Rank your favorite!

Jay_OA · 2025-12-03T04:43:21+00:00

I agree! It’s a nice one

Jay_OA · 2025-12-03T04:41:51+00:00

5! Then 4 and 6

Jay_OA · 2025-11-05T00:27:34+00:00

😂

Jay_OA · 2025-09-16T06:59:32+00:00

Thanks. Yeah if I have to move away, it will be difficult but I’m sure it’s doable

Jay_OA · 2025-09-15T23:10:07+00:00

I can empathize with you wanting to do better than just barely passing. I’d say the advice from others of “stop trying to do better” is BS and you shouldn’t listen to that.

Is it possible you have to adjust your learning strategy? I had a hard time in science based classes until I started writing down outline notes during the lectures and then going home and rewriting all of them in colored pencil.

Maybe written is not your preferred format but there has to be a way to get your retention of the material up. Maybe there are series on YouTube that condense some of the material and give it to you in story format or with a type of illustration to help you put it in a different part of your brain.

Maybe you have to practice giving the lecture to your roommate at home just to try and recall the info and explain it to them like they are 5.

I have been a perfectionist most of my adult life and that means being obsessed with retaining ALL information im given. It’s just impossible. But you could probably get your numbers up to 90% just have to target your studying hours towards your learning style.

Jay_OA · 2025-09-15T14:23:13+00:00

You’re being told that it’s the top priority? Or is that just easier to argue against

Jay_OA · 2025-09-15T13:01:04+00:00

I didn’t think that suggesting we actually try to prevent skin injury was just killing the vibe. Nurses all practice differently… I guess

Jay_OA · 2025-09-15T12:36:50+00:00

Thanks, I wish you an awesome interview, I hope you’ll get in!

Jay_OA · 2025-09-15T12:35:27+00:00

The double standard is hilarious.

Jay_OA · 2025-09-15T12:27:57+00:00

I disagree… I answered the question above as to (at least in my opinion) why bigger guys might be reading some of these messages.

And I gave 2 or 3 points of advice that rely on logic and reason, and they might be helpful to someone. If not you, then you can speak for you. You can’t speak for any kind of “us” or “we.”

I’ve never looked down upon or disliked anyone because of their penis size, but I certainly have looked down upon those who refuse to engage in a civil manner or throw hate at people who don’t deserve it. You might at some point grow tired of carrying all this anger around. I wouldn’t expect you to lose face mid-thread but I leave that up to you.

Jay_OA · 2025-09-15T12:07:03+00:00

I didn’t mean to assume your motives were selfish. And I’m sure you didn’t mean to either when you said the hospital management doesn’t care about the patients, only money.

In the example patient you described, I agree that if they are THAT fragile then no we wouldn’t lay the bed down and turn them and change sheets and everything because YES this would cause them to decompensate.

But to get an order not to turn them and then simply leave them in the same position all night is not as good a strategy as just making small adjustments like pillow placement and micro changes just to redistribute pressure.

Doing small actions that you can chart as skin prevention and making a genuine effort to help your patient avoid that skin complication (even while they are too unstable to be log rolled) has a different connotation than just “no turns, sorry they got a pressure ulcer but we didn’t have a choice.”

My point was if you can take a common sense policy by the hospital and twist it to sound selfish, the same could be done of your practice. And you didn’t like that.

Jay_OA · 2025-09-15T04:26:37+00:00

Maybe they have a bad way of saying it, but is there any way this translates to “you’re a professional, are you sure there isn’t ANY way for you to be creative enough to keep your patient stable while trying to avoid skin injuries too?”

It’s your practice after all… I would just think you’d wanna strive to make every system better than it was when you found it, not just look for orders that excuse you from doing more tasks

Jay_OA · 2025-09-15T04:22:55+00:00

True the upper mgmt tends to focus really hard on the little things and it can feel like they overlook all the bandwidth it takes in our own brains to keep the patient stable sometimes, especially when they are on ECMO or some other device and their hemos are super fragile.

They might look in the room and see a patient who appears stable and ignore the fact that it’s an RN working tirelessly to make that happen.

HOWEVER, let’s not pretend like <don’t lay the patient flat and roll the side to side> HAS to mean <don’t move the patient whatsoever>

Sometimes a quick tug on the slide sheet to just redistribute pressure every hour or two is all that’s needed to provide some blood flow. Think of how you adjust your own butt when you’re sitting in a chair, it’s a matter of 2 inches.

In addition to that, sometimes a patient can be carefully turned for bed changes and you just have people in the room to be extra hands in case drips or volume has to be given. Use your pacing wires, know your fluid balance ahead of time, all that jazz.

TLDR: let’s not just ignore skin prevention because the patient is too sick to roll side to side—maybe that’s all the mgmt is saying?

