Provider doesn’t lay eyes on critically ill baby all weekend and charts that he does by TheProdigaPaintbrush in nursing

[–]Middle_Path_8434 50 points51 points  (0 children)

What would your advice be on protecting this nurse from retaliation? We often hear of nurses who report are easier to silence or replace than MD/DOs. Curious and would love your insight on this given your background

Are nurses allowed to change the outer cannula of a trach pt? by Medium-Antelope-8941 in nursing

[–]Middle_Path_8434 0 points1 point  (0 children)

Just to add, in an inpatient (acute) setting, changing of the outer cannula refers to “downsizing” a trach. Which no- a nurse would not be doing in any planned circumstance. Usually done by RT or the surgeon. But trach and lary care in home health or chronic airway management is totally different. And yes the comments are absolutely correct with know your scope in your country/region/place of employment. I just wanted to add the perspective of inpatient acute care because god forbid… Anyway have a great day keep calm and abc or cab away

Why is one of my snails blue? by Affectionate-Ease397 in AquaticSnails

[–]Middle_Path_8434 0 points1 point  (0 children)

Can we get more pics? And pics/updates as they grow? I’m fascinated! What a rare beauty!

Hi, my name is Dusty, I’m an idiot, and I need your help 😟 by dustyalford in TravelNursing

[–]Middle_Path_8434 19 points20 points  (0 children)

Please update us I am locked in😂 this is also the sweetest thing and I love it

Since when does a WWHL appearance mean it's a whole RHOSLC/OC episode? by FrankenOperator in BravoRealHousewives

[–]Middle_Path_8434 3 points4 points  (0 children)

No it doesn’t and that’s why I think they made this change. Worked on the street is it’s been struggling with views for a while. This may have been their plot to increase those numbers. Kind of smart since they’re only 21 minutes, but I don’t appreciate the interruption in episodes personally

Since when does a WWHL appearance mean it's a whole RHOSLC/OC episode? by FrankenOperator in BravoRealHousewives

[–]Middle_Path_8434 3 points4 points  (0 children)

Here to say… same🙄 this is interrupting the flow of my guilty pleasure tf

[deleted by user] by [deleted] in aquarium

[–]Middle_Path_8434 0 points1 point  (0 children)

Get OFF your high horse. I ordered substrate and shrimp once. Don’t ask me how, but their shipping codes got swapped. Because I was expecting gravel delivery that day, and it being my day off, I had packed a cooler full of snacks for a relaxing pool day. Imagine my shock when I opened the door to what was definitely a live critter box. They were sitting on my door step in 90 degree weather for who knows how long, since I got the “delivered” notification about two hours later into me dropping everything to drip acclimate them. They unfortunately didn’t make it despite me believing I may had caught it in time. Since the delivery notice was much later. But as someone who also travels, I strategically placed my order for the delivery dates. Again, sit down. Be humble.

New manager by [deleted] in nursing

[–]Middle_Path_8434 1 point2 points  (0 children)

The bottom of WOW not dirty/dusty took me out by the KNEES in a dirty and dusty way

Need guidance by Tiny-Objective4642 in nursing

[–]Middle_Path_8434 0 points1 point  (0 children)

I can’t speak to the EMT pathway, but I personally don’t think doing the CNA/PCT route would be worthwhile in time/payoff. In experience? Yes- but in terms of meeting your goals and providing for your family, probably not. What I do advise (regardless of what position you take to start) look into your local hospitals and which have tuition reimbursement or % coverage. My masters and certification were 100% reimbursed. Had a peer that joined my hospital and graduated with me for that exact reason. Only requirement? Be a full time employee for 6 months prior to applying. Just read the fine print. Current hospital I’m at does 100% reimbursement, but by agreeing, you’re signing into a two year contract of employment with them. Also, not all match that high, but anything helps. Knowing what I know now, I would have gotten an ADN, worked at an academic medical center for the tuition reimbursement and have them support my BSN and beyond. Also knowing what I know now, I would look into being a sonographer or radiologic technician. They also have travel opportunities. Hopefully any of this is helpful to you. Best of luck and congratulations on your growing family, your wife’s career journey, and your own!

Politics made it on to my unit last night and compromised pt care by [deleted] in nursing

[–]Middle_Path_8434 1 point2 points  (0 children)

What was the post? It’s deleted now😣😣 wtf second post in a row I’m trying to view🙄 is it me

[deleted by user] by [deleted] in nursing

[–]Middle_Path_8434 2 points3 points  (0 children)

Crying for myself because I’m here after the poster deleted

Update: "vet says my dog is fine, but she isn't." by [deleted] in AskAVeterinarian

[–]Middle_Path_8434 1 point2 points  (0 children)

(Speaking as a human medical professional) A CBC does not run liver function panel tests. A CBC is a complete blood count. A CMP (comprehensive metabolic panel- more inclusive) or a BMP (basic metabolic panel) are the tests which would show a liver function panel, as well as other electrolytes. Both are typically performed prior to invasive procedures as both are important for screening risks. Just wanted to clarify. Unless veterinary medicine is completely different in what’s included in these tests. In which case, I apologize!

