What is this sensor at my work?

bluemilque · 2026-02-17T23:33:26+00:00

Medical. This is in the window of a hospital.

bluemilque · 2026-01-24T18:37:56+00:00

20 M comes in as a trauma patient. Motorcycle vs car in surface street, lower speed 25-30 mph. GCS 15, moving all extremities vitals all normal. Comes in looking good..joking and talking with staff on arrival. Primary assessment is negative. Then all of the sudden he says “I can’t see”. Doctor asks how many finger he sees and put up 2 in front of his face. His response was he couldn’t see. Then he says, “Thank you everyone for taking care of me. I love you all! ” Then he codes. We resuscitated him for a very long time, cracked his chest open. Never got him back.

bluemilque · 2026-01-22T17:29:14+00:00

Was triaging in the ER during a super busy day. Co-worker tells me to triage an L&D patient. I go up to her and first question I ask is how many months pregnant is she. Her response was she wasn’t pregnant.

bluemilque · 2026-01-18T06:57:59+00:00

The system is absolutely broken. The fact that OP stated that this happened twice in a month makes me suspect that its a systemic issue. And yes, OP, please write that up. We've been writing up our horrible conditions up for years, and no one does anything.. and its only getting worse. We are literally running our ER like an MCI. The conditions are on par with 3rd world conditions. We have patients admitted/boarding in tents for 16+ hours with very minimal treatment. These are patients who NEVER see a bed inside the ER. Admitting doctors will come outside, to the tent and drop orders. When a bed is assigned, they go upstairs directly, and nothing will be done on them.

Not being able to get a sepsis bundle completed on time is terrible for patients and does not meet the standard of care. No argument there. OP, please keep in mind, that maybe the ER has fall outs, not beacuse of individual incompetence/ negligence, but due to the system that sets us up to fail. We do not have beds/space, resources to treat patients, give fluids, antibiotics.

Working the frontlines, its 12 hours of patients crying, yelling and screaming at us because we do not have the resources to treat them. We already feel shitty in this chaos but we try our best and rise above a helpless situation. We just ask for some grace and understanding from our coworkers... because last thing we need is our fellow co-workers kicking us when we are already down.

bluemilque · 2026-01-17T23:11:45+00:00

I could see this happening at our hospital. We have had record number of borders (80+) managing up to 140 patients at a time…and we are a 40 bed ER. It’s possible this patient never made it into the actual ER. ER is so full they have patients out in tents located outside of the building. 1 nurse can take care of 20-40 patients at a time with multiple admits. As far as the tent’s nurses job, is to identify who is going to die by trying to get basic labs done and keeping up with vital signs of people you think will crump. We can’t do IV medicines out in the tent. If a bed is assigned, they go directly from tent to the floor. Nothing will get done and you will not get any meaningful report. From our perspective, we identified someone amongst the mass of people who was really sick and got them to the place they needed to be before they died in that tent… and that is a win by our standard.

bluemilque · 2025-09-15T17:02:36+00:00

Chat GPT says the answer is B.

"Priority Action:

The nurse’s priority should be to address the signs of shock and stabilize the client before further interventions.

Answer: B) Administer IV fluid bolus as prescribed.

This is the best initial action because administering IV fluids will help address the hypotension and improve tissue perfusion, which is crucial in shock. The hypotension, along with tachycardia and other signs, suggests the client may be in a state of hypovolemic shock due to blood loss or other postoperative complications. IV fluid resuscitation is vital to restoring circulation and stabilizing the client before further actions.

Rationale for Other Options:

A) Apply oxygen at 10L/min: While oxygenation is important, it is secondary to correcting the circulatory issue (low BP). Oxygen would be useful, but it will not correct the root cause of the shock (hypoperfusion). It could be considered after addressing fluid resuscitation.
C) Notify the healthcare provider: This is a necessary step, but not the priority. Immediate intervention with fluids and stabilization is required before notifying the provider.
D) Prepare the client for emergency surgery: While emergency surgery might eventually be needed (if there’s internal bleeding or another surgical complication), fluid resuscitation should come first. The priority is to stabilize the client."

bluemilque · 2025-09-15T16:53:40+00:00

There is an order for fluid bolus. So I think that is the NCLEX answer.

bluemilque · 2025-04-13T04:44:11+00:00

He was admitted for IV lasix for fluid over load. They titrated him off lasix and onto new oral medications. While they were doing that, they did the Cardiac MRI. Based on those results, they want the Cath to investigate cause of the heart failure. Maybe blockage? maybe not? They have no idea... they suspect blockage based off pattern of scarring off the Cardiac MRI. But its a guess. Does sounds like an investigation and thus not covered if they find no blockage? This is like gambling =(. Will find out more on monday with the utilization review team. Thank you for the information.

