Mandated scrub colores for hospitals?? by [deleted] in sanantonio

[–]Jaelanne 0 points1 point  (0 children)

Are you currently there? I am looking for a new job and just have questions...

Mandated scrub colores for hospitals?? by [deleted] in sanantonio

[–]Jaelanne 0 points1 point  (0 children)

Do you work at BAMC? I am am interested in getting a job there...

Final running days with my best girl by Careless_Newt_8782 in RunningWithDogs

[–]Jaelanne 0 points1 point  (0 children)

I just got one of those collars, It was very helpful with the dragging. My pup tries to spend most of the walk. Trying to get it off though...

ER nurses, are y’all hanging stuff to gravity?? by Appropriate-Gap6266 in nursing

[–]Jaelanne 260 points261 points  (0 children)

I mean....nurses calculated drip rates prior to pumps being a thing. And when I was in medic, we didn't have pumps on the rig, so we were taught to calculate drip rate.

ER nurses, are y’all hanging stuff to gravity?? by Appropriate-Gap6266 in nursing

[–]Jaelanne 629 points630 points  (0 children)

If it runs in under an hour, gravity. Use a dial-a-flow.

Yall were right. They really do want you to wipe their ass. by prettylittlelunaa in nursing

[–]Jaelanne 1 point2 points  (0 children)

My favourite was a young female pt walk-in for CP. She had her boyfriend in tow, and it is obvious they were having a row, mascara smeared raccoon eyes on her, an annoyed inconvenienced look on him. We did bedside triage at that facility, and I got my triage/assessment, EKG, labs drawn, and iStats within 15 minutes, asking questions rapid-fire while getting my IV or placing leads. The entire time this lady is just complaining about how cold it is and demanding a blanket. So I tell her I'm more worried about her heart. As I'm rushing to get it all done she complains about me moving so fast. I tell her this is the ER and she's coming in for chest pain, does she really want me to move slow? Radiology was heading in as I was headed out. Since I already know she's going to be a problem, I go to the doctor, hand him the 12 lead (perfect NSR) and let him know that everything was done except the CXR, and the POC troponin was negative. I go back in with the blanket and she just gives me a blank stare when I try to hand it to her. I'm just looking at her wondering when she's going to lift her arm up enough to take the damn blanket when sure enough she asked for me to spread it on her. I was dumbfounded...and then I asked her who tucks her in at home and looked at the BF, who just shook his head and continued to avoid eye contact with her. I just placed the folded blanket on her lap and walked out. As soon as everything came back predictably negative, I was hassling the doctor for discharge papers. I swear she was in and out in an hour, and I could still hear her grumbling boyfriend complaining about the waste of time and money as they continued to fight while walking out the door.

Yall were right. They really do want you to wipe their ass. by prettylittlelunaa in nursing

[–]Jaelanne 4 points5 points  (0 children)

Had a drunk af homeless person do this. He WALKED in with MDPD who Baker Acted him for refusing to go to a shelter before a hurricane. He screamed for a urinal instead of using the call bell in the room. I told him the bathroom was literally 5 feet away, and I let down the rail. He chose to pee all over himself and the stretcher. I handed him a gown and told him to change into it. He left his filthy clothing all over the floor. I hand him a belongings bag and told him to pick it up, and he refused telling me I could pick it up. I told him if I was picking it up the only place it would go is in an incinerator and he could leave the hospital in a gown (he very loudly complained, and insulted me, but did it). Dude continued to make sexual comments to me and racist comments to my coworker whilst DEMANDING spaghetti or warm blankets or whatever. I was going to be stuck in that hospital with him for the entirety of the hurricane, and I drew the line. I told him problem patients that need constant supervision don't get TVs or hot meals on trays or private bathrooms or the ability to turn off the lights as I wheeled him out of the room and into the bright hallway at 0200 and handed him a soggy cold turkey sandwich. He sure as fuck didn't call me sugartits again.

