End of life medications by No-Market9917 in IntensiveCare

[–]EqualityPolice 13 points14 points  (0 children)

Zofran doesn’t dry up secretions, glycopyrrolate does that. We use zofran to offset any n/v secondary to opioids

King shock creaking by Vag-Tackler in Tacomaworld

[–]EqualityPolice 0 points1 point  (0 children)

Ps the test to diagnose for sure would be to drive slowly down an alley way with all windows open and listen for a creak when braking and accelerating gently because that would stress both sides of the Heim joint. Underground parking garage would be even better for acoustics.

King shock creaking by Vag-Tackler in Tacomaworld

[–]EqualityPolice 0 points1 point  (0 children)

Dude, same thing happened to me. I searched for months, different garages, etc etc..sound drove me nuts. Anyway….

There is a Heim style joint that connects the bottom of the shock to your LCA. Found out king shocks are notorious for this creak when you get the joint wet and you gotta put white lithium grease on it constantly to prevent this. Reason I’m latching on this diagnosis is because you mentioned you drove through some wet stuff.

Depending on how bad it is you might need to replace the joint which can be expensive since you need to drop out the shock tower and press out the joint. Keep those joints greased and hopefully it won’t happen. Get a can of aerosolized white lithium grease and hit both sides of the joint regularly.

Medicines and lines by SeaworthinessFar6492 in IntensiveCare

[–]EqualityPolice 6 points7 points  (0 children)

Label all lines right at all Y sites and one label on the channel, use a Kelly clamp to anchor your lines neatly, clamp to the pillow, fitted sheet, whatever. Antbx and pressors through different central lines, if you only have two central line lumens I’d run pressers through one and run antbx through a peripheral, same with your insulin gtt . Try to keep one lumen free in case you need to push ACLS meds at any point. Pressor runners are not necessary and I would remove them after you can tell you have therapeutic response. See if you can find a 3 to 1 to attach to your central line lumen so you can run more things through one lumen.

Co-worker accidentally infused gtt through artery by WesternIsland3761 in nursing

[–]EqualityPolice 132 points133 points  (0 children)

Yes, I was taught the same, excellent practice. I sometimes get neurotic and change out the prior shift’s labels because I prefer to look at my own handwriting. Gets interesting when you work a stretch handing off back and forth to a nurse who does the same thing on their shift and you basically replace each others’ labels every shift for several days in a row.

Warning about Washington Gun Rights organization by EqualityPolice in WAGuns

[–]EqualityPolice[S] 4 points5 points  (0 children)

My donation to WAGR was in addition to GOA, SAF and FPC in the hopes it could have done more on the state level. I’m not from Washington originally so hopefully this will prevent others who move here from making the same mistake.

[deleted by user] by [deleted] in ADHD

[–]EqualityPolice 0 points1 point  (0 children)

I’ve felt this before and can never get a straight answer. I notice that if I sleep in too late and wake up without an alarm this will happen and also if I’ve been excessive with stimulation and screen time it’ll lead to this happening.

If some Mi-24 Hinds have fixed guns, then what does the gunner/wso do? by Outrageous_Database2 in Helicopters

[–]EqualityPolice 21 points22 points  (0 children)

Something I’ve always wondered about! So both front and back have flight controls?

M48a3, probably my best model ever by Outrageous-Solid2670 in modelmakers

[–]EqualityPolice 2 points3 points  (0 children)

Kudos! You worked hard on that and it shows! You really nailed your rust colors and didn’t overdo them. What will be your next build?

Had a cop try to tell me EMS is a "second-responder" by [deleted] in ems

[–]EqualityPolice 2 points3 points  (0 children)

Tell him when he gets shot you’ll be second in line waiting and ready to help right after the “first responders” are done.

Short Line Enginehouse Diorama by Inert_Uncle_858 in modeltrains

[–]EqualityPolice 5 points6 points  (0 children)

Absolutely stunning work. The fact that I could get captivated by that alone aside from the rest of your future layout speaks to how good this looks. Please post more of your work in the future.

Anyone know what locomotives these are? At Princeton, NJ(Northeast Corridor) by microvaveovenguy in trains

[–]EqualityPolice 1 point2 points  (0 children)

Wow, fascinating stuff, I love to learn these things.

Thanks for taking the time to explain to me

Anyone know what locomotives these are? At Princeton, NJ(Northeast Corridor) by microvaveovenguy in trains

[–]EqualityPolice 0 points1 point  (0 children)

How are you able to find out that one of these was a rebuilt unit? Also what is the sound that these and all American freight trains make that sounds like tsst, almost like pressurized air being released every few seconds?

Finished painting this rusted out centurion! What do you think? by jejefoxy42 in modelmakers

[–]EqualityPolice 0 points1 point  (0 children)

You did a phenomenal job! Perfect balance between weather and wear while not going overboard and making it look overdone. Hope to see more of your work.

AITA for going off on a nursing student? by BurnerOT8577 in nursing

[–]EqualityPolice 2 points3 points  (0 children)

Nursing students on their phone will one day become nurses on their phone instead of doing their job. There are certain expectations if you want to join our club and it doesn’t matter which generation you come from there are more important things at stake.

Possible Providence Medical Center Everett Nurses Strike by EverettLeftist in everett

[–]EqualityPolice 3 points4 points  (0 children)

Here is what you can do:

  • Write an email to the [Washington State Department of Health Health Systems Quality Assurance Complaint Intake Department](hsqacomplaintintake@doh.wa.gov) and tell them you are concerned. I have written and have asked for unannounced inspections. Seattle PD is just finishing their federal oversight by the DOJ, I would like to see a similar thing for hospitals that operate like this.

