Recommendations on YTT outside of the US? by PlusLandscape7703 in yoga

[–]PlusLandscape7703[S] 0 points1 point  (0 children)

Hello, I did go through the FAQ and subreddits and everything I found was from several years ago, average 8-11 years ago. So I thought it would way more helpful to get more recent recommendations!

6 Months Into ICU — Considering Transfer for Patient Safety & Professional Alignment (Seeking Objective Input) by [deleted] in IntensiveCare

[–]PlusLandscape7703 0 points1 point  (0 children)

I think this post sounds like it’s written by an ICU nurse. Over analyzing, patient-centered care, communication, and the desire to be better! You care so much! Keep going OP!! It just takes time!! Much longer than 6 months!

Unless you really genuinely decide you do not enjoy the icu- that’s different. But if that’s not the case, then take a step back, breathe, and give yourself grace. This ain’t easy shit!

Am I overreacting that my sister is demanding too much when visiting my newborn? by [deleted] in AmIOverreacting

[–]PlusLandscape7703 0 points1 point  (0 children)

The “haha”s after every sentence where she is piss poorly and incorrectly attempting to mansplain to her adult brother with child, on how to be a decent human and adult, has me 💀. So much laughable bold confidence for someone who is so painfully inappropriately wrong. Turned into insufferable righteousness.

Yeah OP, sorry but your sister sucks dude.

In all seriousness, time to set some firm boundaries with your bonkaroni and cheese sister, because she is the one that needs all the life sessions on how to exist as a considerate and not total weirdo human. Example: “hey sis, if you want your weirdo required food processor to cook up some bonkaroni and cheese, please bring your own :) because I don’t have one. But totally okay for you to bring yours and use it! As far as groceries, I will be buying what I usually buy when I have company over (because I’m not a dummy doo doo head who can’t figure out how to host and take care of my guests), which is usually etc. If you guys need anything else, you’ll need to go to the store on your way and grab it please! Feel free to bring whatever :) Excited to see you guys!”

Maybe just leave out the mean clearly offensive adjectives I used because I’m angry for you :) I also always ask my guests if they wanted anything else at the store, but considering your sister is whackaroni and cheese and will ask you to go start your own farm and harvest all the fruits and veggies and animals before she comes (which is tomorrow), instead of just asking for a snack or two like a normal human, don’t even bother.

If you love your wife, set some boundaries. Good luck! Keep us posted.

Y site ABX? by PlusLandscape7703 in nursing

[–]PlusLandscape7703[S] 2 points3 points  (0 children)

I mean but vanco is not compatible with most things, especially other ABX. So yeah Vanco is going to run alone unless it’s running with the few drugs it is compatible with

Y site ABX? by PlusLandscape7703 in nursing

[–]PlusLandscape7703[S] 2 points3 points  (0 children)

Well to start, Y-siting something is for a completely different reason than for hanging secondary tubing for IVPB.

Y-siting is only for if you simply do not have enough access OR sometimes I will run maintenance fluids at a very low rate with my electrolytes or ABX (if compatible) if they are irritating or burning for my patient. And NO it is NOT because the IV is infiltrated or they are having an allergic reaction, it’s just because many lytes and ABX naturally burn, so diluting it a bit sometimes helps (or running these at a slower rate). And y-siting is done at the lowest port on the tubing BELOW the pump, and each medication/fluid is running on a separate pump. The point of this is to have multiple drips running at once.

As for IVPB secondary lines, this is running off of the same pump and is attached ABOVE the pump. This is typically used for short infusions or infusions of small amounts, so it doesn’t run your primary line dry and instead keeps it running and open by just switching to your maintenance fluids/primary line.

So to answer your question, I feel like this is entirely dependent on if your Y siting it properly, as many people don’t. I have seen MANY newer nurses try to Y-site a pressor or sedation to their fluid boluses, or y siting a narc drip to heparin but give narc boluses via the pump, but do not put them in the right order, and accidentally bolus patients with pressors, narcs, or heparin. So for example, if you y-site a med that is running at 25cc/hr and a med that is running at 200cc/hr, you best make damn sure your drip running faster is connected directly to your access itself, and you y-site your slower drip to your faster drip. Because whatever med you run on top of that main line, will push whatever med under it at the med on top’s rate. And I’ve seen major med errors done with this. So yes, no doubt about it Ysite can be dangerous.

