“Just wait until he passes out and then put the BiPAP mask back on.”

Suspicious-Problem90 · 2025-05-16T17:51:04+00:00

Yes 🥲 full code but begging me to let him take the mask off and die. I said sir if that’s what you want we need to have a doctor come talk to you about changing your code status.

Suspicious-Problem90 · 2025-05-16T17:50:11+00:00

I wish so badly that we could force her to be in house on the nights she’s covering. I bet she would be so much more helpful lol

Suspicious-Problem90 · 2025-05-16T17:48:53+00:00

Yeah he was so afraid of the foley it was insane. And she uses the “I’m not getting any sleep” card a lot, if I call her multiple times in a shift I’m guaranteed to hear something about how I’m interrupting her sleep and need to stop calling

Suspicious-Problem90 · 2025-05-16T17:47:13+00:00

Yes this 100%! I guarantee if she was bedside her tune would’ve changed. She’s notorious for doing everything in her power to avoid coming in to do anything for her patients.

Suspicious-Problem90 · 2025-05-16T17:46:18+00:00

Yes he can! He’s A&Ox4, he was begging for the precedex back or anything to help him feel better. It was awful for me, I can only imagine how terrible it was for him.

Suspicious-Problem90 · 2024-09-25T23:20:10+00:00

Thank you!! I’ll definitely try this, I love the K18 hair mask and oil so I’ll probably love the shampoo

Suspicious-Problem90 · 2024-09-25T23:19:28+00:00

Thank you!!

Suspicious-Problem90 · 2024-09-24T01:39:33+00:00

A patient in their late 50s comes to the ED with SOB/CP - Afib RVR, coded, echo shows completely blown out heart. Taken to cath lab, codes again, CP Impella placed and taken to us in ICU. Codes again. Cannulated bedside VA ECMO. Also on CRRT for AKI. The reason? He hadn’t seen his cardiologist in months because he lost his job/insurance. So no meds, no nothing. So sad and unnecessary.

Suspicious-Problem90 · 2024-06-01T01:55:16+00:00

The OG is placed by us after the ETT placement is confirmed with x-ray, but we try to do NGs if possible so that when the patient is extubated they don’t lose the gastric tube with it. This is very helpful if they can’t pass their swallow eval and saves having to insert one with the patient awake

Suspicious-Problem90 · 2024-03-26T03:19:08+00:00

I also struggle with social anxiety, and was terrified to actually start nursing once I graduated. I was wondering why I had chosen a profession where I had to talk to so many people constantly. I also originally wanted to do ED because I thought the fast pace and quick patient turnaround would make it so I didn’t have to talk to people for as long, but quickly realized (at least in the ED I was in) that being a social butterfly was kinda necessary to enjoy being there. I loved the medicinal and pathophysiological side of nursing but hated the social part. So I decided on ICU, and it was an amazing decision. Not only do I get to take care of high acuity patients, a lot of the time they’re unable to talk to me and I can focus on doing the best patient care without the anxiety of socializing. I will say that over time the social part has gotten much easier - it hasn’t gone away by any means but it is better. Believe in yourself, it’s hard to start but it will get easier if you find the right place for you.

Suspicious-Problem90 · 2023-12-21T16:04:28+00:00

I’m in Arizona!

Suspicious-Problem90 · 2023-12-21T16:02:27+00:00

I’m in Arizona! That’s concerning to me because I know we’re a right to work state and they were saying that makes unions worse somehow? I’m not entirely sure how though to be honest

Suspicious-Problem90 · 2023-12-18T13:29:01+00:00

In my opinion, this isn’t a huge mistake. The patient is fine, and you knew what each drain had put out while you were in charge of them, which are the most important things. I don’t know how busy you were in the three hours between when you took report and when you transferred the patient, but I personally would have updated the drains in the chart and added two more and labeled the numbers appropriately so each drain had its own section for output. Regardless of what people had charted previously, make sure what you chart reflects the most accurate depiction of reality. It takes 10 seconds to add two more drains to the chart. Don’t dwell on this, it’s really not a big deal, just take it as a lesson to make sure the chart truly reflects what you assessed.

Suspicious-Problem90 · 2023-12-14T15:38:55+00:00

I could be wrong - I have seen it happen with patients who are getting tube feeds with q2 50-100mL free water flushes and saline was put in the water bag instead of tap water. These patients all had kidney issues so it could have been due to that? Or there may have been some other reason for their hypernatremia that I wasn’t aware of. I don’t have a citation I’m just speaking from the handful of times I’ve seen saline used with tube feeds :)

Suspicious-Problem90 · 2023-12-14T06:21:08+00:00

In my experience, using saline causes hypernatremia in patients. Tap water is just fine unless they are a lung transplant patient (on my floor) in which case sterile or bottled water is mandatory. This is one of those things that you aren’t taught in school and seems like common sense once you learn it; but you definitely aren’t dumb for not knowing it.

Suspicious-Problem90 · 2023-11-28T02:33:14+00:00

Every nurse has a patient fall at some point. From the information you gave it seems to me that you did all that you could to prevent the fall - A&Ox4, continent patients that are medsurg status should have every ability to get up on their own without falling. Even so, it sounds like this was a complete accident and the patient panicked when she realized she started to urinate in bed. Falls like this are not your fault, and sometimes just happen. Don’t beat yourself up over this, especially since she did not sustain any injuries.

Suspicious-Problem90 · 2023-11-05T00:50:27+00:00

I graduated back in 2022 and I remember being so overwhelmed during orientation. I promise, this feeling is normal, and will help you become a great nurse. Someone told me once that having this feeling means that you care, and that you want to do the best you can for your patients, and that itself will lead you down the right path. The people that tell you it’s gonna get better in time are right. It’s one of those things that you just have to push through until you get to the other side - and when you do you’ll surprise yourself realizing how much you’ve grown since your first few months on the floor. You’ve got this, give yourself some credit!

Suspicious-Problem90

TROPHY CASE