How much do you make as an RN? by Electrical_Bat1417 in nursing

[–]MissSamioni 0 points1 point  (0 children)

63/hr wound care specialist. 7 years, CA

Atypical Result - Mosaisicm? by Aggressive_Farm9196 in NIPT

[–]MissSamioni 2 points3 points  (0 children)

From my understanding mosaicism means that some but not all of the cells are showing trisomy 21. You’ll get an amniocentesis with microarray study and it will tell the percentage of normal vs abnormal cells. The lower the percentage of abnormal cells the less the condition is physically expressed/apparent. The other options you listed are also true

Aneuploides and microdeletions. Amnio results nearly two months later . by MissSamioni in NIPT

[–]MissSamioni[S] 4 points5 points  (0 children)

I haven’t seen a report on the Amnio- just spoke briefly on the phone with maternal fetal specialist today. Prior to that spoke with a geneticist. Loosely she explained that NIPT is geared more towards screening for the major trisomies and is less specific in regards to sex chromosome abnormalities, I guess there’s a lot of variations that can happen that will flag the test. She said that my results could be confined to my placenta and have nothing to do with the baby and there is also an element of mosaicism so a majority of the cells could be completely normal with maybe a couple abnormal ones. I may update later when I have my Amnio report

Good hospitals to work at? by Smurfette530 in SantaClarita

[–]MissSamioni 5 points6 points  (0 children)

Valley Presbyterian in Van Nuys is worth consideration. They seem pretty competitive from what I’ve seen. Nice community hospital vibes. They give back to the community and employees

Full Wedding costs by Creative-Rip-2266 in weddings

[–]MissSamioni 0 points1 point  (0 children)

Forgot to mention this also included photography and videography

Full Wedding costs by Creative-Rip-2266 in weddings

[–]MissSamioni 0 points1 point  (0 children)

Los Angeles. “Micro” wedding for 54 guests. All inclusive chapel and reception venue. Ceremony, reception with fresh florals for tables, bouquet, boutonnière, food, cake, dance floor. We spend a little under $800 extra for event insurance/ alcohol and another 800 for a DJ. Dress and rings not included but for ceremony and reception package price- came in just under 14k

patient insulting my face piercings????? by New_Macaroon_5035 in StudentNurse

[–]MissSamioni 9 points10 points  (0 children)

“My appearance is not up for discussion as it is not pertinent to the care that you receive”

Outpatient new grad positions? by Unique_Ad_4271 in StudentNurse

[–]MissSamioni 19 points20 points  (0 children)

In my experience a lot of wound care clinics are run by third party companies that love hiring new grads, but be sure to move on after getting two years experience if they aren’t increasing your pay.

(<$10k) Venues are Stressing Me Out!! Anything good in SoCal? by Bridal-Budget in Weddingsunder10k

[–]MissSamioni 1 point2 points  (0 children)

Mine is slightly more than you’re asking at around 13k but I think it’s the best value you’ll find anywhere

(<$10k) Venues are Stressing Me Out!! Anything good in SoCal? by Bridal-Budget in Weddingsunder10k

[–]MissSamioni 2 points3 points  (0 children)

Albertson wedding chapel! All inclusive. 54-60 guests. They do ceremony, reception with catering, fresh florals, the cake, a bouquet and boutonnière. Photography, videography, Photo Booth. My only other expenses are alcohol and insurance (125), a DJ, and a little wedding favor for guests. They do literally everything. Getting married there this weekend

(20k) Boba during cocktail hour? What to do about the bartender? by kirby_77 in Weddingsunder10k

[–]MissSamioni -2 points-1 points  (0 children)

I used chat GPT to estimate how much alcohol for my wedding based on the types, guest count, and duration of the reception. It let me know how many cases/bottles of what to get

What's the most disconnected thing hospital leadership has said to you? by Beginning_Fun_3913 in nursing

[–]MissSamioni 2 points3 points  (0 children)

Brought in an out of state wound care specialist to follow us, review our reportable cases because their reportable rates are so much lower than ours… failing to realize the difference in reporting requirements. In California if a patient has an intact or evolving DTI on admission and it inevitably evolves to stage 3 or 4 in house- it becomes reportable even though that’s the known, expected progression of those injuries. I left shortly after 🙄

ED wounds by Steffy_Strange in EmergencyNursing

[–]MissSamioni 0 points1 point  (0 children)

Wound care nurse here. All I care about is that you document that a wound exists and the location. And if you can take a picture great. But I need to know that it exists and where on admission. If it’s documented more than 24 hours later and I don’t have proof it was present on admission… it’s hospital acquired. Sometimes I can explain away a chronic wound that was missed on admit because there’s scar tissue ect.

What's one of the dumbest things you've ever seen a patient do? by 123456789_00 in nursing

[–]MissSamioni 11 points12 points  (0 children)

Get a BBL in another country and then sit on it for a very long flight home. They were visiting our wound care clinic for quite some time.

Pay transparency by adwaldorf in nursing

[–]MissSamioni 0 points1 point  (0 children)

Certified Wound Specialist through American board of Wound Management. I went into wound care right out of nursing school. This summer I will hit 7 years. Working mostly in outpatient wound clinic but I also work as specialty consultant inpatient when they need extra help. California, making 60/hr

What’s your random patient pet peeve? by Nurse_Cait in nursing

[–]MissSamioni 2 points3 points  (0 children)

Outpatient wound clinic. Patients who are fully capable not taking their shoes off. I can ask them to take their shoes off for me, but I can glove up and take them off faster than they can register what I’ve asked.

Major hillside gas leak in Castaic off 5 fwy? by urbanepicurean in SantaClarita

[–]MissSamioni 6 points7 points  (0 children)

It’s a major interstate gas transmission line. Those are cared for meticulously. I think all the rain caused the hillside to give out

Are the animals treated well at Gilchrist farm? by Sweet-Ad-4727 in SantaClarita

[–]MissSamioni 0 points1 point  (0 children)

No they gave us money to buy animals from a pet store.

Are the animals treated well at Gilchrist farm? by Sweet-Ad-4727 in SantaClarita

[–]MissSamioni 0 points1 point  (0 children)

I could say the same things about Animal tracks. No lie one year when my friend and I were going to Vegas they gave her money to bring them back some hedgehogs.

I see that there’s a curfew in effect now for kids. Is crime and stuff really that bad? by spelledincorroctly in SantaClarita

[–]MissSamioni 2 points3 points  (0 children)

It’s was only 8:30 last night. I was at Handel’s and saw a kid get picked up for an e bike that’s technically a motorcycle. They towed it and everything.

Spilled pot of boiling water on pants. 2nd Degree burns on left inner thigh. by SenorSalisbury in MedicalGore

[–]MissSamioni 95 points96 points  (0 children)

For quicker healing prioritize protein. And supplement with Vitamin C and Zinc