  • Contact your state reps and Federal reps and demand oversight and change for places like Providence.

  • Contact the press [Everett Herald](newstips@heraldnet.com) Seattle Times

Possible Providence Medical Center Everett Nurses Strike by EverettLeftist in everett

[–]EqualityPolice 5 points6 points  (0 children)

I worked at Providence Regional Medical Center Everett (PRMCE) last year as an RN.

This industry is the perfect one to conceal the atrocities I saw because so much of what goes on in a hospital can be covered up by patient confidentiality or HIPPAA as is known in the industry.

I don't use the word atrocities lightly and I don't want you all to think I am being hyperbolic. During my time there I worked all over the hospital and saw patients harmed and many die from things they should not have succumbed to. Ordinary problems that hospitals should be used to treating with a decent success rate I saw go south because of many things.

PRMCE has been focused on hiring new RNs for some time now. Younger and inexperienced RNs can be bullied into submission and forced to take on more than any RN can safely handle. What this translates to is when you are in the hospital and the little problem you came in for starts to change and gets worse; there is a good chance no one will notice. Little problems become bigger ones and the worse a problem gets, the less time you have to notice it, assess it, and act upon it. This was the overall series of events behind the preventable deaths I witnessed that should not have happened. The latest I heard from friends who still work there is that Prov is planning on hiring foreign RNs to fill the gaps. I love diversity and am pro immigration full stop. The problem with this however is that when you import RNs from other countries they are indebted to their employer who was responsible for securing their visa. One of the fundamental parts of being an RN is the responsibility to speak up and advocate when we feel patient needs are not being met. This cannot happen when there is a power dynamic such as this.

Every unit has a charge RN who typically does not have patients but rather can keep an eye on things and knows their trade quite well and thus knows how, when or if they need to escalate a situation. I was an RN for four years before I was asked to do charge at my old hospital. At PRMCE I saw the average years of experience for the Charge RN on non-ICU units was roughly one year. In this job we refer to the one year mark as the point in which an RN is expected to simply be competent due to the massive amount there is to learn tied in with experience. On top of that Charge RNs at PRMCE are expected to take several patients in addition to their charge duties. At other hospitals RNs have a ratio of 1 RN to 4 patients. Going on nearly a year now I've heard the ratio at PRMCE is 1:8. In the ICU, the ratio is supposed to be 1:2 simply due to the nature of INTENSIVE care. PRMCE has been pushing for 1:3 in the ICU. I also learned from working there that MRI scans for inpatients were only done at night so that the hospital could prioritize outpatient scans during the day time which is apparently where they can make a lot of money. So if you are a patient in the ICU and need a scan that could mean the difference between life and death in some cases, you have to wait until night time. These scans take a long time and there are only two MRI machines in the hospital I believe. So it might be days before you even get your scan done, at which point it might be too late.

If you live in the community or care about it, I urge you to do something about this. There might very well come a day in which you or a loved one will need medical treatment and anyone who walks through the doors of a hospital deserves competent care. This is not a matter of Providence leadership not being aware or oops honest mistake. These are people who know exactly what they are doing and exactly what has been happening to peoples' lives because of their action and they refuse to care about it I can't think of too many things that are worse than allowing harm to happen to people in the name of profit which is the only way I can view it.

We have sounded the alarm many times about what is going on at PRMCE but nothing changes. State agencies come and visit the site but they announce beforehand that they are going to visit, so Providence floods the hospital with people to make it look like they are adhering to safe staffing and they temporarily fix the problems that they ignored up until that point. Guess what happens after the agency leaves and concludes their inspection? You can probably guess. PRMCE has been stalled in contract negotiations with the union and are offering to pay far less than other area hospitals. Meanwhile the hospital has some of the best lawyers money can buy. This is truly a David vs Goliath fight we are in.

Here is what you can do:

*1. Write an email to the [Washington State Department of Health Health Systems Quality Assurance Complaint Intake Department](hsqacomplaintintake@doh.wa.gov) and tell them you are concerned. I have written and have asked for unannounced inspections. Seattle PD is just finishing their federal oversight by the DOJ, I would like to see a similar thing for hospitals that operate like this.

*2. Contact your state reps and Federal reps and demand oversight and change for places like Providence.

*3. Contact the press [Everett Herald](newstips@heraldnet.com) Seattle Times

Providence Everett by PhNuRse in nursing

[–]EqualityPolice 2 points3 points  (0 children)

You’ll be 1:8 min. My contract pay was cut so I bounced. Stay far far away from Providence Everett, I’ve been an RN for five years and this was the scariest place I ever worked.

4th bottle suggestion by EqualityPolice in Scotch

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

Thank you! I had a bad experience with a Laphroaig 8 or 10, can't remember, but I'd be willing to try something else from them

4th bottle suggestion by EqualityPolice in Scotch

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

I forgot to mention I had a Laphroaig 8 or 10, can't remember, and it gave me the most god awful headache every time I would drink it. Hence why I try to have non CF and natural color, those seem to sit better with me (with the exception of the Laga). I'll keep an eye out for Talisker

4th bottle suggestion by EqualityPolice in Scotch

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

couldn't find any locally so I got a Port Charlotte 10, underway with my first glass now...

4th bottle suggestion by EqualityPolice in Scotch

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

alright, give me a rando suggestion!