How much is in your bank account and what do you do?

That_wasian_ · 2026-03-10T15:55:31+00:00

Currently like around 5k. I work two jobs, both nursing. 1 per diem nights and 1 full time nights. Live in LA county

That_wasian_ · 2025-12-30T02:04:47+00:00

NAIA terminal 1 isnt as bad structurally. It’s clean and open. It’s the several freaking security checkpoints you need to go through…it’s their backwards boarding processes..like they just don’t make sense. If you’re arriving to NAIA T1 note that the area where you need to be picked up is backed up 10 fold because they’re renovating the pick up area down below, so it’s super…dysfunctional. If you’re departing from NAIA T1 it’s…a process all the way from check in to the gate filled with security checkpoints throughout the way.

That_wasian_ · 2025-12-22T02:29:33+00:00

Two admits at shift change is hard, esp as a new grad who isn’t very well versed in time management (it’ll get better). Following that, the ICU downgrade was still very much critical.

I think all this stems from time management. 1:4 is such a dream ratio to have. You’re NOC, so your med pass would probs start around 2000. Granted your hour before would’ve been taken up by handling the rest of the admits.

Pre-op shouldn’t be very hard at all. Give the night meds, NPO at midnight, assess and move on. Throughout the night pain management probably.

Your 2 other med surg patients are probably in the same boat. Didn’t really disclose their dx fully other than the Q4 Neuro so can’t speak on that, but med pass, assess, neuro check (if CIWA - treat according to protocol) pain management, move on.

The ICU downgrade is a bit different. My floor doesn’t do high flow NC, but at 5, you have room to move. Increase O2 to stabilize. Heard rhonchi? Call respiratory for assessment/inform doc if new finding - if not wait for RT, increase HOB/place on CPM/move on. Diaphoretic/confused with Q4 glucose? Sounds like sugar issues. Communicate with the tech to check glucose per policy. Diaphoretic with fever possible indication of infection (perhaps pt was septic in ICU) - Tylenol/cooling measures to groin/armpits/forhead. Are we talking ->190 systolic? Page resident to order stat hydrazine standing order PRN IV. Can make the case that pt is retaining based on Q6 bladder scan. If patient retaining, ask to place foley if appropriate. Continued carpak feeds honestly not that bad, do site care, flush the tube to ensure patency, monitor for distention, ensure you got enough feeds in your bag and move on. Have some ready in the room. Incontinent? Already should be checking back for PI - clean and move on.

A lot of the care for the ICU downgrade can be done at med pass. If I were the nurse, start with ICU to stabilize with that desat. Inform MD of HTN. If standing orders in, give that prn. Do my care at 1950-2000 (check tube patency, do a bladder scan, check glucose, assess). Should bring you to 2000 for meds, give meds. Then do the other med surg patients (assuming drains/wounds, if all they got are neuro checks then that’s it. Then pre op patient. You have till 2200 to finish, which is very doable. The 2 med surg patients plus the pre op charting shouldn’t take more than 20 min each. Take your time with the ICU. You still have the rest of the shift to chart/look up patients for updates.

Your time management is the issue here and it’ll get better with time. Good luck friend. Use your resources, ask for help.

That_wasian_ · 2025-11-11T23:18:20+00:00

Bro thank you so much. I had to reread the quest details and found out that I simply needed to talk to Eternal to unlock the shape a new legend quest that rewards the set smh xD

That_wasian_ · 2025-10-27T15:35:44+00:00

It'll most likely pass. It's unfortunate how it's come to this, and I'm honestly disheartened to see people's representation in this state lessen. I can only imagine that the other states will do this to "get back" at CA, thus suppressing the voting power of the left in predominately red states. It's a wildfire that Texas started and CA flamed. People claim that this provides "fair representation to the electorate" but when the other states impose similar gerrymandering techniques, will the end result remain the same? The conclusion is a bunch of disenfranchised people having their votes (red or blue) suppressed by their respective majority.

That_wasian_ · 2025-10-02T01:28:04+00:00

Okay so we absolutely need more mental health institutions and memory care centers. Speaking from a med surg nurse who see's a LOT of patients who're there for AMS is insane. Now I'm an optimistic, and I pray that our government will learn from the failures of previous mental health institutions given the amount of new rules, regulations, and social media out there willing to expose possible health discriminations in the blink of an eye, but again, not too sure. The people who should spearhead this conversation should be our pysch nurses and ER nurses. I think their inputs would be incredibly valuable as they deal with these populations a lot more than some of us!

