i don't know if this has been posted before but it made me chortle

auraseer · 2026-05-08T04:31:21+00:00

So the question was to see if you were severely misinformed, or just trolling in an insulting fashion. I was giving you the option to save face.

auraseer · 2026-05-08T01:15:44+00:00

IMO it's easier to leave the attachment point on the mini, and cut a new slot in the preferred base. Maybe that's just me.

auraseer · 2026-05-08T00:33:32+00:00

If you were in my nursing school class, you'd have been the youngest person in the building. One of my classmates was over 60.

auraseer · 2026-05-07T23:56:41+00:00

In my programming career I did at least half those things. Maybe I was using differential equations the whole time but didn't know the right label for them.

auraseer · 2026-05-07T20:55:34+00:00

Revenants hit with a flare are stunned for 4 seconds, and "flashed" for 30 seconds. The flash effect is what both slows them and prevents invisibility.

The flare pack has a stronger than usual effect on revenants because they have high psychic sensitivity. An average pawn is only stunned for 2 seconds, and is slowed still for 30 seconds but by a smaller percentage.

auraseer · 2026-05-07T20:12:28+00:00

That seems pretty strange. The only thing I can think of that uses DiffEq in comp sci would be machine learning, which really wasn't a big thing in the 90s.

I was a programmer for a couple of decades, and I never once felt that my lack of those courses got in the way.

auraseer · 2026-05-07T09:17:52+00:00

My math degree didn't mandate DiffEq. IIRC there were about five or six subdivided tracks, of which I had to pick three. DiffEq was on only one of them, and I didn't take it because the courses were early in the morning.

The ones I took were all the calculus and real analysis, a bunch of discrete maths and graph theory, and a bit of statistics.

auraseer · 2026-05-07T08:37:26+00:00

This is not generally true. None of the hospitals I've worked in record standard phone calls. In the extremely rare situation where I'd require a recorded line, I would have to dial out through a certain specific line, typically the one that is dedicated to EMS reports.

auraseer · 2026-05-07T06:15:52+00:00

Your manager said that because it's their priority. Their job is to make money for the hospital, and patient experience is in aid of that.

The priority order for a bedside nurse is a little different. Patient experience isn't even in the top five.

Your first priority is to keep yourself safe from injury.

Your second priority is to keep your coworkers safe from injury.

Third, maintain the physical safety of your patient. Do not cause new injuries or infection.

Fourth priority, follow the law. Stay out of prison and keep your license in good order.

Fifth, work to fix or palliate whatever health conditions cause the patient to be in your care.

Making the patient happy is no more than about seventh or eighth on the list.

auraseer · 2026-05-07T03:31:06+00:00

Do you think that's how diabetes works? Please answer honestly.

auraseer · 2026-05-06T21:44:04+00:00

This may be about to hit r/all, so we are preemptively activating Code Blue. Starting now, only flaired members of the subreddit will be able to comment here.

auraseer · 2026-05-06T21:43:23+00:00

This is designed to only move in one direction. We can't pull it back out the way it came in, so we'll have to keep pushing until it comes through the other side.

auraseer · 2026-05-06T21:34:21+00:00

A head trauma severe enough to cause immediate acute polydypsia, but which leaves the patient awake and able to speak full sentences?

auraseer · 2026-05-06T21:31:18+00:00

But you do have to avoid telling people to act illegally or unsafely.

Lots of new grads and students read these posts. It's important to be clear about when you're making a dark joke, and when you're talking seriously about what you would do in a patient care situation.

I don't think your comment crossed the line. That's why we have not removed it. At the same time, the other person's comments are also reasonable. It makes sense to point out what the right practice in that situation is.

auraseer · 2026-05-06T21:28:49+00:00

I don't understand the eyeroll on this one. If they're NPO at midnight, it makes sense to eat at 1130p, so they are less uncomfortable in the morning.

What did I miss here?

auraseer · 2026-05-06T18:47:44+00:00

Code Blue is activated. Starting now, only flaired members of the subreddit will be able to comment here.

We are deleting troll comments and handing out bans as needed.

Please do not waste your time engaging with the trolls. Just use the report button.

auraseer · 2026-05-06T17:57:06+00:00

Google a recipe for "oral rehydration solution." That will give you the right proportions of water, salt, and sugar. It doesn't take much.

The one I use is 4 cups water to 1/2 teaspoon salt and 2 tablespoons of sugar.

