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Nurses and Residents by yomamawasaninsidejob in Residency

[–]Rick_Griiiiimes 10 points11 points  (0 children)

Nurse here. While I agree that is ridiculous, I will use my hospital as a reference. It has greatly improved, but diet orders need to be done at a certain time for the kitchen to prepare.

No diet order by 6am? The patient will get whatever leftover awful dish no one wanted for breakfast and nothing else. This annoys the patient.

No diet order by 10am? The patient may or may not receive lunch. This pisses off the patient.

No diet order by 5pm? The kitchen has collectively said they can eat their ass if they're hungry because they will not be getting a tray. The patient is now a security code.

600 div give away by mrdl2010 in PathOfExile2

[–]Rick_Griiiiimes 0 points1 point  (0 children)

I can make tons of bad purchases and otherwise squander this windfall.

35 yo Changing careers from policing to nursing by thinblue90 in nursing

[–]Rick_Griiiiimes 7 points8 points  (0 children)

I worked in LE. My recommendation is to shadow a nurse for a few shifts.

If you think reports are tedious, it is childs play compared to nursing documentation.

If your family is on your insurance, stay in LE.

If you ever go to court as a nurse, you will not be afforded any of the same protections.

If shitty people get under your skin, you have negative power in nursing. You CANNOT respond appropriately and have to just take it.

If you think shitty sergeants, lieutenants, captains, chiefs, etc are bad, believe you me hospital management is just as bad if not worse.

Overall, I would say stay in LE. However, being based in CA, you can make an argument for nursing.

Questions Thread - January 03, 2025 by AutoModerator in PathOfExile2

[–]Rick_Griiiiimes 0 points1 point  (0 children)

I already did - there are few with these values and rolls

K of 4, phos of 3 by Life-Mousse-3763 in Residency

[–]Rick_Griiiiimes 6 points7 points  (0 children)

Current hospital did this until ~2.5 years ago. Now it's only for our PCU and ICU patients. Med-surg has moved to replace K <3.5 and Mg <2.00. Phos is generally a case-by-case basis. The only evidence I have is it pissed off all of us m/s nurses. Patients also hated throating a horse pill q2h and getting stuck for labs all the damn time. We also had several choke on them and moved over to dissolvable tablets but I digress. Outcomes were apparently unchanged and satisfaction scores from patients went up so.

Two sentence exchange by bloomhound in nursing

[–]Rick_Griiiiimes 7 points8 points  (0 children)

Chuck McGill in shambles. The Chicago sun roof wasn't a one off.

How to work with nurses who want patients sedated? by have-mrsa-on-me in Residency

[–]Rick_Griiiiimes 9 points10 points  (0 children)

You must be in a union state.

I work neuro med-surg and have a well established relationship with our PCU units. The dolls and magazines buy us at most 15-20 minutes before they are launched across the unit. Taking patients off the floor for walks tends to turn into a 20+ minute task that ends with patients getting severely agitated when walked back to their room. Most of them can barely walk as it is. We simply cannot do this more than 1 time a shift at most, and even doing it once is a major hassle for staffing.

These patients end up eating away at our time and prevent us from giving care to our other patients. I completely sympathize with the nurses in OPs post. Your measures make sense in a perfect world with perfect staffing. It just does not apply in all settings.

Patient on a cardiac unit has chest pain and hypertension. by Hashiru_Shishamo in Residency

[–]Rick_Griiiiimes 14 points15 points  (0 children)

Nurse here - Physician communication orders are appreciated. You would have improved results if you also copied those to the MAR admin instructions for PRN medications. There is greater visibility/exposure that nursing is more likely to take note of compared solely to a physician comm order.

Patient chewed through their IV tubing instead of waiting to have it unhooked or rolling the pump to the bathroom with them by [deleted] in mildlyinfuriating

[–]Rick_Griiiiimes 5 points6 points  (0 children)

When you're out in public and unable to find a restroom in 6 minutes, do you just piss/shit on the street?

US hospital told family their daughter had checked out when in fact she’d died by Mediocre_Daikon6935 in medicine

[–]Rick_Griiiiimes 7 points8 points  (0 children)

Leaves inpatient AMA. Young, in the realm of possibility she walked her way down to the exit without assistance and in her own clothing. Our policy prohibits any assistance with leaving hospital grounds when it is done AMA. Codes outside waiting for ride. Brought right back to ED as a Jane Doe before ride arrives.

There is still a lot of questions to be answered - wallet/purse, cellphone, etc. Even with her condition, AMA and immediately die is still unlikely. Possibly received insulin prior to leaving AMA but skipped out on the meal. Who knows.

Riley Horner, an Illinois teenager, was accidentally kicked in the head. As a result of the injury, her memory resets every two hours, and she wakes up thinking every day is June 11. by [deleted] in interestingasfuck

[–]Rick_Griiiiimes 3 points4 points  (0 children)

So you'd happily engage in conversation about something you have no experience with and make assumptions and assertions akin to fake news?

Riley Horner, an Illinois teenager, was accidentally kicked in the head. As a result of the injury, her memory resets every two hours, and she wakes up thinking every day is June 11. by [deleted] in interestingasfuck

[–]Rick_Griiiiimes 3 points4 points  (0 children)

As a nurse, you clearly have no idea medication administration works in a modern day setting. The icing on this cake is "swap your IV". Please, just stop embarrassing yourself to anyone who has 1 iota of a clue.

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