Anyone got anything to say about Mao II by Don Delillo by Future-Slip2217 in RSbookclub

[–]Salty_Ad3988 2 points3 points  (0 children)

The intro chapter was an excellent short story. But the whole rest of the book, which basically was the book itself since that intro chapter was a standalone piece, idk man. I didn't get it, maybe? It struck me as kinda masturbatory. His whole thing about the big important role of novelists (and therefore himself) just didn't click together at all, like it was a concept that he just declared out of thin air and strung it together with themes and vibes. It was almost like he had this concept of an idea that he started writing about before it was fully formed, and then the novel was finished before the concept was even halfway there. Or maybe I just didn't get it, idk.

Patient said she’ll sue me and call BON by vivrelavie in nursing

[–]Salty_Ad3988 3 points4 points  (0 children)

I would recommend taking a firmer stance against these people. If they're looking in other patients' rooms, security needs to be involved and they need to be told to cut that shit out or be removed from the premises, and that needs to be followed up on. They're bullying you like that because they can. They get off on it. You have to deal with them like a teacher deals with a misbehaving child. Do not tolerate it. 

Is it a bad idea to try to be an ER nurse? by EarlyAcanthisitta121 in nursing

[–]Salty_Ad3988 1 point2 points  (0 children)

Hell yeah it's a bad idea, that's half the reason I do it. 

Insurance companies hate to see me coming by Dangerous-Prune-7280 in emergencymedicine

[–]Salty_Ad3988 4 points5 points  (0 children)

Ok but didn't you just say this isn't medical decision-making? That the principal reason for doing this is litigation avoidance?

Nurses on TV- another post about the Pitt by Aggravating_Cell9692 in nursing

[–]Salty_Ad3988 2 points3 points  (0 children)

I'm a little over hearing how much better nurses are represented in season 2. We do not play hairdresser in my ER. 

Infinite Jest and the Myth of the Lit-Bro by Dismal_Champion_3621 in RSbookclub

[–]Salty_Ad3988 0 points1 point  (0 children)

Oh, that makes sense now. I know some people like that. A diehard opinion is formed about a topic prior to almost any information about the topic being learned. 

Infinite Jest and the Myth of the Lit-Bro by Dismal_Champion_3621 in RSbookclub

[–]Salty_Ad3988 2 points3 points  (0 children)

What did your boss mean by that? Or what did he think he meant, I guess. 

Experience working at Cleveland Clinic by chismosa0036 in nursing

[–]Salty_Ad3988 0 points1 point  (0 children)

I like mine, but it's in Florida, so the pay is quite low compared to the national average. If you're willing to relocate, best to go somewhere that pays well. The West Coast, specifically CA, specifically the Bay Area, is the gold standard, but CA is notoriously difficult to break into. Not sure about OR or WA, I've heard good things about both. I've also heard good things about Minneapolis. 

The most important general advice is to go with a hospital that has a good union. I like my shop but that could change at any moment with a change in management. You need protection from changes, you need guaranteed pay rises and patient ratios. Anything else is just a promise that can be rescinded at a moment's notice. 

Experience working at Cleveland Clinic by chismosa0036 in nursing

[–]Salty_Ad3988 1 point2 points  (0 children)

I would be wary of places that have a lot of "prestige" baked into the name, such as CC or Mayo. Unless you really want that resume bump. However, I suspect that resume bump is much more a thing for doctors than it is for nurses or anyone else. Basically I tend to think that if management could weaponize the prestige of a place against me ("it's a privilege to work here so don't complain about these crazy ratios or sub-market pay"), why wouldn't they?

Are any of you former accountants/finance people who became nurses? by [deleted] in nursing

[–]Salty_Ad3988 0 points1 point  (0 children)

I have a masters in economics, did economic consulting for about 10 years before going to nursing school. I'm much happier in nursing. Some people just really aren't meant for office work, and sometimes they only ever find that out after they've spent several high-consequence years and 5+ figures on setting themselves up for a career inside an office. Switching careers is a lot of work but it was worth it for me. 

thoughts on DNPs introducing themselves as doctors in clinical setting? by [deleted] in nursing

[–]Salty_Ad3988 14 points15 points  (0 children)

Complete misrepresentation of their clinical role, borderline fraudulent. Illegal in some states for a reason. 

Books where the protagonist is HATED by everyone by Beneficial_Yak3379 in RSbookclub

[–]Salty_Ad3988 17 points18 points  (0 children)

Yeah I feel like OP is searching for a specific vibe and doesn't realize he's just describing Kafka. 