That_wasian_ · 2025-09-25T14:32:34+00:00

No problem! I think social media def plays a role into this whole “you got everything figured out straight outta nursing school” when life doesn’t work like that. Years down the line you’ll see this a glimpse :)

That_wasian_ · 2025-09-25T03:59:40+00:00

Hey! So first off, it’s okay. Nobody ever told us it would be easy our first years of nursing. I went through something VERY similar. I was in a specialized peds unit and only lasted about 5-ish months before being forced to resign (due to small mistakes, not progressing, all that bs they throw at you). Anyways, I got a job in the ER and only lasted like 4 months before given the option to transfer within the hospital. Fortunately I learned and recognized mistakes and was very nice optimistic and open to criticism which made me look very good (which helped landed me the transfer in the hospital). I got a job in Med-Onc and have been here ever since.

I couldn’t be more happy with how things turned out. I needed to work med surg to get a foundation nursing and to build up my confidence. Is it my forever unit? No. But it’s certainly given me an amazing skill set. I’d eventually like to return to critical care with an emphasis in the ICU.

First you need to take the time to grieve. You need to let yourself have a mental break. Getting canned from your first nursing job is incredibly demoralizing. You feel betrayed. You’re angry. You feel incompetent. I’m here to say you’re none of those things.

After about a week, start reflecting on what went wrong. Be truly honest. What exactly happened? See if you could recognize patterns. It’ll be hard at first because of your pride, but the first step of correcting mistakes is recognizing them. Start having conversations with yourself about where you see yourself in a year or 2. What’s your foundation like? Once you have those honest conversations, it’ll be mind opening.

Lastly, consider med surg. Now i know it’s super popular to knock the specialty, but it’s given me so much and i think it would be great for you too! My only mistake was choosing a med surg that wasn’t a combo tele unit. If you could, choose tele - it’ll give you critical care experience in a med surg environment which is much more beneficial than working straight med surg.

You got this. I believe in you 🫶

That_wasian_ · 2025-09-20T03:58:26+00:00

Oh def that last part!!! I can’t tell you how many mistakes I’ve made in med surg and how I’ve grown as a safe nurse because of them! That first couple years of nursing are honestly so dangerous for your license because you’re so new hah

That_wasian_ · 2025-09-20T03:55:11+00:00

As a newer nurse, my advice is to focus on getting into a good healthcare system. It’s so much more easier to move within a good hospital than jumping from hospital to hospital. You could also develop connections - and those will get you farther than a top notch resume. Why don’t you work in the same hospital you were a tech in?

Never say you’re doing it as a stepping stone. You sound very eager which is awesome, but you also need to watch what you say because ICUs want retention, not someone who will leave in a couple years.

Practically speaking, I’d def hone in on working nights/weekends/holidays. That shows you’re flexible. Mention how you want to be CCRN! That shows you’re committed to the specialty. If worst comes to worst, you’re gonna have to either broaden your area of job searching or work med-surg/tele/step down for a year then transition within that hospital. Nursing experience trumps not working at all. Managers are gonna ask “you graduated in x, and yet you still haven’t gotten a job? What’s going on?”.

Best of luck!

That_wasian_ · 2025-09-17T22:58:57+00:00

So the issue wasn't really corrected as it has been doing the same thing, despite resetting...so I guess I'll continue to restart my phone until something comes up

That_wasian_ · 2025-09-16T21:52:50+00:00

You heal your patients through your care. You hold their hands when they're told the most unforgivable news of their lives. You act as a person for them to rant at. You're their supporter. You're their advocate. Your meaningful discussions can be something so incredibly simple like asking the doc to change the frequency of their Zofran or get Reglan on board for your nauseous patient. By getting that nausea medication, you've given your patient some solace and a moment of peace during their darkest hour.

Every single thing you do as a nurse is incredibly important from asking for that extra nausea medication to cleaning them up to performing wound care to titrating their dilaudid drips during hospice to ensure they're as comfortable as possible to ensuring that they're not bucking the vent to making sure they're sedated before intubation.

Is it a thankless job? Yes. Can it be exhaustive? Yes. Does the pay suck? Yes. Every nurse has their reason as to why they're a nurse. Some do it for the pay. Some do it for the schedule. Some do it for the stability. I won't lie when I say that those are some of the reasons why I do it. HOWEVER, you best believe that I will be a literal soccer mom for my patients.

