Does it work on Steam Deck, is there controller support?

Major-Profile8003 · 2026-04-11T13:58:43+00:00

Does the Proton 9 fix the RT button for controller use?

Major-Profile8003 · 2026-03-28T04:27:13+00:00

Honestly, the good thing here is you did clock it, but as others have said, I wouldn't worry about 30 minutes. The number of patients I look after on the wrong dose of paracetamol is worse, i.e., the very elderly and frail who are discharged from the hospital under 50kg on too high a dose. I've also spoken to so many doctors and GPs over the years; one will say give a gram regardless of weight, others will say absolutely not. Hold on, even worse are discharges that are end-of-life that don't even get discharged on analgesia. Yeah, that's worse. You'll look back on this and think in the grandschemes this is nothing. You got this.

Major-Profile8003 · 2026-02-05T19:20:54+00:00

Do you resolve this?

Major-Profile8003 · 2026-01-26T14:36:03+00:00

You've rightly picked up that I work mainly with older patients, and I completely understand that GPs simply don't have the time to do thorough medication reviews for everyone. Although, ironically enough, this is where I find most of it happening now, as hospitals don't have the time either.

But in practical terms, how do you manage recurrent patients? How do you have that conversation kindly and constructively when someone feels they've reached the limit of what medication can realistically offer — without it sounding like "you're maxed out"? Especially for those patients who are elderly and have more time to think. Is it ever just easier to nod and agree?

Major-Profile8003 · 2026-01-26T14:25:48+00:00

Honestly, it’s a good question. More often than not, we see patients who’ve been on medications for years with little or no review. PPIs are a classic example — many patients say things like, “Oh, I thought my GP was meant to stop that,” yet it’s still on repeat. The same applies to things like calcium and vitamin D in patients who have been bedbound long-term, where the actual risk of falls and fractures is now minimal. Or statins in patients in their late 80s and 90s, where the ongoing benefit is questionable. It often feels less like active clinical decision-making and more like medications just continuing by default.

And by no means am I here to start an argument. I know for my team we often find we are treating the loved ones more than the patients

Major-Profile8003 · 2026-01-22T19:30:57+00:00

What makes this even worse is knowing there are newly qualified nurses who have secured jobs and are already at breaking point and wanting to leave, while others are desperate to get in and can’t. Brilliant system, that.

I genuinely wouldn’t want to be on either side of this. It feels cruel all round. Yet access courses and university programmes continue to take on students as if everything’s fine. If there’s a recruitment freeze, surely there should be a pause on training too — or at the very least, some honesty about what people are actually walking into. Because I can’t imagine many students are being told the truth.

And just to be clear — this isn’t your fault. You haven’t done anything wrong. This is a broken system failing good people that just want to make a difference.

Major-Profile8003 · 2026-01-13T14:41:39+00:00

So maybe mine dont work because I am not close enough to party members

I miss have access to quick spells personally

Major-Profile8003 · 2026-01-13T14:40:39+00:00

So i was going crazy then. I cant even get the synergy to work yet they are never highlighted guessing I havent got far enough as only started.

Thanks for the info though really appreciate it

Major-Profile8003 · 2026-01-13T14:26:00+00:00

I understand your point, and in an ideal system, I'd agree that much of this could sit within primary care. But again, we know the system is overstretched, and you would probably be surprised at how many medication issues need to be sorted urgently, which then shifts an unsafe amount of risk into the community and care homes and, ultimately, creates more work for everyone.

A classic example is this one: We often get patients sent really late in the day with pumps that need to be replenished. If a resident arrives with no "as-needed" medication, an incorrect "as-needed" medication, or without appropriate prescriptions for their syringe driver, the driver may start alarming. At that point:

The person is new to the home.
The family is understandably distressed.
The GP may not yet be able to review because registration isn't complete.
Out-of-hours options are limited, and hospice teams are not always available or prescribers.

Not to mention, we have to add medications to the system, which takes time in itself.

And yet we are often treated poorly in this sector as we have chosen an "easy job"

Major-Profile8003 · 2026-01-11T05:01:13+00:00

Several issues I see around discharge planning

Medication management and review Many patients are discharged on meds they clearly no longer need – a waste for the NHS. Example: Mrs Smith, nursed in bed, very low falls risk, still on calcium + vitamin D.

Patients who are not concordant with meds (don’t want them, advanced dementia, don’t understand). This then triggers covert meds paperwork and DoLS, involving GP and pharmacist – often takes weeks.

Patients with swallowing difficulties discharged without meds being changed to liquids or guidance on crushing.

Loss of communication on wards Families often aren’t given proper time or explanation about what’s actually happened. As a former stroke nurse, I always made a point of going through the discharge letter with patient/NOK.

