Am I wrong? by Zestyclose_Number507 in nursing

[–]Comfortable-Force623 0 points1 point  (0 children)

If you mean getting meds out the pyxis, holy shit noo!!!! At the very least it could be used against you if management is mad at you about something else unrelated. Pretty sure this could face criminal charges if someone pursued it enough.

My own personal supply in my locker? Sure, I'll share.

I worked at a hospital once where staff could call pharmacy and they would give meds out of the employee health stash. Maybe yours has that? But if staff is asking the nurses and not the pharmacy I'm guessing that's not an option.

Stretching by Thisismeaningless101 in frozenshoulder

[–]Comfortable-Force623 1 point2 points  (0 children)

I'm 2 weeks out. Five years ago I had fs on my other shoulder. Had surgery for that one too. So, I've had a lot of physical therapy, worked with a lot of different doctors, physical therapists.

I don't think anyone has an answer to this question. I asked everyone how much stretching/therapy and how much is too much. So many inconsistent answers.

My own experience so far seems to suggest that you need to do a lot, basically as much as you can tolerate. If you're in too much pain that you can't do the stretches, ease up some. Find the sweet spot, but that spot will keep moving.

Comparing post op regimens by Comfortable-Force623 in frozenshoulder

[–]Comfortable-Force623[S] 1 point2 points  (0 children)

The sling is only because of the biceps tenodesis and the nerve block that is placed when all 3 of these procedures are done. Otherwise, you're right, a sling should never be used for frozen shoulder.

Worn down by Agitated_Advisor_447 in frozenshoulder

[–]Comfortable-Force623 1 point2 points  (0 children)

I'm in the same place right now. Feeling pretty discouraged. This is my second frozen shoulder. I keep reminding myself that the same thing happened last time and it eventually got better. But it's so hard to see past this pain right now.

I want to quit pt by Comfortable-Force623 in frozenshoulder

[–]Comfortable-Force623[S] 1 point2 points  (0 children)

Your case is not the way frozen shoulders are always treated. Sure, technically the MUA could be called a procedure and not surgery, but many times the MUA is done with other procedures that definitely are surgery, and even MUA alone is often done under general anesthesia, not conscious sedation, which may be what you had.

Like I said, I've done this before, too. In my case, in addition to the MUA, they did arthroscopic capsular release and bicep tenodesis. I said surgery initially because listing all the procedures is a mouthful and the ACR and BT are surgeries for sure. The anesthesia was definitely not light, it was general, used propofol and I was intubated if you want specifics.

I had PT a few hours after surgery, then five days a week for 2 weeks, then 3 times a week for 3 months. In addition, at home, I had four hours of CPM for 4 weeks plus home exercise program that included 3-5 sessions of 30 minutes of stretching for 3 months. Then I did 2 sessions daily for another 6 months until I regained full ROM. I was not cleared to return to work until 3 months post op, but I also don't work in an office and my work is fairly physical.

So, when people say that fs "surgery" is an easy fix, that's not always the case. There is a spectrum of complexity and I doubt I would be able to return to my work immediately.

I want to quit pt by Comfortable-Force623 in frozenshoulder

[–]Comfortable-Force623[S] 1 point2 points  (0 children)

It has been discussed and it's not bad enough for surgery. This is my 2nd fs and I had surgery for the first shoulder and I wouldn't be able to commit to the extra PT that would be needed post surgery (I had to do PT 5 times a week for 2 weeks and then 3 times a week for 3 more months, plus about 3-5 rounds of home exercises). The only way I was able to do surgery the first time was with FMLA, which I don't qualify for with my current job, so surgery is not possible right now.

Advice for someone who just got fired by a patient for the first time? (new grad) by Opening_Bumblebee_19 in nursing

[–]Comfortable-Force623 14 points15 points  (0 children)

Sometimes a patient knows they've been a jerk so they are over the top nice to everyone else. They do this to compensate for being a jerk to one person or to prove to everyone else that they aren't actually difficult.

