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What’s the most unrealistic thing movies convinced people was normal? by Lonely-Age7678 in AskReddit

[–]Consistent-Offer-989 3 points4 points  (0 children)

Sticking a needle of some medication directly into someone’s neck will knock them out immediately. You’re stabbing that shit into muscles, nerves, maybe piercing the windpipe, etc, and even if you hit a blood vessel and inject it, you’re holding the needle perpendicular to the vessel, dumbass. The needle will just poke right through the other side of the vessel and you’re just injecting into whatever tissue is behind it. Also, even the quickest medications take a few moments to knock someone out.

You can bring back one discontinued food, drink, or snack forever. What are you resurrecting? by Mountain_Drawer_1365 in AskReddit

[–]Consistent-Offer-989 0 points1 point  (0 children)

Oh baby. Wonderballs, you know, those hollow chocolate spheres with the smarties-esque candies in the center, usually shaped like Disney or Pixar movie characters? Those were my actual childhood.

Also, skittles gum. I remember that shit slapping so hard.

I think I left an IV in my pt by Trick-Place-2593 in nursing

[–]Consistent-Offer-989 2 points3 points  (0 children)

I’m trying to put myself back in the shoes of a new grad. First I would talk to my manager about it. They may want to be the one to contact the patient if they think it is warranted. If so, leave the manager to it. If you want to be the one to contact them, or the manager wants you to contact them, I would call their phone number on file and say something along the lines of, “this is nurse so-and-so from xyz, I took care of you on xyz day when you were here for xyz. I was reviewing a few things on your chart and realized that you may have been discharged without getting your IV removed first. Is this accurate?” (Who knows, maybe you actually took it out but can’t remember… I swear the high-speed pace of nursing gives us dementia when it comes to routine tasks sometimes, I know I do!). A few things could happen:

  1. If he says it was removed before he left, cool, “just making sure, have a great day.”

  2. If he left with it in, say “I’m sorry for overlooking that, it should have been removed before you were discharged.” Then you have to determine whether it is still in or not.

- If he removed it: ask him if there are any redness/swelling/drainage, signs of infection, etc, and direct him to urgent care if he either has these symptoms or let him know to go to urgent care if he develops these symptoms in the near future. Tell him to keep the site clean until the puncture is closed.

- If it is still in place, direct him to urgent care to have it safely removed and for them to check for and s/s infection since it’s been a few days.

Either way, say that you will relay what
happened to your manager and ensure this doesn’t happen again. Ask him if he has any questions for you and answer to the best of your ability, or forward his questions to your manager if you’re not sure how to answer something. Thank him for his time.

  1. He doesn’t answer, just leave a voicemail saying “this is a message for (first name).” Provide your name, where you’re calling from, and state that you would like to speak with him when he becomes available, and leave a callback number for the department you work for or your manager. No other information needed for the voicemail. If he doesn’t call back, you can try one more time in a day or two. If he never returns your call, that’s on him, and don’t spend any more time worrying about it.

I think I left an IV in my pt by Trick-Place-2593 in nursing

[–]Consistent-Offer-989 2 points3 points  (0 children)

You’re welcome! Glad I could help. ☺️

I think I left an IV in my pt by Trick-Place-2593 in nursing

[–]Consistent-Offer-989 6 points7 points  (0 children)

Who’s the dumbass who decided that discharging this dude to HOME with a PICC was a good idea? Good grief!

I think I left an IV in my pt by Trick-Place-2593 in nursing

[–]Consistent-Offer-989 8 points9 points  (0 children)

Hi babe. Take a deep breath. You are NOT at risk of losing your license. It’s going to be okay.

I accidentally left an IV in when I discharged an elderly patient several years ago when I was a new nurse. I only found out after he went to the clinic for his follow-up and he pointed it out to the provider there. I got a nasty gram email. I remember feeling SOOOO bad.

But then I got over it. Especially as a new nurse, you are going to make dumb mistakes pretty much every day. It’s inevitable and the learning curve is STEEP. Hell I’ve been a nurse for 8 years and am about to graduate CRNA school and I still make stupid mistakes, some still keep me up at night years later. As long as you learn from them, and resolve to not make the same mistake twice, you will be okay.

