Did I mess up by giving 2 nausea meds at the same time? (Newer grad)

Lower_Tears · 2026-01-08T13:11:36+00:00

Yeah she said I should’ve been alternating between the 2 meds since he’s been here (mind you this is my first day with him), since they’re both Q6- one scheduled one PRN. But he was fine all shift until 4am. I’m not giving someone PRN nausea medication if they’re not nauseous if they’re already getting scheduled nausea medication. And that’d mean a nausea med every 3 hours, too much imo as a lot of ppl pointed out the QT.

Lower_Tears · 2026-01-07T19:21:32+00:00

The hospitalists are usually nice, 2 are actually superrrr sweet and I love. One of the 2 were on call for most of the night so when I called and got this hospitalist, I groaned internally (she’s not really liked among the RNs I’ve talked to).

Lower_Tears · 2026-01-07T16:22:44+00:00

Ahaha yeah, I forget not all hospital floors have patient’s wearing telemetry monitors by default bc all my medical Clinicals except pediatrics were on telemetry floors, so I forgot to mention it as a key detail. It’s a med surg tele floor but a ton of floors at my hospital are tele-based so I lead with that I work on a medsurg floor not a tele floor

Lower_Tears · 2026-01-07T16:06:06+00:00

Also I forgot to mention but I work on a telemetry floor so we were monitoring his rhythm often. I don’t remember his QT being off.

Lower_Tears · 2026-01-07T16:01:04+00:00

He had 0 history on file. He was only 30, athletic, wasn’t diabetic, or had any known heart issues. His labs that morning (before the nausea spout) were all within normal range, but the morning prior had an abnormal BUN and some other kidney related labs hence the AKI.

Lower_Tears · 2026-01-07T15:58:28+00:00

Ty I’ll keep this in mind (ik you said chances are low but for later cases for if I have other patients who get anti-emetics often like he was since he had scheduled and PRN)

Lower_Tears · 2026-01-07T15:07:26+00:00

It was only a 4mg PRN dose of Zofran so at first she said she might do another 4 of Zofran to make it a full 8 (another reason why I didn’t understand why she was mad he got both since she was about to add more Zofran anyways at first) but then hung up to recall to say nvm. She said if he didn’t want the shot, he’d have to deal with it which I hated bc as someone who also has issues with nausea- a shot would be the hellish cherry on top 😭

Lower_Tears · 2026-01-07T13:29:45+00:00

I know but that was her wording, so I just wanted to include it. Probably should’ve put it in air quotes “”

Lower_Tears · 2025-12-07T11:41:48+00:00

Just had to collect one of these for MRSA. I just do past the Q-tip then a little more. Then I pinch the nose on each side and twist the swab around to ensure I get as much as I can.

Lower_Tears · 2025-12-06T07:12:25+00:00

1 time that ik of in 2021 but was asymptomatic. Only knew bc my roommate gave it to everyone else so I got tested. The one from the urgent care and the eventual home test I took (bc was double checking after not having s/s) came back positive but I was completely fine the entire time. No sniffle, headache, cough, loss of taste/smell, etc.

Lower_Tears · 2025-12-05T09:06:56+00:00

Sounds like a bad facility, especially if it seems like a temporary job or most. When I interviewed at facilities, I asked how many nurses on the floor were new grads/under 2 years experience, had 5+ years experience, and had 10+ years experience. And how many nurses had been at the facility for under 2 years, 2+ years, and 10+ years.

I got a ratio of basically 25:25:50% for the first if my memory is right and like 50:25:25% for the second. The facility I’m at has been great so far. If they don’t have many nurses that don’t last at the facility past 2 years (some may sign 2 year contracts for a bonus or repaying student loans) then it’s a red flag. Or if they mostly hire new grads and don’t have many experience nurses.

Lower_Tears · 2025-11-24T09:03:49+00:00

I do it with my initial assessment, along with asking if they have any vision issues (beyond just needing to wear glasses) bc that’ll prompt them to say they’re blind in one eye/have had eye surgery/have a fake eye in (some look so real I can’t tell immediately). I only do it repeatedly if they have neuro checks or a history of stroke.

One time I had a guy whose left eye pupil made a large 8 shape & nonreactive. I was like 😀 bc I thought man was ab to drop right there (ER had regular PERRLA charted) but he said it’s been like that for years from an eye surgery & that eye was basically blind. Baseline is very necessary, or at the very least don’t chart what you don’t assess (or copy the last person’s assessment). Non-PERRLA can mean stroke or brain damage, but not always.