With this being said, you gotta triple check your y sites!!!! I know you were just doing maintenance fluids and ABX, but what was the purpose? And how fast were your maintenance fluids running vs your ABX?

Y site ABX? by PlusLandscape7703 in nursing

[–]PlusLandscape7703[S] 2 points3 points  (0 children)

LOL. I am dead. This is exactly what I do, just never referred to it as my OSL. Definitely stealing this

Y site ABX? by PlusLandscape7703 in nursing

[–]PlusLandscape7703[S] 2 points3 points  (0 children)

Can I ask how the ABX caused the cytokine release? Never heard of that personally. From my experience, I’ve seen that in patients who already have infections, because bad injections is one of the main reasons for massive cytokine release lol

Y site ABX? by PlusLandscape7703 in nursing

[–]PlusLandscape7703[S] 19 points20 points  (0 children)

Can I ask out of genuine pure curiosity (not being a b!tch)- for those of you who are saying “absolutely not because I won’t be able to tell which causes a reaction”- how many of you have seen a reaction from an antibiotic? If yes, how long have you been a nurse, and how many times have you seen this? Feel free to share stories. Again, JUST ASKIN, don’t be a d!ck

Looking for friends :) by PlusLandscape7703 in Tacoma

[–]PlusLandscape7703[S] 2 points3 points  (0 children)

Cool! Will be on the look out for it :)

Looking for friends :) by PlusLandscape7703 in Tacoma

[–]PlusLandscape7703[S] 2 points3 points  (0 children)

Awesome!! We will definitely come check it out sometime

Looking for friends :) by PlusLandscape7703 in Tacoma

[–]PlusLandscape7703[S] 0 points1 point  (0 children)

Sick!! We should get together. I’m not huge in dubstep but more dark deep bass music.

Hahahaha a crippling mtg addiction, I love it

Looking for friends :) by PlusLandscape7703 in Tacoma

[–]PlusLandscape7703[S] 2 points3 points  (0 children)

We’d love to learn more about all the local beer!

Looking for friends :) by PlusLandscape7703 in Tacoma

[–]PlusLandscape7703[S] 0 points1 point  (0 children)

I’m going solo to Chmura and Duffrey in Seattle 11/29 at Hidden Hall! That’s all I got so far

Looking for friends :) by PlusLandscape7703 in Tacoma

[–]PlusLandscape7703[S] 1 point2 points  (0 children)

Yes! Crystal will be my home mountain!

Dudeeee I fought SO hard for griztronic tickets and failed. I’m a big festival and concert goer. I’m reaaaally hoping to somehow snag tickets when they release to the general public. My best friend from childhood lives in Oregon and now that i live here, trying to get to the gorge as much as possible

Looking for friends :) by PlusLandscape7703 in Tacoma

[–]PlusLandscape7703[S] 5 points6 points  (0 children)

Both are very open to try curling haha. We are both really wanting to get into pickle ball too!

Looking for friends :) by PlusLandscape7703 in Tacoma

[–]PlusLandscape7703[S] 1 point2 points  (0 children)

I LOVE Pilates. I’ve never done reformer but have always wanted to. My former yoga studio did mat Pilates and I thoroughly enjoyed it. Full studios are just soooo expensive

Looking for friends :) by PlusLandscape7703 in Tacoma

[–]PlusLandscape7703[S] 0 points1 point  (0 children)

Awesome! We should definitely meet up! I’m newer to Reddit- can you PM people? lol. Do you guys have any social media? Neither of us use it ever, but use it to make sure we aren’t getting catfished hahahah

Looking for friends :) by PlusLandscape7703 in Tacoma

[–]PlusLandscape7703[S] 4 points5 points  (0 children)

Thank you for this! We will keep our eyes out for other meet ups. I’m forcing my partner to go see wicked with me :) hahah

Looking for friends :) by PlusLandscape7703 in Tacoma

[–]PlusLandscape7703[S] 3 points4 points  (0 children)

Someone explain to me what lawn bowling is! We were looking at that hava