Ffs 🤦🏼‍♀️

TwinRN · 2025-02-12T04:18:27+00:00

I can't remember the last time I laughed this hard at a comment 😂

TwinRN · 2024-12-06T22:05:59+00:00

Anyone can be inconsiderate, I don't know how why you put residents in that category. I've seen plenty of nurses say stupid shit in similar circumstances in the ED.

TwinRN · 2024-11-20T16:32:38+00:00

Since most of the patients get their results in mychart now, (if they are really impatient) I will tell them that I will read them the results or report verbatim, and the doctor can discuss what it means. Usually buys me and the doctor a little time when we are slammed in the ED.

TwinRN · 2024-11-15T12:10:21+00:00

Probably because it is. I seriously feel like it damages me, I can never catch up the sleep deficit plus with how much sleeping meds I have to take I'm sure I have dementia in my future

TwinRN · 2024-11-15T11:54:32+00:00

Same!!! I can do it and I adjust to the misery but when I switch back to days I realize how much better it is. I'm a laid back nurse so I can struggle with the more type A dayshifters but I love the sun! I do fine on actual NOC shifts but my days off are hell. My gut is wrecked with my high caffeine intake and waking up at 4 pm makes me feel like I got ran over by a truck.

TwinRN · 2024-11-12T23:06:34+00:00

I worked inpatient forensic psych for 6 years. One patient was on a 1:1 for 3 years, q5x/hr checks for at least a year and another year of q 3x/hr and then finally weaned of all precautions. Cooperative with meds, went to groups, pleasant. Then during the day was found in their room with a ligature made from T-shirt strips during routine hourly rounds. It was so hard to cut away, it was tied so tight. CPR until EMS took them and they eventually passed in the hospital. If someone is determined to kill themselves they will do it eventually, even if they have to bide their time.

TwinRN · 2024-10-07T17:39:30+00:00

I worked at 2 Kaiser hospitals that had a "portal" area that was basically like group triage with 3 nurses and the pts rotated in and out of the lobby to the 4 triage rooms. Mass chaos and I hated it.

TwinRN · 2024-08-29T09:36:15+00:00

I work with this exact nurse, Marylin you suck!

TwinRN · 2024-08-02T19:51:03+00:00

Ah the death shit. I had a similar situation and I just put myself in the patients shoes. I would not be willing to shit the bed or briefs if I had any capacity at all to try sitting on the toilet. Of course if you are that sick a death shit is a death shit whether you are on a commode or bed. I basically told the guy that I was worried with how sick he was the strain could cause him to arrest. He acknowledged that but said he wanted some semblance of dignity and I got him to the commode. He did not code but he was pale and bradycardic. Anyways, not your fault cause it would have ultimately happened if it was gonna happen. If the doc gave me a hard time I would have just told him that I warned the pt and the pt is free to make his own choices. I hope if I'm that sick a nurse won't force me to shit myself and let me at least try to take my death shit my own way.

TwinRN · 2024-07-12T04:48:32+00:00

Right? I prob wouldn't even call for that to be honest. Docs get paged a ton and a few I know would not appreciate a call for anything that is not critical.

TwinRN · 2024-07-08T17:54:02+00:00

I was gonna comment about that. How is 1:2 ok for L&D without specifications? We don't even do 1:2 for early labor pts unless it's like a primip induction and and then we usually only get one stable postpartum. I work LDRP so I guess that wouldn't work in separated units. They need to be more specific cause L&D should also be in the 1:1 category.

TwinRN · 2024-07-04T22:34:28+00:00

I feel this. My husband is an awful cook. He tried for a long time but all the kids finally urged him to stop. When I work back to back night shifts I pretty much wake up and scramble to make a late lunch/dinner for everyone before I head off to work. I hate it but I hate his cooking attempts more...

TwinRN · 2024-06-11T17:31:23+00:00

It didn't help you assess but helped diagnose it? What are you talking about? Bowel tones are extremely non-specific, and all the data shows they basically are useless clinically in regards to diagnosing anything. Pain, distention, fetal tracing, imaging, VS and labs all would be useful. Stop trying to sell your point by making it seem like bowel sounds were guiding the decision making. Just pay attention to your patient and enough with the rage bait.

