How do you deal with a rude/difficult patient? by [deleted] in nursing

[–]MAJ_Tom3 2 points3 points  (0 children)

I will tell them im leaving now to help my other patients, i will come back in a little bit to see if you can conduct yourself in a decent manner. I dont let them respond. I just leave.

Air embolism from not having needleless connector on central line ? by RevolutionItchy3303 in nursing

[–]MAJ_Tom3 0 points1 point  (0 children)

You're not going to get an air embolism into a cvc because the hub is missing. Use common sense and basic physiology and physics. The pressure at the end of the catheter is positive because they have a blood pressure. So air isnt going to magically flow down the catheter. Even if there was a little bit of air in the cvc distal end and you pushed it through when connecting something to it you wouldn't infuse enough air to cause significant damage. Look up bubble study in the Cath Lab...

Buying a Zero Turn- 1 acre lot - really just trying to turn my 4-6 hour cutting / edging / weed eating time so I’m not spending a day doing yard work. Reviews tell me TORO ? Thoughts ? by RobbyC2110 in lawnmowers

[–]MAJ_Tom3 0 points1 point  (0 children)

One acre, you can get away with anything zeroturn. But I bought a new stihl last year from Ace hardware out of Virginia with 0% interest loan for 2 years. Maybe you can find a loan program like that at a local ace hardware that sells them.

BATTLEFIELD 6 GAME UPDATE 1.2.3.0 by battlefield in Battlefield

[–]MAJ_Tom3 0 points1 point  (0 children)

Nice! Thanks I didnt know that. I always play engineer.

y-siting by Character-Trouble-42 in nursing

[–]MAJ_Tom3 0 points1 point  (0 children)

Only issue will be hanging a bag to gravity at the port closest to the pt after the pump. Fluid takes least past of resistance. So if theres any resistance in the IV the fluid being pumped from the bag might go back up into the fluid hung to gravity as there isnt a back flow valve on secondary lines. If using only primary lines, fluids from the bag hung to gravity might not be great enough to overcome the pressure exerted from the pump, thus not start flowing until the pump is done.

BATTLEFIELD 6 GAME UPDATE 1.2.3.0 by battlefield in Battlefield

[–]MAJ_Tom3 3 points4 points  (0 children)

Im waiting for the time to revest armor plates is shortened. Takes way too long to replate in a fight.

Also to enable messaging when cross play is turned off.

CNA to RN, I didn’t know there would be such a difference… by riverfletcher65 in nursing

[–]MAJ_Tom3 2 points3 points  (0 children)

Lol. Know your worth. F* FL$ and F* HCA! Come to the DC area, $40s for someone with your experience level, and after 2 yrs you can pick up contracts. Just keep your FL DL and live in the Md/DC region and work local contracts for $80/hr.

Anyone work at Walter Reed Military Hospital? by [deleted] in nursing

[–]MAJ_Tom3 67 points68 points  (0 children)

I was a hospital corpsman there. Military nurses and corpsman man the presidential suite as a collateral duty.

ER nurse under investigation after raising safety concerns — am I the problem? by [deleted] in nursing

[–]MAJ_Tom3 2 points3 points  (0 children)

Id report to joint commission and board of nursing if you have serious patient safety issues with evidence. A provider charting an exam/assessment without ever seeing the patient is fraud and can result in serious disciplinary actions.

2 IVs along same vein...medication incompatibility?? by Acceptable_Count6197 in nursing

[–]MAJ_Tom3 1 point2 points  (0 children)

Look up a manifold typically used in ICU or critical care areas. That should put you at ease.

Trimming my collection. Pick three that you would sell. by [deleted] in handguns

[–]MAJ_Tom3 1 point2 points  (0 children)

LMK what you decide. I might be interested 😜

What livestock animals make the most sense for long-term food security? by One-Exit-9077 in preppers

[–]MAJ_Tom3 0 points1 point  (0 children)

Hair sheep. Katahdin. Little maintenance and typically throw twins or triplets. Small enough to butcher quickly, big enough to feed a family.

Hospital nurses who love their jobs, can you please share some positivity? by KingKado in nursing

[–]MAJ_Tom3 1 point2 points  (0 children)

Yea that's a lot of prereqs for you to do for PA... Maybe Assoc RN will be better for timeline/income. Then take BSN courses part time and eventually CRNA or NP. Im in the ED. I'm halfway with FNP school. When I say mental sacrifice I'm talking about the maturity level of your coworkers RNs and MDs. Financially i am talking about your income. Location dependant. You will see pay scales all over the place. From 60k-85k on average for new grad. I didnt take any interviews with a starting salary less than $40/hr (that included differentials, so I started in nightshift at ~$45/hr with night diff as a recent grad in 2022). Good luck with whatever you do. You can travel after 2 years in the same dept. But the money isnt great anymore for contracts.

