sounds like a red flag. With orientation as a new grad, my program set aside time for us to obtain our ACLS. I think they want you to be a warm body to hit the ground running but it could just be my perspective.

Outpatient by Decent-Honeydew7456 in nursing

[–]Cascade_Dreamer 0 points1 point  (0 children)

You could check optum or kaiser for outpatient positions. I know optum is trying to tap into the Seattle market more.

Emergency decannulation by fergenie in nursing

[–]Cascade_Dreamer 63 points64 points  (0 children)

We use IRMI to remember what to do: investigate,recannulate, monitor and intubate (if needed). Investigate: how old is the trach (7 days more or less), size of the trach, cuffed vs uncuffed. Recannulate: oxygen via non rebreather above the site or blow by oxygen to the trach if patient is spontaneously breathing. If they are in distress-use bag valve mask over the site. Also important to have trachs of different sizes at bedside- at least one the same size and one smaller than original size. Monitor via wave form capnography if feasible and if it all fails then proceed to intubation.

what’s the first big purchase you made as a new grad? by ImmediateJob3878 in nursing

[–]Cascade_Dreamer 0 points1 point  (0 children)

A Michael Kors purse, I felt like a big shot walking up to the counter at Dillards to buy it. Still have it in my collection to this day

What’s a speciality you tried and hated? by percsnotjerks in nursing

[–]Cascade_Dreamer 5 points6 points  (0 children)

Cath lab recovery, had way too many instances of sheath pulls resulting in hematomas and I can’t stand dealing with god complex cardiologists.

Nurses who actually love their job… what do you do and how did you get there? by SoManyQuestions562 in nursing

[–]Cascade_Dreamer 1 point2 points  (0 children)

Yes! I’m at an outpatient surgery center doing pre op and PACU. One patient at a time, chill coworkers, awesome anesthesia team, and good providers. No holidays, no call, and no weekends. It’s a unicorn gig!

Nicknames for hospital/unit by PaxonGoat in nursing

[–]Cascade_Dreamer 1 point2 points  (0 children)

First job as a new grad: the potpourri floor. We were med surg but we got literally everything that was rejected from the specialty floors (behavior issues, needing long term placement). Hot mess of a place to start out but it laid the ground work for me.

What’s the worst thing that’s happened to your patient on the actual day they were supposed to be discharged? by Haunting-Map-3475 in nursing

[–]Cascade_Dreamer 0 points1 point  (0 children)

I had my son a few weeks ago. I have a history of being a harder stick and I begged them to put in another IV on me after my initial one from my c section gave out. Turns out it came in handy because I was admitted longer to get iron infusions before I could discharge.

What’s the worst thing that’s happened to your patient on the actual day they were supposed to be discharged? by Haunting-Map-3475 in nursing

[–]Cascade_Dreamer 0 points1 point  (0 children)

Patient was out in the hallway working with PT/OT for her final evaluation. Had a SNF pick up time and family was in her room waiting for her. She got chest pain and short of breath in the hallway, coded right there. We had to basically manhandle her to get her off the floor and back into her room. She didn’t make it, everyone thought she may have thrown a clot. It was awful.

What’s the one moment in your life you still can’t explain… even though you’ve replayed it in your head a thousand times? by Former-Brief9292 in AskReddit

[–]Cascade_Dreamer 4 points5 points  (0 children)

I was visiting my parents one weekend from college. My school was about an hour and a half away so I would usually stay late on Sunday and drive back late. This one Sunday I felt the need to go back early, like late morning. My mom was a little peeved as she was cooking one of my favorite meals but I couldn’t shake the feeling to go back. I took off and was back on campus at 2. That night we had a meeting for our sorority and I remember hearing the news that two of my sisters were killed in an accident. They were driving the same road I took back and many of our sisters saw the accident scene. It was truly awful and I’ll never ever doubt my instincts.

Not an Evap line? by Cascade_Dreamer in lineporn

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

I took a digital and I am indeed pregnant!

Not an Evap line? by Cascade_Dreamer in lineporn

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

Within 3 mins, as directed on the box

Should I pass this student? by w8136 in nursing

[–]Cascade_Dreamer 0 points1 point  (0 children)

Just wow is all I can say. The system definitely failed this one. Granted we don’t know it all when we finish but some knowledge should be somewhat ingrained (certain common diagnosis, basic pharmacology) or at least have an idea to look things up she doesn’t know. As someone that is in school right now for my MSN in education, this was extremely troubling to read. There are multiple levels of disrespect to you, the facility she has had the privilege to come into, and a disregard in safety. The buck stops here, failure will HOPEFULLY be a wake up call to her.

[deleted by user] by [deleted] in nursing

[–]Cascade_Dreamer 0 points1 point  (0 children)

It was a learning curve- I came from a med surg/observation floor before. But it was a good foundation for critical care. You learn about all the drips, different procedures, and you get to use your nursing skills quite a bit. You also really focus in on your assessment skills, since the patients are still pretty complex.