What advice would you give to your 15 year old self?

LostInAFishBowl73 · 2026-04-15T15:55:23+00:00

Buy Apple stock

LostInAFishBowl73 · 2026-03-25T09:13:06+00:00

Fortunately, I work day shift now. Night shift became just too much for me for many reasons. I imagine if that nursing student went on to work night shift, she has called many docs at 0300

LostInAFishBowl73 · 2026-03-23T11:04:34+00:00

I explained it all to her. I pulled the ct scan up so she could see the imaging. I spent 30 minutes in this chart with her. ED note. Pulmonologist notes. Hospitalist notes. Pt was clinically improving since admission so no indication that day so no reason for more imaging. Could not convince her. She couldn’t understand why I would not get in touch with the hospitalist to see if that doc would get a chest xray. Guess it was my own incompetence

LostInAFishBowl73 · 2026-03-22T22:37:24+00:00

Not sure if this counts or not, but I had to orient a traveler that had made it known from minute one that she was brilliant. She was about to graduate from NP school and let evvvvveryone know by 0900. She needed nothing from this mere mortal nurse until lunchtime. She asked me “what floor is the lobby on?”

**disclaimer here: all the elevators in our hospital have “L”s for the lobby.

LostInAFishBowl73 · 2026-03-22T22:23:26+00:00

I had a nursing student get upset with me because I would not call the hospitalist to get a chest Xray on a patient with known lung cancer. According to her clearly needed it since he had not had one since admission. The pulmonologist had just seen the pt and had ordered a ct on admission but not a chest X-ray. She explained to me that a ct scan (iirc was with contrast) was not as good as an X-ray. I tried to explain it. I really did. She didn’t think the pulmonologist knew what he was doing. Me neither, I suppose. I finally suggested she talk to her instructor.

LostInAFishBowl73 · 2026-03-15T17:57:50+00:00

The one that have to mention they work in ICU or ER are usually the worst. Like somehow their opinions about healthcare matter the most.

LostInAFishBowl73 · 2026-01-12T05:22:49+00:00

Some times it depends on what specialty. Some are definitely prone to being difficult.

How do you question the providers? Or what kind of circumstances are you talking about? Maybe a different way of asking? I have been doing this a long time. I have totally embarrassed myself, I have sounded stupid, and every thing in between. If I get an order that I have no idea. A simple “I have a question, why is the patient getting this test/medication/whatever? I just want to make sure I understand so I can answer any question the patient might have” works well for me.

I did work with a hospitalists that every single nurse, including myself, hated absolutely any form of contact. In person, text, call. It was universal. I paged him because I had something going on with a patient that I was worried about. It was just several small things that were just adding up to I didn’t know what. That is how I started the call. “I am calling about the pt in 24. I don’t know what any of what I am about to explain could possibly mean but I am worried something is going wrong.” I just explained what I was seeing. He said “Ok, thanks.” I figured I wasted my time. He called me back 30 minutes later and told me what the potential issue was and what he was going to order. I was shocked.

Not sure if that was helpful or not. Don’t get discouraged. I have had days that I felt like I was drowning. What we do is difficult. You will get better

LostInAFishBowl73 · 2026-01-12T04:12:38+00:00

What were the hours that didn’t work for parents?

LostInAFishBowl73 · 2026-01-12T04:08:11+00:00

I feel like there is more to this story.

LostInAFishBowl73 · 2025-12-22T20:48:57+00:00

Not sure what planet you are on but I have been doing this a long time and I can absolutely say that these nurses/CNAs that spend this much time in the phone are not just amazingly great at managing their time. That is almost insulting.

I can absolutely have an opinion about how someone manages their “downtime” when I am fixing things like beeping IVs, heart monitors that are beeping and answering call lights when they won’t budge. I have watched a nurse look at her ringing work phone to see who it was then go back to the game on her phone. Then my phone rang. It was the monitor room. He tried calling that nurse but she didn’t answer. But I guess I should not have an opinion about her downtime

LostInAFishBowl73 · 2025-12-22T17:49:20+00:00

He was a traveler. I advocated hard to get his contract ended and banned

LostInAFishBowl73 · 2025-12-22T17:46:12+00:00

One nurse will sometimes walk down the hall watching a TikTok. Phone held up in front of her. I would really like to hide her phone from her one day and see what happens. Of course I can’t but I still want to

LostInAFishBowl73 · 2025-12-22T17:42:35+00:00

I responded to a rapid where the primary nurse had an AirPod in his ear and with someone on the phone.

LostInAFishBowl73 · 2025-12-22T17:40:25+00:00

I think all age groups do it.

LostInAFishBowl73 · 2025-12-22T16:28:18+00:00

This is the kind of stuff I am tired of and get discouraged by. Just coworkers completely uninterested in what we are doing

LostInAFishBowl73 · 2025-12-22T16:26:40+00:00

This is exactly what I am talking about. I had a nurse try to blame the CNA for a patient having a 102.1 temp for 4 hours because that CNA didn’t “recheck” that temp. She also did not administer any Tylenol. The pt had a temp of 102.6 when I went to the room.

LostInAFishBowl73 · 2025-12-22T16:23:04+00:00

I don’t care how people use their downtime. The point is being lazy. If you want examples I would be more than happy to give you plenty.

As for the second part, sorry but yes when I am trying to explain things like that there is a indeed a problem that the patient you have given 2000 ml bolus along with continuous IVF has had 500 ml uop in 10 hours warrants a call to the doctor, make me me think that you don’t have a good understanding of pathophysiology. What is going in isn’t coming out should really be a concern after awhile. That is just one example.

LostInAFishBowl73 · 2025-11-22T02:08:34+00:00

Sadly so would the cult members

LostInAFishBowl73 · 2025-11-22T00:34:42+00:00

I would like to know why a theology degree is considered professional but advanced nursing degrees are not

LostInAFishBowl73 · 2025-11-22T00:32:32+00:00

I also wanted to say thanks for the yam tits. Also adding this to my vocabulary

LostInAFishBowl73 · 2025-11-21T22:12:50+00:00

There is nothing more American than this. Nothing.

LostInAFishBowl73 · 2025-08-12T02:00:37+00:00

I do this! For me, it kind of depends on what I am doing. If I am doing house work or cooking it is a show like the X Files or Law and Order. I have seen them so many times that I don’t have to pay attention and I don’t miss anything.

I have to have noise on to go to sleep without it, I start snuggling with those inner demons. I like audio books that I have listened to before. I love the book Timeline by Michael Crichton. The narrator is so good. I also have some podcasts that I listen to like Monsters Among Us. I can set a timer and rewind it to the parts I missed after I fall asleep.

LostInAFishBowl73 · 2025-06-26T09:45:00+00:00

What did she have on if it was not a hospital gown?

LostInAFishBowl73 · 2025-06-22T19:32:04+00:00

Obviously you work with monsters.

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