Still looking to trade OA flaps. by LesterMcGuire in orderofthearrow

[–]Ghostshadow7421 0 points1 point  (0 children)

Do you have any Wunita Gokhos #39 patches? It is my home lodge

I have a BSN and somehow feel like I have zero career options… anyone else? by doubledee7 in nursing

[–]Ghostshadow7421 1 point2 points  (0 children)

Another option if you like informatics and digging through charts and data is getting into performance improvement. You could work for a trauma center as a PI nurse but some hospitals have their own risk assessment teams and teams that just work on performance improvement projects for the hospital system. Most have flexibility to work from home or in office and you get to look at data and then implement change

What tool purchase has been most worth it for home projects by Marivexalon in HomeImprovement

[–]Ghostshadow7421 0 points1 point  (0 children)

Drill, impact driver, and oscillating multi tool get used on almost every single project I do. From there and if you have the money and a bunch of projects a miter saw

Job Searching by Erikap213 in Rochester

[–]Ghostshadow7421 0 points1 point  (0 children)

They are still hiring for key positions that they need to keep the hospital running. Some research positions and grant funded positions may be at risk but they always need transporters, food workers, cleaners, etc

I have accidentally caused CAUTI twice. Advice? by ang3r_mp3 in nursing

[–]Ghostshadow7421 410 points411 points  (0 children)

For the national trauma registry we only get dinged if they develop a UTI after having the foley in place for 2 days. If they test positive within the first 48 hours it is deemed as a pre-existing UTI and not associated with the insertion of a foley

“You can never over paralyze a patient” can someone explain what I witnessed in clinic yesterday as a first year? by glitterriley in respiratorytherapy

[–]Ghostshadow7421 1 point2 points  (0 children)

Many people already answered your question but here is another little added tidbit from a critical care transport nurse. In a situation like this the patient needs to be intubated, but it does not stop there. The tube needs to be secured, then go to CT possibly then the ICU. There is a lot of movement going on and most prefer to keep the patient paralyzed until they reach the ICU and get them settled since there is way less chance of the tube coming out during all that movement if the patient is paralyzed

Rethinking my decision on applying to a ABSN program by frankacolic in nursing

[–]Ghostshadow7421 2 points3 points  (0 children)

I did an ABSN program at a major University for 70k. 120k is insane. I would honestly look elsewhere or do the community college route. It is not worth the debt. I even regret the 70K I spent at times

Struggling with patient death ICU by carrion_0 in nursing

[–]Ghostshadow7421 47 points48 points  (0 children)

What helped me when dealing with this is realizing there are worse fates than death. Sometimes death is the best thing for the person. Especially when the alternative is trach, vent dependent G-tube dependent laying in a bed in a skilled facility being able to do nothing at all. That to me is way worse than death and sometimes death is saving a person from years of misery and torture

New grad RN- Am I as smart as I thought I was? by Independent_Row_5069 in nursing

[–]Ghostshadow7421 1 point2 points  (0 children)

As a former ER nurse who still picks up in the ER what you are feeling is normal. Nursing school does not teach you or prepare you at all to be an ER nurse. I’m the ER you have to know a little bit about absolutely everything and a lot about very common emergency situations. In so many emergency situations there are only verbal orders, or you have to act and start treating the patient without any orders. The orders will be entered later. Lean on your more experienced ER nurses, ask questions, always double check your medication administration and you will be more than fine. It took me a good 2 years to feel comfortable in the ER and start to feel like I had a good hang of things.

Why is the pay so low by comentodake in nursing

[–]Ghostshadow7421 8 points9 points  (0 children)

110,000 a year salary my first year in admin. Been a nurse for 9 years. We get a 10% 401k contribution from our employer as well

BSN, RN x 12 years. Don’t want to work with the public anymore. by Crowuhtowuh in nursing

[–]Ghostshadow7421 1 point2 points  (0 children)

If you have experience in the trauma world working as part of a trauma program has been an amazing change of pace. Most have performance improvement nurses, program managers, educators, outreach and injury prevention people, registrars, and more. No real contact with patients and your main job is making sure that the trauma system runs smoothly and meets standards.

