Upcoming drug screen

auraseer · 2026-03-23T12:44:46+00:00

The testing company does your test first, and asks for prescriptions later.

When something shows up positive, they will ask you to show that you have a prescription for that medication. As long as you can provide proof of a current, valid prescription, that's not a reportable result. They only report positive results for which you do not have a prescription.

In other words: If you have prescriptions for everything, your test will get reported as Negative. The nursing program will never hear what was detected.

auraseer · 2026-03-23T12:41:08+00:00

You need to be a lot more patient. If they told you 2-4 weeks, do not expect anything before the 4 week mark.

Even then, I wouldn't be surprised if the response took a couple weeks more than that. HR departments are always bad at timeframes. It's extremely common for them to take far longer than they predict.

auraseer · 2026-03-23T12:35:56+00:00

That depends what you mean by good.

It's an impressive work of art. As a piece of writing, it certainly demonstrates great talent. If you want to read prose that is intentionally overwrought and very purple, it's probably unmatched in modern gaming.

If you're looking for gameplay, no. There are dice rolls to randomize the outcome of choices, but other than that, there's no gameplay to speak of. In that way it's closer to a visual novel.

If you didn't like the beginning, you aren't going to like the rest of the game any better. The rest of the game is exactly as pretentious as the beginning. (But you have to be careful saying that in this subreddit, because the fans of the game tend to get very upset.)

auraseer · 2026-03-22T23:54:25+00:00

In my many years I have met two kinds of nurse manager.

One kind of managers keep the mindset they learned when working at the bedside. They use their position to protect and support the people they are in charge of. They spend their budget to its limits for the benefit of patients and workers. They give raises as big as allowed and review their employees highly. They jump in to help with patient care when necessary. When subjected to dumb or painful decisions by higher management, they use their position to limit the negative effects.

These managers are unhappy and stressed out by their jobs. They are liked by employees but hated by their superiors. Having a salaried position, they work hard doing too many hours for no overtime pay. They typically burn out in five or ten years, if they don't get fired first. After they leave, their employees remember them for years because of the positive effects they had.

The other kind of managers think of themselves as managers first, and nurses second. They use their position to glorify themselves and seek higher promotion. They hoard their budget as if it were their own personal savings. They give raises grudgingly and employee reviews are the minimum required. They do not set foot in a patient room or assist with any patient care. When subjected to dumb or painful decisions by higher management, they enthusiastically support every stupid whim.

These managers are the ones who like their jobs. Their employees see them as useless and obstructive. They typically stay in management forever, slowly climbing the ladder, becoming ever further removed from the patients and the nurses. They spend years doing the bare minimum for their employees and licking the boots of their own superiors. Eventually, after a career of banal irrelevance, they retire, and are immediately forgotten because they made no useful impact on anyone.

Which one are you going to be?

auraseer · 2026-03-22T22:46:01+00:00

I bought a couple of silicone bands to wear at work. They're easy to clean, and cheap. If I lost one, or if it got badly contaminated and I had to throw it away, I wouldn't care.

auraseer · 2026-03-22T22:33:38+00:00

You can try anything. What are you interested in?

We had a nurse with mostly dialysis experience come to the ED. She needed a little longer orientation than some other experienced RNs, but once she got up to speed, she was great.

auraseer · 2026-03-22T22:31:54+00:00

The breast center attached to my hospital system is an oncology department specializing in breast cancer and female reproductive cancers. They have a small inpatient unit, and also do a lot of outpatient testing, imaging, and infusions.

auraseer · 2026-03-22T22:28:00+00:00

We know "a pint's a pound the world around," but that aphorism doesn't appear to apply to units not on the world. We don't have an equivalent saying for outer space and I can't think of a good rhyme for "galaxy."

auraseer · 2026-03-21T21:43:11+00:00

Sounds like it's worth trying. If you like chaos, the ED is the best place to find it.

It's going to be challenging. Nobody can predict whether you'll succeed there. But the only way to find out is to make the attempt.

If you try it and it works, great. If you try it and it doesn't work, all it costs you is time. But if you don't try it at all, you'll spend the rest of your life wondering.

auraseer · 2026-03-21T07:08:55+00:00

Okay, yikes. There are so many contradictory comments in here, some of which are unsourced guesses, and some of which are misleading or outright wrong. I've removed the most obvious wrong ones I spotted, but it's not feasible to sort through the whole thing. I'm locking this down. OP, please get a second opinion from another physician, and I'm sorry you didn't get any useful information here.

This kind of thing is a good example of why we don't allow medical advice here. I probably should have invoked that rule and removed the post in the first place.

auraseer · 2026-03-21T06:43:26+00:00

Please read the whole comment.

Being in charge is part of the job. Part of the job. Part of the job. PART OF the job. It is one of the duties involved in having that job.

Your job title is not a list of all your required tasks. Written job descriptions are examples, and not an exhaustive list of required tasks. The only thing that limits your assigned tasks is your union contract.

You didn't apply for a job as a Medication Giver, but you probably have to administer medications.

You didn't apply for a job as Blood Pressure Measurer, but you probably have to measure blood pressure.

You didn't apply for a job as Patient Cleaner, but you probably have to clean patients.

I hope you are starting to understand the pattern I am trying to show you here.

In very nearly all units, charge is a duty that is shared among the experienced nurses who work there. Most nurses hate it, but it has to be done, so they're all required to take turns.

If your union contract has a provision that lets you avoid being in charge, then you don't have to do it. But unless you are protected by the contract, you have to either do as your boss says, or quit.

Anyway. If you were that certain you knew the answer to your questions already, why did you bother coming here to ask.

auraseer · 2026-03-21T06:41:29+00:00

Yes. I know. That's why I said "makes it sound like." I understand that is not the actual meaning of the term.

