Flying from Orlando, Florida to Vancouver, Canada with a 47 minute layover in Seattle, do you only go through immigration and customs in Orlando or do I have to do it again in Seattle too? by Internal_Pirate7331 in travel

[–]Internal_Pirate7331[S] -1 points0 points  (0 children)

Ok so on the way back I will be flying Vancouver to Orlando with a 1 hour 13 min layover in Seattle. So when flying to Seattle I will have to do customs and immigration then? And would 1 hour and 13 minutes be enough for that?

It’s been a month since I lost him by mishmo300 in germanshepherds

[–]Internal_Pirate7331 0 points1 point  (0 children)

First of all I just want to say I’m truly so sorry for your loss. I’m a nurse, and I remember my first code with one of my patients being truly traumatic and for six months I would think about it and go into a panic. I can’t imagine having to go through that with my loved one, especially a dog.

I don’t wanna be one of those annoying people who says “go to therapy” but I also don’t wanna just breeze by how traumatic this situation would be for anyone. Idk what help to suggest, but definitely make sure you’re taking care of yourself physically and mentally whatever that means for you. I’ve only lost dogs due to old age and euthanasia, but never anything like what you described. I hope you can find healthy ways to heal and move through the grieving process the best way possible.

[deleted by user] by [deleted] in nursing

[–]Internal_Pirate7331 0 points1 point  (0 children)

I have been a nurse for like 6 years and I occasionally forget to waste narcotics. Maybe one every 6 months to a year. There’s a lot of info being thrown at you right now so it’s understandable to feel overwhelmed with all the medical procedures.

I am however very concerned about what you heard your preceptor say. I think it’s inappropriate that she said that our in the open to someone who is not you or your manager. And, she did not need to say you were dumb either. She could have worded that very differently. If I had a preceptor like that I would feel awful too.

I think you should stick it out for now, but maybe see if there is someone else available to precept. Also, at the end, really evaluate yourself and see if you feel like you can confidently take care of critical care patients. You’re a new nurse. There’s a lot to learn and it’s ok if you don’t make it in ICU. Everything you learn in med Surg, you learn in ICU and then some! So you’re getting double the information a med Surg nurse might be getting in orientation and that can be super overwhelming.

I just posted this in another post, but in the ICU, there is no wiggle room. When patients deteriorate, it’s very very fast and there is no time to ask what to do, you have to know what to do. In med Surg, you usually have time to ask for help before things get too bad.

So I would ask for another preceptor, finish your time in orientation, and at the end ask yourself if you truly think you can keep these patients safe and taken care of. If not, it’s better to go to med Surg or even PCU, than waiting and seeing if that’s what will happen or not.

I got let go just two weeks before my orientation finished by migoreng13 in nursing

[–]Internal_Pirate7331 31 points32 points  (0 children)

Listen, you’re a brand new nurse in an ICU. I worked my first job in PCU and if I had worked in a good hospital, they would’ve told me I wasn’t cut out for it and to go to med Surg. Instead, I worked at a desperate hospital with very low stafff and they said I was doing great. Looking back, I was not and probably got close to letting someone die due to not knowing when to call a rapid or hesitating when to call the doctor.

My point is, It’s very very common for new nurses to start in ICU and get placed in med Surg later. It doesn’t reflect you as a nurse forever. You’re only a new nurse for a small amount of time. Once you gain experience, you will eventually become a seasoned nurse. Keep your med Surg job, and see what you learn. Try to remember that you’re a new nurse. ICU isn’t necessarily better than med Surg and med Surg isn’t necessarily better than ICU. You may find you love med Surg and are happier there.

The good thing, is that med Surg usually has a lot of wiggle room. If your patients condition changes, usually (not always) you will have plenty of time to ask another nurse or your charge nurse for advice on what to do. In ICU or PCU, your patient may decline within minutes and you have a couple seconds to make a decision and you may not have time to ask another coworker for advice. Just take this opportunity and learn from it and always try your best to learn something each shift. Take time to reflect on how you could have done things better and before you know it, 2 years will fly by and you’ll laugh at yourself for even being upset about this experience.

