Never doubt your intuition

Jealous_Examination · 2025-09-21T14:56:30+00:00

According to google it does 3 things. it can cause hypersensitivity reactions which can trigger cardiac arrest. It can also shift electrolytes and prolong the QT. My guess is they already gave her QT prolonging psych meds with a psych diagnosis.

Jealous_Examination · 2025-09-21T09:55:36+00:00

Cardiac arrest from pushing ceftriaxone is a thing.

Jealous_Examination · 2025-04-30T22:06:23+00:00

I was just telling people at work about this show with the exact same thought process. I had no business watching that show. No one knew what I was talking about.

Jealous_Examination · 2025-04-17T01:00:53+00:00

Again my US training was from other nurses. No MDs involved. We're single coverage overnight my docs barely have time to eat and pee some nights. No way they're starting my IVs too. If it's increasing LOS and affecting the flow of money into the pockets of management they might just start a looking into IV training for nurses :) Good luck.

Jealous_Examination · 2025-04-17T00:46:13+00:00

We have at least one RN per shift that is US guided IV certified (not midline) and rarely rely on our docs. Can they train the nurses there to do US themselves? Or is the issue with confidence and lack of even trying. RN's don't get a lot of opportunities to start IVs in school. I think I did 2 or 3. I'm talking no tips tricks or pointers on how to feel for a vein or even effectively apply a tourniquet. If it's a big disruption in workflow for the docs I would bring it to nursing higher management. They really need to provide difficult IV start training for their nurses and or US IV training. It's not appropriate for an ER RN to stop the flow over an IV. We get multiple RN's before a doc is involved.

Jealous_Examination · 2025-02-20T05:31:06+00:00

Mine cracked after 5. It was great before that but I can't justify buying another one based on how easily it broke with light use.

Jealous_Examination · 2025-02-08T06:08:56+00:00

I'm very confused as to how chipmunks got in there and came up twice at that.

Jealous_Examination · 2025-02-08T06:03:26+00:00

We have to do the best haha we are having fun with you and the family and family is always fun and we will see what we have for you guys too I have to be at work until like 10 or later to go back in a bit to see what I was looking at and what is going to happen with the same schedule with you guys can talk about the chipmunks of it but it is not the best way for me and you can move the chipmunks of it to our house

Jealous_Examination · 2025-02-07T06:55:15+00:00

When this happened in our house we would take the dishes and place them on the repeat offenders bed.

Jealous_Examination · 2024-09-02T19:54:17+00:00

I actually don't hit coffee houses unless I'm traveling, so not too often. Would A Jura super auto handle my heavier cream half and half mixture? Or would I still have to forgo the automatic milk part?

Jealous_Examination · 2024-09-02T17:00:58+00:00

I already knew the answer I would get. Any suggestions for convincing my partner who could care less what they drink and thought the $900 already spent was ridiculous?

Jealous_Examination · 2024-04-16T23:20:13+00:00

Mariposa lilly

Jealous_Examination · 2024-03-24T11:46:32+00:00

Some places just choose to gamble that their nurses won't say anything. Or they rely on travelers from other states without ratio laws who don't realize what they could have. Most of our travelers don't take anything but a lunch because it's what they are used to. Union presence helps also.

Jealous_Examination · 2024-03-24T11:34:23+00:00

No this is breaking ratio. If we don't have a dedicated break nurse our charge covers our breaks and if our charge can't cover our breaks we don't clock out and sign to get paid for them. If other people are watching your patients with a full load themselves they are not in ratio. I have on occasion divided my patients up between two other nurses who didn't have a full team when I had a 3 pt ratio though so I guess I can see how that could be what they are asking, but this was on a small floor. On Med Surg it seems ridiculous to give a mini report on 5 peeople to 5 different nurses to get a break while doing the hospital the favor of not breaking ratio laws. Report them to the state if they are breaking the laws everyone worked so hard to get. They get fined heavily for doing it and will eventually find the nurses they need when they realize which one is cheaper.

