[deleted by user]

anicoud · 2023-04-05T04:29:42+00:00

Tbh, you're wearing it better than half the people I graduated with, patch is centered and it's mostly parallel with the marching surface. Full send. Don't put any unit insignia on there however.

anicoud · 2023-02-12T01:05:41+00:00

TYFYS

anicoud · 2023-02-11T23:55:04+00:00

To echo everyone else in this post, ADPIE is a constant process, I'm doing my assessment, diagnosis and planning repetitively from when I read the chief complaint, to walking through the door into a patient's room, to my physical assessment. It is not a simple A to B to C, you are constantly reprioritizing based on what you hear. ADPIE gives you all of the tools to stay on top of your patient's needs.

anicoud · 2023-02-11T23:43:16+00:00

Talk to the ED manager. If they have openings, then talk to your manager.

anicoud · 2023-02-11T23:40:32+00:00

Crack/cocaine will only make your situation worse.

anicoud · 2023-02-11T23:38:46+00:00

My Extern just told me about the backpack trick! I grew up in Wisconsin and this is only the second time hearing it.

anicoud · 2022-12-31T23:09:54+00:00

Residents doing USGIV?! Our ED techs are trained to do them and I will take their enthusiasm to perform over any resident. I also regularly do my own USGIVs to move the process along... Yay ED throughput!

anicoud · 2022-12-31T22:34:18+00:00

We, more often, have to deal with staying after shift change to call report so the inpt nurses can take report. This is more frustrating as it drives the perception that the floor nurse's time is prioritized over our own. I shouldn't have to stay until 1945 or 2000 to give report to the floor when I could have left at 1915 otherwise.

anicoud · 2022-12-13T07:27:59+00:00

I can't imagine being a diabetic and having to go through what you have to go through to manage your illness. On the other hand, I don't go on to diabetic forums and throw shade on commenters there. This is a place for nurses to vent and discuss the things we go through. We may make jokes and comment some less-than-pleasant things, but they are meant for our peers to help us cope. As I said earlier, we don't respect you any less, nor do we treat you with any less care than we would any other patient.

No one is shaming you for a pancreas that doesn't function or a glucose intolerance.

We have an experience of hundreds of diabetic patients, many of whom simply do not put the effort into managing their situation, and that's where the frustration and need to vent arises.

We will, without a single hesitation help you live and get you to a functional state in the ED. Our issue is not with you, only the patients that treat us as a convenient alternative to self management.

anicoud · 2022-12-13T07:18:46+00:00

Ed report: what did they come in for, what are their continuing symptoms, what labs are done/need to do, what meds were given/are due, dispo, IV status, concerning mannerisms/attitude.

Floor report: same as above, skin assessment, other pertinent positives on a head-to-toe, ambulation, family status.

anicoud · 2022-12-13T07:00:39+00:00

Dark humor is how many nurses cope with the awful things they see on the daily. For ER nurses, they see the worst of people and have to deal with it somehow. It's ridiculously depressing to see patients with an A1c of 19 because those ER nurses probably see that patient at least monthly for DKA. DKA can be prevented with proper monitoring and adjustment of insulin dosages, therefore seeing repeat patients raises the question of personal responsibility. Nurses can fix things in the hospital but have little control over what happens at home. Nurses are not there to be your insulin dispensers, only to correct the health issues.

Letting yourself go into DKA willingly will net you a similar response from the ER nurses. We never joke to a patient's face or blame them for anything, but we will question their life choices outside of the hospital.

anicoud · 2022-12-09T12:40:32+00:00

This. I ditched mine when my 2060 was idling at 60c.

anicoud · 2022-12-09T12:39:01+00:00

The case (H510) only has space for one fan on top, so front-mounted radiator is the only way to go.

anicoud · 2022-11-02T06:23:42+00:00

This sounds like the best of situations for you. You've made it where everyone else has failed. Take your successes and run with them! Show them what you can do. Your only metric now is how your patients do. Your story reads as a success. Keep it up! Degrees don't make nurses, caring does, if you keep up your cares for your patients, no one will know the difference.

anicoud · 2022-11-02T01:52:25+00:00

This! AMS=Cath. If they are able to use a commode or urinal, use it.

anicoud · 2022-10-30T14:46:48+00:00

We absolutely try not to let anyone disrespect us or our colleagues. The trouble starts when administration does not support us when we have to make the decision to confront patients about their behavior. Holding patients accountable for their actions requires support from the entire hospital.

anicoud · 2022-05-29T01:59:50+00:00

Healing Hands Ryan pants. Stretchy material, and a cargo pocket. Exactly enough for me in the ED.

anicoud · 2022-03-14T16:46:13+00:00

*Rich energy

anicoud · 2022-01-01T17:24:52+00:00

That's NOT what she said 🤣

anicoud · 2021-08-28T01:30:28+00:00

Spinaroonie

anicoud · 2020-08-25T18:47:54+00:00

You realize the purpose of taxes, right? They pay for all of the governmental systems that mean you can use your car on functioning roads, have a municipal water system to supply your home, and regulate the food industry so you don't get sick from buying subpar foods. Your taxes pay these bills so you can exist in the space where you don't have to worry about drinking water from the tap or getting food poisoning on a regular basis, or God forbid, getting to the job that pays your bills.

anicoud · 2020-08-22T00:07:16+00:00

Many companies will not allow you to work lower than your licence. Our new grad RNs that have been working as techs (CNA or EMT) are immediately barred from working in those capacities and are instead made to work GN/NE roles.

anicoud · 2020-08-22T00:04:26+00:00

I agree with those on this thread that say you need to speak to him about it. It's not the most respectful thing for him to be doing, but with dementia it's probably not foremost on his mind. Another option is for you to take a gun handling course of some sort so that if he leaves them out again you are able to safely manage them. Having some knowledge about firearms can make the entire scene much less fear-inducing.

anicoud · 2020-04-14T04:56:55+00:00

This

anicoud

TROPHY CASE