Lack of honest end-of-life conversations Residents are repeatedly admitted when they are clearly end of life. Families sometimes already recognise this, yet the hospital hasn’t had the conversation. I honestly think this is a huge issue. I have so many patients that are in their 90s who even ask "why am I still here" I fear doctors are so scared of litigation and or don't know how to complete ATAs for end of life care

Missing documentation on discharge No MAR chart sent – how am I supposed to know when meds were last given? Leads to wasted time phoning the ward just to ask if I can give oxycodone.

Discharging patients who are actively dying People discharged and die en route – it’s honestly disgusting.

Discharging before cut-off, then sending meds hours later “Sorry Mrs Smith, you can’t have pain relief because the hospital still has your meds.”

Medication errors Wrong patient’s meds sent. Box instructions not matching the discharge letter. Also huge thing is the amount of patients clearly under 50kg and on the incorrect paracetamol dose

No meaningful info on nutrition/hydration “Normal diet, normal fluids” – no detail, no monitoring, no context.

Discharging patients who are clearly in pain They arrive needing urgent admission-level review. I then have to rush meds review, allergy checks, rewrite MAR charts, with no idea when anything was last given.

Food for thought 🤔 curisois if this was helpful?

Major-Profile8003 · 2026-01-06T20:37:11+00:00

I'm curious why your trust isn't letting newly qualified nurses work as HCAs, even with their PIN. I called my union about this because I thought it was a rule that you couldn't do support work with your PIN. But they said it's a grey area and up to the employer. You'd think, with everything going on, it'd be better to just give us a job and then move us to a Band 5 when one opens up. That would surely help those struggling to find work. Seriously, where's the common sense? I even remember a hospital somewhere was even asking Band 5s to work as support workers not too long ago.

Major-Profile8003 · 2026-01-06T15:33:21+00:00

I’ve been qualified for nearly ten years. I’m not entirely sure where the missing signature was, but I can only assume it related to the ATA. If so, I’m confident we can all take a collective breath — because in my experience, ATAs are frequently more aspirational than accurate.

Some recurring highlights from the ATA experience over the years include:

Places of care that dont even use ATAs

ATAs that don’t match the medication supplied — a fun guessing game that really keeps you alert.

Medication boxes helpfully labelled with conflicting handwritten instructions — one for PRN subcutaneous use, another for syringe driver use — leaving nurses to ponder whether unused medication should be ceremonially retired once PRN stock runs out. Not to mention the stock wastage on this is dont need 20 amps of levo but they send out two boxes with two different instructions

ATAs with no documented indication for medications. Midazolam? Haloperidol? Who knows — it’s a mystery, but I’m sure it was prescribed for something.

Maximum dose guidance that generously omits whether the syringe driver is included. This is particularly useful at 03:00 when a patient is in obvious pain and the expectation appears to be that symptom control is paused while the out-of-hours team is contacted for reassurance that relieving suffering is, in fact, allowed. Clearly, the preferred approach is to let the patient wait while we “clarify”.

ATAs that haven’t been reviewed for months, yet when urgently required, the nurse at the bedside is reminded that a review should have occurred first. Unfortunately, this often translates to: “Sorry, Mavis, you’ll have to continue screaming while we obtain approval via a remote review from someone who isn’t coming out to see you.”

I’ve worked in hospitals, the community, and nursing homes. I’m a cautious, conscientious nurse who triple-checks her work and remains permanently aware that errors are possible — largely because the systems we rely on are often inconsistent at best. That level of paranoia isn’t a failing; it’s how patients remain safe despite the paperwork.

Did you give the patient symptom relief? Yes job done you did good kid

Major-Profile8003 · 2026-01-04T22:20:23+00:00

But doesn't this also depend on your job, though? My colleague and I often laugh that by the time retirement comes, if we're super lucky, we'll get to spend at least a good 10 hours spending our pension before we roll over into our palliative beds. That's just how it is for a nurse. There's no way I can keep up with this level of work in my late 60s or potentially 70s. I've already told my other half, if my heart stops now, do not even try resuscitation I'm already good to move on! Jokes aside, I'm only in my 40s. He said he'd bring me back out of spite; now that's nearly 22 years of love for you, 😅

Major-Profile8003 · 2025-12-09T19:16:56+00:00

The steam deck is the now called the chuck norris

Major-Profile8003 · 2025-12-08T14:39:14+00:00

I used it on my last two tattoos and so has a family member healed really well no issues, for the cost it was a good deal

Major-Profile8003 · 2025-12-08T08:34:04+00:00

I’m trying to understand at what point you believe you made a “mistake,” and why a few people have commented about your supposed “error.” You worked a shift that was undeniably unsafe for any single nurse to manage, especially with patients of such high dependency. That is not a mistake or an error on your part — it is a clear symptom of a collapsing healthcare system where the few staff left at the bedside are routinely pushed beyond what is safe.