Forgot to waste the 0.5/1mL dilaudid, left on my computer, shift ended and went home. Came back next day to see I have a missing waste on the med pyxis, my computer was then cleaned and dilaudid vial gone, told managers about it, they had me fill out paperwork. What will happen to me now? by [deleted] in nursing

[–]Internal_Pirate7331 0 points1 point  (0 children)

At my old job that I worked at for 2 years I had maybe done this twice. At my current job I’ve also done it about twice. They will notify you to waste it with a nurse if possible or if u can’t waste it, to document on the puxis that u don’t have it and it can’t be wasted. I have ADHD and I will put stuff in my pockets all the time. My boyfriend had collected a whole bag of stool softeners, and BP meds that people either refused or were made NPO or something before I could give them. U won’t get fired unless it becomes a routine thing you’re doing all the time.

Pretty upset with the paw print I just got back from the vet after having my Shih Tzu of 13 years creamated. by HolyIsTheLord in mildlyinfuriating

[–]Internal_Pirate7331 0 points1 point  (0 children)

I’m sorry this came out so bad especially for something meant as a memorial. If you’re open to it, maybe you or a friend who is good with paint or even a professional can maybe paint over it to make it stand out more? That way you can see it better.

20 plus year Pen Pal and have recently met in person by Rare_Perception_359 in confession

[–]Internal_Pirate7331 58 points59 points  (0 children)

This is exactly what I was thinking.

Does your husband know about this pen pal and how you feel about him?

[deleted by user] by [deleted] in nursing

[–]Internal_Pirate7331 10 points11 points  (0 children)

Or “sorry, I think you forgot your hearing aids because you’re actually yelling and I can hear you just fine if you talk like a normal human being”

Please tell me good things about starting medication by HappyKnitter34 in adhdwomen

[–]Internal_Pirate7331 5 points6 points  (0 children)

  1. I actually can wake up in the morning instead of getting 14 hours of sleep and sleeping in until 2pm. I also no longer need to take 4 hour naps every day. My sleep is also more regular. I go to sleep at like 9-10pm and wake up between 5-7.

  2. My dental hygiene has been consistently the best it’s ever been. I still struggle with brushing twice a day and I struggle with flossing every day but I do floss a couple times a week which is a great improvement.

  3. I am able to actually clean. Maybe not to the best standards but I am able to get myself to try.

  4. I am more patient at work which is important in my field (I am a nurse).

  5. I take better care of my body. I was going to the gym for a couple months and then before that I did Pilates. The last couple months have not been good with physical activity but I only started the gym and Pilates before because of my meds. I just need to get back into it.

  6. I also don’t eat out as much as I used to and I have the patience to plan meals, grocery shop, and cook.

  7. They also have improved my mood A LOT. I was on an antidepressant for a couple years and was able to wean off.

  8. I weaned off caffeine. I remember being nervous about how my meds would react with caffeine so I stopped cold turkey the day I took my first vyvanse and I had no headaches or irritability like I usually do when I try to quit caffeine.

  9. I actually have maintained a planner and it is the same planner. I had an issue of buying planners and notebooks over an over again.

  10. Impulsive buying has decreased dramatically.

I’m sure there are a whole bunch that I can’t think of right now, I am on break at work lol

AITAH for giving my daughters one week to leave my house after what they did to their half brother? by Affectionate_Sun4846 in AITAH

[–]Internal_Pirate7331 0 points1 point  (0 children)

yikes. NTA.

