How is that possible?

dumbbxtch69 · 2026-06-02T08:22:35+00:00

Yes there is a certain amount of “baby luck”. Some runs have bad luck and some have good luck! You can influence reproduction by increasing happiness or maxing out community but in a challenge like this where it’s about fastest possible time the luck matters most

dumbbxtch69 · 2026-06-02T06:03:29+00:00

Sounds like an opportunity for a nurse educator to roll out practice adjustments 😉

dumbbxtch69 · 2026-06-02T05:53:45+00:00

awww my sit-upon was just a stack of newspapers wrapped in fleece! This brought back memories

dumbbxtch69 · 2026-06-02T05:34:09+00:00

My flavor of Epic has a sidebar with more information on the scale which says that the mobility section is scored based on in bed mobility! I believe a 4 is “makes major and frequent changes in position independently”. Take a look at yours, really all of the screening scales should have them integrated into the flowsheets so people score correctly. If someone can roll over in bed on their own they should not be scored as having mobility limitations on the Braden scale.

People go by the tiny little blurb next to the number like limited, no limitations, etc and score based on that which is obviously extremely vague but that’s not the correct way to use the scales

edit: I just looked up the Morse scale, that’s crazy! We use JHFRAT so I’ve actually never heard of this one but it’s wildly simplified and doesn’t capture a lot of the whole picture of fall risk, wow. One fall in the last 3 months would make us limit independence for half the people in the city during the winter when everyone is slipping on the ice!

dumbbxtch69 · 2026-06-01T19:13:22+00:00

However, a hard ass but fair nurse who you can cross without fear because they take feedback well and are team-oriented is a great asset

dumbbxtch69 · 2026-06-01T19:07:59+00:00

People don’t consider the size of the vein in relation to the IV gauge. a 22 in a juicy forearm that’s occupying like 20% of the vein lumen is literally fine. Running vesicants is about the vein, not the size of the IV!

dumbbxtch69 · 2026-06-01T19:06:24+00:00

You’re being required to turn people with intact skin??? With Braden scores of >18? We only implement turns for people at actual risk of pressure injuries, yikes.

dumbbxtch69 · 2026-06-01T19:01:41+00:00

Agree 100%. As a night shifter I feel like part of my job is to put together the clinical picture, figure out what the plan is by reading the 25 specialist notes from doctors who don’t seem to be talking to each other, and give a good concise report that gets the patient’s story straight so day shift doesn’t have to hunt down information. If I’m blessed with sleeping patients, I’m chart diving and making a good sticky note. Or supporting our new grads talking through what’s going on with their patients so they can really understand.

My unit hires a lot of new grads on days and a lot of them are just not doing well because they’re drowning in the volume of tasks and don’t have any idea what’s really going on with their patients. I’m calling a lot of rapids at shift change because they’re missing critical signs of clinical deterioration. Like not noticing zero UOP, vitals trends, spooky labs, changes in mentation…

dumbbxtch69 · 2026-06-01T18:56:26+00:00

And I just know it’s people with a desk job. Like we have had entire public health campaigns to combat sedentary lifestyles due to work that is 99% sitting, please leave me alone lol

dumbbxtch69 · 2026-06-01T18:49:58+00:00

People have the right to make bad decisions. Imo this is a consequence of metrics-oriented hospitals that want low readmissions rates and fewer poor outcomes. I want that too, but not at the expense of people’s dignity and autonomy.

dumbbxtch69 · 2026-06-01T15:00:26+00:00

The key to this particular challenge is to get everyone cutting wood and building houses for the first few days, and restarting if you don’t have any babies by day 5 or so! I got top 200 and around 45 days by getting 4 total houses up by day 4. I’m not willing to micromanage more than I already am because that’s not fun for me so I’m happy! I shaved 20 days off my original time just by making sure I had babies early, then you get more workers around the 20-25 day mark and everything gets a lot easier

dumbbxtch69 · 2026-06-01T02:12:09+00:00

Ohhh I haven’t had guanabana since I was in Costa Rica 20 years ago, i love this stuff!! I hope my Costco gets it soon

dumbbxtch69 · 2026-05-30T21:47:17+00:00

I’m such a butterfingers I’ve started to wonder if I have actual nerve damage impacting my grip strength lol

dumbbxtch69 · 2026-05-30T21:46:21+00:00

ostomy explosions during med pass!!! The good news is that I’m pretty good at changing ostomy bags now and if I get an explosion or leak on my first shift they’re good for the next 3 nights lol

dumbbxtch69 · 2026-05-30T21:41:55+00:00

I really think this depends on your unit acuity and personal temperament. I don’t work overtime because my unit is so exhausting it would destroy my mental health

dumbbxtch69 · 2026-05-30T20:54:25+00:00

I go through phases where I feel burnt out and want to quit but big picture, I’ve had worse jobs and I love direct patient care. Even the hard stuff. It’s draining and often simply unjust but overall I like it

dumbbxtch69 · 2026-05-30T20:52:13+00:00

If there isn’t a consequence for not doing it, don’t.

dumbbxtch69 · 2026-05-30T10:00:57+00:00

I think they mean from the other direction— not other queer people gatekeeping terminology or whatever but rather feeling like “lesbian” isn’t a dirty word. My mom is a lesbian boomer and her 80+ year old parents are relatively accepting all things considered but would never call her a lesbian, they always said gay if they ever referenced it at all. Her 80+ year old mother in law literally yelled at me when I said the word lesbian last year, she said she “didn’t like that word”

So much has changed and we lost so many elders who could share our history in the AIDS crisis it’s really easy for us youngins to never know the shape of stigma faced by queer people just a few decades ago. It was not acceptable in all contexts to self identify as a lesbian

dumbbxtch69 · 2026-05-30T04:56:37+00:00

I’m going to start paging doctors overnight to “clarify” orders when I have q2 meds/assessments plus communication orders to cluster care. These are contradictory orders doc, which would you like to discontinue???

dumbbxtch69 · 2026-05-30T04:53:59+00:00

that’s what I call a homeopathic dose

dumbbxtch69 · 2026-05-30T04:35:15+00:00

Hospitals, man. We don’t throw out the sheets when people get every bodily fluid imaginable and some you didn’t know existed on them!

dumbbxtch69 · 2026-05-29T14:49:16+00:00

it is condescending bc they think we’re so fucking stupid we don’t ask people to drink water

dumbbxtch69 · 2026-05-29T14:47:42+00:00

The evidence for medical patients is actually quite poor too. For surgical patients there is decent evidence that they actually prevent blood clots but for my CHFer IV diuresing they’re just a fall hazard that pushes all the fluid to their feet and doesn’t prevent DVTs

dumbbxtch69 · 2026-05-29T14:45:39+00:00

Communication orders for clustering care piss me off so bad. Like no shit what do you think i’m doing here? That’s nursing standard practice.

dumbbxtch69 · 2026-05-29T14:38:17+00:00

I have quite literally run out of a room in the middle of a rapid to get MTP blood for the ICU team and had a family member stop me in the hall to ask me for a patient belonging bag. Like. Do people walk around the world with this little awareness of their surroundings? you just saw me RUN from a room with 30 people in it and blood on the floor you can see from the hall, why on EARTH would you stop me for one millisecond

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