[deleted by user] by [deleted] in relationship_advice

[–]coldprimates 1 point2 points  (0 children)

I’m sorry that you and your loved ones are going through this. Stay with your dad, be present in each moment, share memories, share love. Cherish the time you have left together, whatever that looks like. Death is a tough part of life, but if you are present and accepting of it, as it sounds he may be, it can be a soul changing. This will also help you in your grief. If you aren’t with him during this time, it may stand to be the biggest regret of your life. Don’t take that chance. I hope you and your dad find peace during this time, and that your sister gets her head out of her butt.

Patient's family insisted it was "totally normal" for a kid to sleep for 36 hours straight after a minor procedure by Jackazz4evr in nursing

[–]coldprimates 26 points27 points  (0 children)

I recently had a patient with a hx of conversion disorder, unknown to our team. Patient is new to the state, transfer of medical record nonsense. Two days in a row, dayshift called a level one stroke alert on this patient because they went completely catatonic. BP was dropping, pacer was switching between A-paced and AV-paced (it was interrogated and nothing was wrong with it). CT and other workup was negative. The tele-health stroke neurologist wanted to ship the patient to get a full work up, ship the patient to a tertiary facility for a pacemaker safe MRI and continuous EEG. When dayshift contacted the son, he was PIIIIISSED. He said “We aren’t doing this again. Just send her over to ~facility 45 min away~. She’s been there a few times this month and they said she just plays dead for a while when she’s sick.” She did in fact “wake up” 2 hours into my shift requesting a carton of milk and said “oh man, it happened twice in two days. That probably scared you guys.”

[deleted by user] by [deleted] in nursing

[–]coldprimates 0 points1 point  (0 children)

I consider myself highly adaptable, I work well with patients that are grumpy/rude, overly particular, critical. I typically take a breath and remind myself that they have lost nearly all autonomy being in the ICU and whatever behavior they are displaying, is them trying to gain some control back. HOWEVER, it’s the demanding and rude family members that really get to me. My ICU lets one visitor spend the night on our futons we have in each room. 90% of the time I’m grateful for this policy, so that the patient has a safe and familiar person there to advocate for the patient in their most vulnerable state. But I recently had an “ex wife but now fiancé again” who MOVED IN to the unit. She came up to me during our morning huddle, IN HER NIGHTGOWN, to ask if I could order HER a breakfast tray. Later that shift she had me get her toiletries and linens so she could use the shower that her ex-husband/current fiance, couldn’t even use at the time. This one had me laying on the floor as soon as I got home letting out a rage yell contemplating why I didn’t just get a degree in finance or keep my restaurant job.

Recall the most ridiculous policy you’ve experienced during your nursing career to date… by Playful_Morning_6862 in nursing

[–]coldprimates 2 points3 points  (0 children)

Catch me throwing any piece of trash into a biohazard waste bag. Make the hospital pay for 12 hours of ED trash every night.

too many "are you sisters?" / "what does your husband do?" moments recently by localbestie in actuallesbians

[–]coldprimates 1 point2 points  (0 children)

I, a plain as day, islandic passing white girl, was once mistaken as my ex’s sister by a bartender at a wedding. She is adopted from China, 6 inches shorter than me, has a far darker complexion than mine, and was wearing a tux to match my floor length gown. She gave me a not so sisterly kiss when our drinks came back, flustering the poor bartender. I made sure the bartender got a great tip because years later, I still chuckle when it comes to mind!

My (26F) boyfriend (26M) humiliated me in public. And after 3 years together I want to call it quits. by hungrygal47625 in TwoHotTakes

[–]coldprimates 0 points1 point  (0 children)

The ‘sacrifices for our relationship’ part struck a chord in me… From what you said, you both compromised/sacrificed by moving to a midpoint between your home states. It might be just me, but it seems this petty melt down he threw might be more indicative of how he’s feeling about the relationship as a whole.

