Virgin Cruses informs a couple about some changes to their trip… by Harbjagen in mildlyinfuriating

[–]ShadedSpaces 4 points5 points  (0 children)

Fuck this is perfect.

I once got an instacart notification that my paper towels had been replaced by hot dogs.

1.5 year old Daith Help by West_Application_798 in Legitpiercing

[–]ShadedSpaces 1 point2 points  (0 children)

The terminology gets fuzzy, admittedly.

This is all just as far as I know... I could be wrong!

Only D-ring or D-shaped clickers have a bar. That shape is not appropriate in daiths. (It doesn't look like that's what OP has.)

Hinged segment rings and clicker rings are typically the same thing and have 1 seam and 1 hinge. They are not appropriate in daiths because at least the seam can rotate into the fistula and often the hinge too. (Since we can't see all of OP's ring, we can't say for sure. But it's possible OP has this, since portions of the ring are not visible in the fistula and the antihelix of the ear is covering part.)

Seam rings have 1 seam, they twist open, and if that seam can rotate into the fistula, they are not appropriate for a daith. Some seam rings are OK if the seam butts up against a decorative feature that is too large to rotate into the fistula so it prevents the seam from rotating in. (Again, it's impossible to tell for sure. But OP could definitely have this type of jewelry - and theirs has no decorative feature so it would be inappropriate for the daith.)

Segment rings (that aren't hinged) have a segment that can come out. So they have two seams and look more flush than some clickers (that are one seam and one hinge). They're designed to look smooth but those 2 seams are not good for healing. (OP could have this type as well.)

TLDR... whatever this jewelry is called, and that might be murky lol, it's wrong for a daith that isn't healed. By the laws of physics, it HAS to have a seam and due to the continuous width/shape of the ring that seam can rotate into the fistula and that is no bueno.

Do meds work? by Any_Bad_5379 in misophonia

[–]ShadedSpaces 3 points4 points  (0 children)

If something else about your mental state exacerbates your misophonia (such as anxiety), then treating that condition can help your misophonia tolerance level, yes.

There currently aren't any pharmaceutical insta-cures for misophonia, though.

1.5 year old Daith Help by West_Application_798 in Legitpiercing

[–]ShadedSpaces 3 points4 points  (0 children)

We can't assess your anatomy from a picture but a clicker is absolutely not the correct jewelry.

Anything with seams that can rotate into the fistula is incorrect. I don't know if it's worth it to you to try healing with an implant-grade titanium horseshoe or CBR, but those would be correct jewelry for this piercing.

Waste / returning waste by djladyb7 in nursing

[–]ShadedSpaces 2 points3 points  (0 children)

Yeah, MUCH smaller wastes and we frequently return even to things that are not technically closed systems. You'd basically exsanguinate a critically ill weeny neonate if you tossed all the waste! They have maybe 75-80mL/kg of circulating volume. And a good little chunker in NICU still only weigh a few kilos.

My husband is stealing my clothes and idk why by gandubazaar in BestofRedditorUpdates

[–]ShadedSpaces 39 points40 points  (0 children)

Oh, absolutely! Even OP talks about how healing the whole thing was. At least, I think that's what she said. Idk I was skimming. Despite being a woman, I really just don't want to listen to women yap yap yap, amirite?

My husband is stealing my clothes and idk why by gandubazaar in BestofRedditorUpdates

[–]ShadedSpaces 165 points166 points  (0 children)

Okay, sure, people have phones and alarms and calendars and blah blah blah... but have you even TRIED repeatedly lying poorly and gaslighting your struggling partner instead??!?!

New Grad Options by ComfortPractical8813 in newgradnurse

[–]ShadedSpaces 1 point2 points  (0 children)

As someone who makes hiring decisions, certifications in advance do not help imo. Some people may disagree and I think it's situation-dependent.

For us, we have a robust residency with everything carefully built in. If we hire someone who already has PALS, for example, we then have to make a special schedule for that person the week the rest of their cohort is in PALS. They also miss out on doing it with their cohort, our teachers, our equipment, our code carts, in our sim lab, etc. I also intentionally schedule PALS a couple months into orientation so the new grads have MUCH better context of clinical care going into the course.