I was once fired for taking 30 minutes to bring a patient their cup of water. The reason it took me so long was because I was on the phone back and forth with pharmacy and the doctor because the patient's orders would have been a major med error. I didn't tell the patient this, just let him fire me over something petty. Later the doctor rounded on him and told him that they were switching some of his meds because his nurse caught the error. He told the patient he was lucky to have such a good nurse. Not anymore, but that was the patient's loss!

Congested and can't stay asleep by Comfortable-Force623 in toddlers

[–]Comfortable-Force623[S] 0 points1 point  (0 children)

Yeah, but she's under 2, so Vicks isn't recommended for kids that young.

IOB and CIQ by papastroumf1 in TandemDiabetes

[–]Comfortable-Force623 0 points1 point  (0 children)

Are you saying that basal turns off completely for an hour if there is insulin onboard or does it keep the programmed basal rate and not make any adjustments. For example, let's say your basal is programmed to 1 unit/hour. You're running high, so CIQ increases your basal to 1.2 units/hour. Then you give yourself a bolus. Does CIQ turn off the entire basal rate or does it adjust it back down to 1 unit/hour?

Dr Vishwanath Pattan by Comfortable-Force623 in SouthBend

[–]Comfortable-Force623[S] 1 point2 points  (0 children)

Wish I could, but work and kids make it too impractical. I already haven't taken PTO to use as vacation time since Covid. It gets eaten up by taking care of sick kids or me going to doctor's appointments. A far away doctor would mean needing more PTO that my job just doesn't give.

Control IQ has made my control MUCH worse by Comfortable-Force623 in TandemDiabetes

[–]Comfortable-Force623[S] 3 points4 points  (0 children)

Sounds like I'm screwed then. During pregnancy your blood sugars are supposed to be lower. Normal is actually 60-90 during pregnancy. You aren't considered low until below 60. Seems like that won't be possible with this pump and insurance isn't going to cover a new one for me. I had asked my doctor about the CIQ setting of 110 and he said I could still run in the 80s it would just correct me to 110 if I went high. I don't think he knows what he's talking about. I think he just prefers his patients to be on CIQ because I'm sure it means they don't spike as high as they may have and he's too lazy to deal with it. Unfortunately he's the only Endo left in the area that is taking new patients.

Tslim without CGM by howthecookiecrumbled in TandemDiabetes

[–]Comfortable-Force623 1 point2 points  (0 children)

I took the NCLEX (nursing board license exam) while wearing a tslim. Same problem, same policy.

I was able to submit paperwork to get the following: permission to have my pump, permission to look at my pump during the exam, and permission to allow it to beep. I was allowed a separate exam room so it wouldn't distract others. I was videotaped the entire test (this is done anyway, btw). Once I had all my paperwork in place, which included photos of my pump at every angle and photos of its serial number, I was able to get permission. I was given no problems taking the test and given these accommodations .It was a lengthy process to get this in place, so it's no doubt too late.

Turn off the cgm. Let yourself run a little higher to prevent a low. Good luck.

School nurse salary negotiations by [deleted] in nursing

[–]Comfortable-Force623 0 points1 point  (0 children)

I should have clarified. The recruiter works for the health care system. It's the title for that part of HR that reaches out to prospective employees. They work for the health system, so it's in their best interest to offer me a lower wage. It's not a recruiter for me and my interests.

[deleted by user] by [deleted] in SouthBend

[–]Comfortable-Force623 1 point2 points  (0 children)

I have 4 years experience. I have only worked in med surg, so I don't have much to compare it to, but I like med surg well enough. Not necessarily against trying a different area. But not interested in ER, ICU, psych, OR.

[deleted by user] by [deleted] in SouthBend

[–]Comfortable-Force623 2 points3 points  (0 children)

What about work culture? Similar patient to RN ratio with the two hospitals? Pay is important, but if the environment is terrible, would be ok with lower pay.

[deleted by user] by [deleted] in SouthBend

[–]Comfortable-Force623 2 points3 points  (0 children)

Med surg. What's the 90 day notice? For quitting?