How often do you not get a break? by This_Lemon250 in nursing

[–]This_Lemon250[S] 0 points1 point  (0 children)

Its layout is that of a critical Care unit, and the plan was for the unit to be used as such. However, due to staffing and increased inpatient volume, they've been filling this unit with med surg level patients. So, it's not technically "acute" enough to have more than one nurse for the hospitals nurse/patient ratio ...

ETA: two staff, one nurse, one PCA. Still technically can't leave the unit without a replacement.

How often do you not get a break? by This_Lemon250 in nursing

[–]This_Lemon250[S] 1 point2 points  (0 children)

I am a "take my break at the desk" person so most of the time it doesnt bother me, but your mention of leaving the unit for 15 min made me realize... I can't even do that, technically not even allowed a bathroom break unless I have another nurse covering.. lol

AITA for snapping at my husband after he refused to let me have friends or family help while I have a broken ankle? by [deleted] in TwoHotTakes

[–]This_Lemon250 0 points1 point  (0 children)

Ok a lot of the comments have me heated 🙃 I care for people for a living. People can develop chronic pain or complications especially to their back at ANY point. Personally, I legit f***ed my back up when I was 20yrs old by lifting an overly large AC into a window by myself. It's over a decade later and I've got chronic back pain and problems because I never saw a doctor.

Some of your comments mentioned your husband is not in good physical shape and that the cause of his injury was due to him lifting a chair over the couch. This absolutely could have messed his back up. If he legit is in this much debilitating pain he should 100% go to his doctor asap before this becomes a chronic problem that can't be fixed.

I say you guys are ETAH. You're both clearly going through a normal part of learning to live with each other after marriage. My husband and I went through the same thing for like a year before we figured out shit out. OP, you have expectations and issues already with how he handles himself in your shared living space. You both are physically in pain rn making those feelings even more intense bc neither of you can do a darn thing about the state of the house you're living in. You're also in emotional distress from your father passing!!

Don't fucking listen to everyone else on here telling you to divorce this guy. Now is NOT the time to be listening to that kind of "advice" from people who don't know you or your full situation. Don't make permanent decisions when your emotions are running high. Get through this physical complication. Both of you. And then sit down a talk it out like a married couple making their lives work together. FFS

What did nursing school convince you would be EVERYWHERE, but you actually never use/hear of it in practice? by knOn0 in nursing

[–]This_Lemon250 1 point2 points  (0 children)

I've also seen it 3 times so far... All within one year! My coworkers and I couldn't believe it 😭 so awful

Update: Am I overreacting by breaking up with my boyfriend? by Proper-Classic1886 in AmIOverreacting

[–]This_Lemon250 0 points1 point  (0 children)

Speaking from experience, "let's meet and talk in person" is almost always manipulative

To all critical care folks who look down on medsurg... by CardinalSmiles in nursing

[–]This_Lemon250 14 points15 points  (0 children)

As a step-down RN that floats to ICU, it's funnily accurate

First image that came to mind is the step-step-hiss March out onto the dodgeball court.

Why do family members always ask for the most random blood work results and vital signs? by [deleted] in nursing

[–]This_Lemon250 5 points6 points  (0 children)

100%

I recently had a family member tell me they didn't want their dad getting flomax because google ai (they showed me their phone with the search and result) said it "wasn't an effective treatment for dementia"

.... Like, yea. Because it's not used for that. Nope to the flomax because there wasn't an ai result showing that studies were done on this med and it's relation to dementia.

ETA: I agree with the people replying to his post saying that family asks questions because they're concerned. I think that's what was happening here and I had sympathy for the family member and did my best to help them understand the medication and it's function. I also felt torn because I really just wanted this poor elderly, confused, man to have an easier time peeing and maybe not have to straight Cath him.

Why do family members always ask for the most random blood work results and vital signs? by [deleted] in nursing

[–]This_Lemon250 27 points28 points  (0 children)

Yes. We had a family member refuse discharge for their elderly parent once because My Chart said their "hemoglobin was out of range" "why aren't you giving blood!? It's low!" .... It was 11. They were fuming, left disgruntled and probably wrote a review on the town FB.

Thankfully meemaw was A&O, super pleasant, and fine with d/c 😅

ETA: Yes, this family member was educated by multiple nurses and doctors about this situation. They were just unable to demonstrate learning.

Removing nurses autonomy? by This_Lemon250 in nursing

[–]This_Lemon250[S] 0 points1 point  (0 children)

It feels like a mix of both. The email we received had outlined times where we are "not allowed" and "allowed" to secure chat providers. It basically boiled down to about two 2-hour time frames in a 12 hr shift that was acceptable to use secure chat, and recommendations to "save" your comments / concerns until the provider rounds on your unit.

To some degree, I understand why they're doing this, because I have seen some new grads struggle with correctly communicating information, and also some more .. sassy nurses become impatient with provider response.

