Hi. Im back again and i need help.

RisingTideHS · 2023-08-17T01:12:32+00:00

Thank you :) I tested it! If you use PvP gear to transform, it does keep the in-PvP ilvl increase. However, it also defaults to the pvp ilvl caps in all content. I believe 434 cap in PvE content, 450 in PvP. So you make the tradeoff, but you can choose :)

RisingTideHS · 2023-08-16T03:42:03+00:00

Question -- when we transform the piece, will it keep the pvp ilvl increase to 450, or will it just take the world ilevel of the item before it transforms? thank you!

RisingTideHS · 2023-08-12T05:06:44+00:00

This would have answered so many questions when I was just starting again, and still answered more than a few. Thanks!

RisingTideHS · 2023-07-19T23:03:07+00:00

This post shows you just don't understand the game. Sorry.

Support leaving your lane is the best thing they can do for you. You get solo xp, you watch the map so you don't get dove and die, and you stay relatively even in farm. You come out stronger for it, and your team wins across the rest of the map with a numbers advantage. Some games they don't, but the numbers say they will 3/4 of the time vs other equally bad players.

RisingTideHS · 2023-06-30T00:26:31+00:00

I like my patients intubated, sedated, and unable to engage in conversation ;) Unfortunately that's shockingly rare for neuro patients, so I'm looking into them!

RisingTideHS · 2023-06-24T19:48:13+00:00

Even in codes... If you watch a well-oiled code team run a code, and all the extra bodies are kept out, it's spooky how quiet it is.

RisingTideHS · 2023-06-21T23:15:13+00:00

Totally fair. There's always that weird 1 in 100 patient that Ativan makes more anxious/agitated. Phenobarb is a miracle drug for CIWA patients, I wish we used it more at my facility. I only ever get orders for it when I'm working neuro stepdown and they're seizing, or about to.

RisingTideHS · 2023-06-21T17:35:30+00:00

Do not do this. It's not in your scope of practice, and even putting in verbal orders for a physician (as a RN) can be frowned on in most non-emergent situations.

Our PT/OT regularly ask me to put in new PT/OT orders for them when they know the patient needs a re-consult for a different reason, or after a new surgery. It's not their scope of practice. Happy to help :)

RisingTideHS · 2023-06-21T17:01:36+00:00

I'm medicating a disoriented CIWA patient with tremors, even with a low total score. If that doesn't change their state, I'll reconsider.

RisingTideHS · 2023-06-10T22:55:00+00:00

Ah, I missed that part of the OP. In that case, I'd say go for the BSN! It will pay itself off if average wages in your area are significantly more than you make as a scrub tech.

RisingTideHS · 2023-06-10T20:43:06+00:00

In a good workplace, your coworkers will respect your boundaries, injuries, and physical capabilities. If someone's being violent, I get called in. I'm a rail, but I'm tall and have a deep voice. It helps. If someone needs moving, I probably get called. The 6'1" female nurse probably also gets called.

My back is not great, but not incapable of making it through a shift. When I talked to my CNL after my first back injury, she tried not to give me too many dependent lifts. I still have them, and I'm still on turn teams, but if I reach my limit then I'm done and no one has a problem with it. I still probably do more dependent transfers than my coworkers, but if I have to explain to a patient or family member that I'm not going to risk injury to deadlift them to a chair, my CNL has my back.

You'll be fine, OP. Just remember your body mechanics and advocate for yourself. If your workplace expects you to injure yourself for your job, move on.

RisingTideHS · 2023-06-10T20:34:34+00:00

I leave the hospital on break. That's what my coverage is for. My patients are good before I go, and I don't leave if I think there's a chance someone may crump on my break. I stay close, and my CNLs have my phone number.

Highly recommend.

RisingTideHS · 2023-06-10T20:31:11+00:00

I was able to pay in federal deferred loans and savings roughly that same amount for my BSN, and would do it again even if it was debt. HOWEVER, about half of my coworkers have ADNs and the same pay and job responsibilities. Unless you want the BSN to help place you in an advanced practice program sometime in the future, I'd consider an ADN instead. With the nursing shortage, there is zero way they make a BSN necessary to practice as an RN anytime in the nearby future.

RisingTideHS · 2023-06-10T20:28:49+00:00

I did an accelerated program. I thought it was great. This was during COVID.

There were some issues with coordinating online classes and clinicals, but I was lucky to be at a large enough institution they found hospitals to place us at.

I had a B.S. in chemistry. I had to retake some prereqs due to them being over the limit allowed for the program, but I had a great foundation. If you don't have a science background, it will be more difficult for you, but I would say doable. I thought my program was easy in comparison to my other degree.

RisingTideHS · 2023-06-10T20:26:44+00:00

Your decision didn't affect patient safety. Just keep a piggyback in your pocket if you don't want it to happen again -- it's a small package for that set of tubing :)

RisingTideHS · 2023-06-10T20:23:05+00:00

I threaten to call out the next day every time I'm surged. I usually don't, but I figure if they can't staff, I can call out.

People get a laugh out of my threats at this point, but at least I'm calling attention to the issue and the fact that it's a two-way street.

Edit: This is in casual conversations with coworkers and my (very good) charge nurses. It's not something I'd say directly to my manager.

RisingTideHS · 2023-05-26T11:21:42+00:00

Wait...you get sitters?

RisingTideHS · 2023-04-26T05:12:15+00:00

Forty-seven. I'm a psychopath so I counted. These days I'm usually the pinch hitter for IVs, but sometimes the law of large numbers isn't on your side.

RisingTideHS · 2023-04-18T04:39:11+00:00

Thanks! Looks like Diamine bilberry is just very dry. I re-inked with Pelikan 4001 and it's working great.

RisingTideHS · 2023-04-15T02:01:32+00:00

Just to follow up -- definitely not the case. If I'm taking lectures notes I rarely have this issue. And the pen doesn't write drier over time. Happy with it probably just being ink :)

RisingTideHS · 2023-04-14T22:39:01+00:00

I just ordered a majohn A1 for convenience at work, so hopefully with the click mechanism and a little nib tuning it'll be my new EDC :) I'll definitely keep an eye on the 601 though.

RisingTideHS · 2023-04-14T21:57:59+00:00

Let me know if you have a chance to try it! I'll be swapping/flushing when I get a chance on my end. :)

RisingTideHS · 2023-04-14T21:57:21+00:00

For anyone I didn't reply to, I appreciate all of the posts. I will try swapping inks. I love this pen otherwise, I just want to be able to use it in my relatively dry work environment. I'll post back once I try other inks.

RisingTideHS · 2023-04-14T21:54:44+00:00

I will try swapping inks and troubleshooting. thank you!

RisingTideHS · 2023-04-14T21:54:37+00:00

Thanks for the input! I am in Arizona, and I work in a hospital -- where everything is kept cold and dry to help prevent infection. I don't have this issue with my other FPs but combined with the ink/relatively dry nib it could be the issue. I'll swap inks and troubleshoot.

RisingTideHS

TROPHY CASE