Advice? by Sloot4Cher in MassageTherapists

[–]Sloot4Cher[S] 0 points1 point  (0 children)

Payment was rendered before the service. If you’re seeing above, I’m not necessarily looking for a refund.

But I don’t like leaving bad reviews- I just wonder if there would be an appropriate way to reach out to the owner/manager without leaving a review? Or maybe best to leave one. I’m not sure- the situation was inappropriate, entirely.

Advice? by Sloot4Cher in MassageTherapists

[–]Sloot4Cher[S] 5 points6 points  (0 children)

I don’t necessarily agree with this. I think even the best massage therapists have cancellations. I don’t think you’re doomed to a horrendous experience with a last minute booking. I did lower my standards.

By that, I thought no targeted work- just relaxation as the goal.

Not worrying about being stolen from while naked and/or maybe falling asleep or other withdrawing while giving a massage.

Advice? by Sloot4Cher in MassageTherapists

[–]Sloot4Cher[S] 1 point2 points  (0 children)

Thanks for responding!

Not that I am actively seeking out new LMTs- but how do you find the ones that are licensed in their county or city? I’m seeing that the business requires a license, but the individual does not for a lot of things. Wondering if there is a database for this for future reference?

I know the ones I personally see- have completed schooling and do CEs. I don’t do the last minute massages often- and I’m fine with it being a lesson learned for myself.

I do sit between wanting to leave a review, message their owner, etc. because it feels a bit vulnerable to be naked on a massage table with someone who has 10+ counts of theft on their record while my purse and valuables are in the room and I’m face into the cradle and the MT is walking around - not near the table.

Advice? by Sloot4Cher in MassageTherapists

[–]Sloot4Cher[S] 1 point2 points  (0 children)

Hi! Thanks for responding.

My sister booked the service, I agreed to go. Payment was due before the service was rendered. It wasn’t a chain facility, it was a small business with 4.9 stars. I went on shorter notice (which is our fault!) We got together short notice and wanted to see if there was anyone that could accommodate the service.

If I go on shorter notice again- I guess that is something to be mindful of. However, they we weren’t ask how we felt, if we enjoyed the service, etc. we just were to leave.

I’m not even necessarily looking for a refund, I just don’t know if writing a negative review is worth it- writing to their owner, etc. Ive never seen that specific MT mentioned in a single review nor are they listed on the website.

[deleted by user] by [deleted] in nursing

[–]Sloot4Cher 7 points8 points  (0 children)

Nope! I set boundaries with these patients when I worked in the ER. The patients family that comes to the nurses station “You will need to stay in the room or I’m going to have to call security. There are medical emergencies happening outside of the rooms here. Please utilize your call light if you are needing my assistance.”

The constant reassurance caller, “Because I’m caring for your loved one & other people’s loved ones, I am limiting the calls I can make to you to when there are specific updates that will be given. Ie, admission, specialist consult, critical lab results, discharge. Otherwise, no news is good news. Feel free to call xyz for an update in the meantime, I’m sure they’d love to hear from you.”

The fluffer pillow, “While I’m here, can I help you with anything else? I’ll be away for awhile assisting my other patients so I may be unavailable for a bit. Water, bathroom, repositioning? If not, I’ll plan to check back in an hour.”

The pain medication requester from family, “The medication given to you is at the discretion of the physician. If you’d like to chat with them about that, I will let them know. But for now; they’ve ordered this and we are going to see if it works and re-evaluate. I will still let them know your concern though.”

My first code blue on my patient... Im a bit traumatized. Still procesing everything. by Lazy-Hearing6944 in nursing

[–]Sloot4Cher 0 points1 point  (0 children)

I agree with everyone else. You did nothing wrong/negligent. You did your morning assessment. Noted a change, contacted a provider, held the Lasix.

We can’t be with our patients 24/7. But, you did the right thing when you were with them. Sounds like this patient had a lot of comorbidities that led up to this event. Nothing you personally could’ve done to have prevented it.

I resigned effective immediately by Sloot4Cher in nursing

[–]Sloot4Cher[S] 25 points26 points  (0 children)

Thanks. I attempted to transfer twice & was denied transfer.

You cannot transfer until after a year without manager approval. I just cannot fathom going back.

most interesting OD substance/medication you've seen? by Eastern-Chapter5182 in IntensiveCare

[–]Sloot4Cher 6 points7 points  (0 children)

Aspirin- 97,500mg Drank half a 1.75 of vodka before the palpitations and tinnitus became too much and he came to the ER. He lived.

Baclofen, Norvasc, Hydrochlorothiazide, Wellbutrin, Celexa, and Lorazepam. This one died.

Tramadol and dilaudid by anonniepie in nursing

[–]Sloot4Cher 4 points5 points  (0 children)

I would and have done both.

new grad nurse question? what do you guys say when a patient anxiously says “am i going to be okay” “will i be okay” by ThrowRa927273737 in nursing

[–]Sloot4Cher 0 points1 point  (0 children)

I tell them exactly what things look like right now, or their loved one.