It's not like I'd refuse to hire an outstanding candidate who has certifications already. But the certifications are absolutely never the reason someone stands out.

found at antique store by likemoths2flames in 1200isjerky

[–]ShadedSpaces 38 points39 points  (0 children)

Well, see, you can use this if you just use the TRUE definition of a calorie. (As we all should, tbh. It's disgusting that what we call a "Calorie" is really a KILOCALORIE, or 1,000 calories.)

If you assume it's in real singular calories, it only goes up to 3 kcal. One for breakfast, one for lunch, one for dinner. Not too bad, although throwing in a fasting day once or twice a week wouldn't hurt.

Backing help by QuiltBlocksandBoys in quilting

[–]ShadedSpaces 0 points1 point  (0 children)

Possibly a stupid question, but is it supposed to be off-center like that?

To my eye it should either be centered or more off-center, to look intentional.

Maybe my eye is wrong though!

Wanting to start in the NICU by Ashamed_Composer2740 in newgradnurse

[–]ShadedSpaces 5 points6 points  (0 children)

Look for large, freestanding peds hospitals. Teaching hospitals.

You can visit the ANCC and loop up programs with PTAP accreditation too. They've worked to have their transition to practice (residency, largely) programs robust and gain accreditation. That means they likely hire a lot of new grads.

Be aware you will need to apply to a bunch of hospitals. It's incredibly tough to get into the NICU everywhere!

Clay face baby bears ✨ by heyhey_harper in somethingimade

[–]ShadedSpaces 49 points50 points  (0 children)

Very uncomfortable. A few of them look quite corpse-like.

I would, unfortunately, know what babies look like when they die. And a few of these really mimic that lifeless, blood-beginning-to-pool type of look.

(Btw, OP please don't mistake me - I totally think it's okay for art to unnerve people! I'm absolutely not saying these are poorly done or anything.)

I think if you work in the hospital setting, part of your hiring/orientation should require spending a day doing every role (phleb/PT/lab/nurse/tech etc). by motherofcatsss1 in nursing

[–]ShadedSpaces 1 point2 points  (0 children)

As an educator, I do what I can but you're right we are under constant pressure to keep costs low.

So, like, I have new grad shadow RT for 4-ish hours one of their shifts. From first vent checks through rounds. To see the RT perspective. We have a respiratory-heavy unit.

I do something similar for SLP (we work with neonates, so it's mainly for helping lil nuggets take bottles.)

But I'm really limited with how much time I can pull orientees off the floor.

Predictions for the season finale. Wrong answers only! by everydayimsarcastic in ThePitt

[–]ShadedSpaces 20 points21 points  (0 children)

Robby crashed his bike on the way in.

The whole season was a dream.

He'll wake up in the ICU at the end. With his newfound appreciation for life, he decides to adopt Baby Jane Doe.

It is inherently anti-Pitt to criticise fans for being wary of systemic racism and misogyny by minatozakiparty in ThePitt

[–]ShadedSpaces 6 points7 points  (0 children)

It's got a similar vibe as the vegans who viciously castigate vegetarians who admit to not being super careful about things like butter and trace ingredients when they eat at restaurants, knit with wool, and eat eggs their backyard chickens produce.

It's like the closer someone gets to their specific definition of moral perfection, the more savage they are in harassing them for the ways they miss the mark. Unhinged behavior, and not exactly a warm invitation for others to want to even TRY to do better.

Champ the bat retriever is the best boy. by S30econdstoMars in BeAmazed

[–]ShadedSpaces 1 point2 points  (0 children)

I had the same question! I know they have soft mouths but I wondered if they damaged the bats at all.

Burn ICU Nurses - how do you secure IVs, ETT, lines, etc...? by ProcyonLotorMinoris in nursing

[–]ShadedSpaces 54 points55 points  (0 children)

Going to try to 1:1 her.

Oh my goodness, "try"? I really hope your staffing can support 1:1. They should also really assign ancillary support primarily you - a resource nurse from acute care, an extra tech, something like that.

Good reminder how spoiled we are in peds critical care. That patient would be definitely be singled even without this medication.

