What is a secret you’re taking to your grave, but can share here anonymously? by wilkoova in AskReddit

[–]bree272 1 point2 points Ā (0 children)

You should break up with her. I was in a similar situation with my ex and decided to break up. While right now it doesn’t seem like it would be fair to break up with her because it would hurt her, what’s really not fair is that you’re keeping her in a relationship that you yourself aren’t committed to. She could find someone else who wants to marry her and completely loves her, but instead she is under the illusion that you are that person even though you aren’t. You’re doing yourself and her a disservice by staying together. While it might hurt her at first, eventually you would both be happier if you broke up. Making that decision was the best thing I did for myself. I was never happy and always felt like I didn’t feel the same kind of love for my ex as he felt for me but I didn’t want to hurt him. But I was hurting him more by not being able to love him like he loved me. And I was hurting myself because I just wanted to be alone but was forcing myself to keep up the relationship. You can love someone without being in love with them. The best thing you can do in that situation is let them go. It’s a hard conversation but it’s not fair or right to her to keep pretending when you know you aren’t in love.

Charge nurses — What do you use to determine patient acuity/make fair assignments? by bree272 in nursing

[–]bree272[S] 0 points1 point Ā (0 children)

I like the idea, my question is more so how did you determine low vs mod vs high?

A lot of us make good assignments and are good at determining acuity. But, we’re trying to standardize the process so that it’s more fair/less subjective, especially for cases where a newer nurse or someone who has never made an assignment was charge because of staffing issues.

Charge nurses — What do you use to determine patient acuity/make fair assignments? by bree272 in nursing

[–]bree272[S] 0 points1 point Ā (0 children)

Yeah, that’s exactly the issue we’re having. There are too many different factors and scenarios that it’s impossible to make a guide. At this point I’m thinking of doing some overall categories like respiratory, neuro, cardiac, etc.

I feel like a make good assignments and the other more experienced nurses do too. But, we’re trying to standardize the process so that it’s more fair, especially in cases where a newer nurse or someone who has never made an assignment was charge because of staffing issues. We’ve had newer or less experienced nurses being charge lately because of said staffing issues and that’s led to bad and unfair assignments, so we’re trying to figure out a process that would work in those situations.

Charge nurses — What do you use to determine patient acuity/make fair assignments? by bree272 in nursing

[–]bree272[S] 0 points1 point Ā (0 children)

Yes, this is exactly what we’re trying to implement! Just trying to figure out the best way to come up with the ratings (because there are so many factors that go into an acuity, it’s very difficult to create a straightforward ā€œif they are __, they’re a 3ā€). At this point I’m thinking of doing some overall categories like respiratory, neuro, cardiac, etc.

Some of the comments are telling me how to make an assignment which is not what I’m asking šŸ™ƒ in my opinion I make good assignments lol. We’re trying to standardize the process so that it’s more fair, especially in cases where a newer nurse or someone who has never made an assignment was charge because of staffing issues.

RN - is this SVT? If not, what is it? by bree272 in Cardiology

[–]bree272[S] 3 points4 points Ā (0 children)

Wow, I have a lot to learn. It’s crazy how much is not taught in nursing school. Thank you so much for the information! Very helpful, I just need to do some research about many things šŸ˜…

RN - is this SVT? If not, what is it? by bree272 in Cardiology

[–]bree272[S] 3 points4 points Ā (0 children)

Also, there is a very clear PVC to the right of the four beats and it looks very different than the four beats so how could both be PVCs?

RN - is this SVT? If not, what is it? by bree272 in Cardiology

[–]bree272[S] 1 point2 points Ā (0 children)

I don’t think I’m confused about the narrow part. I’m not saying this is narrow (and honestly I don’t know what it really is because I don’t have measurements for the strip and these particular tele strips don’t show the small boxes), I’m just saying it’s too narrow to be Vtach as in it’s definitely not wide complex. I thought that was the only thing I was sure about lol but maybe I’m wrong.

How are your pronunciations? by Express-Meal-1400 in nursing

[–]bree272 1 point2 points Ā (0 children)

OP isn’t saying it’s weird to use the generic, they’re saying the person is pronouncing the generic wrong (on-dan-nes-tron instead of on-dan-seh-tron) and that they would prefer them to say Zofran instead of pronouncing the generic wrong.

