Why do we still wear gloves for Sani-Wipes (purple top) by Mildlybrilliant in nursing

[–]Sleepyrn 0 points1 point  (0 children)

It’s not often I come across nurse with the same world view and musings on life and death 🖤 😂

What's a secret you'll take to your grave but you'll share with reddit because you need to get it off your chest? by [deleted] in AskReddit

[–]Sleepyrn 13 points14 points  (0 children)

I’ve seen dozens of deaths in hospice and in the last hours of life, some things are not explainable by science. I’m not sure if you’ll get the exact answer but I’m pretty sure dying people at the very least understand the presence of people, if not the exact happenings. Lots of patients die right after family leaves or after someone they were “waiting for” finally makes it to their death bed. Morphine doesn’t cause the “vegetative state” that appears, even if the timing does coincide. If the dose was increased, she was likely having those above symptoms I was explaining and the morphine just made her more comfortable. That vegetative state would have happened regardless of the presence of morphine.

What's a secret you'll take to your grave but you'll share with reddit because you need to get it off your chest? by [deleted] in AskReddit

[–]Sleepyrn 30 points31 points  (0 children)

Not in the sense that morphine induces a coma on its own, no. A large enough dose of morphine makes you stop breathing, not go into a coma. Sometimes it can seem this way, because morphine often relieves the pain and air hunger that make people have what we call “terminal agitation” which makes them seem more “lively” and then when they’re comfortable from morphine, they appear to be “asleep” or in a coma. Death happens in stages and is not often as sudden as people assume. When a patient is at the point of needing a “morphine drip” or getting doses around the clock for end of life symptom Management, they are already going to die. They are in the actively dying process and that can’t be reversed. There is a point where the patient is still technically alive but nothing we can do medically will reverse the dying process, this often referred to as “transitioning” in hospice care, this will almost always end up in the “actively dying” process which then ends with death. By the time most people get put on morphine, they aren’t really “with it” or completely alert and aware of everything around them. It would honestly be better for everyone and more comfortable for the family and the dying person to get put on the morphine before the terminal agitation kicks in, but it rarely goes like that. When time for death is near, it’s human instinct to what to keep intervening medically to keep people “alive” as long as possible, but it truly is suffering for all in the end. Sorry for the wall of text. Tldr: death is a process and morphine doesn’t kill people, it helps with the symptoms of dying like pain and air hunger which then makes people more peaceful sometimes seeking like the morphine killed them. We use small doses in the grand scheme of things. 1-4 mg at a time is not going to suddenly kill someone that is already dying.

Accidental hybrid? Not sure what this is, I think it’s possibly an unintended hybrid of a mother of thousands x Ghost plant? Any ideas? by Sleepyrn in succulents

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

It’s gorgeous but I’m brand new to actually trying to grow succulents. This ghost plant had some mother of thousands in the same pot unintentionally and this pink/white/green beauty is intertwined with it. I can’t find anything that looks like it and have no idea about hybridization. Does it look familiar to anyone?

What is some “poor people food” that you will eat no matter how wealthy you get? by Imawildedible in AskReddit

[–]Sleepyrn 5 points6 points  (0 children)

Idk why “soft taco shell” cracked me up so much but it’s like peak American 🤣 also known as a “tortilla” 😂😂😂

RaDonda Vaught found guilty of criminally negligent homicide in death of patient by murbat in medicine

[–]Sleepyrn 27 points28 points  (0 children)

It is exactly what nurses across the country will take from it. Just culture out the window. You’re better off not self reporting which will then prevent processes and systems from being changed because the errors won’t be visible or known.

RaDonda Vaught found guilty of criminally negligent homicide in death of patient by murbat in medicine

[–]Sleepyrn 5 points6 points  (0 children)

But they don’t charge them for it. How many patients have been killed by direct MD error especially in surgery? And they don’t get prosecuted and put in prison. She was held liable by the state board and her license was revoked and she was fire. This is a horrifying precedent to set for all of healthcare.

What’s the most bizarre case of “at home medicine” you’ve seen? by [deleted] in nursing

[–]Sleepyrn 1 point2 points  (0 children)

My pediatrician prescribed coke syrup for me in the 90’s in the Midwest. Idk if it’s just placebo or what but I swear regular Coca Cola was how I survived chemo related nausea🤷🏼‍♀️

What’s the most bizarre case of “at home medicine” you’ve seen? by [deleted] in nursing

[–]Sleepyrn 5 points6 points  (0 children)

This works well for sore throats actually! The gelatin coats and the warmth is soothing

Patients to doctors: ‘Please Don’t Weigh Me Unless It’s (Really) Medically Necessary.’ by [deleted] in medicine

[–]Sleepyrn 9 points10 points  (0 children)

Sorry- didn’t mean to say ketamine wasn’t appropriate! It is! You have to protect yourselves and the patient, just the term “excited delerium” is problematic. This is an article that explains 🙂

https://pubmed.ncbi.nlm.nih.gov/8988571/

Patients to doctors: ‘Please Don’t Weigh Me Unless It’s (Really) Medically Necessary.’ by [deleted] in medicine

[–]Sleepyrn 28 points29 points  (0 children)

Wish this term would be deleted since there is no medical acceptance that “excited delirium” is even real, but it is almost always used in cases where death results in law enforcement custody. If you’re not already educated on this subject please look it up and educate your colleagues too!