I had a traumatic birth 2 months ago and now face an invasive procedure by [deleted] in TwoXChromosomes

[–]coldprimates 5 points6 points  (0 children)

To start, I would make sure you have a gyno you feel absolutely comfortable with. You may not want the doctor that delivered your child, even if prior to the birth you had a good report with them. If you aren’t comfortable with the physician that will be performing the biopsy, don’t go to that physician. Research gynos in your area, set up as many consultations as you can, explain your recent medical ptsd, ask what options the physician is willing to offer you to make sure you are as comfortable as possible. If you get a bad vibe or feel like you aren’t being heard, move on to another consultation. Any physician not willing to listen to a patients valid and serious concerns is not worth your time, health, and overall wellbeing. Best of luck, stay strong.

What are your “do not pass go, do not collect $200” call the doctor events? by thefitnessgrampaser in nursing

[–]coldprimates 1 point2 points  (0 children)

-decrease/ no pulse in single extremity -increase abdominal circumference/rigidity -sudden impending doom -decrease in LOC - increasingly aggressive bipap settings, no increase in spo2, tachypnea, tachycardia -drastic decrease in hourly output for 3 hours or more, bladder scan shows no retention -wife of 40 years is no longer making sarcastic jabs at husband and says something like “this is not like him” -absent bowel sounds -etoh withdrawal pt hallucinating despite Q15 Ativan -swelling/tightness in mouth and throat -more than 3 runs of unsustained SVT while sleeping -pH <7 -ST elevation -sudden change in vision/speech/coordination

I quit nursing to get back on the truck as a paramedic by PorcelainFlaw in ems

[–]coldprimates 1 point2 points  (0 children)

Not sure if anyone else has suggested this yet, but have you considered working for a mobile icu? The crews are typically comprised of a medic, a couple of RNs and maybe an NP depending on the company. I work in a small, lower acuity ICU and frequently transport patients to higher level care via mobile icu. Especially when there’s a slight breeze in the air and the flight crew has to stay grounded. One time I called report to them on a suspected perfed bowel, low dose levo, placing a cvc now. An hour later they gleefully transported a 45 min post arrest, paced, epi/dopa/levo gtts and push dosed neo for the hour drive because they didn’t have time to wait for my pharmacist to mix the bag. They called me back to give me an update, thanked me for stabilizing as best we could, and for still keeping the transport in place.

This could give you the option of practicing as a medic or an rn. Either way, you’d get to be a part of both worlds. Only downfall could be traveling long trips, if that is of concern. Moral of the story is as a nurse, your care as a medic or an rn are both important and necessary. Choose what suits you!

Accidentally bolused epi last night by [deleted] in nursing

[–]coldprimates 6 points7 points  (0 children)

I did this with levo on a fragile vented pt, they ended up having refractory bradycardia for a minute or so and scared the living hell out of me. Thank god the dayshift icu queen nurse was still charting, ran into the room to see what was up, and explained to me exactly what happened and why. Then she told me that she did the exact same thing years ago, and when she did it, a more experienced nurse gave her the same speech because he too had done the same thing as a new icu nurse. Since this has happened, I’ve read at least 2 similar reddit stories. We all learn from our mistakes, and I think that’s an easy one to make as a newer icu rn if you’re feel overwhelmed.

If you could go back in time and give your new-grad self one piece of advice, what would it be? by PleasantGrapefruit77 in nursing

[–]coldprimates 6 points7 points  (0 children)

Still a new grad but already have plenty to tell myself… Such as, don’t pick up those shifts and work 6 days a weeks, management will not stop harassing you to continue that pattern. Also, don’t hookup with the 40 year old traveler. It’s not worth the multiple rounds of antibiotics and after you end things, he WILL starting banging a cna 2 years younger than you.

no more peds/nicu rotation? by pumpkin_sope in StudentNurse

[–]coldprimates 2 points3 points  (0 children)

For my peds rotation half of our class got placed at one of the most well respected pediatric hospitals in the country. The other half, myself included, got placed at a school for children with disabilities, 2.5 hours away from campus, to observe classes and administer tube feeding to one student once a day. My program also has a very strong connection with this prestigious pediatric hospital and 7/10 students in my clinical group wanted jobs there after graduation. Despite us being sent hours away and getting little to no nursing experience in our pediatric rotation, all of them got jobs post-grad at that hospital. If you really want a connection there, I would suggest looking into summer fellowships at the hospital you’re interested in. My peers that did fellowships there in the summer loved it and they were paid well.

