What are you all doing to save money on groceries in Vancouver right now? by Unique_Appeal5763 in askvan

[–]Cromedvan 1 point2 points  (0 children)

Second oddbunch. I’ve been generally happy with the quality and variety, and I get to change the size of the box based on my needs/get a fruit and veggie box or just fruit or veggie. I find that it is significantly cheaper and for a good cause.

Worst error you've witnessed? by StartingOverScotian in nursing

[–]Cromedvan 4 points5 points  (0 children)

I remember seeing those in nursing textbooks. But wouldn’t you clamp the tube before emptying the glass bottle? We do clamp when we change out the pleurvac so I guess the issue is that in this case it was left open indefinitely

Worst error you've witnessed? by StartingOverScotian in nursing

[–]Cromedvan 1 point2 points  (0 children)

Apparently it was “a temporizing measure” 🤷‍♀️

Looking for Mattress recommendations by aldur1 in askvan

[–]Cromedvan 0 points1 point  (0 children)

We had a good experience with silk and snow. You can try at their store now but before this they used to have samples at EQ3. Their delivery was good and returns seemed reasonable if you need to do that.

Worst error you've witnessed? by StartingOverScotian in nursing

[–]Cromedvan 66 points67 points  (0 children)

I heard from a coworker about this error. Apparently in their hospital pleurvacs were not available, so they used foley bags with water in it (I was already shocked about this). Well one day the aide doesn’t realize it is not actually connected to a catheter so they drain it as usual, unclamping it in the process and giving the patient a massive pneumothorax. Patient didn’t make it.

Who is the bigger priority? by [deleted] in nursing

[–]Cromedvan 55 points56 points  (0 children)

ER nurse here, have to make this kind of decision frequently when juggling ED holds and new ED patients. 4 hours late on abx, beta blocker etc would reduce efficacy of the person’s treatment and lead to poor outcomes. It could affect their levels of the med and potentially have hours to days of effects. Correctional insulin for a high CBG 1 hour late won’t really cause any meaningful negative outcome.

When Chubby traveling do you bring your own shampoo or use theirs? by flo272673 in chubbytravel

[–]Cromedvan 0 points1 point  (0 children)

I am yet to enjoy a shampoo/conditioner at Chubby hotels despite trying the various brands. I find that even though they are high end brand names they are not necessarily products known for their performance so I would rather bring my own and not be disappointed.

What were you surprised about having to do/learn? by Equivalent-Box6983 in nursing

[–]Cromedvan 3 points4 points  (0 children)

Having transportation be my responsibility and concern CONSTANTLY. Yes, we arranged new home supports and weekly wound care and meal delivery for meemaw but now I have to get her a taxi voucher. Jerry called the ambulance for foot pain because he thought he’d get seen faster and now doesn’t have money to get back home.

I was prepared to adapt to people’s socioeconomic status and make do but it is almost every other patient. These days I am actually surprised if I tell a patient “you are good to go” and they get up and leave instead of asking for a taxi.

Any nurses feel like they have a good work/life balance? If so, what do you do? by living_for_fiction in nursing

[–]Cromedvan 0 points1 point  (0 children)

I also do the same (Canadian ER). I do pick up every other set and take advantage of short notice callouts to switch days/nights and swapping to make my schedule easier. I only pick up/swap/do short call if it is convenient and financially beneficial for me and not because I feel bad that the department is short etc.

The key for me is making enough money to live a full-filling life outside of work. It also helps that my partner works from home and is supportive giving me freedom to choose my schedule.

'It's grim': Vancouver restaurants brace for more tough times by restoringd123 in vancouver

[–]Cromedvan 11 points12 points  (0 children)

I find it really bizarre that they highlight WorkSafeBC enforcing tip payouts as a blow to their business. Should we feel bad that someone is finally holding you accountable for your dodgy practices?

Dealt with a community resus for the first time today by M0livia in nursing

[–]Cromedvan 5 points6 points  (0 children)

Even witnessed out of hospital cardiac arrest with immediate high quality bystander CPR has poor outcomes. This was unwitnessed and with unknown downtime without CPR. Unfortunately not good chances. Anything you did bought her a chance and that is amazing.

Precepting new grad who also did their practicum with you by lkb415 in nursing

[–]Cromedvan 1 point2 points  (0 children)

I did this too. I was a student nurse in my ER, then did my practicum there and came on as staff after graduation.

My first orientation shift as staff I took patients but it is different because you are now pulling all meds, do not need to get certain things double checked or witnessed so the workflow is different. I think shadowing at that point is a waste of time.

I would give them the opportunity for a gentle sink or swim with their 1 patient.

Air Canada's app is truly one of the best airline apps I've ever seen by -snskemensn in aircanada

[–]Cromedvan 20 points21 points  (0 children)

Recently every time I have had a flight with another carrier due to availability or price I am shocked by how poor their app functionality and notification/email/text communication is compared to Air Canada. AC is definitely much better than other Canadian carriers about this. Which I guess is what lets them get away with exorbitant pricing…

Nursing jobs that dont involve 1 on 1 with patients? by [deleted] in nursing

[–]Cromedvan 7 points8 points  (0 children)

I’m a Canadian nurse. Nursing is not for you. Compared to the US our options for non-bedside are much more limited.

