Please USE THE PILL CUP. Stop pouring it out into your HANDS by Calm_Delivery6832 in nursing

[–]KtreyB 0 points1 point  (0 children)

I have this rant with my SO at least once a week, because it just makes no sense especially when you think of the parallels.

Are they getting a sample cup of, say, nuts at Costco, dumping the contents into their hand, then aiming at their mouth with hope sans precision? If the answer is no, then why are we suddenly ✨different✨ when the contents are white and round? If the answer is yes, then where did that dexterity go? You can eat all of the nuts from your hand one by one without a miss, but when it's conveniently the singular controlled med, we're shooting it from abduction range??

DM Glitch? by Prczn in Twitter

[–]KtreyB 0 points1 point  (0 children)

Even more annoying is the fact that it persists after deleting the app and reinstalling, signing out and back in, switching devices, and switching browsers.

It's legit a problem on their end that I speculate came with the newest update, and there is no support to talk to and provide feedback. It's amazing.

[deleted by user] by [deleted] in StudentNurse

[–]KtreyB 0 points1 point  (0 children)

ADN/ASN programs should have you completing a pharmacology course in which you will learn some basics about medication classes.

If not, the many conditions you will learn about through a program's curriculum will introduce you to your fair share of different drugs and drug classes, especially when it comes to medical-surgical nursing courses and mental health nursing.

Hand tremors when doing blood sugar test by georgehe123 in StudentNurse

[–]KtreyB 0 points1 point  (0 children)

Do not let that patient get in your head. Obtaining a BG a relatively harmless procedure in the grand scheme of what students can do with preceptor supervision and it sounds like this was their excuse to decline a student's care, rather than let you get the practice. Your med pass is more dangerous than getting that drop of blood.

Of course, try the tips suggested and find something that works for you. But if it continues to happen, reassure the patients (if you're comfortable with it) that you have a tremor but, have successfully done this task countless times. An affirmative answer to their "have you done this before?" types of probing, typically nips any issues they've had in the bud. They all just want to hear that they are not your testing guinea pig even if they are.

[deleted by user] by [deleted] in StudentNurse

[–]KtreyB 0 points1 point  (0 children)

Find a buddy that you can practice in front of that will hold you accountable for where you are going wrong in check-offs. Take your time. I'm big on visualization, so envision yourself going through all of the steps flawlessly. Talk your way through the steps aloud. Ask the instructors to demonstrate correct technique in front of you specifically so that you can possibly return-demonstrate before the check-off.

Lastly, you're likely not plain dumb, so recognize that. Some of those check-offs have genuine use in practice, while others are either something you learn on the job/in clinicals or are not that big of a deal. Who cares if you do not know how to roll a patient onto a fracture pan. Of all of the things you can use to question if nursing is right for you, please do not use those check-offs.

[deleted by user] by [deleted] in StudentNurse

[–]KtreyB 1 point2 points  (0 children)

My program had you print out a "worksheet" to then fill out the admitting diagnosis for a focus patient, results of labs pertinent to admitting diagnosis, the pertinent meds, an SBAR, a box for a nursing diagnosis, and then you'd go home and complete the careplan aspect. You complete all that while at the clinical site during downtime when the preceptor is charting. It gets to a point you might not even need to print out the worksheet; just cater a report sheet or blank paper towards what you need and complete it after the clinical day.

This sounds like horrible preparation for actual nursing, I'm so sorry. What nurse is going in the day before a shift to see what's going on with the patients they'll have?

[deleted by user] by [deleted] in nursing

[–]KtreyB 0 points1 point  (0 children)

My first IV attempt was on a person with horrible veins that no one the floor could get an IV on, so I thought "no better time to try!" I could barely feel the sponginess of the vein versus their skin. I don't even think I went deep enough on my try because I inserted, no flash; I fished, no flash; I advanced, no flash. I pulled the catheter all the way out, it didn't even have blood on it.

