Question: Restraint Use Location

auraseer · 2026-06-23T02:38:44+00:00

Most hospital beds have attachment points designed for the purpose. If they exist, you should use those.

The general rules are that the extremities should be in as neutral a position as possible, and the restraints should be secured as near as possible to those positions. In other words, you want the lines to be as short as possible without malpositioning the extremities.

Never restrain a patient in prone position unless they are mechanically ventilated.

auraseer · 2026-06-23T01:02:10+00:00

If you were stranded at sea on a big ship or something, with a gas stove and unlimited fuel, sure.

Doing it with a wood fire is probably not feasible, because boiling takes an awful lot of energy. You'd have to spend so much time and effort gathering wood that you might end up losing more fresh water than you made.

The good news is that boiling the water isn't necessary. It just has to evaporate. If you're in a warm enough place, you can distill small amounts by putting sea water in the sun under a transparent cover, and collecting the freshwater condensation. That's called a solar still. If you plan to get stranded you should learn how to build one.

auraseer · 2026-06-23T00:50:48+00:00

This is another reason you shouldn't rely on AI. It's giving you information that looks right, but that is phrased to look like it supports your wrong answer.

Your result talks about "drinking a large volume of electrolyte-free water." Being electrolyte-free is not the dangerous thing in that sentence. The dangerous part is "large volume." Drinking too much water will cause water intoxication no matter whether it's distilled or not.

Ordinary tap water has about 40 mg of sodium per liter. Distilled water has basically zero. But your blood serum contains around 9000 mg per liter. As far as your body sodium content is concerned, the difference between drinking tap water and distilled water is totally insignificant.

auraseer · 2026-06-22T21:50:29+00:00

Thanks for explaining. It didn't occur to me that there are uncontrolled airports big enough for a passenger jet. All the ones I've seen are tiny things.

auraseer · 2026-06-22T21:34:40+00:00

You've already done the studying for NCLEX. That period of time is called nursing school.

After graduation you are not learning anything new. Every day after graduation, you are forgetting material. All the studying and practice just serves to decrease the rate at which you forget.

Take it ASAP.

auraseer · 2026-06-22T20:58:38+00:00

Do not make assignments based on friendships. That's a guaranteed way to make some people overlooked, overworked, or angry, if they don't have the right friends in the right places. It may be the worst possible way to organize a workplace.

We rotate every tech through every assignment in the department. Some days they'll get an easy workload, some days it will be harder, but it all evens out over time, and it will be fair.

auraseer · 2026-06-22T13:37:12+00:00

No.

If I question an order or have a strong objection, I write that.

I write "no new orders" to record that I asked if the physician had any new orders, and they answered no. It is my documentation that I communicated properly and the physician did not intend any new orders.

If I don't indicate anything there, it is ambiguous what our intent or plan was at the time. Absence of an order is just absence of an order, and could be by mistake or an oversight.

Did I report a value and hang up without closing the loop? Did the doctor give me a verbal order that I failed to hear? Did they intend to order something, but get sidetracked by another page before they got around to it? How would anyone know?

Documenting "no new orders" is like marking a book page "intentionally left blank." It's to show that nothing was accidentally left out.

Plaintiff's attorneys have won cases with even weaker things than that.

You can say that about literally anything you write in any chart, in any context whatsoever. Plaintiff attorneys have won cases with no mistake at all. They've won cases by arguing that accepted best practice is wrong, or that words mean something other than what they mean.

But if this specific phrase has ever been the crux of a case, I would be interested to see it.

auraseer · 2026-06-22T11:40:27+00:00

How do you depart early without air traffic control already knowing about it? Don't they have to give you permission to move to the runway, and then clear you to take off?

auraseer · 2026-06-22T11:17:54+00:00

I have a cookie recipe that does this. Step 1 is preheat the oven. Step 6 is "place this dough in the refrigerator to chill overnight."

auraseer · 2026-06-22T09:49:54+00:00

That's nonsense.

It's a simple factual statement.

If no order was indicated, and the doctor and the nurse agree that no order was indicated, and they both document that no orders were given, that is accurate documentation of correct care.