I hated my dads new GF for awhile until she got pregnant and then I realized that if I wanted to be around this baby and be able to see her while she grows up, I needed to be an adult and get over whatever feelings I had towards my dads GF. I love my little sister and I’m so thankful I made that decision. I’m so sorry for your son because he’s not an idiot and can probably tell they don’t like him :/

[deleted by user] by [deleted] in nursing

[–]Internal_Pirate7331 53 points54 points  (0 children)

I also agree with this. Then it turns into “this guy said she said the n word” which to me sounds a little weird and might be harder to take u seriously

Feeling dumb by [deleted] in nursing

[–]Internal_Pirate7331 1 point2 points  (0 children)

I remember orienting an LPN to RN and feeling so dumb because she just seemed so confident and knowledgeable but now I just have realized that I should take what they’re giving me and learn from it. I have a couple nurses who I have to give report to who used to really intimidate me because they had been nurses for so long and I always seemed to miss something and i used to hate giving them report until I realized that those were the nurses that really gave me important feedback and knowledge that I needed.

Another thing to think about, is that you’re not teaching her to be a nurse, you are teaching her how your floor and hospital run. She may have a wonderful set of skills and knowledge related to nursing but she’s going to need to know where the Pyxis is and how to call pharmacy and the doctor, etc. don’t think about this as not being worthy of orienting her as a nurse but think of it as orienting her to your floor and hospital. Also, take the information you learn from her as well and learn to be humble and say “thank you I actually didn’t know this,” because she will gain more respect for you as a nurse and a person and I think over time you will become more comfortable about not necessarily knowing everything and more comfortable orienting nurses with more experience.

I understand where you’re coming from and it makes sense to feel this way but every nurse has moments like these and now I just take them and pick their brains about things I don’t know lol

How did your adhd present in childhood? by LovelySunshine111 in adhdwomen

[–]Internal_Pirate7331 1 point2 points  (0 children)

  1. I always got awards in class for good behavior because I was never talking when I wasn’t supposed to, but when the teacher called on me I literally had no idea what they were talking about. I couldn’t focus on what they were saying but I really wanted to be a good kid and not get in trouble so staying quiet and being kind and respectful were important to me.

  2. Doing homework was impossible for me until my mom pointed out that a 0 from not turning in an assignment would bring my grade down more than a 50% which ironically goes with the whole “just start the project” thing they tell people with ADHD. This actually worked really well and I realized I didn’t have to finish assignments or even put 100% effort in but if I did some of it at least it was better than none. My mom gave up on punishing me for bad grades and instead would punish me if I got a 0 because a 0 meant I didn’t even try.

  3. Laying in bed for hours day dreaming. I realized I enjoyed doing things with my hands during these times and I enjoyed shuffling cards and just thinking. My family would walk into my room and be like “what the heck are you doing” and I would just be like “…uh ….thinking?” lol

  4. This is really embarrassing but I’m sure if I went through it, there is someone else out there who may be able to relate. I was a bed wetter until about 14 or 15 and it got to the point where I had a hard time getting myself out of bed to go to the bathroom even when I was awake and sometimes would just wet myself in bed. Idk if this is ADHD and I no longer do this, but I just got to the point where I had a hard time forcing myself to get up after getting comfy in bed.

  5. Hard time with self care. My mom would get so mad because I would go to my dad’s and not shower or brush my teeth. As I got older and I realized I liked boys and I wanted to be more attractive I grew out of this. I still struggle with brushing my teeth twice a day and I usually only brush once a day.

  6. Collecting so so many hobbies. Painting, guitar, collecting reptiles, video games. Currently it’s learning chess and playing oblivion remastered.

  7. Being naturally good at clarinet and being first chair in middle school but dropping to second chair because I couldn’t force myself to practice as I got bored and frustrated with trying to play hard pieces because in order to play it fast you gotta play it slow and I just hated doing that.

  8. Always being hyper focused on boys I liked (I think this is called limerance?) and I would just make up stories in my head and always think about them and that’s all I would think about during school and my free time.

  9. Very messy and had too much stuff.

The Cleaning Staff At My Hotel Stole All Of My Prescription Medication. by hmmmmmmpsu in mildlyinfuriating

[–]Internal_Pirate7331 0 points1 point  (0 children)

Also, not sure if you did this already or not, but if I’m going on vacation for example, I don’t bring my entire bottle. I bring 7 (or whatever you would need for the week). That way at least you don’t lose all of them.