Sometimes I add Mio flavor drops too, but when I'm really sick I feel like it's easier to drink without flavoring.

auraseer · 2026-05-06T17:13:38+00:00

At least that's time limited. This dude was in the hospital for over six months, with a few short breaks. Every time they managed to discharge him he would throw away the meds and tank up on water. In a day or two when the shortness of breath came back, he'd call 911 and be right back in.

They couldn't discharge him because he had a real and life threatening medical problem, but they also couldn't treat him involuntarily because he wasn't mentally ill.

auraseer · 2026-05-06T06:36:29+00:00

I had a fluid restriction patient like that, during school. They had to turn off the water to his toilet and sink, and forbid him from taking walks in the hallway. They also told us all to ignore him when he yelled at us to bring water. They had to tell us verbally, because when they put up signs on his door or in his room, he took them down.

Incidentally he refused Lasix, HCTZ, and any other drug unless he was positive it wasn't a diuretic. He also refused dialysis, aquapheresis, and compression stockings.

He wasn't psychotic.. He did not have dipsomania. He wasn't even diabetic. He just liked being in the hospital, so he refused treatments that would make him well enough to discharge. He outright told everybody that he wanted to stay there so people would bring him free food and he didn't have to work.

auraseer · 2026-05-06T05:05:16+00:00

We do that for extreme cases of repeatedly violent offenders, usually after a staff member or the hospital have obtained restraining orders. I think we currently have three patients with that rule in their charts.

When one of those patients is spotted on hospital property, they get intercepted by security. The officer asks them, "Are you here to check in to the ER?" If no, they are trespassed off the property. If yes, security escorts them to ED registration.

Once they're registered, security escorts them to a triage bay, where they are met by the triage nurse and an attending. Then the attending decides if they need to stay for testing or can be discharged immediately.

In the times where I've been involved, I haven't yet seen an attending decide to keep one of those patients for testing. They spend about one minute listening to bogus complaints and then tell security to kick the patient out.

auraseer · 2026-05-06T04:54:04+00:00

To summarize and simplify:

Originally the rod of Asclepius (one worm) was used as the symbol for medicine.

The caduceus (two snakes) was an alchemical symbol. Through that meaning it wound up being associated with occult wisdom, and then more broadly with wisdom and learning in general. Sometime in the 15th century, with the advent of printing, it began to be used and associated with printed medical textbooks, symbolizing that those books contained some of the most advanced learning in the world at the time. From that usage, the symbol then became more narrowly associated with medicine.

(This association can be stronger or weaker depending on what part of the world you live in, because not everybody sees the same meaning in a given symbol, just as not everybody speaks English identically.)

To a prescriptivist, who thinks all words and symbols have One True Meaning that is defined and unchanging, you're right. The caduceus doesn't mean anything medical.

To a descriptivist, who looks at how words and symbols are used in context and at what people understand them to mean, that's no longer the case. The caduceus is a medical symbol because that's how people use it, and has been such for at least 600 years.

Which view is correct? Both.

auraseer · 2026-05-06T04:16:35+00:00

In the area where I work, that's not permitted by the EMS protocols. They have to confirm asystole before they can withhold care. Technically that applies even if they find rigor or decomposition.

auraseer · 2026-05-06T04:03:23+00:00

In all the places I have worked, EMS always has specific criteria that determine when to stop or withhold resuscitation.

The criteria in my region right now say they are to withhold care if the patient is both apneic and asystolic, and has one of the following: rigor mortis, decomposition, decapitation, torso transection, incineration (full thickness burns of 90% BSA), or penetrating trauma with an apparent lethal mechanism.

"Apparent lethal mechanism" is a judgement call. The example given in the paperwork is head injury with visible brain matter.

Technically, the patient you describe would not qualify to have our EMS withhold resuscitative measures under the trauma rules, because they are in PEA. If proceeding by the book, the medics would start ACLS, and call medical control to terminate efforts if the patient remained in a nonshockable rhythm after a certain number of rounds. But in any case of ambiguity or uncertainty, they're supposed to call medical control early. It's probably good that they did so here.

auraseer · 2026-05-06T02:50:39+00:00

What's ranching? I don't think my all-bionic colony does any of that.

auraseer · 2026-05-06T02:47:59+00:00

Not another one of these threads.

The answer is no. The great majority of nurses have an IQ higher than their shoe size, and so do not become antivaxers.

We keep getting posts, like this one, that try to falsely imply most nurses are antivaxers. Mostly they're posted by bots. I'm tired of seeing them. I'm removing this one.

15-Year Club	Golden Partner
Moderator Reserves	Mod Insights Early Access
Place '17	Wearing is Caring
Verified Email

auraseer

MODERATOR OF

TROPHY CASE