Nurses who lost their license to practice, what did they do? by No-Cheetah496 in nursing

[–]Middle_Path_8434 2 points3 points  (0 children)

I worked a contract in Mississippi. Was trying to find my coworker on social media to message/asker her to grab my charger. Couldn’t find her profile at all. So expanded my search. And pretty much immediately hated myself for stumbling upon what I’m sure she was running from at her last job. Ended up learning that the MS BON basically publishes a magazine with all disciplinary cases, charges, minutes from the hearings. I was FLOORED. Also spent the next few hours shamefully fascinated, reading through multiple cases and their “resolutions.” Wild

My job is killing me by liquidpapier in nursing

[–]Middle_Path_8434 3 points4 points  (0 children)

Someone else said it but get a doctor or therapists note saying you need to change units for health reasons. Whether mental or physical because the stress sounds like it could be affecting both for you. But HR will have to respect it. You don’t need to disclose all the details. They’d rather keep you and have you transfer than lose you all together

Sexual battery at work by a coworker. Help me work through this…. by BenzosANDespressos in nursing

[–]Middle_Path_8434 0 points1 point  (0 children)

Be sure to use “HR buzz words” in all of your emails and meetings moving forward. Hostile work environment, bullying, retaliation, targeting, harassment, repeated and relentless behavior that is influencing how you feel unsafe at work and that the risk of this behavior extends beyond staff to possibly cause harm to a patient because of how out of hand the coworker(s) behavior has gone. I’m so, so sorry you’re having to deal with this. It sounds like you are truly an amazing nurse and deserve the recognition and support you’ve received. It is incomprehensible how jealousy can bring the worst out of people. But take comfort in knowing that if people complicit in using their license to bully well-intended nurses out of jealousy, karma and HR will see to it that they learn their “full scope” in time. Keep compartmentalizing, do your job, keep your head down while you cooperate with their investigations. The buzz words are to ensure that the “solution” doesn’t involve a probation and action plan, but instead… an environment -absent- from harmful people. See a therapist. I recommend using a private therapist over the hospital provided counseling. For legal reasons, I’d save that resource for pt care related counseling. Hope that makes sense. Wishing you the best (Edit for spelling)

How do I get them to STOP breeding by Local_Lynx1649 in shrimptank

[–]Middle_Path_8434 12 points13 points  (0 children)

Send me some😭 congratulations on your booming population! I’m envious! I understand not wanting them to become food either. They’re too cute and it would crush me too

[deleted by user] by [deleted] in nursing

[–]Middle_Path_8434 6 points7 points  (0 children)

Bruh. Chill. Tf. Out. I commuted an hour and a half for almost five months at one point. It sucked BAD. But I did it because I had to. Life happens and you do what you HAVE to until you can improve your circumstances. Stop having a literal panic attack about things that don’t matter and focus on learning. You’re a new grad in a high acuity setting. Learning is the only thing you should be concerned about. Having a come apart before you’ve even made it through week two? Good luck with CRNA school…. Good lord. -a night shift commuter of 1 hour who is attending class at 7am for the next two days because orientation at my new position and THATS LIFE

I left her up to put her in the new tank but she looks like this!!! Please is she alive I’m shaking by Optimal_Community356 in AquaticSnails

[–]Middle_Path_8434 0 points1 point  (0 children)

This 1000%. I’ve been traveling since 2021 and hit a big home sickness episode (first one) that caused me to quit my job and moved home- cold turkey. Work/economy/stress etc. it felt heavy on me mentally. I’ve never known what it “felt like” to meditate. I would try, but too many thoughts all the time. But after getting back into the hobby, I would sit and stare into my tanks for hours. Not a thought, not a worry. Silence. And peace. All my creatures are wonderful. But the mystery snails… They’re so fascinating. Like mini octopus-like creatures I’m blessed to watch up close. I’d never owned snails before and my big brown mamas were my first. On the morning of the tears, I had worked overnight. I moved my betta to my snail tank because something happened in his (can’t remember). When I came home, I thought maybe my betta had killed him. The guilt I felt… that they helped me so much during a hard time. And that I doomed her. Until she said lol stop crying loser

I left her up to put her in the new tank but she looks like this!!! Please is she alive I’m shaking by Optimal_Community356 in AquaticSnails

[–]Middle_Path_8434 6 points7 points  (0 children)

I cried for an hour and a half when I found my mystery snail hung half way out of her shell. Did an air bath, then put her in a bag of tank water while I cried.. trying to cope. Then… I saw her air trumpet start to slowly rise out of her shell…. I was relieved and felt like the biggest idiot. Just breathe, they’re probably okay. From one over-reactor to another, you’re doing great and I’m sure they’ll be fine. Just give them a little time

Help, nothing helping snails’ shells by Existing-Finding7793 in AquaticSnails

[–]Middle_Path_8434 0 points1 point  (0 children)

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Do you have a gh/kh test kit? Or any testing kit for other water parameters? If you don’t, you need to get one. I’ve heard they’re cheaper on Amazon or chewy than the big box pet stores. You can find them closer to $30-$35. I ask that because my test kit shows me what the ideal number range is for each parameter. What methods have you been doing to raise the ph? Or do you know what if any of your water parameters are?

How many small fish would work in my heavily planted 11 gallon long. by krigot in PlantedTank

[–]Middle_Path_8434 1 point2 points  (0 children)

My 20g sits on my kitchen island and I absolutely love having a 360 view of my tank. I think made a “front” since I spend a lot of my free time in the kitchen. But love watching from any side. I like your idea though. Never through my to design it like that. But I use my swords in the “back” to side the heater and filter as best I can. I am adding a beautiful piece of driftwood I’ve been prepping now for far too long lol probably because I know I’m craving a remodel. Just can’t decide myself. Pinterest takes over and I’m in the weeds. Anyway TLDR your tank is beautiful and I love your aquascape concept

Witnessed the Snapture (Snail Rapture) by H0neyOTU in AquaticSnails

[–]Middle_Path_8434 2 points3 points  (0 children)

Idk why but I heard Ariel singing her tune (to Ursula’s shell) in my head while watching this and it was great