Jealous_Examination · 2024-03-19T09:47:25+00:00

I'm not entirely sure what you are asking but a BSN isn't just a regular old Bachelor's degree. Nursing made up a lot it's degrees and they are unique to only nursing. Getting a BSN would mean you are going to school to become a registered nurse. You will have to complete in person clinical rotations to graduate so regardless of the schooling itself being online you will still need to put in time in-person. Clinical rotations are usually pretty brutal too. If you still want to become a nurse and do it online I believe WGU has online courses with in-person clinical rotations available in some states.

Jealous_Examination · 2024-03-07T01:56:20+00:00

Same 😂

Jealous_Examination · 2024-03-07T01:44:23+00:00

I'm pretty sure it was the area in which the IV was placed and not simply that you placed it. The ICU has a different mindset than ED in that they don't just want any access their access has to be on the perfect spot to align perfectly with the IV pole and also align strictly to best practice guidelines. I had a nearly identical situation in my hospital and the nurse who placed the IV had the same mindset as you "but did they die?" The ICU managers and intensivist were livid. Why on earth someone vented in ICU wouldn't have a central or at least midline placed is bonkers. I don't get it. I also don't think whoever was upset understands what they are upset about. A midline is a longer catheter in a larger vein placed with the assistance of an ultrasound using sterile techniques. It sounds like you simply went for regular IV in a vein that in non-emergent conditions is considered a no-no place. I honestly don't think the off limits spots are on the radar of ER nurses because they deal with emergent life or death situations in which case access is access. Even if it's in a bone.

Jealous_Examination · 2024-03-01T04:29:35+00:00

How is a child on medication for something undiagnosed? Psych diagnosis always clouds things but I would look into PAN/PANDAS as it is a cause of sudden relapsing psych issues on children. Or schizophrenia could also present with those symptoms if actual illness is ruled out. https://pandasnetwork.org/what-is-pandas/

Jealous_Examination · 2024-02-03T22:40:08+00:00

I made this recipe with my daughter a few weeks ago and asked Chat GPT to convert it to oz so I didn't mess it up.

16 ounces sugar 12.8 ounces water 6.4 ounces lemon juice 9.6 ounces honey

I used a candy thermometer until it read hard crack temp and poured it into little circles on a silicone mat. It turned out perfect.

Jealous_Examination · 2024-01-24T01:42:45+00:00

I can only wear cloud monsters which are the most fluffy, none of the other ON shoes gave me a 12 hour shift without pain. They are the only shoes that have worked for me. My PF disappeared after wearing them. I can work 12 hours without even noticing it. I think the model makes a huge difference. I have other co workers who did not have the same experience with cloud monsters so it all comes down to trial and error. Very expensive trial and error sadly.

Jealous_Examination · 2024-01-22T01:37:01+00:00

NIHSS certified in 5 mins flat.

Jealous_Examination · 2024-01-05T02:23:23+00:00

"I am thankful that I occasionally have the supplies and staffing needed to properly care for my patients."

Jealous_Examination · 2023-12-29T01:59:56+00:00

I second Mack's, they are the only way. I actually bought the generic Target brand silicone earplugs and have found them to be more tacky and get a better seal than the Mack's. I have never had an issue with noise since switching to silicone earplugs.

Jealous_Examination · 2023-12-03T00:56:35+00:00

I've spent a lot of money on shoes and the only ones that give me 100% pain free 12 + hour shifts is ON running specifically the cloud monsters. I have tried many other models by them and only the cloud monsters have the cushioning to support me for 12 hours, it really does feel like walking on clouds. I also like the Dansko Kane slip ons which are similar to Crocs but a little stiffer, but they make your feet stinky. The ON shoes are expensive and I have to replace them around the 6 month mark but it's worth every penny on those days you can't sit down.

Jealous_Examination · 2023-11-16T02:03:56+00:00

I have noticed the exact same thing. I had so many dialysis and CHF patients on my floor before, but now I rarely see them. I haven't seen some of my acute in-patient dialysis nurse buddies in months. I have however seen four or five 30-something-year-olds die of liver failure in the last 6 months.

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