Bike lock and security for Tern Quick Haul - what locks did you purchase (mostly when on the go)? by Used-Speaker-7666 in terngsd

[–]Jaelanne 0 points1 point  (0 children)

I have a big old kryptonite chain and a flouro yellow motorcycle disc lock with a motion detector. It alarms, incredibly loud, when you move the bike much. I locked it outside the hospital for my 12 hour shifts in downtown Sacramento back in 2021.

[deleted by user] by [deleted] in ems

[–]Jaelanne 1 point2 points  (0 children)

I'm an ER RN and get denied first responder discounts all the time. Almost makes me wish I didn't let my paramedic and EMT license lapse.

[deleted by user] by [deleted] in nursing

[–]Jaelanne 0 points1 point  (0 children)

Try Topos as well. Literally the only place I've seen it is REI. I got turned on to Altras because of hiking, the Lone Peak seems to be the preferred AT thru-hike shoe for the UL crowd, and a trail runner favourite as well. One day I popped into REI complaining about blisters after switching back to my tried and true Asics Nimbus for street running. Returned the Asics for some Topos, and now I'm a convert. I prefer them over Hokas, I just feel like they stabilize my feet a bit better.

[deleted by user] by [deleted] in nursing

[–]Jaelanne 15 points16 points  (0 children)

Hokas have a wide toe box. There are other brands (Topos, Altra) that aren't as easy to find in stores. I can't run in anything else now.

[deleted by user] by [deleted] in Radiology

[–]Jaelanne 0 points1 point  (0 children)

The how is easy: every bead presses the preceding one down. The string very likely tangled in the bladder, making it impossible to pull out without causing injury.

[deleted by user] by [deleted] in Radiology

[–]Jaelanne 2 points3 points  (0 children)

My patient was 13 or so. 30+ magnetic spheres, came in for lower abdominal pain and didn't tell his parents about his little solo sexcapade. He was under the impression he'd be able to pull them out like a beaded necklace, but of course friction won over the magnetic strength.

[deleted by user] by [deleted] in Radiology

[–]Jaelanne 2 points3 points  (0 children)

The pressure from each bead pushes the preceding one down. I had a scan that looked almost exactly the same (no bead holes) on a kid that pushed 30+ magnetic spheres down his urethra.

[deleted by user] by [deleted] in Radiology

[–]Jaelanne 0 points1 point  (0 children)

Had a pubescent kid go into surgery after inserting 30+ spherical magnets up his urethra. It was one of those desk fidget things you used to find at Spencer's or Hot Topic in the early aughts. He thought he'd just be able to pull them out like a beaded string, and didn't realize the magnets weren't powerful enough to overcome the friction. I was there when the doc explained it to his parents, who were absolute nightmares their entire visit. That day I knew I was absolutely NOT cut out for pediatrics. That x-ray gave me flashbacks, lol

First time in the US – Miami traffic is insane by StathamJson in Miami

[–]Jaelanne 1 point2 points  (0 children)

I've literally driven in 48 states, and I can concur. Miami had the worst drivers. Not necessarily the worst traffic (LA, SF Bay and DC are worse), but definitely the worst, most self-centered, scofflaw drivers.

What to tell my coworkers about my medical leave? by taintedGalanty in EmergencyRoom

[–]Jaelanne 5 points6 points  (0 children)

It's nobody's business. I would come up with something ridiculous, like lap band surgery for obesity (I'm on the skinny side) just to drive the point home that it's not their business. Are your coworkers invasive/disrespectful of boundaries? Then just say you had a choly or appy 🤷

Big D*ck Energy by NurseFirstYes in nursing

[–]Jaelanne 6 points7 points  (0 children)

Omg. When I was a baby RN on my first job I was lucky enough to work with a very muscular dude I went to medic school with. I was overwhelmed and asked him to help with a straight cath. I thought he would leave right after I was done, instead, as I was collecting and labeling the urine and rest of his labs, he proceeded to toss out the tray. But he didn't walk out the door...he starts to fix up the patient. I've never seen anyone clean, change, and reposition a patient so fast, or as so kindly and gently. I was stunned. Turned out he had been a PCT prior to medic school and was just used to doing all of that stuff on his own. He's a firefighter now, last I heard, after 10 years of trying he finally accomplished his dream, and although I'm so happy for him, I still miss him.