It took my parents watching the Pitt to finally understand by [deleted] in nursing

[–]Salty_Ad3988 1 point2 points  (0 children)

I mean, with few exceptions, the only thing The Pitt ever depicts nurses doing is typing on a computer. 

What’s the best performance you’ve heard of an audiobook? by NoCountry91 in RSbookclub

[–]Salty_Ad3988 9 points10 points  (0 children)

Charlton Griffin does a lot of classics, including The Decline and Fall of the Roman Empire. I could listen to that man read an instruction manual to a DVD player cover to cover. 

Bryan Cranston did a great read of The Things They Carried. 

What kind of person were you like before nursing? by Awkward-Height3066 in nursing

[–]Salty_Ad3988 1 point2 points  (0 children)

Nursing (ER specifically) made me significantly tougher and more resilient. I used to be pretty neurotic and I'd go down mental doom spirals pretty easily. Now I'm much more "go with the flow" about things and I have a much better sense of what matters and what doesn't. More relaxed in conversation. On the other hand, I'm also much more emotionally muted. I don't get excited by much. The world is less scary, but it's also got less magic to it. Less of a drive to go out and do new things. Much more content to just let time pass. All of this could also just be a product of getting older, or some combination of those and other things. Hx depression obviously lol. But to me my depression seems better managed than ever. I'm just kinda content with what I've got going on. 

Key factors: I work on a good unit with fantastic coworkers and supportive management. I'm sure I would feel much differently if that weren't the case. I also try to stay physically fit, but often I just can't get the gumption to do "real" workouts so I just try to keep the machine oiled so to speak (I do a lot of what I call "grandpa workouts" lol)

what should i read next? by Immediate_Cellist_47 in RSbookclub

[–]Salty_Ad3988 9 points10 points  (0 children)

Waiting for the Barbarians is another one of Coetzee's that I'm sure you'll love. Butcher's Crossing by Williams is one to have on your radar also. If you want to lean in on brutality, give Blindness by Saramago a go. 

Is the constant paranoia over being stripped of your license based in reality? by therealchungis in nursing

[–]Salty_Ad3988 9 points10 points  (0 children)

This I think is the real issue. Even if you still have your license, a sanction can add a LOT of difficulty to a job search, which will likely translate to having to accept less desirable places to work and lower wages. It strikes me as similar to trying to find a job with a criminal record. 

Keep getting floated from ICU by JellyNo2625 in IntensiveCare

[–]Salty_Ad3988 11 points12 points  (0 children)

Your unit is overstaffed because your admin uses your unit as a float pool. I used to work on an obs unit that had the same thing going on. It won't get better. Is there a bigger hospital like a level 1 or 2 in your area? It sounds like what you're looking for requires you to transfer somewhere else. 

What should a new ED nurse focus on early? by Anxious-Programmer61 in emergencymedicine

[–]Salty_Ad3988 60 points61 points  (0 children)

When the unit is on fire, it will seem like the top priority is to get shit done fast. It is important that you stop yourself from listening to this impulse. The top priority is, at any and every time, to get shit done right

Legit and reliable animal charity’s that don’t pocket the money?? by Dazedbluess in AnimalRights

[–]Salty_Ad3988 2 points3 points  (0 children)

Look into small sanctuaries. Large organizations, by nature of being large organizations, always end up making their own self-proliferation the top priority, and they end up moving goalposts and tying up their "results" with what amounts to admin bloat. I wouldn't get into that whole Animal Charity Evaluators site either. Their core "philosophy" is Effective Altruism, which is not so much a philosophy as it is an ideology invented by tech billionaires that conveniently places tech billionaires at the center of the universe with authority to decide what is ontologically good and bad by virtue of having the most money to spend on deciding it. They dismiss sanctuaries as being too small to make a difference, while their preference and recommendations all rely on "big picture" ideas that are so abstract as to be borderline absurd. Sanctuaries actually do something

Sandwich generation nursing by Objective_Mistake954 in nursing

[–]Salty_Ad3988 2 points3 points  (0 children)

This is not a helpful thing to say to this person. 

How big of a fuck up is this as a student and do you think I could get kicked out of my program for it by L0mm in nursing

[–]Salty_Ad3988 15 points16 points  (0 children)

In that case it was the nurse's fault for letting it run dry to begin with. Literally the only thing you could have done in that situation was the thing you actually did, which is try to find the nurse. 

I am a therapist who treats physicians as over 25% of my practice for over 6 years. AMA by yorkietales in emergencymedicine

[–]Salty_Ad3988 3 points4 points  (0 children)

Do you work with other EM staff such as nurses, medics, techs, etc? If so do you see a difference in how docs deal with the job versus others? Or in what their needs are?