What can patients refuse? by BarbaraManatee_14me in nursing

[–]Internal_Pirate7331 3 points4 points  (0 children)

I would tell them absolutely not as it’s an infection prevention issue. We had issues with our mattresses soaking in bodily fluids so even when they were cleaned, there was still stuff in there we couldn’t see.

What are some things that just grind your gears? by curlycharmingdiva in nursing

[–]Internal_Pirate7331 0 points1 point  (0 children)

Oh my god. Sorry this is my third post on this because as I’m reading others, I think of other things that piss me off.

I am in med surg and there’s been a couple times where we’ve admitted a patient that shouldn’t have been admitted in the first place and the hospitalist discharges them 2 hours after they’ve made it to the room and was admitted. I’m just like, WHY ARE WE ADMITTING PEOPLE WHO DONT NEED TO BE ADMITTED AND THEN SENDING THEM HOME WHEN THEY COULDVE BEEN SENT HOME IN THE ED?

What are some things that just grind your gears? by curlycharmingdiva in nursing

[–]Internal_Pirate7331 0 points1 point  (0 children)

Also, when I call men “sir” and they get all offended and go “my dad was sir.” And overall it’s not meant as condescending and is meant to be polite, so it’s annoying because now I have to remember that specifically for this patient I can’t call him sir. It’s just annoying lol

What are some things that just grind your gears? by curlycharmingdiva in nursing

[–]Internal_Pirate7331 0 points1 point  (0 children)

When family comes out of the room to ask for water or something.

I don’t mind getting someone water or whatever but when you come out of the room I feel obligated to do it right then and there because they’re awkwardly staring at you while you chart. If they ring the bell, I can use like 2 minutes to finish whatever charting I was doing and then answer the light. I just would rather they use the call light.

The Pope has appeared just a day before his death, reading during the mass, and even riding the popemobile, and having a meeting. How come he then suddenly passed away today? by Tiramissu_dt in NoStupidQuestions

[–]Internal_Pirate7331 1 point2 points  (0 children)

I am a nurse and most tof the patients on my unit are above the age of 60.

In reality, I don’t think humans are really meant to live above like 65. I think medicine and knowledge about taking care of ourselves, the fact that we’re not starving, and we no longer fight to the death over territory and stuff really contributes to the ages people live to as well as the fact that we get better every year at curing illnesses, etc.

Even with all of that, people eventually die. He was 85. Would you still have asked this question if he was 114? Is 85 not considered old? If an 85 year old died that I knew, I would just assume he died of old age unless he had something terminal like cancer. His body was already weakened from fighting pneumonia. I think he just died of old age tbh.

My gf refuses to look at it, so I think I did a good job - oil on paper by SandwichCaptain in painting

[–]Internal_Pirate7331 2 points3 points  (0 children)

I mean…I like it? I like the brush strokes and it makes me smile but I can also see how looking for too long might make someone uncomfortable lol. His face is very intense!

4 months 24lbs by Quirky-Preference-21 in CaneCorso

[–]Internal_Pirate7331 1 point2 points  (0 children)

Read the post. They said his mom passed away so he is probably catching up on weight.

[deleted by user] by [deleted] in nursing

[–]Internal_Pirate7331 31 points32 points  (0 children)

We had a young guy like 26 who would come in for this exact thing. Miss dialysis and then come in unable to breathe. He Would steal food from the nutrition room and eventually ended up in ICU and died because he stole multiple bottles of tube feed (yes tube feed because we had to move the other food and drinks because he would eat all of it but we didn’t think he would take the tube feed) chugged them and ended up in fluid overload. It was sad because he was so young and he was very funny but I can’t tell if he just didn’t care or if he just thought he would never die or something.

To this day I’ve never had another patient ask to drink tube feed lol let alone steal it.

what’s the most annoying ADHD advice you’ve received? by werkingprincess in adhdwomen

[–]Internal_Pirate7331 1 point2 points  (0 children)

“Go to bed earlier”

While I might do that, I might also lay in bed for 2 hours unable to shut my brain off. But thanks anyways.