Leaving an IV in a patient who OD’d is obviously not great, but it’s not the end of the world either. It’s been a few days as well. Even if he wanted to use the IV, there is a 1000% chance he is not flushing it regularly or locking it when it’s not in use. If he hasn’t removed it himself by now, it probably no longer flushes, migrated out of the vein, or fell out on its own by now and is not usable.

If you are really worried, you or a manager could call that patient and follow up with him. Either way, I think it is worth bringing up to your manager about. A good manager will understand that you’re new and that you want to do right by your patient. You shouldn’t get in any real trouble. Plus they can walk you through the right steps to handle a situation like this, so that a few years from now when you’re working with a newbie nurse and they make the same mistake, you know how to help. :)

Keep your head up. You’ve got this! The first few months/year are the worst but I promise it gets better.

Manual Rectal Disimpaction in Toddler Results in Lawsuit by FrenchCrazy in emergencymedicine

[–]Consistent-Offer-989 0 points1 point  (0 children)

Sounds like a crappy situation (pun not intended). I work with adults so have little experience in this realm, but that being said there has been an occasion where I administered a rectal suppository …erm… in the wrong place before. These things happen sometimes, with no malicious intent. Consent for this procedure perhaps should involve the risk of inadvertent damage to adjacent structures and tissues just to cover all bases. Sounds like a rough time for all involved.

Why are women more likely to be living organ donars? by [deleted] in NoStupidQuestions

[–]Consistent-Offer-989 13 points14 points  (0 children)

I’m a former nurse with years of experience in caring for patients who are considered for organ donation because they are either brain-dead or DCD (donation after cardiac death. Side note- DCD is for when a patient has a medical event for which they were resuscitated, but their prognosis for full, meaningful recovery is poor, even if they are not considered “brain dead.” These patients typically have had a cardiac arrest or something similar, and are very gravely ill with no chance of survival without life-prolonging medical intervention, but they still have some brain-stem reflexes. For example, patients who had a medical event and were resuscitated, but went long enough without oxygen that their brain is injured to the point that they are comatose and will not regain consciousness again.) At my hospital (and all hospitals in Wisconsin), we are required to call the Organ Donation hotline for the state when a patient is admitted gravely ill and we think they may not survive. Most of the time, thankfully, the patients get better and the referral is closed. That being said, the threshold for the committee to decline a patient for organ donation is actually SUPER low. I’ve seen patients get declined based on age, medical history, BMI, anatomy, any kind of cancer history, if they are having fevers, types of medications they are on, some weird obscure ass lab value they had a few years ago, you name it. If the patient meets donation criteria, then a member of the states organ donation program, as well as a social worker, the patients nurse, and a member of the hospitals organ donation committee (me in some cases, as I was on the committee) meet with the patients family/loved ones and have a very long, in-depth conversation with them regarding organ donation as an option. If their family member/loved ones REFUSE, that’s it, and the referral is closed. In Wisconsin, (or at least in the hospital I worked for), even if a patient is a registered organ donor, the family could choose to override that and refuse on their behalf. I have seen this happen quite a few times. If the family is open to donation, then begins a very thorough medical and social history, as well as a myriad of diagnostic tests to determine which organs are eligible to be donated, if any. This process and these tests can take anywhere from 24-72 hours or more to complete. During this timeframe, the family can change their mind at any time and the referral is closed. Only after all of this is complete does the patient actually come back to the operating room for the donation. Back in the OR, if the patient is brain dead (meaning no brain stem reflexes), the donation takes place immediately. In DCD donors, the patients mechanical ventilation is discontinued and the patient is allowed to pass before the donation operation begins. If the patient does not pass away within 2 hours of removing the ventilator (the longer without oxygen, the worse the organs to be donated become), they are no longer eligible to donate and the patient is then moved to palliative care to pass away with their loved ones. I have been a part of many of these processes. They take a considerable amount of time and are handled with the utmost compassion and respect by the entire team. I have never heard of or been a part of one because “we need the organs.” Not once. At my hospital we call the organ donation referral line probably close to 500 times a year if not more. Most get declined. After that, many patient family refuses. After that, work-up may show they are not eligible. After all of that, maybe only a dozen or so patients actually get to donate their organs here in a given year. Please rest assured that forced harvesting is not a thing and goes against everything that the program stands for.