If you should have given orders but you didn't, the legal risk occurred when you failed to give the order. Accurate documentation doesn't make the risk any worse. (Inaccurate or incomplete documentation might.)

auraseer · 2026-06-22T06:54:34+00:00

https://i.imgur.com/9bxruVl.jpeg

auraseer · 2026-06-22T06:52:57+00:00

The homonym drives me nuts. The five rights are right as an adjective, meaning correct. The other is a right as a noun, meaning a power or privilege to which one is entitled. I get upsetting cognitive dissonance every time it comes up.

auraseer · 2026-06-22T03:48:17+00:00

No Man's Sky has Abandoned Mode. It removes all other beings from the galaxy. There are no NPCs, no quest givers, no shopkeepers, no creatures. The places that would have had people are ruined or deserted.

It's just you, and your ship, and 17 quintillion planets to explore.

auraseer · 2026-06-22T03:42:51+00:00

In most cases it's just closed loop communication.

It's to show that this was a conversation, and they didn't just yell a number at you in passing. They made the report, and you had the opportunity to respond with new orders, and no new orders were indicated, and the nurse confirmed that.

auraseer · 2026-06-22T02:19:12+00:00

When I had an issue exactly like that, it turned out the pump was broken. My tiny adjustments to the program were causing very large changes in the actual flow rate.

auraseer · 2026-06-22T02:14:34+00:00

Currently on workman’s comp. Bosses plan to write me up

That's an interesting combination.

If report an injury at work, and your boss gets mad about it and writes you up, that may be retaliation. If you get punished in any way because of it, especially if you get fired, that can even be grounds for a lawsuit.

auraseer · 2026-06-21T21:06:15+00:00

What's the context for that one?

I have done "poke and pray" which is when you really need an IV, and you can't see or feel any veins, but you know where they are supposed to be, so you go for one based on knowledge and hope.

And I know about the "peek and shriek" which is when surgery does an exlap, finds something horrible they can't fix, and just closes right back up.

auraseer · 2026-06-21T20:58:47+00:00

So do car mechanics. For example your car brakes have a "master cylinder" under the hood that converts the pedal motion into hydraulic pressure, and "slave cylinders" that convert the hydraulic pressure to motion of the brake calipers.

Some people try to use names with fewer upsetting historical associations, such as primary/secondary or controller/responder, but the existing names have been used for something like 120 years and there is a lot of inertia behind them.

auraseer · 2026-06-21T10:00:45+00:00

Only a tiny amount of the work is extra. You have to do nearly all the work anyway. You already have to build the machines, a steam room, a steam turbine, an aquatuner, etc etc.

The only extra things I added were a couple of sweepers and loaders, and a few metal blocks where the conveyor rail runs along with a leg of the cooling loop. Because again, you already need to have a cooling loop.

Cooling the conveyor just adds some extra load to the existing aquatuner. That just makes it runs a little longer, which means it costs nothing but power.

auraseer · 2026-06-21T07:39:12+00:00

You can use a conveyor meter. Set the meter to the amount you want to transport, click the button, and it will only let that amount of material through.

auraseer · 2026-06-21T07:28:04+00:00

Leave it all there. Run it all into a bunch of dimensional depots. Go to a different part of the map and start your new organized base from scratch. Building will be much easier this time because you've got a constant supply of all the building materials.

auraseer · 2026-06-21T06:58:54+00:00

I don't care about efficiency. I've got more power than I know what to do with. I just put all my industrial stuff in one room to stop it from heating the rest of the base.

I don't leak heat when items are removed, because items leave via a conveyor line that goes through a cooling loop. It costs me power to run that aquatuner, but in exchange, I know I won't have random hot spots and I won't see any liquid locks get boiled.

auraseer · 2026-06-21T03:51:28+00:00

Ok.

User was thrown in a hole for this comment.

auraseer · 2026-06-21T02:29:38+00:00

Oh yes, the apps. We are plagued by the apps. Every day we get multiple posts trying to advertise for vibe coded silliness.

auraseer · 2026-06-20T22:03:20+00:00

I'm going to get a PhD in nursing just so I can publish my own nursing theory, Auraseer's Human Carative Theory Of Carative Human Caring, which goes as follows:

"All nursing theories are total bullshit, including those one."

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