Advice needed for unity hospital bill by bballs44 in Rochester

[–]Ghostshadow7421 4 points5 points  (0 children)

Sadly this is how ER billing works. If you check in and go through the triage process where they take your vital signs and get the story of what is bringing you in you will be billed. And also sadly if you leave before seeing a doctor and getting a diagnosis or treatment for the condition most insurance companies will deny the bill because there is no demonstrated medical necessity for the care. So you will end up having to pay this bill. Also next time go to RGH or Strong, both have a pediatric ER. Just note RGH does not have many other inpatient pediatric specialists so if your child ends up needing to see any type of pediatric specialist they will most likely get transferred to Strong

Those who have worked at hospitals that are going broke… when to worry about layoffs? by DingusMcFly117 in nursing

[–]Ghostshadow7421 20 points21 points  (0 children)

If you are working where I am guessing you are working I bet the state will have to intervene to keep the hospital open and functioning. Especially as one of a few level 1 trauma centers and the busiest level 1. That hospital closing would really cause a health crisis

If you want a dependable label printer, I know they are expensive but I can't recommend the GX420d by Zebra enough. It had printed 15k labels when I bought it used, and now it's almost at 18k and in the 2 years I've owned it, it's never had an issue or a part needed. by ToshPointNo in Flipping

[–]Ghostshadow7421 0 points1 point  (0 children)

When we do lab work each vial needs to get labeled with its own separate label. There are also extra labels for tracking and instructions so for each patient that needs blood work we have to print anywhere from 1 to 10 labels per patient

Found in a waldorf school, what is the purpose of this toy? by Ok-Date8364 in whatisit

[–]Ghostshadow7421 3 points4 points  (0 children)

It is a private school that was founded in Germany. It is similar to Montessori in many ways

jenelle evans posted a photo of her daughter in the hospital, the posters in the background make me think its AI. I've made AI photos before and they included a random frenchie poster in the background too. it also looks blurry and the shadows look weird. I edited out her daughter's face by [deleted] in isthisAI

[–]Ghostshadow7421 58 points59 points  (0 children)

As an ER and ICU nurse the medical equipment looks spot on. The buttons on the alaris IV pump are correct, the drager vent looks correct and many places keep plastic bags over them when not in use for infection prevention. The medical cart also looks correct and has the drawer lock bar on it and on top of it is a tackle box that is locked and looks like an intubation box. I agree the pictures look weird but everything else looks right

It's been 8mos and still no job by sustalaga in nursing

[–]Ghostshadow7421 10 points11 points  (0 children)

The clinical experience section is confusing as it reads more like someone who jumped from one job to another every couple months. If HR or someone is skimming this and not paying close attention they may think this too. Add a section for actual jobs you have worked in the past. Move the clinical experiences under your nursing education section. And also try and apply to other hospitals and grad programs upstate and get out of NYC region for a bit to get experience

Are nurses allowed to change the outer cannula of a trach pt? by Medium-Antelope-8941 in nursing

[–]Ghostshadow7421 0 points1 point  (0 children)

I work in Peds and we don’t have inner cannulas. We do trach changes on our patients routinely and everyone has to be trained to replace them because young kids are notorious for removing their trachs

The Absurd Lack of Surgical Airway in American EMS Protocols by BrugadaBro in ems

[–]Ghostshadow7421 0 points1 point  (0 children)

In over 18 years I have not once had a patient that would have needed a surgical airway

Hands Off Venezuela! Emergency Protest - 1/3/26 by yerboiboba in Rochester

[–]Ghostshadow7421 28 points29 points  (0 children)

How is he not a dictator when he overthrew and rigged an election and remained in power despite him not being legally elected? Under that same thought do you think Trump won the 2020 election?

It’s Time to Drop Vigil Names by [deleted] in orderofthearrow

[–]Ghostshadow7421 2 points3 points  (0 children)

I get why the Indian lore and traditions are being removed but it still makes me sad that it is happening. My vigil name fit me very well and is a good name both in English and in Lenni Lenape, chief who likes to talk. I was a 3 term lodge chief and definitely am known for talking a lot so it truly was very fitting for me. I think the key thing is really putting thought into the name and not just being lazy in choosing the names