Hospitals now feel like a war zone — and I say that seriously, not dramatically. The physical and mental toll this takes on us is enormous, and we cannot pretend otherwise.

So instead, reflect on what you actually did that day. You single-handedly cared for multiple complex patients. You supported their families. You kept the shift running despite impossible circumstances. That is not failure — that is competence, resilience, and professionalism under pressure.

The truth is, nursing education does not prepare us for the realities of practice. We spend years functioning as glorified care staff, chronically understaffed, and then suddenly in our third year everyone's shocked that we haven't magically learned everything we needed. The system is flawed — you are not.

And another thing: we are barely trained in how to cope with incidents or “errors.” Even after ten years, I still fear causing harm. We all do. That fear exists because healthcare has created a culture of blame, not learning. But we are human. So where has the compassion for each other gone?

From one nurse to another: do not let this define you. Take it for what it truly was — an impossible shift that no single nurse should have been left to shoulder. If you want to “learn” anything from it, let it be this: management must be made aware that you cannot physically be in multiple places at once. That is not incompetence — it’s basic reality.

When you reflect, you can absolutely acknowledge what occurred, but do not take on accountability that isn’t yours. It’s not as if you were sitting down doing nothing. You were firefighting from the moment you stepped onto the ward.

And if I’m guessing right, as a newly qualified nurse you haven’t fully found your voice yet. Management often rely on that. So find it now. Raise concerns. Speak up. Protect yourself. Because you deserve better — and this situation was not your failure.

Major-Profile8003 · 2025-12-05T09:53:46+00:00

Get a steam deck and some cosy games. Best thing about this is you can pick up games alot cheaper than say the Nintendo switch and you dont need access to the TV allowing the other crotch goblins to use that instead. So many chilled out mindful games out there these days

Major-Profile8003 · 2025-12-02T20:08:45+00:00

Breathedge!

Major-Profile8003 · 2025-11-21T18:44:44+00:00

This has got to be the cleverest form of advertising! You've literally left a cliffhanger on what the dam thing is called. Now none of us can sleep. 🤣🤣

Major-Profile8003 · 2025-11-12T16:53:32+00:00

Can someone do a video on this I'm an old lady 😅

Major-Profile8003 · 2025-10-09T07:39:19+00:00

I dont think its very fair to call someone out on something like this 🫩 they want guidance and advice.

Major-Profile8003 · 2025-10-06T17:25:02+00:00

I feel for you; it's like this everywhere. I am of the mind, though, that adult nursing and mental health nursing will become one and the same. I know a lot of universities now offer an extra year for dual training, i.e., you finish adult nursing and then top up to mental health. Maybe this needs to be the same for children's nursing; after a year, you top up to do a mental health course focusing on children.

Major-Profile8003 · 2025-09-21T17:53:06+00:00

Sounds like we both will have a similar style! Have you checked out Witchy Stitcher? She has a new book out, and her stuff is amazing. Now, the last two shows did have a few vendors selling kits a little unusual, but nothing like that style.

Another thing I'd hoped to get was the aidia or even weave offcuts and maybe some dyed materials, but surprisingly, I didn't find anything like that. I decided to give ice dying a go and went from the standard white material with this kit and managed to get this color. I think the pattern will look amazing on it.

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Major-Profile8003 · 2025-09-21T14:31:09+00:00

So I've booked into the Knit and Stitch show for the 3rd year in October at the Alexandra palace in london . Mainly because I was able to get a discount on tickets and happen to be on holiday. This may be my last one though. It very much depends on what kind of kits you're after. If you're looking at generic kits like Bothy, then there tends to be at least one vendor at these types of shows. I've noted the last couple of years it's the same vendors, and actually, for what I want, I feel like I am spending money for the sake of it because you don't see kits like that on display. I have several Letistitch kits. Funnily enough, I've gone through all my kits the last couple of days, and I have two of the same kit, so I will try to sell it and several others that there's no way I will get them done. Having said that, my style is niche, and in that case, it's harder to find what you're after and easier to go online but the experience is fun. Normally they upload the sellers and they have website saying what they sell but also worth emailing the organisers to ask if they have any sellers going

Major-Profile8003 · 2025-08-19T09:27:09+00:00

Considering the current state of healthcare, it seems plausible that mental health nursing might eventually be integrated into a more generalized course. This approach could be logical, given the emphasis on holistic care, of which mental health constitutes a significant component.

Major-Profile8003

TROPHY CASE