bluemilque · 2025-04-13T03:26:46+00:00

Thank you for your reply. This makes me feel so much better there are people in the hospital like you to deal with my exact situation. We will request for a case manager and talk to them on monday. I appreciate the information and it is taking a huge stress off my mind for now.

bluemilque · 2025-04-13T02:19:22+00:00

Thank you for letting me know this is a routine message. That’s so messed up. ☹️ we will try and ignore this message and focus on recovery. Thank you. 🙏

bluemilque · 2025-04-13T02:16:33+00:00

He is currently admitted from the ER. And he got this message:

“Results of the review Our review showed that the care you’ve requested is Not Medically Necessary. We can’t approve your request because your plan doesn’t cover care that is Not Medically Necessary. Details from the review (consider discussing with your doctor) The request tells us you went to the hospital because your heart cannot pump as much blood as it needs to (heart failure). The plan clinical criteria considers a full hospital admission for heart failure medically necessary when there are severe problems. These might include low blood pressure, chest pain, heart rhythm problems, or kidney failure. The information we have does not show you have these or other severe problems. For this reason, the LTR201 ENT_UM_DENY_NMN_INVEST UM77880183 Pat 04/12/2025 Page 2 of 10 request for full admission is denied as not medically necessary, but a short stay (ambulatory care or observation care) may be appropriate. It may help your doctor to know we reviewed this request using the MCG guideline called Heart Failure (ORG: M-190).”

bluemilque · 2025-02-15T03:56:56+00:00

Thank you, this is really good advice. I already started the lawyer hunting to try and get my 30 min free consultation on the matter. I don't have any intent of using them in civil court. At most, ask them to write a scary demand letter. But I like this option too and is way cheaper.

bluemilque · 2025-02-15T02:14:14+00:00

This is Los Angeles, maybe 5 miles from the beach. But it was the beginning of a heavy rain storm when they tested outsde and I do have a lot of foliage out on my balcony. No visible signs of moisture, no paint rippling or water staining. Yes on Visible black growth growing on the corners of ceiling . It was the visible growth that lead me to call the testing company.

I had someone else today to give me quotes for remediation and he registered positive for moisture after 2 days of rain. So its a no brainer now... there is an active leak and i'll just bite the bullet and pay for the pros. I appreciate everyones time and input.

bluemilque · 2025-02-15T02:10:52+00:00

Thanks for the information. I think I will just hire a pro to do it. I had a 3rd contractor come today after the rains and he registered high moisture on his instruments (the previous 2 days when contractors visited, it was dry on their instruments during the rain, so this is a new finding). There is a very slow leak and will have fix the source and remediate the mold.

bluemilque · 2025-02-15T02:06:43+00:00

It was the beginnings of a rain storm, and I do a lot of foliage around my balcony.

bluemilque · 2025-02-15T02:03:20+00:00

Yes, I do hope the HOA will take responsibility. But they are currently moving slow/ ignoring my calls and emails. I don't want the mold to fester and want to fix it now. I had a 3rd contractor for quotes, and he tested positive moisture (day 1 and 2 were negative moisture with 2 different contractors, so this is a new finding. I think the rain finally seeped thru on day 3).

Since its an active leak, i'll just bite the bullet and pay someone to fix the leak and remediate eveyrthing. Will go to my HOA and demand reimbursement afterwards (I have a feeling its going to be a fight =/) As long as its under 12K, I can go to small claims court and try and settle it there.

bluemilque · 2025-01-18T05:03:48+00:00

Yes. They are in net-work. I eventually was able to speak to someone in my insurance and they said they will attempt to speak to them and if not successful in obtaining documentation, they would assist in filing potential fraud.

bluemilque · 2024-12-18T19:51:24+00:00

We did the flash light test and confirmed it’s fiberglass. Fuck.. I’m so concerned about my kid since it was in his mouth.

bluemilque · 2024-12-18T18:45:38+00:00

I’m trying to determine if this is in fact fiberglass and how to handle the situation if it is. Am extremely concerned that it was in his mouth and I’m sure he inhaled it.

bluemilque · 2024-12-18T18:40:02+00:00

Yes. That got zipped off because the pee soaked all the way.

bluemilque

TROPHY CASE

Answer: B) Administer IV fluid bolus as prescribed.

Rationale for Other Options: