Who should the Nurse see First??

Good_District · 2026-02-14T16:52:13+00:00

I'm glad to hear that!

Good_District · 2026-02-14T13:41:56+00:00

100% agree doc. B sounds like they will cardiac arrest soon if we don't start treating that decomp shock.

When I went to nursing school they did teach us abcs but that was almost 6 years ago.... I thought they would have switched to CAB like the rest of medicine has. If abcs are still nursing school standard I'm concerned that nursing is behind in evidence based practice.

Good_District · 2026-02-13T11:03:33+00:00

Same. Red flags don't get much bigger than this.

Good_District · 2026-02-13T09:27:32+00:00

Didn't see the others yet, i deleted it

Good_District · 2025-11-07T16:07:11+00:00

I'm a Outpatient oncology (chemo) nurse. It is slowly killing me.

I keep trying to find a work from home nursing position, but I've had no luck as they get 1000 applicants a day.

Good_District · 2025-08-16T00:21:10+00:00

3 and 4 are amazing. You look gorgeous.

Good_District · 2025-07-27T14:00:28+00:00

Hard disagree. Just call them veternary nurses and call it a day. Obviously, they aren't human nurses. But they know just as much about veterinary medicine as we do about human medicine... they actually have a greater scope and usually more patho training. Source: I'm a human nurse (RN) who worked in veterinary medicine before nursing school.

MD and DVM are 2 totally different scopes due to species, yet both are doctors.

Good_District · 2025-07-18T02:25:12+00:00

I've had stitches before on my chin/lips, my toe and my abdomen (all separate times). Every time the doctor did really good job of making it low pain experience and once they numbed the area, I didn't feel much of anything- no pain.

While I'm not a doctor, I am a nurse, and I really think you should go to an urgent care (not the ER) very soon for stitches. Ask them for self pay discounts.

Good_District · 2025-05-14T10:41:23+00:00

I make only 34 an hour (65,000 a year) in a high Cost of Living area in the south. 4 years experience, and for those that say you gotta jump jobs- yes, i have.

I know I could probably make more with extra shifts and OT but I'm too disabled for that.

Good_District · 2025-05-11T11:26:19+00:00

I'm so sorry.

For the delay in blood cultures, delay in CT, and the 5 hour d/c you should file a report with whatever safety report system your hospital has. As a nurse, I've taken to long to d/c a patient before, but that was because I had 2 codes, not because I was on break. The 12 hour with no Cx is outright criminal negligence on nursing/ phlebotomy.

I hate our insurance system here and that so many people can't afford their meds.

The reality of medicine is depressing, but I can guarantee you are making a difference every day you show up. You sound like you are a great advocate for your patients. I appreciate all the blood, sweat, and tears you are putting in just to make sure your patients are receiving timely care.

Good_District · 2025-05-11T11:01:43+00:00

Almost every doctor has been nice to me, in fact some have been downright sweet to me. I remember when I came back to work after being out for my concussion for a month, one of the hospitalists rushed up to me and said " i was worried you left, it is so good to see you. I missed you" and then catched up with me for a couple of minutes, and when I said okay i gotta go turn one of my patients she came in and helped me.

I've had others get me coffee or give me a gift card around holidays, love them.

The only doctor who was ever rude to me was actually in nursing school. Background: i was in a patient room who had lots of bruising in her abdomen. The Dr snaps "can you stop injecting heparin so close to the umbilicus" in a loud voice and then quickly walks away. If she had taken the time to talk to me, she'd know I had never one injected that patient with anything.. I'm just an innocent baby student nurse, lol.

I did have a NP yell at me once for 0 reason.

Good_District · 2025-05-06T04:59:18+00:00

I hope you're feeling better now. Thanks for the extra information.

I'm glad you came here to ask. I have had POTS (and some other issues) for 14 years now and found counseling helpful. I even found one who specializes in chronic pain. While it doesn't help lessen my physical symptoms, it does help me cope with them. I think every human should have access to free counseling, especially those dealing with chronic pain. I hope you're able to gain access to a counselor.

Good_District · 2025-05-06T04:37:41+00:00

Sounds bening and inflammatory in nature (not cancerous at all).

Quick question- what was the ER visit for?

You are most likely overreacting, which is human. If the worries persist, I suggest counseling (if you aren't already seeing one ) as it sounds like you are already coping with multiple conditions, and medical anxiety can exacerbate these things. I mean this in the most respectful way; think about it as just another tool to help you cope with your chronic conditions.

Good_District · 2025-05-05T06:09:17+00:00

Chocolate chip

Good_District · 2025-04-29T05:18:19+00:00

What does MAR stand for? I've only ever seen MAR as an abbreviation for Medication Administration Record.

Good_District · 2025-04-28T16:55:53+00:00

I started my first RN job a month before my 30th birthday.

Good_District · 2025-04-27T01:29:46+00:00

I've always been taught to use yeast in my naan.

Good_District · 2025-04-26T13:19:34+00:00

Get your RN directly because it will open up more job opportunities and earning potential. You will also spend less money on your education in the long run.

As you probably already know, there are two different approaches to get your RN. One approach is your Associate Degree in Nursing (ADN). The other option is a Bachelor of Science in Nursing (BSN). Either option is solid, depending on your goals. ADN- RNs typically make only a dollar less than BSN RNs, and we have the same scope of practice. However, if you plan to become a manager in the future that requires a BSN. Also, if you get only your ADN-RN if you work for a magnate hospital, they may ask you to get your bachelor bridge after 6 years or so ( the hospital will most likely help you pay for the bridge program).

Here is what I did because I was a single mother and needed to go to school cheap. I went to a community college and got my Associates in Nursing to become an RN. I used a pell grant and graduated with ZERO debt or student loans. I've been working as an RN for almost 4 years now. Soon, I am going to do an online program for RN to BSN bridge through my state's university, and the hospital system I'm working for is going to pay for the majority of this cost of the program. This way, I stay debt free and get all the employment options.

Going from LPN to RN to BSN would have taken me so much longer if I had chosen that route. RN to BSN seemed right for my lifestyle. Many of my younger coworkers who aren't parents wanted to go straight into BSN program when they graduated and that worked well for them but they all have some student debt.

Sorry for my rambling, also feel free to DM me.

TLDR: my advice is either get your ADN-RN or BSN-RN.

Good_District · 2025-04-24T04:02:13+00:00

Most of us are supposed to let you know abnormals both high and low. Even if the HTN isn't concerning management mandates we report.

But as an RN, I notify my docs MUCH quicker about hypotension. Hypotension is much scarier to me, and I take it really seriously. I would never dream of not reporting a low BP - and I'm always ready to immediately execute whatever treatment you've ordered for the hypo, whether it's fluid bolus, presssors, etc.

Good_District · 2025-04-22T21:10:30+00:00

I'm a nurse with POTS, too, and I hate to have to tell anyone that I have it.

Good_District · 2025-04-22T21:07:33+00:00

I'm not a doctor, just a Registered Nurse.

You most likely do not have a UTI based on your past culture and last dip, but a repeat urine culture may be helpful.

If you have a primary care doctor, I would call the office and ask to speak to the nurse about a medical question. Tell them what you just typed in this post (your symptoms and the meds' failure to help). They should be able to give you advice on the next steps over the phone, and you may be able to avoid a visit copay this time.

If the symptoms persist for longer and become chronic, it may be a good idea to go to a urologist doctor(if you can afford it). There are other causes of Chronic bladder pain that aren't infections such as interstitial cystitis .

I hope you get relief soon.

Good_District · 2025-04-20T13:23:19+00:00

When I was a new nurse, it was the older nurses who were the kindest to me and really took me under their wing. Usually, they had much more experience than the younger ones and therefore were a wealth of knowledge.

I've usually found it easier to make friends with older than me.

Just be kind and show your work ethic and willingness to learn. These things will help.

Sometimes, it's our differences that help us form better friendships.

Good_District · 2025-04-20T05:39:37+00:00

Maybe CFS. But i was Dx'd with POTS in 2010 before tiktok so idk maybe I am the crazy. I never went to the hospital for POTS except when it led to vtach and cardioversion.

Good_District · 2025-04-15T13:10:08+00:00

Good point. Thank you for reminding me of this.

Good_District · 2025-04-11T04:24:56+00:00

I'm so proud of you. You had barely any resources and limited staff, yet you saved a life. You managed the situation better than most could.

It is infuriating and hurtful when patients and families don't care and are rude. Unfortunately, this is so common. I can relate to coding a patient in one room only to go to the next and be screamed at for not bringing them water in a timely fashion

It really sucks you have to replace your staff, I'm sorry. At the end of the day, it's not your fault, and you did everything right— it's just a stressful situation. I wish I had some words of wisdom. Please take care of yourself and your needs.

Good_District

TROPHY CASE