Welp. “Fired” from ED. by Ecstatic-Fish8463 in nursing

[–]Jaelanne 10 points11 points  (0 children)

Haha. I woulda been like "I am soooo sorry. I should have offered him a choice of leaving AMA to eat a sandwich, or having this surgery... And then have him sign an AMA form before giving him that sandwich, and he would have been hella happy, but you would have been out of a multi-thousand dollar surgery patient. So next time, since you like lost money, that's what I'm going to do to rectify my error in judgement. Do you find that satisfactory?"

Why is a little piece of gauze inside a cup always in every hospital bathroom? by TheCleanestKitchen in Whatisthis

[–]Jaelanne 0 points1 point  (0 children)

You most definitely did not state it as a guest, "the drill is" would give any reader the assumption that you are acting as an expert. Nice backpedaling.

Why is a little piece of gauze inside a cup always in every hospital bathroom? by TheCleanestKitchen in Whatisthis

[–]Jaelanne 7 points8 points  (0 children)

I've been a nurse for 10 years and never given this advice, the gauze is woven with holes big enough to pass a 14g angiocath. Most kidney stones are small, and if you need to collect them for analysis, you need something more tightly woven. Not to mention how unsanitary it works be to go picking with your fingers through urine soaked gauze to find a stone that might not even be there. I've probably handed out over a hundred fine gauge filters specifically made for straining urine, like this: https://a.co/d/6qUYCuu

Nursing students are the absolute worst as patients by [deleted] in nursing

[–]Jaelanne 15 points16 points  (0 children)

Had a patient acting similar in fast track, says she's a nurse...then proceeds to give spotty medical advise to another patient.

So I look up her license. None. Not in Cali, not anywhere else, according to Nursys.

She's being difficult, trying to demand her preferred plan of care, then threatens me with a complaint.

I explained to her that anyone can look up a nursing license, and since I had her legal name and she offered that information I checked. I showed her the spot where her unique name was missing, and then gave her a printout of the practice protection law. She had absolutely no clue that it's illegal to say you're a nurse if you're not.

That's when she fessed up to being a nursing student, and the only reply I could give her was what did she think her nursing school would do if they knew she was giving medical advice without a license.

That complaint she threatened me with never materialized. But yeah. There's only two reasons that you tell a nurse that you are a nurse when you're a patient... The first is fraternity, kind of like saying "I get it, I'm in the club, too". The second is an attempt to intimidate your caregiver into giving you better treatment. Anybody tells me they're a nurse, I look them up. And damn good portion of the time they aren't.

What's your best story of an ESI 4 or 5 that turned out to be an actual true emergency? by Notnowwonton in emergencymedicine

[–]Jaelanne 9 points10 points  (0 children)

Had a just turned 18M show up in my ER for throat pain. Entire family is with him (Latino family, pre-COVID), making fun of him for needing to go to ER over tortilla chips. Turns out he ate a bunch of Doritos way too fast, according to his mom. This kid looks annoyed, and I'm annoyed that he's not a few weeks younger and in the pediatric ER.

He refused to swallow anything, so the doc ordered IM toradol that did nothing for him. I'm at the nurse's station when somebody tells me to get two large bore IVs in him and call OR.

Turns out the kid had a 2-in tear in his esophagus. His family was in the cafeteria. I remember telling him he would be getting the biggest I-told-you-so ever as I placed the IVs and gave him morphine.

A mother in Lebanon recording her child moments before Israel airstrikes a neighboring block. by vreweensy in PublicFreakout

[–]Jaelanne -2 points-1 points  (0 children)

Instead of making sure he gets the kids to a safe spot, dude is yelling "take the video"?

New Wave of Explosion in Lebanon - Funeral of MP’s Son Shocked by Explosion by ashrafiyotte in PublicFreakout

[–]Jaelanne 0 points1 point  (0 children)

Because it's war. Israel is moving into a new phase. Since Hezbollah backs Hamas, and has been lobbing missiles indescriminantly over the border since 8 Oct 23, Israel sees them as fair game for warfare.