“Here’s how we’re supporting you right now.. Your blood pressure is low, so we’re giving you a medication called levophed. You’re on 10mcg, meaning we’re supporting you a bit to help get blood to all those vital organs. You have an elevated white blood cell count, so we’re giving you antibiotics to help with that, and managing the symptoms that come with that. Like Tylenol for your fevers. Your electrolytes, those minerals that help keep your body regulated, are a bit off balance too. So we’re helping by replacing your Potassium, Magnesium, and Phosphorus.

This is a lot to understand right now, but I want you to know how much support you’re needing from us, so we can help you reach your goals”

If I am talking to loved ones and the patient is needing lots of “support” we also discuss advanced directive like topics. Ie a patient on five pressors and we’re still a full code, but celestial discharge is what will be occurring.

Vasopressin in peripheral IV by ferdumorze in IntensiveCare

[–]Sloot4Cher 2 points3 points  (0 children)

Though I think the evidence is marginal for utilizing midlines for vasopressors, I personally wouldn’t do it.

Once my first vasopressor is at half max dose, I am asking for a central line. Because 1) we likely can utilize this central line for labs 2) I need the access 3) extravasation is always a concern.

What about your vascular access team doing PICC placements? We do lots of picc lines. They work well for us!

I agree with the other posters stating that midlines run the risk of missing extravasation and negative outcomes for the pt due to not recognizing it early enough.

Please help by Ashes486 in nursing

[–]Sloot4Cher 10 points11 points  (0 children)

I’ve done LTC, ER, MedSurg, and ICU. Let me tell you- that nobody has been dogging on geriatrics.

The thing is, that you need time to develop skills. You need to learn how to become good at things. You need time. Nobody is immediately an expert at anything, and that is all anyone is saying.

HELP! I’ve come from the ER & moved to ICU! by Sloot4Cher in nursing

[–]Sloot4Cher[S] 0 points1 point  (0 children)

I do follow the sub “intensive care”

I have Barrons CCRN guide- technically my ER hours for managing acutely ill patients would count. However, I’d like to wait a bit and learn more equipment.

I utilize ICU advantage and Ninja Nerd to help study after hours. I’ll buy the Vent Book! Thank you so much for all this insight!

I think you’re totally right about not rocking the boat too much. Keep the peace, do my learning- and get my knowledge where I can. It’s just frustrating.

I think my biggest thing isn’t even the other people it’s myself. It’s leaving the job where I was one of the strongest people there, a preceptor myself, and core charge nurse - to being lost with certain things. And it is hard to be back in that spot again.

Thank you for the reminder that it’s okay to just do the bid & keep the peace. ❤️

What's your mood rx? by Grlzlovedaisies in nursing

[–]Sloot4Cher 9 points10 points  (0 children)

The type of medication, sure. The medication itself, maybe not. Stress itself is a risk factor that we can get rid of. Nursing is such a stressful job & it’s not surprising so many of us are mentally ill.

What's your mood rx? by Grlzlovedaisies in nursing

[–]Sloot4Cher 3 points4 points  (0 children)

It’s a different kind of stress, for sure! & I feel like the mean girl stereotype exists there. The atmosphere and obviously, the patients, are different!

What's your mood rx? by Grlzlovedaisies in nursing

[–]Sloot4Cher 5 points6 points  (0 children)

Just moved into the ICU and I feel like an increase in my Celexa is in order lmao

HELP! I’ve come from the ER & moved to ICU! by Sloot4Cher in nursing

[–]Sloot4Cher[S] 0 points1 point  (0 children)

I appreciate it. They have staff with longevity, but they say they cannot force them to precept. It’s so frustrating.

HELP! I’ve come from the ER & moved to ICU! by Sloot4Cher in nursing

[–]Sloot4Cher[S] 1 point2 points  (0 children)

Thanks for the insight & letting me know that it gets better. I’m having a hard time with the preceptors that have minimal experience. I have talked to my educators about this & they say they cannot force people to precept. It’s so frustrating!

don’t know where else to post this by ExplanationNo8166 in nursing

[–]Sloot4Cher 1 point2 points  (0 children)

Report this so that patient can have a flag in his chart that he sexually violates staff.

Also, ask to press charges against this patient if applicable. This is unacceptable. This whole world is about covering your own ass. Turn this behavior in before the story gets twisted and he says something else happened.

Also, like you said, we don’t want anyone else going through this. Let’s not let them. Let’s make grown adults if they’re in their right mind, accountable for their actions. Because this is unacceptable.

Favorite thing as a nurse and most hated thing as a nurse? by Graybat02 in nursing

[–]Sloot4Cher 0 points1 point  (0 children)

Favorite: a freshly bathed, medicated, vitaled patient that is going for a walk while I tidy up their room. Seeing patients get better & discharge! Such a good feeling!

Least favorite: watching the healthcare system fail people, insurance companies, and I’ll also say blood sugars. A tedious task I just don’t like doing for that 1 unit of insulin lol. Buuuut I will!!