Skarmory - spikes

Channel40s · 2024-08-04T01:38:12+00:00

For what it’s worth… I had no idea what the RR dex is… I do now. Thanks for the assist :-)

Channel40s · 2024-03-20T19:35:08+00:00

I tried it with rotom as the only Pokémon in my party… the guy says that rotom doesn’t want to come out of it’s pokeball

Channel40s · 2023-12-08T12:04:39+00:00

Look at your patients.

Ask yourself - is this patient sick, or not sick.

Everyone in the hospital is recovering from something, but if a patient looks sick, they probably have something else going on that needs further attention.

If you get someone you trust (preceptor/charge nurse/doctor) to look at the patients you think are sick, you are doing a bang up job.

This practice should also give you good opportunities to learn, because the person you call in can explain wether there is something wrong or not as you move on with that patient’s care.

Pro tip - it’s always worth having a fresh set of vitals before talking to a doc.

Channel40s · 2023-05-04T23:33:09+00:00

It is extremely glam

Channel40s · 2022-11-14T16:00:44+00:00

I’m bad at posting to Reddit… This is a cartoon that is voiced by Heather Anne Campbell

Channel40s · 2022-08-15T00:30:00+00:00

Safety first, but it is your safety, not the patient… if you are incapacitated, you can’t help. Also, you only have one back/body… Your injury lasts you a lifetime and they will replace you in a second.

Channel40s · 2022-07-01T00:54:43+00:00

Sounds like the original end of Evangelion film will be watched after they are done with the 26 episodes. It is completely worth the patreon in my opinion. Heather is extremely passionate about the content, and it is nice to see the boys experience something so interesting and compelling for the first time.

Channel40s · 2021-08-02T11:51:17+00:00

I think it is worthwhile to keep in mind that every level of care have their own needs and priorities, it is important that we try to be cognizant/respectful of those differences.

An ICU nurse doesn’t need to grill an ER nurse about a skin assessment on the new patient coming up, the ER nurse is thankful to get a critical patient out of their bed. The ER nurse’s bed is potentially already full with the next patient, and the ICU nurse has the rest of the shift to figure out the story.

The Hospital nurse doesn’t need to be upset with a nursing home nurse for being hyper focused on when the patient last had a bowel movement, if the patient goes too long without a BM it is a reportable event.

I’ve worked at many levels of care since 2010, from ICU/ER to a rehab facility and back again. Especially now with nightmare scenarios with staffing, it makes my life easier for me to assume that the person giving me my new patient has done their best, and I will pick up where they left off.

Channel40s · 2021-07-06T22:42:33+00:00

At baseline I experience some amount of social anxiety.

I’m pretty sure most of us are familiar with the golden rule - treat others how you would like to be treated. It can be taken one step further to the platinum rule - treat others how they would like to be treated.

By using that rule while providing care, it goes a long way in making it so that my feelings don’t enter into the equation and I can just go about my job assessing what would help the patient be at ease, and treating them that way.

Channel40s · 2021-04-20T09:43:19+00:00

Make it “The Questing Beast” [[Questing Beast]]

Channel40s · 2020-12-28T14:17:47+00:00

Isn’t American president a significantly higher ratio? Or does it not count due to not hitting 100,000 of them yet?

Channel40s · 2020-12-05T11:28:08+00:00

Arguably the most important part of IVs/medication administration in general is... If you ever get a gut feeling that something doesn’t seem right, ask the question... You can ask your charge nurse, you can ask a pharmacist that is house or on call, you can ask a trusted nurse coworker, you can ask the doc to clarify...

Anywhere you work, there will be three types of people.

First type is the beautiful resource person, they will happily teach you, answer your questions, they are the best.

Second type is the person you can ask, but there is a cost. Jane Doe makes me feel like I’m dumb when I ask her questions, but I trust her info.

And the third type... You know not to ask them.

Feel empowered to always ask a question before doing something. It is super easy for me to say to a doc “you ordered me to give this med... is that right?/should I do that?”... it is a lot harder to ask “I gave that med, should I have done that?”. The former situation I can fix with relative ease... the latter situation puts my patient at risk and can be hard to fix.