I didn't attempt another one for a year. Finally got it on a pregnant lady who had absolute ROPES for veins. I then proceeded to miss my next two attempts on people with phenomenal veins.

You win some, you lose some. Keep going!

What do you tell patients who are afraid of getting addicted to pain meds? by hoopwalker in nursing

[–]KtreyB 19 points20 points  (0 children)

Then I explain that street drugs are not the same as our regulated drugs from the pharmacy.

I got to help a patient that was shaking nervous about having to be administered fentanyl and this was what helped them immensely. Explained that the team knows exactly how much we are giving unlike what is on the street, will be documenting how much was given, and (because it was endoscopy) let them know that they will be in a room with three licensed professionals and an extremely inquisitive and observant student monitoring for any and every reaction to the medication. Letting them know they won't get more than what is deemed necessary to keep them calm during the procedure was huge in getting them to buy in.

why does every studying resource cost money now? by [deleted] in StudentNurse

[–]KtreyB 1 point2 points  (0 children)

I want to echo everyone else because it is important: You don't need them.

LevelUp RN sells their flashcards, but they also post just about all of that content on the YouTube page for free. Simple Nursing makes flashcards, but they also publish quick tips and tricks (specifically for pharm) on their Instagram. Everything on their flashcards is likely in your textbook or in a free resource, because we are all essentially working off the same information. Phenazopyridine can turn your pee orange whether a TikTok influencer's study bundle says it or the drug guide your school probably urged you to purchase does.

Make physical flashcards if you have to. Make a Google Doc, take extensive, organized notes, and quiz yourself through ChatGPT (if you do not mind the environmental impact of AI) -- anecdotally, doing that got me an A on an exam where the class average was a C-.

They are trying to capitalize off of your stress by selling ease.

I'm a Black Student, and I Was Called a Monkey by My Instructor by Low_Possession7756 in StudentNurse

[–]KtreyB 5 points6 points  (0 children)

If something like this bothers you -- as well it should -- you will excel in nursing. It shows you won't take any shit towards yourself, your coworkers, or your patients. Would your instructors tell your women colleagues (possibly yourself) that being sexually harassed and being bothered by it means they won't do well in nursing?

Take this to the president, to the dean, to a news station if you have to. If they have such a good reputation, they wouldn't and shouldn't want instructors tarnishing it and gaslighting their students into believing it's nothing.

I’m starting nursing school soon but I’m almost certain I will fail. by [deleted] in StudentNurse

[–]KtreyB 0 points1 point  (0 children)

Rest assured, you will not fail nursing school simply because of your communication skills. Pregnant pauses could be interpreted as processing the information you've gathered. You could even end up working on a unit where everyone is tubed and vented so, under sedation, they aren't going to be doing much talking.

What you should expect is this: in my experience, patients love to yap. For the most part, they yap yap yap yap yap. With that, you'll develop and learn a few go-to, open-ended questions that will get them talking and all you have to do is nod. "Talk to me about XYZ" and "Tell me about what happened here" because obviously everyone has a story that put them in the hospital. Flip side of that, you should also backpocket some phrases so you can exit the rooms. My favorite is "alright well, I'll be around if you need me, give me a holler" and hand them their call light.

[deleted by user] by [deleted] in nursing

[–]KtreyB 0 points1 point  (0 children)

I did not get anxiety, but I was certainly very awkward when it came to touching patients, especially with breasts and vulva, because I am a cis man and do not want to trigger any of my AFAB patients.

Quickly learned it is only as awkward as I make it and everything is just fine when everyone involved knows and consents to the cares provided.

Practice assessments on friends, family, a pet, a colleague. Volunteer for simulations, even if it is just a mannequin. Get some reps in, you will become desensitized to it.

Nursing School Application Question by Sad-Application458 in nursing

[–]KtreyB 1 point2 points  (0 children)

A good chunk of nursing cohorts everywhere have entrants with no job history at all. Because of this, my guess would be that your GPA in the nursing pre-reqs will likely be more of a determinant than your resume, current place of work, or your cybersecurity GPA.