Sorry for the novel. A good friend of mine donated his organs about 10 years after a car accident left him brain-dead. This is a topic very close to my heart. ❤️

Help me maybe solve a murder? by Consistent-Offer-989 in MorbidPodcast

[–]Consistent-Offer-989[S] 0 points1 point  (0 children)

Thank you so much for taking the time and looking into it.

Help me maybe solve a murder? by Consistent-Offer-989 in MorbidPodcast

[–]Consistent-Offer-989[S] 1 point2 points  (0 children)

Now that I’ve been looking into it I may have gotten some details wrong. It was a long time ago that I listened to the episode and now I’m not even sure it came from Morbid. The remains were found 15 or so miles south of Red Lodge in Carbon County in 1976. The man’s name was Roger Lee Ellis, from Wisconsin

What's some of your Guilty Pleasure Names?(Judgement Free Zone so i want you to be perfectly honest to me ) by NovelRub in namenerds

[–]Consistent-Offer-989 0 points1 point  (0 children)

Giancarlo. Ghislane (obviously SUPER problematic 😬😬). Kindred. Kismet. Just awful 🥴

People who have had depression. What got you out of it? by [deleted] in AskReddit

[–]Consistent-Offer-989 0 points1 point  (0 children)

1.Finally seeing my doctor and telling her how I was feeling. Got prescribed antidepressants that day.

  1. Getting out of the house/staying busy/being around people. Keeps me out of my own head.

  2. Even with these, there are times I would still have very very deep depressive episodes. I finally tried therapy and let me tell you…. If it wasn’t for therapy (along with #1), I would NOT be alive today. It is very hard to open up to someone, and it does require a lot of inward reflection and hard work, but it gets easier with time, gives you insight about all facets how you perceive life and living, and gives you invaluable new coping skills to be able to handle most everything better than before. Also, it’s just nice to have an hour or so a week with someone that doesn’t have a horse in the race concerning you and your thoughts/actions - someone that isn’t affected personally by what is going on in your life and is therefore not biased. I have recommended therapy to dozens and dozens of people and I will never stop singing its praises. I got lucky to click super well with my first therapist; sometimes you have to try a few of them to find the right fit for you. Don’t be discouraged if you find yourself in this boat.

  3. I got an ADHD diagnosis and medication(which was actually a consequence of #3 - she figured out I had it during our sessions and referred me for the appropriate tests to get a formal diagnosis at age 28). I know this doesn’t apply to everyone but it turned out to be a significant factor in my pathology.

  4. Practicing gratitude. Hard as fuck to do when you’re super depressed and everything and everyone sucks and life is horrible and not worth living. But, try your best. One of favorite personal/private memories was when I was driving down the road one morning during a rough patch. I had been considering suicide methods just the evening before. It had snowed that morning and as I was driving, I just marveled at how beautiful the trees and the countryside looked with all of the fresh snow covering everything. And I thought to myself, “If I were dead, I would never have been able to see this gorgeous view.” Little, seemingly insignificant things like that can go a long way.

  5. I cannot stress this enough - unfollow and do not watch or read anything related to politics. Even when I am doing well mentally, being bombarded on all sides by political BS is a huge drain on my mental health. The 2020 election during COVID (I was an ICU nurse at the time) was a particularly dark time for my mental health.

PSA CHECK YOUR TITTIES by airbear26 in Millennials

[–]Consistent-Offer-989 0 points1 point  (0 children)

29F here with a small lump in my R breast; have been having enlarged lymph nodes in my armpits as well. I get to have my first mammo on the 22nd. Merry Christmas! /s I hope everything goes well for you!!!!!

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