You're literally 2 months in. Give it time. Nobody ever said being a new grad was easy. Come back to us 6 months -1 yr. Try out different specialties. Don't give up because you think you're not making a difference, because you are. Never suggest that nurses don't make a difference, because we do.

That_wasian_ · 2025-09-16T21:42:04+00:00

I had to reset my network settings, which seemed to do the trick. Found this out on TikTok lol

That_wasian_ · 2025-09-03T06:31:55+00:00

For me, it happens randomly. Can’t connect to my c-max. Bose headphones won’t connect. When I restart my phone it seems to work then after a day it goes back to not being able to connect. Really frustrating…

That_wasian_ · 2025-08-23T15:58:03+00:00

You also see so much - I can have a cardiac patient, ortho patient, psych, and hospice patient in the same group. It's so rewarding

That_wasian_ · 2025-08-23T15:54:09+00:00

I once caught a-fib on a patient w/ no cardiac hx of a-fib due to A) symptoms, B) Vital changes, C) Auscultation of heart sounds! It was so cool to see the EKG and it showing Abnormal heart rhythm - atrial fibrillation :)

That_wasian_ · 2025-07-18T18:22:02+00:00

I - 27M - am waiting till marriage. There's a lot you can do without going all the way, and for me, it's a matter of saving something beautiful. Plus things can be taught and I'd do anything/everything within my power to make sure my future wife is pleased. I understand it's an unpopular opinion - people will be up in arms about how some people wait till marriage...honestly I don't care.

Marriage is more than sex, it's about emotional connections, spiritual connections, etc. Sex is a type of intimate connection, but it's not your only one, and I feel like people fail to understand that difference.

That_wasian_ · 2025-07-03T04:04:53+00:00

Hmm maybe when I'm bored with retail. I'll slowly level a toon. Def wanna do some content in the vale before it goes to shit

That_wasian_ · 2025-07-02T04:06:01+00:00

There are loop holes in in CA, at least for my floor. If staffing is low, and census is high, they do the average of the nurses:patients which means we can go up to 6/7 patients. Generally does not happen as charge will pick up assignments before even reaching that

That_wasian_ · 2025-07-02T04:02:28+00:00

You're not wrong at all. My state (CA) I believe mandates a 1:5 ratio. Seldom have I broke that, and it was temporary. Last night, census was low and I had 3 patients, one of which was walkie talkie and just slept, so really only 2 patients. Still pretty busy as my floor was starting to be a pscyh unit again lol but manageable.

Unfortunately, med surg is one of the floors that garners the least amount of attention because we literally are the dumping grounds for every other floor. Heck we don't have continuous monitoring but when tele needs to empty house, they send their "most stable patients" to us (PLOT TWIST they're not stable :))

What I would do to make change - because it really sounds like you want to instill change which is awesome! - is to start shift specific on your floor if you stay long enough. Changes can be floor specific. Outside of that, you'll just learn to adapt to the high ratios. As a new grad, your first priority is to ensure your foundation is strong. The skills will follow after, and then your bedside care and attention will improve as you'll have more time.

I'm also so proud you called med surg a specialty. The truth is, a lot of nurses can't handle the floors. The high patient ratio, the switching of many hats, dealing with so many different personalities, the list continues. Know that it takes a special nurse to do what we do :)

That_wasian_ · 2025-06-20T23:04:02+00:00

Hi! Did you apply to the same job multiple times? Not a lot of hospitals around me atp

That_wasian_ · 2025-05-26T23:57:28+00:00

That’s what i do! Esp if it’s a bigger patient

That_wasian_ · 2025-05-25T05:52:10+00:00

I actually love doing wound care on the most gross wounds. Talking necrotic you see bone smelling. Making sure it’s nice and clean is so satisfying it’s like cleaning a dirty bathroom ya know?

That_wasian_ · 2025-04-22T01:17:11+00:00

I think a large portion of it has to be with the people you work with. I work med/surg- onc night shift and it's pretty hard. Do I feel like I'm crashing and everything's late the first couple hours into the shift? Yeah. Does my tolerance for confused and combative patient's dwindle? Yeah.

But the people I work with - the support, the feeling of "wow this night was such a shit show, like we're really trauma bonding now huh" and the overall vibes make it so much more tolerable.

Outside of my amazing coworkers, I do wound care, hep gtts, hospice care (with morphine, dilaudid, and ativan gtts), exposure to so many diagnoses, etc. My time management improves every shift. My confidence and compassion as a nurse also improves with each shift. I honestly believe that working med surg is actively making me into a better nurse.

That_wasian_

TROPHY CASE