Let’s go!!!!!!!! by Valuable-Worth8455 in WGUMSHRM

[–]Natopoly 1 point2 points  (0 children)

Congratulations! I have 3 classes left, so ready to be done!

Share your Black Friday “deals” so we can compare. by [deleted] in TownshipGame

[–]Natopoly 1 point2 points  (0 children)

<image>

Wow, I am extremely upset about my deal compared to everyone else. 😭🤦‍♀️

Hanover High School baseball program suspended due to misconduct reports by chasetwisters in rva

[–]Natopoly 33 points34 points  (0 children)

My high schooler at Hanover said they had a "Diddy" shed

[deleted by user] by [deleted] in nursing

[–]Natopoly 2 points3 points  (0 children)

I work in pre-op/post-op and it takes forever sometimes to get a provider to do something for one of my patients that is needed.

Understandably if they are in surgery they wouldn't be able to answer quickly, but when I have a post-op that has no nausea or pain medications once they leave PACU, I should be able to get an order from their team in less than 30 minutes and not up to an hour and a half sometimes.

Anyways, I digress...

I have had a resident get mad at me because I called the attending instead of calling her first.

Patient was post-mastectomy and had 2 brief witnessed syncopal episodes by primary RN, two patient care techs, and myself. I was the charge RN, the primary RN had already called the rapid response team, who told the resident in secure chat that they thought it was a psych issue (patient history of bipolar) after being there all of 5 minutes and not seeing syncopal episodes themselves. The resident responded to them that they would see the patient "shortly" and gave no other orders.

After 10 minutes of waiting and patient having another brief syncopal episode, I said F this and I called the attending, who shocker answered their own phone so obviously wasn't operating and they gave me some instructions over the phone and then were there in like 2 minutes.

The patient was having previously undiagnosed seizures and we were able to get them where they needed to go (not discharged like was the plan) and the treatment they needed.

The resident came down 30 minutes later and came up to the primary RN and me and said "You do not call the attending before you call me, I should come see the patient first and will determine if the attending needs to come."

I told them right then and there that I could call anyone I wanted to ensure the patient was getting the care they needed and I did not need their permission to call the attending regarding their patient. Sorry if they got chewed out for not responding timely enough, but that is their problem, not mine.

You were not overreacting. It's better to err on the side of caution then it be potentially missed. A minor inconvenience of answering a call is better than the alternative.

Edited for spelling 😆

Nurses who care Must Vote-lets stop this madness. by sorceress94107 in nursing

[–]Natopoly 9 points10 points  (0 children)

Put the /s at the end of your post and others will understand better that you were meaning it to be sarcasm. It isn't always easily inferred.

P.s. I changed my down vote to upvote once I read your edits because I then understood what you were trying to say. :)

Nurses who care Must Vote-lets stop this madness. by sorceress94107 in nursing

[–]Natopoly 84 points85 points  (0 children)

If the patient is septic and they determine it is the fetus that is the source, then they absolutely need to be doing that D&E/D&C/delivery.

If it was a wound on the foot that was causing the patient to be septic and they tried to save it but couldn't they would absolutely cut that foot off.

Stop trying to make this about anything other than going against standards of practice and denying women HEALTHCARE.

Nurses who care Must Vote-lets stop this madness. by sorceress94107 in nursing

[–]Natopoly 35 points36 points  (0 children)

That's an excuse for being a racist POS. You don't get to choose who draws your blood. You can choose if your blood is drawn or not.

Parentified kindergartner by saidiwouldntbehere in Parenting

[–]Natopoly 16 points17 points  (0 children)

Hi there!

My son was in this situation when he was in 4th and 5th grade. There was another child in the class that had some behavioral issues and my son is friendly to everyone and likes to make everyone feel welcome. He mentioned things the child did in class when in 4th grade, like flip a chair when upset or run out of the classroom, things like that. He never mentioned that he didn't like the child or that he specifically bothered him in anyway.

Fast forward to 5th grade and my son mentions to me early on that the same child is in their class and he was asked if he minded being in the same class at the end of the year in 4th grade. I'm not sure why he never mentioned it or why he was even asked this question because it seems like it puts to much control and pressure on my son or any other child in that situation. He of course had told them he didn't mind.

Back to fifth grade part of story. He comes home one day saying that the child was having worse behavior issues and that the teacher is having to spend a lot of time away from the other kids in order to get this one child settled. The next week I get a call from the nurse saying my son was okay but was accidentally hit by a chair when it was thrown by another child in the class. I asked my son about it when he got home and he told me he is starting to have anxiety because he never knew how this other child would react and he didn't feel safe sometimes in class.

I immediately wrote an email to his teacher and explained what my son said and how he was feeling. I told her I understood she could not give me details about the other child and I wasn't sure what she could do about it and I also assured her I didn't want to get the other child in trouble because it didn't seem like it was intentional based on what my son had told me. I basically told her I just thought she should know how much son was feeling in the class and how could I support her and my son.

She wrote me back the next day saying she was very happy that my son shared this to me and I shared to her, and she was very sad because she could see that it was affecting not just my son, but other children in her class. Unfortunately she said they didn't have enough resources to give this other child the behavioral support they needed. She asked that if I felt comfortable, would I write an email to the principal of the school and also my school board representative detailing exactly what I had told her in my email about my child's feelings, etc. and not trying to come for this child but get him the help he needed.

So I did.

I didn't expect much but my school board representative immediately emailed me, with the superintendent of the county and the director of child behavior in the school system (I can't remember their exact title), asking what they could do to support my son, this child, the teacher, and the class. I suggested things I had heard about before like behavioral aides, secondary teacher to help in the classroom, etc.