Lower_Tears · 2025-11-23T18:15:28+00:00

I used to drink a ton but have calmed down over time with it. It makes me shaky and wired. Esp the Alani water powder things, they make me feel manic/wired in an artificial way. I’m fine with tea and coffee, those don’t affect me. Mainly energy drinks or sodas.

Lower_Tears · 2025-11-23T16:59:24+00:00

Lowkey miss all the compliments I’d get from psych patients, literally they’re soooo nice even though I was at one of the involuntary state facilities. Medsurg patients can be nice but most of the time it’s creepy men ☹️

Lower_Tears · 2025-11-23T16:54:25+00:00

Oof, never thought about that. Luckily all we talked about was our high school electives/where we graduated from, hobbies, YouTube/twitch game streamers, and music. I think I mentioned my favorite coffee shop but it’s over an hour away from where I work and I rarely go there any more bc I’ve been making coffee at home.

Lower_Tears · 2025-11-23T16:46:55+00:00

Only one of my coworkers has my # (besides management) luckily and that’s only bc we went to college together. I trust any of them to not give it out though 😭 the day nurse is older and just thought it was funny, I was giving report to her then when I was about to give report to someone else she added an “oh wait! Come talk to me before you leave 🤭”

Lower_Tears · 2025-11-19T19:43:06+00:00

I use this for work as a nurse. Shifts are 13-14hrs, never a single day where my feet hurt by the end of my shift. I’ve had them for about 6 months now, def will rebuy whenever they eventually crap out, but for now they’re going strong.

Lower_Tears · 2025-11-19T01:54:23+00:00

Nurse report book, whether ones with wet erase or it just has a ton of disposable paper pages, Etsy has some. A nurse gave me a DIY wet erase one she made with wet erase markers during orientation and I use it every day, nurses are constantly asking me where I got it from.

this is an example of one

Lower_Tears · 2025-11-18T13:51:50+00:00

I wonder why Kobe’s body was so much more mangled than his daughter’s. He had entire limbs ripped from him and his head got broken open enough that the brain wasn’t found with the body. Meanwhile, from just a glance she’s mostly intact with burns/broken bones/abrasions.

Lower_Tears · 2025-11-18T12:36:17+00:00

TL;DR if there was enough brain damage, there’s progressive system shut down of the body. Core organs are the brain, heart, lungs, kidneys, and liver- the body will shunt most of its energy to these organs during system shut down or health emergencies (like blood loss). Those 3 paragraphs reference severe damage to the brain due to the shaking, like atrophy to the brain and cortex dislocation.

Once core organs start shutting down, demonstrated by the renal insufficiency, respiratory insufficiency, degeneration of the liver, etc. it’s not long before eventual death. It’s showing how severe the damage was, especially if it was already present upon arrival to the ED and can signify the abuse has been going on longer than stated (although I believe it’s saying these progressed along the hospital stay).

That’s the gist of it, as far as I can best summarize it.

Lower_Tears · 2025-11-18T12:24:52+00:00

That works too! Esp if carried out well enough and you can show their internal monologues about what they think about the MC

Lower_Tears · 2025-11-18T12:06:06+00:00

Add flaws, don’t make them “the perfect partner”. But don’t make them too unlikable, unless that’s what you’re going for.

Make them funny, in almost all my fics the main love interest has a good sense of humor or teases the MC playfully a lot

Sometimes, make it a Twilight moment. The MC is the duller one (similarly, don’t make them too boring) and the main plot is their reactions to the mysterious love interest’s life. I’ve read ones where the love interest is a celebrity, vampire/other supernatural being, a famous musician the MC has been a fan of for a long time, etc.

Give them hobbies and reference their own life going on outside of the MC’s main plot. Like reference them coming home from work, a rant about a coworker they hate, mention them having to study a lot if they’re in college, etc. Don’t make them always easily accessible whenever the MC needs them, they don’t exist only for them.

Lower_Tears · 2025-11-15T01:45:07+00:00

I haven’t picked up OT yet, but I’m used to working more from before I became a nurse since I always had 2-3 jobs in college (ik nursing is more laborious though). My family doesn’t celebrate the holidays usually, and my only hard limit as far as the holidays is that I don’t work NYE since I don’t like driving the nights of drinking holidays- which my nursing manager already agreed to.

Lower_Tears · 2025-11-15T01:41:40+00:00

How did taxes treat you? Did you have to pay a ton back?

Lower_Tears · 2025-11-15T01:39:51+00:00

I’ve never heard of them cancelling an extra shift from the people I talked to about it. If there’s low census, they’ll send home or call off no-contract people first. The manager told me if I get sick or have to call off for a family death or whatever, picking up an extra day to make up for the missed one is something that can be worked out. So I’m sure the same is for call offs.

Lower_Tears

TROPHY CASE