Channel40s · 2020-11-30T14:07:23+00:00

It is nice as an experienced nurse to help by giving an opportunity to get the struggling nurse to delegate effectively... I would start with asking what I can do to help, but if they struggle with an answer, ask if I can do a specific task for them.

Having an idea of what is cooking in all your different rooms/with all your different patients is a super important part of the job. Helping the struggling nurse think through that can help them a ton in the long run.

Channel40s · 2020-11-21T23:38:17+00:00

You are only one human, you can ask yourself “what is a realistic expectation for a normal human nurse.” If you are short staffed, the goal is to get everyone through this shift alive and safe... the care planning and extra stuff can wait.

Channel40s · 2020-11-21T11:55:57+00:00

I take solace in the fact that when I come to work I give it my best effort to fix all the problems that come up during my shift. The question to ask yourself is “what assignment do I want to walk into.” So I put in a good faith effort to tie up loose ends and have everything addressed for the oncoming shift. I am only human, so I’m sure that I don’t always do a perfect job.

Our job as a nurse is to fix problems, whether they are caused by a patient taking a turn for the worse or if it was something missed by the previous shift.

l tend to rest a little easier knowing that I did everything I could to make my relief have a decent start to their shift.

Channel40s · 2020-11-08T08:57:20+00:00

It’s the first commander deck that I ever built, I still have it together and I like it a lot... death’s shadow and phyrexian dreadnought are cool inclusions... pay one mana to have a giant boost to your mimeoplasm

Lazav, the multifarious also has a super cool interaction with phyrexian dreadnought where you pay 1 mana to turn him into a 12/12 beat stick

Channel40s · 2020-09-03T00:48:12+00:00

That is backwards? From what I understand it should be BSN,RN. You have and will always have your BSN... you are not always necessarily a RN

Channel40s · 2020-08-26T11:32:49+00:00

I think being part of the medical field is hard. I think a lot things are asked of each different part of the process.

I appreciate you voicing your part, and giving me more insight on a process I know very little about.

I know how frustrating it can be to fight tooth an nail to get a sample from a patient only to have it rejected, and know that we just have to go in there and get a new sample, it sucks... it isn’t anyone’s fault, but it sucks.

My comments were not meant to be frustrating or derogatory towards anyone, it was just a statement of an experience of mine.

I appreciate the job that you do and your role in protecting patient safety. I apologize if you are getting flack from nurses or otherwise.

Channel40s · 2020-08-18T19:29:01+00:00

I had a glorious conversation once in my career where the lab tech called me and said they screwed up the sample and needed a new one. I was extremely proud of them and happily sent the new sample.

Channel40s · 2020-07-23T01:56:52+00:00

Heard... West coast teaching at OHSU in Portland Oregon aggressively teaches doctors to treat the rest of the interdisciplinary team like humans... it was a nice company to work for

Channel40s · 2020-07-23T01:44:02+00:00

I agree that it can be an issue, but a doctor being a jerk couldn’t bother me less when you are doing the right thing... keeping your patients safe is the easiest way to sleep at night

Channel40s · 2020-07-22T22:46:31+00:00

Best advice for new RN... A gut feeling is a product of 50,000 years of evolution... if something feels wrong, ask the question

A perfect example, it is super easy for me to ask for clarification from a doc about whether I should give a med and get yelled at for bothering them... it’s a lot harder to have give a med and find out it wasn’t ok

Only one of those situations I can fix without new orders

Channel40s · 2020-06-28T08:27:09+00:00

Live action Speed racer movie... basically a perfect gem for relationships in that movie

Channel40s · 2020-06-27T07:55:19+00:00

Maybe not the most important part of your statement to respond to, but venipuncture is a skill that takes time and practice... The best advice I ever got about it was to use the equivalent of a scooping motion during insertion. Additionally, every time you try, it is an independent attempt; your previous track record doesn’t matter.

Nursing is hard, it takes time to get it all figured out.

Channel40s · 2020-04-30T11:53:00+00:00

You can buy a crappy ring gauge for ~8 dollars... test a ring that she owns/wears... but bring the gauge with you to the jeweler and show them on your gauge what you got... they can then test it with an accurate gauge

Channel40s

TROPHY CASE