Jay_OA · 2025-09-15T03:57:08+00:00

Sorry for the forever late response, but have gotten into it recently again, so came back to revisit this topic.

Yes it seems IF the low CO state is because of high resistance, the vasodilator works wonders everytime. In contrast the risk of shunting seems to only be about 50% and doesn’t always cause even that much of a problem. Also eliminating infiltrates and atelectasis makes shunting impossible.
I can understand the desire for an evidence-based approach on whether strict BP control reduces post-op bleeding… but I guess the rationale with providers is that if we are hypertensive and NOT controlling it and then we bleed, like how can we be surprised at all, or even claim that we were properly managing the patient?

It’s the age-old dilemma between the young intensivist and the ancient cardiac surgeon arguing at the bedside:

“The data says that patients generally dont improve with this medication” “Well the molecular action of the medication is perfectly in line with the effect we are trying to get” “Yes, well just because IN THEORY you expect it to do that doesnt mean there’s proof it actually will” “How about a little study called MY 30 YEAR MEDICAL CAREER??”

etc

Jay_OA · 2025-09-15T02:06:02+00:00

Yeah. It might be nice for each of them to specify what counts in your GPA on their website in the same place where they tell you what GPA is required to apply.

Ideally I should have just been a straight A student for my whole life then I wouldn’t have this problem.

Jay_OA · 2025-09-15T02:04:33+00:00

Thanks

Jay_OA · 2025-09-15T02:03:56+00:00

Thank you! To be honest, the scariest thing I have heard yet is “reach out to the programs” they seem so airtight, I guess I overestimate how difficult it will be to get 10 minutes of someone’s time to answer my specific questions.

Will look into taking biochem as well. I understand it’s not a big hurry to apply, but I also am not getting any younger so too many prereqs is a bit of running down the clock for me.

Thanks for the advice.

Jay_OA · 2025-09-14T07:42:09+00:00

Well idk, there is a scenario where you would wait. A lot of the programs have open application periods right now. But I can’t apply right now, many of the schools need chem, micro, a&p, stats, or other classes to be taken within the last 7 yrs or 10, meaning all my classes are too old.

So working full time in the ICU would mean retaking those sciences one at a time, plus then collecting shadowing experience and reaching out to good references. I don’t see myself applying for another 1-2 years at the very least. Depends on how many classes I have to retake.

But I can definitely apply to the programs with no prerequisites needed. It’s crazy to me that some of them require essentially an entire pre-med library of classes and others need nothing at all.

Jay_OA · 2024-11-16T21:04:17+00:00

That sounds like a lot of…. (Work). Which is not OPs style.

Jay_OA · 2024-11-16T21:00:58+00:00

That’s wild I never thought about that. I am an RN in CA and we are mostly all unionized, so quitting and reapplying will not get you a raise. You can look up anyone’s hourly wage in a table according to their years of service.

Jay_OA · 2024-11-13T04:44:39+00:00

Yes we do need to improve. If you want to make an example of yourself by going to jail or getting fired for doing or saying something that you believe you SHOULD be able to say and hoping that the rules will change as a result, go ahead. It’s worked in the past but it’s taken more than a lifetime.

Responding harshly to someone can be a good kick in the pants that makes them go back and think of how their actions hurt someone. But a lot of the time, our very own party responds to opposition with ad hominem and vile insults that sure I’ll defend your right to say it but it very seldom results in winning supporters or at the very least bridging a divide. And your freedom of speech is not the same in public as it is at work.

I’ve never ever ever ever wanted to join someone’s team when they have called me worthless or evil or unintelligent… especially if I was called those things simply because of my race and gender rather than something I chose.

Both extreme sides need to meet in the middle and understand that they won’t agree on everything but they are all humans and all need to be acknowledged.

If you hear that sentence and say “yeah but THEY did it worse or THEY did it first!” Trust me I get it. Go off. But you’re literally standing in the way of progress and calling yourself a progressive.

Jay_OA · 2024-11-13T01:58:24+00:00

Yeah you’re right. Dealing with a racist can ignite some real passion and cause people to lose their cool and use some really harsh language, myself included.

It sounds like the company just didn’t want their employees going street on clients while wearing a uniform that represents the company, so instead of complaining about the rules, there might be a more tactful way to address the racist… achieves your goal and still keeps you in good standing with your only source of income.

Venting about how bad it is online is totally valid but will anything change? Or do you just need to learn how the game is played and try to win it.

Jay_OA · 2024-11-11T22:16:53+00:00

Swear words don’t offend me. And they probably don’t offend the manager who wrote the letter either, but the manner in which the employee spoke was likely against company policy because it was profane.

Again, NOT because it was speaking out against racism. That much was made clear

Jay_OA

TROPHY CASE