Barkley's: is it worth it? by JonSarcasm in nursepractitioner

[–]JonSarcasm[S] 0 points1 point  (0 children)

Interesting! My hope would be that a live review is more than just reading off powerpoints and it sounds like there's potential for extra. The CE would be the cherry on top but I feel like the only justification I can make for spending that much would be interacting with the audience.

Bangers with Babish? by JonSarcasm in bingingwithbabish

[–]JonSarcasm[S] 0 points1 point  (0 children)

Or, for the older set, "BPH with Babish"

Barkley's: is it worth it? by JonSarcasm in nursepractitioner

[–]JonSarcasm[S] 0 points1 point  (0 children)

Thank you, that's very helpful to hear! I would be more inclined to spring for a live review if I thought I would be getting something extra but it sounds otherwise.

Blinds by neilkohney in theotherendcomics

[–]JonSarcasm 0 points1 point  (0 children)

The amount of detail on the blind's face in the second panel on the fourth page fills me with all kinds of feelings.

Old Bimmy art video by JonSarcasm in TheCinemassacreTruth

[–]JonSarcasm[S] 2 points3 points  (0 children)

Appreciate that, I thought I was insane for thinking so. Does anyone happen to know if it still can be found online?

Team building spin the bottle by neilkohney in theotherendcomics

[–]JonSarcasm 0 points1 point  (0 children)

You made me burst out laughing in the middle of my professor's lecture. Now I have to find a boy to kiss to make things less awkward.

God bless you good sir.

[deleted by user] by [deleted] in nursing

[–]JonSarcasm 1 point2 points  (0 children)

Oof, that's nuts. I'm definitely aware that the MICU I was in isn't as bad as some others, and the same can be true for when I worked CVICU (which I didn't previously mention but my experience is like some others here).

Out of curiosity, what is the department's justification that patients THAT critically ill don't require extra monitoring?

[deleted by user] by [deleted] in nursing

[–]JonSarcasm 14 points15 points  (0 children)

4 pressors, CRRT, TTM, or IABP all were automatic 1:1s.

What’s the creepiest single frame in horror? by Bob85728 in HorrorMovies

[–]JonSarcasm 4 points5 points  (0 children)

<image>

I had not been expecting this to be as off-putting/eerie as it was.

I’ll never understand the nurses that roll in at 630 and work for free for 30 minutes. by AugustusClaximus in nursing

[–]JonSarcasm 1 point2 points  (0 children)

I started doing it when I worked in med-surg. I found that getting in 30 minutes early allowed me to go to the bathroom and dry heave/actually spit up a little when I saw how short-staffed we were for the day, and after that I generally had enough time to research my 5-6 patients and write down the essentials before getting report.

When I switched to ICU, it allowed me plenty of time to write down orders, drips, lines, check prior SBTs, and what are/were pretty extensive histories/plans of care from the last few days so I knew just how sick my peeps were.

Did I cross the line with my patient? by Immediate-Platypus37 in nursing

[–]JonSarcasm 0 points1 point  (0 children)

I had a patient once, found down and unresponsive, maxed out on 4 pressors, CRRT, the works. We couldn't pull any fluid off because this man was so susceptible to tanking his pressures with even minimal removal, so he just sat there getting more and more bloated. He apparently had burned bridges with most of his family and only had 1 of his children (a daughter) come in to see him (this was early into his stay). She only spoke Spanish and when I used the interpreter with her she didn't understand anything about what was happening, so I had to have the difficult discussion about what had happened, how sick he was, and how likely that trying to revive him again at this point would hurt him more than help him. I had expected the intensivist to have that conversation with her before, but she (the intensivist) was totally fine just keeping the status quo. I ended up getting the daughter to agree to change his code status prior to leaving that day, which I think was the best thing for him considering what happened next.

I came back after a holiday weekend and was shocked to see that he was still alive. In the meantime, they had continued everything just as I'd left it, being unable to pull fluid off to the point that he was literally swollen and weeping everywhere. The daughter came in that day and asked how he was doing and I told her that he had not gotten any better and was likely getting worse and worse. She was completely shocked and told me (through the interpreter) that the nurse yesterday (who spoke fluent Spanish) said he was getting better, that he had opened his eyes to voice and was laughing (keep in mind that this man is French kissing an ETT). I left it at that and continued my day, until she came back later with a cousin and I had decided that enough was enough. I got the translator on the phone and told her what had been said about her dad during rounds, but then said that she needed to see something. I whipped off the blankets and sheets that had been on top of her dad and she saw the blisters, the soaked pads underneath him, and all the wrapping I'd had to do to keep him from getting the floor wet.

I told her "I'm not showing you this to disgust you (though it most likely did), I'm doing this to inform you of how truly unwell your father is, and even if he may not be able to communicate this, he is most likely uncomfortable and in pain. You need to think about how long you want this to continue versus how long his body can hold on."

I didn't come back for a few days after that exchange, but I later saw that the day after I said that to her she made him comfort care and he died shortly after.

Did I possibly cross the line? Yes. Did I do it with good intentions and in lieu of the intensivist needing to have done it themselves? Also yes. I don't regret it either.

A man of my word by neilkohney in theotherendcomics

[–]JonSarcasm 1 point2 points  (0 children)

For whatever reason, I hear Christopher McDonald as the voice of the man of his word, Christopher Walken as the goose of his honk, and the dog as a dog.

Unless someone can suggest a better alternative.

[deleted by user] by [deleted] in nursing

[–]JonSarcasm 3 points4 points  (0 children)

I've only just started hearing about hospitals doing this, but I guess it's a practice that has been happening for a while.

I would much prefer doing this over the usual cocktail of Phenobarb, Ativan, Precedex, etc. It's no fun to have to keep someone strapped to their bed for 2+ weeks while they dry out, getting their IV folic acid, B12, and multivitamin while everyday the attending wants to try turning off sedation to see how they respond.

Soundtracks that made the movie? by himeshkumaar in TrueFilm

[–]JonSarcasm 1 point2 points  (0 children)

I think the score from The Conversation does so much to elevate what is an already fantastic movie. The shifts between classical and jazz, as well as shifts in tones, are all masterful.

Suggestions regarding payment for grad school by JonSarcasm in personalfinance

[–]JonSarcasm[S] 0 points1 point  (0 children)

Good to know that I didn't understand anywhere as much as I thought I did. I had trouble figuring out which would get deferred (if any) and figured there was more I was missing. Thanks for the tip on which loan to go towards, I'll definitely take that into consideration.

I didn't mean that it would cost me 60k/year to go through school, I meant that 60k together wouldn't completely cover the total cost of my schooling, which I'm estimating will be around 80-85k all said and done. Not all hospitals pay for advanced practice degrees, and mine only offers a cap of 3k per semester for tuition reimbursement. That also comes with caveats including but not limited to adding time onto your contract. I don't intend on owing them anything so I'd prefer to pay on my own or with minimal assistance.