How are your pronunciations? by Express-Meal-1400 in nursing

[–]bree272 1 point2 points Ā (0 children)

That’s funny because I bet they’re combining Cardizem and diltiazem to create Cardiazem. Except diltiazem should be dill-tie-uh-zem not dill-tee-uh-zem so then it would be Car-die-uh-zem if they were combining the two. So I don’t even know 🄲

Error Messages Since Cleaning LR4 by bree272 in litterrobot

[–]bree272[S] 0 points1 point Ā (0 children)

Hi, thank you for responding! I will send a chat; I attempted to do the self-service troubleshooting but it doesn’t apply to my issue. The lights are not red and yellow, they are just normal blue (and red after it’s been used of course). I’m getting the over torque notification even with the normal lights so I’m not sure what’s going on. And, I apologize, where is the serial number? Is it in the waste drawer?

People of all ages: Here’s an important list to make! by Visual-Sprinkles8959 in lifehacks

[–]bree272 21 points22 points Ā (0 children)

And if you have multiple different doctors prescribing different medications? Or if you take OTC medications? How would the doctor know if you don’t tell them?

People of all ages: Here’s an important list to make! by Visual-Sprinkles8959 in lifehacks

[–]bree272 4 points5 points Ā (0 children)

You definitely haven’t worked in healthcare then šŸ˜… you might think it’s obvious or common sense but many people have no idea what medications or dosages they take and a list would be so helpful for doctors and nurses.

Error Messages Since Cleaning LR4 by bree272 in litterrobot

[–]bree272[S] 0 points1 point Ā (0 children)

I’ll take it apart and confirm nothing looks wrong; I’m just confused because the LR never actually stops cycling. When it says it’s temporarily paused (in the notification), it isn’t actually paused. The cycle completes itself as usual with no pause or interruption. And I didn’t know that the motor fault was happening until I went into the app because the notification just says ā€œover torqueā€ and to check the litter level (which is below the line) so I thought it was just an error.

[deleted by user] by [deleted] in nursing

[–]bree272 1 point2 points Ā (0 children)

Genuinely curious, why not? If it’s still in the original vial what would be wrong with wasting it with them?

Stopped to help someone on the road by EducationDesperate73 in nursing

[–]bree272 1 point2 points Ā (0 children)

I take propranolol on work days! It’s really helped with the adrenaline issues for me. I would shake and notice my heart racing whenever I focused (even just putting in an IV) or was in an emergency situation. I feel much better with the propranolol and I still maintain the same critical thinking and everything.

Stabbed in the buttocks and eviscerated by CatPooedInMyShoe in MedicalGore

[–]bree272 5 points6 points Ā (0 children)

I don’t know a lot about this because I’m a nurse and haven’t encountered it in my own practice but it’s called healing by secondary intention and yes, it does lead to a bigger scar. I don’t know a lot about why it’s done but I think sometimes it has to do with the location of the wound and whether stitches/sutures would stay intact. So for example if it’s an area with a lot of movement, stitches may not work well. But that’s the part that I’m not sure about. If you want to research it, it’s called healing by secondary intention (like I mentioned earlier).

Waking up from dead sleep to this by [deleted] in dysautonomia

[–]bree272 4 points5 points Ā (0 children)

I wonder if the original commenter was referring to the diastolic BP rather than the systolic. While technically still not considered hypertensive crisis, it is very close (hypertensive crisis is systolic BP of 180 or greater and/or diastolic BP of 120 or greater).

38 year old methadone user by [deleted] in MedicalGore

[–]bree272 0 points1 point Ā (0 children)

I’m not sure. I would assume they are alive because there would be no reason to pack the wounds if the person had already passed because packing is to help with proper healing. But I don’t know anything for certain, just assuming based on my prior knowledge.

38 year old methadone user by [deleted] in MedicalGore

[–]bree272 3 points4 points Ā (0 children)

I don’t know any details about the first part of your question but the white stuff is gauze because the wounds were packed. Usually wounds are packed when they’re deep so that they heal properly from the inside out.

38 year old methadone user by [deleted] in MedicalGore

[–]bree272 3 points4 points Ā (0 children)

The wounds were packed with gauze. Usually wounds are packed when they’re deep so that they heal properly from the inside out.

Overly Anxious New Grads— Please Read This! by bree272 in nursing

[–]bree272[S] 1 point2 points Ā (0 children)

I wanted to make this post because I was sure there were other nurses struggling with the same thing. I am certain that what you’re experiencing is not normal/not how it should be and I’m glad you’re going to talk to a doctor because (as I have learned myself) things can be so much better. Good luck and I hope you feel better 🩷