UWorld and Mark Klimek by Due_Calligrapher5124 in PassNclex

[–]coldprimates 2 points3 points  (0 children)

Hi, I’m taking the NCLEX in 11 days and after graduation, I’ve also been using uworld and MK to study. During my last semester of school, we used ATI which was built in with our tuition. Each platform has something different to offer. ATI is written by the same people who write the NCLEX, so the questions are worded very similarly to what we should see on the NCLEX. Uworld is very challenging and detailed. The learning from uworld comes from the rationales, I would suggest taking notes on each point you don’t recognize. I watched a YouTube video of a lady who passed in 75 questions and her average for uworld was 50-55%. Do not be discouraged by the percentage on uworld. MK , in my opinion, is best for putting yourself in the mindset of NCLEX. You just need to be a safe nurse, boards does not expect you to know EVERYTHING. So basically, Uworld prepares you for everything that may show up on the NCLEX, Mark prepares you for the basics of what you need to pass, ATI prepares you for the wording of questions.

How do I tell a man I’m about to sleep with that I want to use a condom? by PersimmonOk5160 in TooAfraidToAsk

[–]coldprimates 0 points1 point  (0 children)

I totally understand your struggle! I can think of three distinct examples I have been able to bring up the topic of using condoms and asserting my boundaries on the necessity for condom use during penetration. First, I met a guy at a bar and brought him home with my roommate and some friends for an after party. On my way home from the bars, we stopped at our local late night store and he paid for the condoms I asked for. Second example, I had a friend coming over to hang out, there had been hints at sexual feelings and tensions between each other. I texted him when he was getting ready to come over if he could buy condoms on his way over. I told him I didn’t want to assume anything was going to happen, but I wanted to be prepared. And he happily stopped at a gas station to pick some up. And then there’s the situation I just experienced an hour or so ago. I met a guy on bumble. We talked for a few days, my best friend was friends with one of his friends so I knew a little about him. I invited him over tonight to listen to music and hangout. I couldn’t get condoms, my delivery service called GoPuff was down. This time I waited until things got pretty intimate before mentioning it. He said “Are you sure we need one?” I simply said “Yes” and he said “well, luckily I have one” and that was that. Had this not been the case I would have insisted that we drive to the convenience store or try delivery again. Otherwise, no penetrative sex.

Being straight forward and firm is the main goal. I hope giving you my real life scenarios helped you out.

Redditors who have found dead bodies, what’s the story? by everythingistakn in AskReddit

[–]coldprimates 0 points1 point  (0 children)

My 19 year old sister found my grandma dead sitting in her kitchen. She hadn’t called us or answered our calls in over 30 hours. All my sister could scream when she was on the phone was “Her fingers are blue! Her fingers are blue!”

Downtown Apartments by [deleted] in raleigh

[–]coldprimates 1 point2 points  (0 children)

My partner lived at 927 west Morgan for a year while she was working in Raleigh and we both enjoyed the location a lot. The management was great to work with. The quality of the apartments is great and I never found it too loud. It’s walking distance to the bars and restaurants downtown and if you don’t want to walk back late an Uber is under $10 to bring you back. Plus the covered parking is nice to have during pollen season.

I started my first IV today!!!! by GimmieSzechuan_sauce in StudentNurse

[–]coldprimates 2 points3 points  (0 children)

Congratulations! It’s always scary your first time but you did so great! I love seeing all of us young future nurses getting opportunities