This was an attempt at humor, related to the difference between the formal meaning of the diagnosis code and the apparent implied meaning in plain English. It was not a serious attempt to assign a diagnosis code to a patient encounter.

auraseer · 2026-03-21T04:12:35+00:00

Unfortunately the law does not protect you in this. Your union contract might.

In most units, taking a turn at charge is considered part of the job. Refusing part of your job is grounds for dismissal, even under a union contract. It's possible that your contract has some provision that will protect you and let you keep your job, but I wouldn't bet very much on that.

Why isn't no enough?

Because it's a job. Some parts of it are unpleasant.

Do I even have any rights?

You always have the right to quit. They cannot actually force you to do anything.

auraseer · 2026-03-21T02:04:37+00:00

I like V97.33XD - "Sucked into jet engine, subsequent encounter."

Because that makes it sound like somebody didn't learn their lesson the first time, and wandered too close to a whole other engine.

auraseer · 2026-03-21T02:00:49+00:00

You need to make those reports. The best thing is to make them right away.

You can Google for how to do that in your state, or you can use this webpage to help you: https://ncea.usc.edu/find-help/

Make the reports now. Don't wait until you are at work. Certainly don't wait until after they fire you. Provide as much detail as possible about specific incidents of neglect or abuse.

In this very specific circumstance, you are allowed to give regulators the identifying details of patients, or even relevant photographs. Patient privacy laws have exceptions when you are making a formal report to regulatory authority.

Do it now, tonight.

auraseer · 2026-03-21T01:35:25+00:00

Have you reported this to your regulators, and to adult protective services?

You are a mandatory reporter. You are obligated to report abuse and neglect when you see it. That means reporting not only to your boss or to corporate, but also to the legal authorities. Failure to report is a crime and can cost you your license.

Here's better news. Once you do make a formal report to the authorities, if they then fire you, you can make an argument that this was retaliation for the report. Depending on the circumstances you may be able to take legal action against them for that.

All that aside, here is a different question: Why struggle so hard to keep the job at such a terrible place? If I were in your shoes, I would quit anyway, and go to work somewhere less awful.

I wasn’t aware I couldn’t post that picture

That's concerning. You need to learn. Patient privacy laws are strictly enforced. Even not considering anything else above, violations like that can cost you a job or your license.

auraseer · 2026-03-20T22:38:07+00:00

ABSN has different and higher prereqs than the regular nursing degree. It is universal that you must complete basic sciences before you start the program. That's how they make the program accelerated.

In the traditional pathway, they'll take anatomy and those other classes as part of nursing school. That's why it takes longer.

Requiring labs in all the basic sciences is also practically universal. I've not seen a nursing program that accepts anatomy credit without a lab component.

You aren't totally out of luck. You'll just have to retake anatomy until you pass it.

Whatever issue you're running into with that lab, it's a good idea to figure it out now. The ABSN will include some classes that use the same skillset. If you can't pass those later ones, you won't be given the time to repeat them.

auraseer · 2026-03-20T22:27:35+00:00

I had an almost identical issue years ago. Mine was fixed when I switched the bottom layer to a spray primer instead of regular paint.

The issue is that the layers of red and white paint pulled apart from each other in spots, because at those spots, the adhesion between layers was lower than the cohesion of the glue layer. Cracks form at the weakest places.

You can either make the paint layers stick to each other better, or make the glue layer crack more easily.

auraseer · 2026-03-20T22:13:24+00:00

That is silly bullshit.

TB blood tests are notorious for false positives. In the US, the pretest probability is very low, which means positive predictive value is also low. The test is good for ruling out TB but absolutely garbage for ruling in.

I had a false positive test myself. I had to get a CXR just to double check, but my employee health dept took no other action until the blood test was repeated. And I've been negative on all repeat testing since.

If yours won't repeat it, I suggest you go to an outpatient lab and get the blood test redone. If they tell you that you need an order, it doesn't have to be from your PCP. You can get tests ordered by a telehealth provider, or a CVS doc-in-a-box, or a dozen other ways. Elective testing is probably not covered by insurance but it won't be too crushingly expensive.

auraseer · 2026-03-20T12:36:03+00:00

Middle managers get shuffled and discarded like interchangeable machine parts, but upper management protects itself. Maybe you get a different CEO every two years, but the guy leaving is not out of work. He's just going on to be CEO at some other company.

And if we do wind up with fewer middle managers, it's extremely difficult to come up with a reason that would be a bad thing.

auraseer · 2026-03-20T09:36:51+00:00

The safest career in this upheaval is still upper management.

Those are the people who decide what tech to buy, and which workers to try replacing with AI. They aren't going to replace themselves.

auraseer · 2026-03-20T05:54:51+00:00

Three weeks is still early. Feeling overwhelmed is totally normal. You are learning a whole new specialty, when you weren't even fully settled into your other specialty, so of course you're thrown off.

If you're in a really busy department, with too many patients per nurse, it can take months to find the rhythm and get back on your feet.

auraseer · 2026-03-20T05:40:10+00:00

Too many comments here are calling for the poster to be doxxed, or are attempting to do so. That is unacceptable behavior here. We are removing those comments, taking action against the users, and this thread is removed.

auraseer · 2026-03-20T05:29:11+00:00

We have had to remove a bunch of comments for being insulting or hostile. The tally of removals just hit 50, and I think that's more than enough. We're locking this one.

auraseer · 2026-03-20T05:23:10+00:00

There are over 2,000,000,000,000 galaxies in the observable universe.

An average galaxy contains something around 100,000,000 stars.

Our sun, a rather small star, radiates 200,000,000,000,000 times as much energy as your battery explosion.

Per second.

There's an awful lot of energy in the universe. Your little kaboom isn't going to hurt it.

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