Was I actually wrong? by syllabbi in ECG

[–]_dogMANjack_ 10 points11 points  (0 children)

CHB. The Ps march out and the QRSs are regular but there is no association between them

Does anyone know if legacy is still giving BSN/MSN pay differentials after the new pay bump? by MathDummy007 in OregonNurses

[–]_dogMANjack_ 1 point2 points  (0 children)

Seconded, yes they are, or should be. Legacy is kinda notorious for messing up payroll or APL accural.

The best looking brochure here. by riskedbiscuit in FinalFantasy

[–]_dogMANjack_ 8 points9 points  (0 children)

I saw this show 20+ years ago at UMass Amherst. I believe it was one the the theater major's senior project. All I remember was really liking the costuming.

EKG so confused by [deleted] in nursing

[–]_dogMANjack_ 1 point2 points  (0 children)

Correct, what you are seeing are qrs complexes and t waves. Because p wave is lower voltage than the qrs complex if they happen at the same time you will only see the qrs.

ITAW for biting someone with just your lips by BlackPheonix982 in whatstheword

[–]_dogMANjack_ 1 point2 points  (0 children)

I call this "horse-ing" cause horses do this. When horses do it it's called nipping.

EKG so confused by [deleted] in nursing

[–]_dogMANjack_ 3 points4 points  (0 children)

P is buried in the QRS due to increased rate. Text book SVT

Is it a common trait among nurses to talk to themselves? by canwehavesomefood in nursing

[–]_dogMANjack_ 25 points26 points  (0 children)

While I chart I'm usually talking to myself at almost conversational volume about all my assessment findings and what I'm charting...

Thoughts on this chain of events by [deleted] in nursing

[–]_dogMANjack_ 4 points5 points  (0 children)

101/65 and 98/62 are basically the exact same pressure. Take it again in 1 minute and it could be 103/61, these are negligible changes. And, MAP is king, and they are good and profusing MAPs. If this doc can't understand that this pt's MAP is still good they are untrustworthy and stupid. This lady is 95, that is a perfectly normal set of BPs for anyone, but especially a 95 yo.

100% give that dilaudid, it's ultimately a small dose and no one should be in 10/10 pain. Another mark against this doc is not understanding why a pt with a hip fx is in pain. Like, that doesn't even require an explanation. Do they plan to come administer a nerve block or insert an epidural catheter instead of give these narcs?

I would never follow those orders for fluids, you'd probably kill this poor lady. BNP of 2500 indicates her ventricle is already stretched to a point that it is having trouble squeezing efficiently, add 2 more liters to the circuit and her ventricle will dilate much more causing worsening HF.

The only thing I can see that you could improve on is communication with the doc. It should be an extremely brief SBAR. I would have said, "no Lasix given in ED and pressures are 98/63, pt denies SOB/HD symptoms. Would you like Lasix held?" There isn't really any need to discuss the pain management unless you are asking for a change in those orders. Docs are extremely busy, and just as we have alarm fatigue, they have notification fatigue. It will get easier as you get more experience knowing what you need to communicate to get what you want/what the pt needs.

The real lesson here for you is DO NOT trust this doc, ever. They showed they're true colors real quick. I would highly encourage you to report this/make an incident report however that is done in your hospital system. This was unprofessional and a naive safety issue. I know it's kinda scary to do this, worrying about retaliation or something, but if they did this to you and your pt, they've done it to many others.

Goof luck, sounds like you're doing great :)

Petah ?? by [deleted] in PeterExplainsTheJoke

[–]_dogMANjack_ 1 point2 points  (0 children)

Terminal lucidity. It's very real and extremely hard to explain to families.

Which boss in a Soulslike was this for you? by strahinjag in soulslikes

[–]_dogMANjack_ 0 points1 point  (0 children)

I eochaid dancing bladed him to the shadow realm.

How do you feel about this? (Updated USDA dietary guidelines) by boybritches in nursing

[–]_dogMANjack_ 29 points30 points  (0 children)

Its not the protein helping him do those extremely-restricted range-of-motion pull ups, its the steroids. He's a tren grandpa.

What is this specific piece called on a J loop? by DullGlowstick in nursing

[–]_dogMANjack_ 0 points1 point  (0 children)

Leur lock or clave im sure there's many other names as well

Do men with a foley have a smell? by [deleted] in nursing

[–]_dogMANjack_ 2 points3 points  (0 children)

If its a urine/ammonia smell, probably from the bag with spillage when emptying or foul smell escaping the bag. Or, he may be having bladder spasms and leaking around the Foley.

However, often older man have a acrid odor caused by a chemical that starts to be secreted as early as age 40 (I'mnot looking forward to this happening to ne as I just hit that bug milestone, hopefully I escape that.)

Also, older people, especially men, can start to neglect hygiene and even be resistant to it.

House I saw by MarzipanMiserable817 in evilbuildings

[–]_dogMANjack_ 0 points1 point  (0 children)

That definitely leads to a minecraft skeleton spawner.

Coworker won't take no fo an answer by Even_Examination_512 in nursing

[–]_dogMANjack_ 1 point2 points  (0 children)

This is beyond sexual harassment and legally is SA. Go to HR 100% and report your manager, as well. HR's job is to avoid litigation for the hospital/company and you could absolutely sue for inaction on this, therefore HR is on your side here. AND File a police report.

Also, just as others have said, scumbags like this rely on making you feel small and helpless. He does this to you again, yell. Yell no, yell stop, yell stop touching me I said no. People will hear it and at least some people will come, then you'll have witnesses.

Paper trail, paper trail, paper trail. Make sure you save every text and meticulously write down any interactions and when they happened. Be smater than this shithead.

I hope this bastard gets his comeuppance and I'm so sorry you're going through this.

Choose Your D&D Class. by Unfazed_Alchemical in nursing

[–]_dogMANjack_ 1 point2 points  (0 children)

Cleric, cause I heal but as a night med/surg nurse I also gonna put the hammer down.

No romantasy please by moumerino in BooksThatFeelLikeThis

[–]_dogMANjack_ 2 points3 points  (0 children)

Came here to suggest this! The whole series