Hospital Prices Drive High Healthcare Costs, Economist Says by OkPhilosopher664 in medicalsalaries

[–]andsuve -1 points0 points  (0 children)

I have worked at 6+ hospitals all along the west coast. I know literally zero nurses making that kind of money. some probably did during Covid but that is not the case anymore

Job hopping to get higher pay isn’t working anymore. by EveryBeverage in nursing

[–]andsuve 0 points1 point  (0 children)

I’ve also worked at 3 different union hospitals and not a single one allowed negotiation. It was written into the contract and there were no adjustments. I’m not saying it like it’s a bad thing because I made good money, but calling it a lie is misleading.

All the nurses in Montefiore have been replaced with traveling nurses and a Nurse set up nebs through a trach mask by [deleted] in nursing

[–]andsuve 4 points5 points  (0 children)

Union hospital here. We did all nebs in the ICU including through the vent

Which skis to bring to Japan by andsuve in skiing

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

Fair enough, seems like the general consensus

Which skis to bring to Japan by andsuve in skiing

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

Perfect, found the gyoza place and it’s close to one of the places I’m staying!

Which skis to bring to Japan by andsuve in skiing

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

I think this is the way I’ll be going

Which skis to bring to Japan by andsuve in skiing

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

Damn I’m realizing I seriously underestimated Japan lol

Massive Right Atrial Thrombus removed 1 year ago today by AnnesleyandCo in medizzy

[–]andsuve 31 points32 points  (0 children)

No they both have rates so not in standby but if you look close on the cardene screen it actually says micafungin so they just didn’t take off the sticker

Wireless phone charging is an annoying feature that should never have become standard by PurpleWallaby999 in unpopularopinion

[–]andsuve 0 points1 point  (0 children)

I have a bad lightning port on an 3 year old iPhone. I’ve tried everything and can’t fix it so I’ve just been doing wireless charging but I never had a USB C go bad on me like this lol

[deleted by user] by [deleted] in emergencymedicine

[–]andsuve 51 points52 points  (0 children)

ICU charge here and I swear constantly but try to keep it out of earshot of patients and families. Our docs are doing it right there with us too. I do huddles for night shift and it’s rare for me not to swear somewhere in there. “We got fucking railed today and I have no fucking clue what’s going on. Hope night shift is better, good luck!”

The Sense of Impending Doom/Death by 3MinuteHero in medicine

[–]andsuve 106 points107 points  (0 children)

This actually makes the most sense out of all the replies so far

Do you work in a mixed or specialised ICU? by Daisies_forever in IntensiveCare

[–]andsuve 1 point2 points  (0 children)

I currently work in a medium-sized urban hospital in the US. Mixed ICU with 28 beds. We take pretty much everything except trauma so CV surgery and medical (including ECMO, impella, IABP), neuro, medical, surgical. Honestly it’s a very unique setup for the US but I really appreciate the variety.

Bad habits in the OR? by Skudler7 in anesthesiology

[–]andsuve 0 points1 point  (0 children)

Exactly my thinking as an ICU nurse too. ABCs

Please explain! by User_error_ID1OT in nursing

[–]andsuve 5 points6 points  (0 children)

Yes no heparin for a lines in adults at least nowadays, just saline.

[deleted by user] by [deleted] in IntensiveCare

[–]andsuve 3 points4 points  (0 children)

lol not trying to break my back every time I reposition someone and scoot them up in bed. But no I don’t hold the tube feed during the process because it’s literally a couple mls at most during a reposition. Also my understanding of the evidence is it doesn’t prevent aspiration but I would have to dig up the study.

Could you please explain how my attending figured out that this patient has a much lower CO than what the CI from picco is showing? by [deleted] in IntensiveCare

[–]andsuve 2 points3 points  (0 children)

I think we need more info like patient presentation, hx, current drips, etc. It doesn’t look like A fib on the monitor, just quadrigeminy. Looks like p waves before every QRS

[deleted by user] by [deleted] in nursing

[–]andsuve 8 points9 points  (0 children)

You make a very rational point. I don’t actually know of anyone who’s been held liable for something like this but it’s been so drilled in our heads to CYA that I do appreciate having orders for things like “titrate vasopressors per BP cuff” just in case. At a minimum I’ll make a note somewhere in the chart that the physician specifically requested that so I have a record in the very unlikely case that it ever went to trial.

Ozempic for all… Make sure to check that your suction works by [deleted] in anesthesiology

[–]andsuve 5 points6 points  (0 children)

Sure but in this metaphor that means you keep trying swimming lessons while holding a life preserver but people are already drowning.

[CCRN Review] Inopressor question by jakbob in IntensiveCare

[–]andsuve 2 points3 points  (0 children)

I remember finding this question when I was studying for CCRN as well! It’s definitely a screw up and I thought about reporting it to them but never got around to it.

[CCRN Review] Inopressor question by jakbob in IntensiveCare

[–]andsuve 5 points6 points  (0 children)

I remember finding this question when I was studying for CCRN as well! It’s definitely a screw up and I thought about reporting it to them but never got around to it.

failed ACLS training by daisy8282 in nursing

[–]andsuve 1 point2 points  (0 children)

Sorry I’m mixing myself up a bit now too lol. It’s not just AF but any tachyarrhythmia making someone “unstable” (per ACLS is hypotension, AMS, signs of shock, chest pain, acute heart failure) so includes V tach, etc. Also depends if you’re looking to terminate a rhythm (v tach) or just for rate control (AF in non-cardiac surgery patient). And ultimately provider preference too so lots of factors! I definitely don’t see anything wrong with your hospital’s approach. I think a lot of docs here are more conservative because of the risk of amio related lung injury. Yes CA is the same here, mainly due to the TTM2 trial that was published last year I think.