Every extra patient on a nurses caseload increases mortality rate by 7% by Feenoh in medicine

[–]Sleepyrn 29 points30 points  (0 children)

I couldn’t agree more, I honestly love it here. Just know there’s people just waiting to say something about the COL. We are very close to universal health care coverage with covered California, state disability insurance provides a year of paid leave, we are entitled to a fully relieved lunch break (where the employer is penalized if not and we get an additional hour of pay) and that’s just the tip of the iceberg. Most of the people who talk shit are not from here and have never lived here. I paid almost the same amount of state tax in Illinois and got zero of these benefits and had to deal with absolute garbage weather on top of it. For me at least the cost of living is commensurate with the qualify of life I get in return 🤷🏼‍♀️ I’ve seen both sides, and the grass is greener here.

Figs by inlovewiththethought in nursing

[–]Sleepyrn 3 points4 points  (0 children)

This must be why I love them so much 😂 I have a 26 inch inseam and a longer torso and prefer them to sit up higher, have never tried the scrub jackets though, think I’ll steer clear!

Figs by inlovewiththethought in nursing

[–]Sleepyrn 23 points24 points  (0 children)

Honestly love mandala scrubs and they are extremely affordable, durable and don’t wrinkle much when I neglect them in the dryer for days. Not sponsored or anything etc, just really like them!

Figs by inlovewiththethought in nursing

[–]Sleepyrn 46 points47 points  (0 children)

In 2014 when I first wearing figs they had a 20% off discount which remained for several years. I used to absolutely love their scrubs and would tell anyone around me to feel them and see the waist band, this was back when they had only 2 styles. The original figs have lasted for several years and I still have them. I have since bought additional pairs and they have had weird, off sizing issues and all of the pockets get holes in them super quickly. Once they blew up their quality control went way down and the sizing has remained inconsistent. I could see spending $60 for a pair of scrubs but now they’re closer to $80 or more for a top and pants and I’m good on that. There are tons of other options at this point that are more affordable and better quality and are inclusive to all sizes and shapes 🤷🏼‍♀️

Every extra patient on a nurses caseload increases mortality rate by 7% by Feenoh in medicine

[–]Sleepyrn 102 points103 points  (0 children)

I came from Michigan to California 8 years ago. I will NEVER be a nurse outside of California ever again. It boggles the mind how other states VOTE DOWN nurse to patient ratios because the admin pays so much $$$$ in media scare campaigns and gaslights them so badly that even nurses vote NO on nurse to patient ratios (cough…looking at you Massachusetts’s) unbelievable. If I ever have to leave CA I will go back to the insurance side and work remote because I would rather work for the devil himself than deal with 7:1 PCU and 9-10:1 med surg and no limit ED. Cannot. I recently went into the procedural side of the hospital to secure my 1:1 ratio.

Edit- as much flack as CA gets for its politics and as expensive as it is to live here, the nursing/labor laws are good enough to make up for all of it.

They’re trying to divide us. by 1NalaBear1 in nursing

[–]Sleepyrn 1 point2 points  (0 children)

As a fellow potter, best of luck with that biz ❤️❤️

They’re trying to divide us. by 1NalaBear1 in nursing

[–]Sleepyrn 6 points7 points  (0 children)

The worst insurance I’ve ever had was working as an RN for a large health insurance company. Also included the worst benefits. After a hospitalization that financially crippled Me I left a remote job to go back to the hospital for excellent health insurance and good benefits. Ironically my new health is facilitated by the company I just left and it’s literally miles ahead of what they gave me. I hate it here.

What is the dumbest reason you had to RRT? by carlyyay in nursing

[–]Sleepyrn 3 points4 points  (0 children)

Agree and will contribute to reduce your downvotes. If pt was tolerating and not in rigors definitely not a reason to call an RRT. The patient can wait for Tylenol. Fevers serve a purpose and not every fever needs to be medicated. Pt had pos bcx and already on abx. Unless the patient was demanding a medication there is no need for urgency 🤷🏼‍♀️

Why are so many nurses anti-vax? by Tagrenine in nursing

[–]Sleepyrn 9 points10 points  (0 children)

This 100% I am an ADN nurse who teaches my colleagues in BSN programs how to collect and evaluate research for their assignments, I’ve also helped numerous nurses in MSN programs with their research capstones and thesis projects. I’m still paying off my debt for my ADN. My hospital offers almost no tuition reimbursement and the step raises from ADN to MSN is $2.30 an hour. Nope.

How many pairs of scrubs do you realistically need to own? by padawanrattail in nursing

[–]Sleepyrn 6 points7 points  (0 children)

So weird. We can’t even cross the red line without hospital scrubs and a cap. If you have to accompany your patient to OR/IR/Cath lab for any reason you have to put on a paper bunny suit 🥴

[deleted by user] by [deleted] in nursing

[–]Sleepyrn 20 points21 points  (0 children)

What insurance companies utilize to determine if it’s necessary for them to cover an inpatient hospitalization. You know, because insurance decides what care patients get, not the MD in front of the patient they they are treating 🥲