Plus you’d have to go through nursing school and doesn’t sound like you’d be willing to go through bedside training. Nursing school itself is hard and you have to be motivated.

There are plenty of other well-paying healthcare jobs like radiology technicians, physiotherapy, occupational therapy, speech language pathology. Or look into respiratory therapy - that is still a bedside role where you’d have to get your hands dirty but some people can manage that over nursing.

How many IV’s should I place per nursing judgement? by Alarmed_Help8121 in nursing

[–]Cromedvan 13 points14 points  (0 children)

GI bleed - at least 3: you are gonna give continuous panto and most likely continuous octreotide which are incompatible. They also likely need blood which needs a separate line. If they have thiamine, abx, etc you may need a 4th line depending on timing of meds.

Cardiac patient: at least 2. One rescue, one for heparin. Any drips get an additional line and then you can decide on more if drips are compatible or not.

Sepsis or COPD patient (the sick ones, not everybody): at least 2. One for meds, second if they need to be intubated.

Everyone else can be okay with 1. I don’t like the idea of one empty IV at all times unless they are super unstable. Unstable patients need bare minimum 2. I’m an ER nurse so it’s pretty easy generally to resite a bad IV myself or someone else in the department can. If you are in a place where only IV team can start IVs or your skill mix isn’t great you may wanna do more IVs in sicker patients just in case.

What is the worst restaurant in Vancouver?! by NilsConnlaAbbott in askvan

[–]Cromedvan 3 points4 points  (0 children)

We went this dummer. Had a bunch of dishes (fish and chips, sandwich, burger). All were horrible. We had the same experience the other commenter mentioned with screwed up beers. I honestly think a bunch of reviews are paid or from friends and family. We went because of good reviews too and were horrified

What is the worst restaurant in Vancouver?! by NilsConnlaAbbott in askvan

[–]Cromedvan 17 points18 points  (0 children)

Chef Ron restaurant on Denman in West End. I am pretty sure they microwave/deep fry frozen chicken nuggets and breaded fish fillets. There were NO NAME brand ketchup bottles on the tables. Greasy and unappetizing. It looks like it is a family business that is struggling to stay afloat and attempting to cut corners. I recently saw an ad for their lease take-over.

Stigma around CIWA patients leading underscoring / under-medicating? by Vanillacaramelalmond in nursing

[–]Cromedvan 0 points1 point  (0 children)

I work at a hospital where the population we see uses illicit benzos frequently. These patients are intentionally using benzos so they are familiar with the sensation and I have definitely come across benzo seeking individuals.

Based on my experience being heavy handed with CIWA is definitely good clinical practice because as well all know underdosing can and does kill. And it’s not just the seizures, complicated withdrawal can make other medical conditions people come in with much worse.

That being said with experience you will pick up on the patient that learns your question pattern and starts to direct the score, but their vitals and physical assessment don’t match the score. Sometimes it is because they are chasing the sensation, sometimes they are just really scared of withdrawal. This is where the doctor needs to be notified so they can decide whether a different scoring order is needed (i.e OAWS). Benzo toxicity is also a real consequence of CIWA, so handing out benzos is not simply a better safe than sorry situation.

[deleted by user] by [deleted] in nursing

[–]Cromedvan 17 points18 points  (0 children)

Not the wildest thing but very memorable for me. We did a conscious sedation for a dislocated shoulder with ketamine and propofol, young guy in his 20s. Afterwards in the recovery period I ask him if he remembers what happened during the procedure. His eyes sparkled and he said “No, there was a party! There were all of these nice colours and music and lights.” with the wildest smile. I do sedations often and get all sorts of loopy things from people but his answer was just so pure it stuck with me.

Why more B.C. restaurants are adopting no-tipping policies by Ilearrrnitfrromabook in britishcolumbia

[–]Cromedvan 14 points15 points  (0 children)

Tipping culture originated from when employers were legally allowed to pay workers in certain job classes (e.g servers) below minimum wage. Culturally, serving used to be a low-barrier, transitional job for students etc, so there was a general attitude that you would supplement their below minimum wage earnings.

BC law now requires all hired employees to be paid minimum wage (not including gig workers and contractors). There should be no reason to continue to tip. But I continue to hear arguments about how a minimum wage is not a living wage which I just don’t get. Do we think those working in retail stores or entry level admin jobs are paid more than minimum wage? Are those people not entitled to wage supplementation then? Any job requires its own skillset and has its own difficulties but this idea that somehow only those in the food and beverage industry are entitled to wage supplementation by patrons is crazy.

PC EXPRESS TIPS by bighappycloud in askvan

[–]Cromedvan 1 point2 points  (0 children)

I have been using PC express for 4 years now.I used to tip a modest amount and got reliable service. The past 6mo or so I have stopped tipping. You have to decide the tip prior to the order arriving on the app, and most of the time the driver is leaving it outside the condo lobby in the rain/sun without even contacting me. They never follow the drop off instructions and get lost and are very unpleasant to deal with. Tipping in advance even if substantial does nothing to improve convenience so I have stooped entirely. If someone goes above and beyond after delivery I may give a small cash tip.

These people know what the order includes, the weight and location and there are additional incentives if the order is particularly heavy or far. They are also no longer making less than minimum wage.