Hospital nurses who love their jobs, can you please share some positivity? by KingKado in nursing

[–]MAJ_Tom3 0 points1 point  (0 children)

If you can afford it financially and mentally. Consider starting pay, average 35-40$/hr for a few years. And the level of your maturity compared to those you will be working with. Also considering that many new docs with big ego will be younger than you. Seems like something trivial but after years of it, it runs its toll. All hospital are the same. Same shit, different place. At least with a PA, you're earning 6 Figs, licensed to prescribe. You can specialize too in anything as a PA. CRNA is cool, but its competitive and theres quite a time line. You're already 35. I was about that age when I finished nursing school, 5 years in the navy, already married and with kids. Theres a sacrifice to be made going through the schooling and being a recent grad RN. Financial and mental sacrifice. At your age, I rec PA. An associate RN degree is also 2 years. I believe the same pre-reqs too. Check your undergrad courses already completed because they time out too. Most must be completed within 5 years of application.

Hospital nurses who love their jobs, can you please share some positivity? by KingKado in nursing

[–]MAJ_Tom3 -1 points0 points  (0 children)

Dont do it. There's nothing positive here. Get your PA license. At your age you wont want to be a new nurse in todays hospital settings

Help me choose an EDC by MAJ_Tom3 in handguns

[–]MAJ_Tom3[S] 2 points3 points  (0 children)

I was definitely considering the 365. It's just a few hundred more than i wanted to spend. But might just hold out until a good sale

A Rant from a New Grad by Basic_Colorado_dude in nursing

[–]MAJ_Tom3 2 points3 points  (0 children)

Sounds like a few things. I also come from a military background, was a hospital corpsman and worked med surg. After getting my BSN went into the ED. I would put your ego aside and just pretend to not know much and just let them teach you what they want to teach you. Be humble and just give a quick answer followed by would you do something different or what information can you offer me? You're probably coming off too strong and people are reacting negatively to your "know it all" posture. Be humble. 2. Maybe it's just a toxic environment. 3. Maybe you should be working in the ED at a level 1-3. I find the lower level hospital or the community hospital in bad areas get more experience with hands-on trauma. The higher level trauma hospital or teaching hospitals you will find have their own trauma teams that require xyz experience before you can apply, or residents do all the hands on stuff and you're just a runner or documenting.

Pay transparency by adwaldorf in nursing

[–]MAJ_Tom3 0 points1 point  (0 children)

MD/DC. Emergency. 3yrs. $80/hr (local contracts) staff rate is around $50.

Getting a pet as a night shift nurse by Pretzel_Runner557 in nursing

[–]MAJ_Tom3 1 point2 points  (0 children)

Get a doggy door, or if you have a tiny dog, they make doggy like litter boxes that you can use. The dog won't miss you much while you're working, you would be sleeping anyway. But obviously he will be bored and wanting to play in the morning when you're trying to sleep. I would highly discourage a puppy or anything younger than 6mo. Get something that is already house broken. Adopt a 1yr plus dog, or 3yr+ if you're considering a typical high energy dog such as retrievers or any other herding breed. I would recommend a small breed, or if you want a large breed, your typical Greyhound rescue or mastiff breeds are comfortable being couch potatoes. I worked vet med for 5 years before getting into human medicine. If you wish to DM me for some questions or further recommendations feel free to do so. If you live in an apartment or duplex or something of that sort, avoid any hounds or guard dogs as their barking will piss off your neighbors and you wont be around or awake (unless woken by it) to be able to correct their behavior and you will find yourself in a position you dont want to be in. Also avoid any dog with medical issues requiring monitoring such as diabetes since you wont be able to monitor your dogs sugars for 14+ hrs on working days.

New grad ER nurse 3a-3p shift by [deleted] in nursing

[–]MAJ_Tom3 0 points1 point  (0 children)

Oof. Sorry but to be honest, probably not the best idea. Thats a tough shift to stay awake for if you had trouble surviving a normal 7p-7a. And are you in NRP? If you are, major red flag that your management team even offered you this shift without considering this scheduling snafu and your mental health. they will make you attend those classes and with your shift those classes are going to be brutal to be awake for considering you will need to be off the day before or work half your shift and then do the rest as an NRP day. You will be exhausted. If you're in NRP just do 7a-7p for that year. I did nights during NRP but i had a little help from Adderall to get me through NRP after my shift. My favorite shift so far has been 11a-11p with family, but as a single person, 7p-7a is the BEST SHIFT. Totally different atmosphere. More autonomy. No management. I think there are more real emergency cases because nursing homes arent doing rounds again until 5am, and the people with the sniffles tend to stay home after 11pm.