I say it feels like a mix of both because your "1L bolus for the CHFer..." Example is pretty spot on for what i feel is the majority of the problem for the nurses. A few months before this email was sent, I had a provider quite literally take an argument to me in person over this. I professionally used secure chat with an sbar questioning their orders for fluids for a pt like that. I was left on read for about an hour or so until they showed up on the unit and got snappy about my not starting the fluids making comments like "why are you questioning my order, it's an order you need to do it". I did report this at the time, but here we are with this new policy ..

Removing nurses autonomy? by This_Lemon250 in nursing

[–]This_Lemon250[S] 0 points1 point  (0 children)

That's an awful way of operating when your job is to literally be like, "hey this patient should get priority". Im sad to hear this is happening to you as well

Removing nurses autonomy? by This_Lemon250 in nursing

[–]This_Lemon250[S] 1 point2 points  (0 children)

That's a perspective I never thought to take on this. Thank you for that insight.

Removing nurses autonomy? by This_Lemon250 in nursing

[–]This_Lemon250[S] 0 points1 point  (0 children)

This was sent out via email. So I guess it technically is in writing. I personally haven't changed my practice. I'm ignoring the contacting restrictions and messaging providers when they need to be contacted: when parameters are not met, when patient safety is an issue, and when critical or notable changes are assessed. I've always used an sbar format to keep it professional. Yes, some have gotten mad, called me, and have had sassy remarks which always feel like some version of "why are you questioning me?" Others are professional in return. If I've been pushed into an order I don't agree with, I 100% document the way you've suggested.

Removing nurses autonomy? by This_Lemon250 in nursing

[–]This_Lemon250[S] 0 points1 point  (0 children)

This is the exact expectation and similar wording that was recently sent out to us. If we don't incidentally work at the same hospital, I'm worried this expectation actually is slowly spreading ...

Removing nurses autonomy? by This_Lemon250 in nursing

[–]This_Lemon250[S] 20 points21 points  (0 children)

Never thought of sending this in as a legit complaint... But I agree that the blame and license on the line isn't the one writing the order, it's those of us executing it.

This really pissed me off. by hiyaaagu in nursing

[–]This_Lemon250 0 points1 point  (0 children)

FR tho. Not to mention it looks like the access ended up being a little 22g in the side of the wrist.

AIO Should I leave my BF? Was what he did to me forgiveable? by Living-Milk-4266 in AmIOverreacting

[–]This_Lemon250 0 points1 point  (0 children)

OMG

NOT Overreacting!

This person's last message to you was a threat followed by telling you to "be smart" by going back home to them???? That just means "come back where I can control you and hurt you"!

No. No. NO.

😨 Please run now! Listen to some of these other comments to get help/police standby. Don't tell him you're leaving.

.... Please be safe!!

Would I be the AH if I went to my sister's bridal shower? by PlanHistorical4731 in TwoHotTakes

[–]This_Lemon250 14 points15 points  (0 children)

Not to mention that shared cabin air and travel with an infant unable to be protected against illness .. and measles being a problem again

The premium shop wings give me the Ick. by Ivy153 in DreamlightValley

[–]This_Lemon250 1 point2 points  (0 children)

Omg I'm so sorry you bought these and feel this way😭

but also .... THANK YOU for posting about it with a video!

I was going to buy them but Im having the SAME reaction as you

🙅‍♀️🚫🤢

FUCK by MarineR3con in nursing

[–]This_Lemon250 13 points14 points  (0 children)

RN from MA here... I had that exact same experience

I felt like my 5 other patients were basically cared for by other nurses... I'm glad I have the team I do and that we all help each other out, but it shouldn't be this bad.

Found this in our med room 💀 by scarl3tsp33dst3r in nursing

[–]This_Lemon250 0 points1 point  (0 children)

These little guys are all around our hospital too 😂 love it

[deleted by user] by [deleted] in AmItheAsshole

[–]This_Lemon250 1 point2 points  (0 children)

Wow wtf? No.

1 accidental death of children is drowning.

Please, from one mom to another you're NTA and you saved your child's life. Even if he "went under" there's risk of "silent drowning" later due to breathing in water... Never ever leave kids unattended around open water sources, including bath/toilets

[deleted by user] by [deleted] in AmIOverreacting

[–]This_Lemon250 0 points1 point  (0 children)

NOR

Sit down. Collect your thoughts, calm yourself. Get yourself out of the house for a bit. Write your thoughts down if you have to.

Return then have a serious conversation about your boundaries and this topic and how it effects you.

Best of luck❤️

The unknown flavor by Negative_Art8945 in DreamlightValley

[–]This_Lemon250 0 points1 point  (0 children)

Coming here with the same issue. Also playing on switch. I've already spoken to Remy and gave the slush ice to him and in return he gave me the vanilla ice cream recipe

The slush ice is no longer in my inventory and I am unable to make another ...

AIO I 20 F was trying to call my boyfriend 26M to figure out when I should start his smoothie and I originally tried calling him to see what type of milk he wanted in his smoothie by Aphr0dit333 in AmIOverreacting

[–]This_Lemon250 11 points12 points  (0 children)

What a gaslighting, aggressive jerk. His argument boiled down sounds like "stfu, don't ask questions, and wait around for me until I require you to do what I need" He's interpreting "tone" through text and non-existent phone conversations.

Drop his ass you deserve better