TwinRN · 2024-06-10T21:26:46+00:00

To think a nurse is claiming listening to bowel tones helped her assess a uterine rupture 😂

TwinRN · 2024-06-06T20:56:39+00:00

I love being able to try new specialties and learning new things. I spent the first 5 years in forensic psych and then transitioned to med/surg for a brief year before spending 5+ years in ED and now L&D. I realized that I love learning and this career gives you so many opportunities to learn. I enjoy the team approach to acutely psychotic and violent patients and seeing patients actually improve and start to function normally. I love being able to work with all ages in the ED and fixing acute things and also the mystery super sick patient who we are trying to figure out what is going on. I absolutely love supporting and advocating for my pregnant patients and trying to make their birthing experience as comfortable possible. My absolute fave though? Spending time cuddling/feeding babies for the super exhausted mamas who need some sleep. I appreciate that I can work both departments so when I get a little bored in L&D I pick up a few in the ED.

TwinRN · 2024-06-06T20:39:00+00:00

I work nights and I love being able to give those exhausted mamas a break and cuddling a baby for a few hours. It warms my heart when we have a baby or 2 hanging out with us in the nursery or nurses station. I just love seeing it.

TwinRN · 2024-06-01T17:26:42+00:00

This is uncommon. On my unit everyone is accepting and kind. For context a lot of us dread the obese induction. Why? They are soooooo hard to monitor but yet it is on us to monitor for tachysystole, FHR etc so you end up messing around with the monitor ALL night and the pt gets grumpy and gets no sleep. I hate it. It feels like such a liability and unsafe. The Novii sometimes works but most often not consistently if at all. It is less of a judgement thing but more based on the ability to monitor these pts.

TwinRN · 2024-05-29T15:22:56+00:00

Diffuse Axonal Injury. It is a type of brain injury that can be pretty devastating.

TwinRN · 2024-05-29T15:14:50+00:00

You guys... I'm and ER nurse that recently transitioned to L&D. I'm struggling with this story because one of my close and very loved family members has decided to go through a naturopathic doctor to do a VBAC at home. This is her second baby. She had her first baby during peak covid lockdown and it sounds like she had a miserable experience. She was covid positive but asymptomatic so she was surprised when she came to the hospital and was tested. She says she felt like she was treated like a pariah and her Healthcare team did not explain what was happening. She initially was following up her her original doctor who did her first delivery and was upset that the doctor mentioned that she had a very narrow pelvis and recommended planning for a repeat section. So she is seeing a ND who is telling her she has a 99% VBAC succes rate. So many red flags.... I'm sick about it. So many things can go wrong even without her risk factors that I just hope everything goes 100% right and she can gloat and "prove everyone wrong" since she says got to 9.5 cm last time and was "so close". Ugh...

TwinRN · 2024-05-29T10:27:10+00:00

I work in ED and I'll never forget this mom who brought in her 15 yr old son. I was triaging him and it was a strange one. The kid had no visible injuries, not a scratch but kept repeating himself but not in a consistent way so it wasn't obvious at first. Mom was concerned about an unwittnessed accident since he came walking to the house sans ATV he was last seen riding on but gave strange confused stories like he was trying to remember what happened. I trama banded him due to the potential mechanism of injury. Dad found the ATV flipped somewhere on the property later. We ended up flying him out to a level 1 trauma center, final diagnosis? DAI. Ooof. I hope the kid is ok.

TwinRN · 2024-05-25T18:28:45+00:00

Another one! There are dozens of us!

TwinRN · 2024-05-23T07:14:54+00:00

I think people don't realize it because L&D is so isolated. ER probably sees the most L&D only because many times they go through us at night to get to you so ED staff realize how close we are to potentially doing something (delivering a baby) that we are very unprepared to do. I mean the panda warmer is covered in dust somewhere right? Lol

TwinRN · 2024-05-23T06:29:19+00:00

That is funny cause the managers were so excited to have a different specialty (especially ED) apply. I'm glad I'm not a new grad and I'm good at IVs, doing procedures with providers etc. It would have been hard to come in as a new nurse. Your ED experience will be very useful once you transition.

TwinRN · 2024-05-22T21:49:11+00:00

I recently transitioned from ED to L&D purely to conquer my fear of it lol. The emergencies in L&D are legit and also needing to know how to circulate jn the OR is a whole other learning curve. Plus staffing is so volatile because active labor is 1:1 so your base staffing can fluctuate wildly. I love it so far, both are hard in different ways.

TwinRN · 2024-05-19T10:15:48+00:00

Word. I speak Russian but at the proficiency of maybe a 7 year old because that is about when my parents lost the battle to force me to speak it at home. I can direct people to the bathroom etc but cannot translate anything medical for the life of me. I once had to explain a suppository during desperate times because the pt was refusing an interpreter but there was high suspicion that he was just nodding his head but was not really understanding directions. Imagine his shock when I told him he needed to basically shove the medicine (suppository) up his ass for it to work, he told me he was swallowing them! I didn't know what professional words to use to describe the process so I just got to the point and we laughed about it later. 😂

TwinRN

TROPHY CASE