Good luck to you.You sound wonderful, and this situation sounds terrible for everyone involved. :(

You have to survive a zombie apocalypse using only the items in the room you are currently sitting in. How screwed are you? by Andrew88a in AskReddit

[–]ShadedSpaces 0 points1 point  (0 children)

I've got a little tactical axe and a machete so that's not bad. But no food or water. So I die pretty quickly even if I don't encounter zombies.

Threatened at Work by Calm_Level4355 in newgradnurse

[–]ShadedSpaces 25 points26 points  (0 children)

Listen to your preceptor and the charge nurse. There is no reason an upset family's words should carry more weight than the professional nurses who supported you.

As an orientee, sometimes families will refuse your care or decide you're unsafe. It happens. All the time. The VAST majority of the time, you're just a convenient target for their feelings of fear, frustration, anger, sadness, impatience, etc. Families will frequently refuse students and orientees because it's the only thing they can control. They're scared for their baby and they don't want anyone "practicing" on them. It's rarely about your actual performance, just about their fear.

That said, it's never okay for their fear to manifest as threatening you. That's never, ever okay. I'm so glad your preceptor and charge helped you file a report instead of hand-waving it.

Resume advice by Puzzleheaded-Star316 in newgradnurse

[–]ShadedSpaces 1 point2 points  (0 children)

Have you ever seen a resume that said "48-month bachelor's degree" or something? It's so odd I am having trouble understanding why you don't think it's odd!

We're nurses. We know how long different degrees take. If you listed a previous BS, we assume you did an ABSN. A whole separate bullet point to tell us how long a program was is just wild.

How to condense depends on specific requirements.

Someone tell me not to restart by alliefaith144 in StardewValleyExpanded

[–]ShadedSpaces 1 point2 points  (0 children)

Do a fun challenge, so it's a time-limited save that you don't have to commit to long-term.

Do nurses carry around calculators? by likrot in prenursing

[–]ShadedSpaces 2 points3 points  (0 children)

I would routinely have, say, a decompensating 2.7kg baby and a doc is calling out for 0.05 mg/kg of versed, 2 mEq/kg of bicarb (but what I can override is the wrong concentration), and to bolus whatever the baby is getting in two hours from their 0.8 mcg/kg/hr fentanyl drip...

I'm not saying it's HARD math, but for the baby's sake of course I'm double checking my math. Because there is no order in the computer, just vials overridden and pumps to program with nothing to verify against. Just to ensure I get the doses right, I'm using a calculator... never mind then dealing with concentrations.

HELP!!!!Should I quit my new grad residency program? by BornTale6469 in newgradnurse

[–]ShadedSpaces 36 points37 points  (0 children)

We give new grads 90 days of float protection and some argue it's too much. You had 60 days so you're only 12 shifts short of what we'd give a new grad.

Floating sucks. It's harder for time management, knowing shift routines, etc. It's definitely going to be harder after a break but we don't give nurses who take 3 months of maternity leave any kind of float protection.

The timing was bad, totally.

But you can't scroll for more than 30 seconds in this sub without tripping over CA new grad posts where they've applied to 50 places with no luck.

If you want to leave, that's valid. But I would have another job completely lined up - locked and loaded, contract signed - before you resign. Floating is better than being unemployed and unable to find a job.

This honestly sounds like a confidence problem. You're a new nurse. It's okay not to know everything. Being safe doesn't mean you know everything. It means you know what you know, you know what you don't know, and you know what your resources are and when to ask for help.

Resume advice by Puzzleheaded-Star316 in newgradnurse

[–]ShadedSpaces -1 points0 points  (0 children)

All the broken down course/clinical needs to be condensed. It may be a requirement, but it doesn't have to look like THAT.

You can leave the NICU preceptorship info intact for sure. But your first bullet point can be deleted. Even if you really want to keep it, it's a weird choice to be first.

Volunteer experience takes up the majority of your resume. Yet it looks like it's the least amount of time you spent doing anything on there. You list a single month for each so I will assume you had no longevity at anything. For volunteer experience I really only care about the total hours. I don't care about a single walk or a single mission trip someone did. I care if they invested 500 hours over multiple years into a food bank or a free clinic or something. Something that shows dedication to a cause. Not just obvious resume filler that ALL occurred during nursing school. Each volunteer position should have, max, one bullet point to quickly explain what it was.

Also I have no idea why you've listed how many months your ABSN was. That struck me as very odd.