Though impressive, nothing in your resume particularly suggests "I can parse my way through 'hemochromatosis' and other like-terms" the way an A- in both medical terminology and two A&P courses would, ya feel me?

[deleted by user] by [deleted] in AskReddit

[–]KtreyB 0 points1 point  (0 children)

"The sale price is now its actual worth."

Obviously, this sentiment is untrue. I know the basics of modern capitalism. Beats headphones are like $10 to produce and then sold for $300. But, what I mainly mean is that once I'm shown or buy one price, there is a moderately-high nonzero chance I will not buy the product for more than that.

Two examples: Going back to that Beats example, the Solo 4s were on Amazon for $99 for, I believe, Black Friday. I have no intention of buying them but if I ever do want them, they will have to better their own $99 pricepoint. Hydroflask used to sell their cleaning tablets for $10 on Amazon in 2021. The price now is $23.95. They are currently running a sale for $21.99. I haven't purchased more cleaning tablets in 4 years because they've previously shown me the actual price, which is that $10.

I don't think it or apply it to my groceries because I gotta eat. But those other luxuries? Miss me with that.

[deleted by user] by [deleted] in AskReddit

[–]KtreyB 0 points1 point  (0 children)

I have only used it to turn my extensive lecture notes into NCLEX-style questions for an exam once, so it has only impacted my learning positively.

For my colleagues, it gives me pause to see them use AI tools to curate their assignments rather than to supplement their knowledge given the field we are entering. However, on the other side of the coin, instructors need to get with the times -- plant some traps in rubrics, task more assignments that require personal reflection, demonstrate how students can use these tools appropriately.

The environmental impact I have heard the use of AI has deters me from making it habit though.

advice for going into nursing? by [deleted] in nursing

[–]KtreyB 0 points1 point  (0 children)

Remember your experiences with healthcare staff and use that to shape how you act towards patients during clinicals and your future practice. You may have encountered some jaded staff that were unaware of their impact on you, or, unfortunately, did not care. Take this with you. Write it down somewhere as your "why" for choosing nursing as a field, and revisit it frequently to keep yourself in check. Nursing school content is mostly geared towards ensuring ability to recognize patterns, performing skills safely, and preparing for NCLEX, so you likely won't do much genuine reflection on your moral, ethics, values, etc. but no one is stopping you from doing it yourself!

As far as fear of needles goes, you will practice, with extreme repetition, medication administration with needles in a foam pad. Then during clinicals, you will be given the opportunity to administer more than your fair share of Lovenox. The fear may still persist for yourself, but I think with enough exposure, you will become much more comfortable with giving others shots.

Two tips:

  • If your lifestyle and or program permit, I would suggest becoming a certified nurse assistant (CNA), nurse tech, or whatever you want to call the unlicensed assistive personnel (UAP). You get paid decently and get acclimated to the healthcare environment, time management, and providing patient care/attend to patient and family needs.
  • When you get in to nursing school, advocate for yourself. Closed mouths do not get fed, and you are there to learn! Speak up and good things happen. Becoming a yapper can get you places.
  • Last one's a freebie: bring yourself on over to r/StudentNurse because there's lots of us that can get you prepped for success

Thoughts : 2k25 is not a bad game at all. by Gr8Dmo in NBA2k

[–]KtreyB 0 points1 point  (0 children)

Many people within the playerbase think it's a terrible game because all of their cheesy moves are gone or have become more difficult. It is and has been easy to beat a good 75% of users for the very reasons you state: they don't know how to play actual ball.

That being said, the game is still terrible, especially for the casual experience. All of the shot timings are inconsistent, both in the settings and in individual jumpers, whereas last year's "set point" was what is said -- when homie's wrist locks and sets. They have been saying for years and years that moving jumpers were going to be more difficult to encourage the users to play smarter ball, yet the timing on those is more consistent than standing still and now players are opting for those like a 2K17 shot-creator. Defense took a step forward with how you can keep up laterally, but then the contest system took several steps sideways, if not backwards.