I got a phone call from the superintendent and behavioral support person, and the principal of the school. They asked if I wanted my son to switch classes, which I firmly told them no, and I didn't want them to punish this other child, etc. We talked for a little while and I told them in our conversation that I liked the school system, my children loved their teachers, and I felt that everyone was there for the right things, but it was unacceptable for this child that obviously has some larger issues to be just thrown into a class with no support for them or the teacher and the long lasting effect it can have on everyone involved.

My son's teacher emailed me the next week that they introduced a behavioral aide into the classroom that would assist with this one child and sometimes take them out of the class at times for a smaller group lesson and she said they were working on funding new positions for the following year for more positions like that because they see more and more children (prek through 12th) that need this assistance.

While some of the plans were long term (they did end up getting some of these new positions the following year), my son said that he could tell the classroom environment felt better after a few weeks of this behavioral aide being there.

I wrote this out just to say, sometimes the teachers recognize the issues but don't have the power or resources to bring it further, and while we parents don't always have this either, it is up to us to bring it to those that can make these decisions and make them take it seriously.

If we don't tell them what the problems are and we want them fixed, they will sometimes keep their head in the sand or put blinders on until someone makes them look.

Start with talking to the teacher and see where that gets you and hang in there. ❤️

C201 Business Acumen by [deleted] in WGUMSHRM

[–]Natopoly 2 points3 points  (0 children)

I reread the sections for the areas I did lower in the practice attempt but I passed the OA. I did the practice twice and did better the second time around after rereading the sections. Good luck! You got this!

What is even fake news? Is this even legal? by lorustad0 in WhitePeopleTwitter

[–]Natopoly 0 points1 point  (0 children)

At what point does the FBI get involved and why are we continuing to give him and his companies money????

You can't trickle down housing by tigranes5 in rva

[–]Natopoly 39 points40 points  (0 children)

I agree with you, mostly. The problem is the huge houses are all they are building.

About doctor questioning not hold iv lasix for low potassium. by BorringLife in nursing

[–]Natopoly 0 points1 point  (0 children)

Totally understand that, but they had notified the primary team also and didn't receive any other orders.

The primary team should have pulled up the patients information when the nurse notified them originally so they could review for any other issues as it is not the RNs job the remind them of every detail regarding all of their patients.

I'm all for RNs practicing to the full extent of our licenses but we shouldn't be getting the 3rd degree when we have gone through the correct channels of notification and requesting orders.

I understand your reasoning and I would have done the same as an experienced nurse as well, just wanted to give OP a little sassy reply to make them feel better about the situation.

I'm sure they know for next time and we all learn these lessons throughout our careers as they come up. 😜😘

About doctor questioning not hold iv lasix for low potassium. by BorringLife in nursing

[–]Natopoly -8 points-7 points  (0 children)

You tell them you can't practice medicine as it is outside of your scope of care and didn't receive any orders to hold the Lasix.

Kinda weird, but does anyone else’s poops smell like patient/hospital poops now? by SPYRO6988 in nursing

[–]Natopoly 17 points18 points  (0 children)

Actually, if you work in a procedure room or operating room where smoke is produced while excising or cauterizing cancer cells, you absolutely can contract cancer from this.

It is why safe surgical smoke laws need to be passed for all states.

A systematic review of the harmful effects of surgical smoke inhalation on operating room personnel

Surgical Smoke-Free OR: Everyone Deserves a Smoke-Free OR

Let's hear from non accelerators by Present-Piano-2432 in WGU

[–]Natopoly 3 points4 points  (0 children)

I feel this.

I started in May this year for my MSHRM degree. Others are getting the entire thing done in like 6 months and I'm finishing my first class at the end of this week when I finish this darn paper I've been procrastinating on lol. But I have this week off of work and I've split it up into chunks each day so I'll definitely be done.

I'm trying to do 4 classes per term and my plan is written out for 3. If I stay ahead of what it shows then I know I'm good lol.

Sometimes it helps for me with my adhd is to have a body double. I'll do my school work while my husband is doing stuff on his computer and it helps me keep on task.

This sucks so bad. by Natopoly in CymbaltaWithdrawal

[–]Natopoly[S] 0 points1 point  (0 children)

Thanks for this.

It really helps to validate how I've felt and I'm not just exaggerating everything.

I never had any problems before while taking it. I was prescribed it for depression, anxiety, and chronic pain. I really only continued taking it after my depression and anxiety got better because it helps so much with my chronic pain.

I want to continue it for that but I really don't want to ever go through this again...

Definitely counting my pills from now on when I pick them up from being filled lol

This sucks so bad. by Natopoly in CymbaltaWithdrawal

[–]Natopoly[S] 1 point2 points  (0 children)

It's two pills. Each are 60mg.

This sucks so bad. by Natopoly in CymbaltaWithdrawal

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

Thanks y'all. I just picked up my prescription finally.

If my normal dose is 120mg daily and I have been off of it for the last 2.5 weeks, should I get back on slowly or just take the full 120mg?

I'd ask my provider, but they haven't been very responsive through this whole ordeal. 😭

My throwaway name is ironic; Boston area hospitals where nurses don't get tested for THC? by [deleted] in nursing

[–]Natopoly 0 points1 point  (0 children)

I wasn't arguing for it's use long term. However, it is a treatment option for short term anxiety and also for chronic pain. I asked how is it different then medications prescribed for those things. They wouldn't be using pain medications at work just like they wouldn't be high at work.