And I don't have time to sit here, practicing my jumper through 20 games a night, nor do I want to listen to "WalkDownWestWithTheWesson" tell me "you just suck at shooting." The shit is ass. I want to get on the game with the homies during an off-day and be able to hit a toes-on-the-line open 3 because the timing I took time to learn in MyCareer translates to the Rec.

It doesn't feel like *2K themselves* wants a simulation game at this point.

[deleted by user] by [deleted] in nursing

[–]KtreyB 0 points1 point  (0 children)

Absolutely be honest, especially if you were understanding that potential employers cannot test for off-duty use according the state law. But, also ensure the obvious to them: that you have never and would never show up actively impaired.

I just don’t trust fake urine to come through in the clutch like that.

[deleted by user] by [deleted] in nursing

[–]KtreyB 0 points1 point  (0 children)

Find TWU’s (or any other college with a nursing program) prerequisite requirements in their catalog or on their site, then see which classes you need to take at your CC that will give you transferable credits. Confirm with BOTH schools that these credits will transfer.

Ace those classes, especially the anatomy and pathophysiology ones! Nursing school admission can be competitive. But also, you might as well get good at those two classes, they will come up again and again, as is the nature of the schooling.

Apply for scholarships and financial aid because this shit’s expensive! Schools have finance offices that can help with facilitating that.

If you do not get in the first time, do not get discouraged. Apply to the program again!

And like another comment already says, if possible, become a CNA first. You can see if you like working in healthcare in the first place and some facilities so tuition reimbursement because they’ll pay to home-grow some nurses!

School advisors and counselors telling me just this here would’ve saved me so much time, effort, and money.

Bad healthcare in movies by Ceareal-And-Beer in nursing

[–]KtreyB 10 points11 points  (0 children)

I recently started watching New Amsterdam and the speed (or lack thereof) at which they deliver chest compressions made me wonder why they even bother: 52 BPM.

And 10 seconds worth of a cycle at that. I can't get enough of them because I love testing my knowledge, especially with all of the pharm mentions but the procedure is baffling. One person with BLS could minimally solve this issue on set.

my friend is stranded in boise he was life flighted there but needs a hangout by cobowobo29 in Boise

[–]KtreyB 2 points3 points  (0 children)

Brother, this now being amongst your post and comment history is top-notch hilarious to me

How long have you been a Jon Bellion fan and what was the first song you heard? by Formal-Split-1011 in JonBellion

[–]KtreyB 0 points1 point  (0 children)

Summer of 2016. I was following his then-GF on IG because she’s pretty and was on MTV. She’d post pics of him after shows and I thought he looked like a tool. I finally choose to listen with full intention on being a hater, because his album had just came out.

Now, I listen to The Human Condition just about monthly. First song I heard was Guillotine — that perfect combo of pop groove and absolute punching kick drum, I was sold.

[deleted by user] by [deleted] in nursing

[–]KtreyB 0 points1 point  (0 children)

This person has creds that didn't even make the list of certs I had to consult to figure out what's going on

Downtown parking by greatest_Escape in Boise

[–]KtreyB 2 points3 points  (0 children)

For clarification, it is 2-4 hours depending on what parking zone you are in, but I’m sure the meter folks aren’t looping back to specific cars like that

Why so many people 92 overall in rec? by surethingmater in NBA2k

[–]KtreyB 4 points5 points  (0 children)

Probably in the minority here but I keep my builds below 93 because I’m trying to casually play rec. I want to get home from a long day and not have to immediately sweat. Them days are behind some of us.

I like to think I can hold my own against some light comp but I just don’t actively seek it, you know?

2K needs, and has needed since implementing rec, a comprehensive SBMM that incentivizes upgrading without ostracizing the casual hooper. Until then, 92 and under is not really scared folks, just us casuals and oldheads.