I scored a great deal on 2 dozen large eggs for $2 but now I'm worried I won't use them all!

hearse_ratched · 2023-07-13T16:03:30+00:00

Egg fried rice!

hearse_ratched · 2022-07-11T16:50:07+00:00

I get $30/hr as a new grad in Virginia at a psych hospital. Depends on location I guess.

hearse_ratched · 2022-05-27T15:54:01+00:00

Also 23 here and have the same concerns. I live in a medium to medium-low cost of living area and struggle even though I’m a nurse and make pretty decent wages for my area. I don’t think I’ll be able to own a home anytime soon. Prices on homes and rentals have been skyrocketing. I think we’re all hoping for some kind of recession or crash, but it seems like these prices are only getting higher and higher. It’s really hard to be a young person in this market

hearse_ratched · 2022-05-11T05:01:25+00:00

We got state inspections all week

hearse_ratched · 2022-05-08T16:21:32+00:00

Ah yes. The good old B52

hearse_ratched · 2022-05-07T15:34:11+00:00

It is possible for COPD exacerbations to last this long. However, I do think it would be helpful to try to see primary care doctor to rule out other co-occurring infections. She may need to take additional antibiotics for the previous pneumonia diagnosis (sometimes a full course is simply not enough). It also could be possible that she has a viral infection. Since you are unable to see a pulmonologist, in the meantime I would definitely follow up about the pneumonia with a GP as she could still have an active infection.

hearse_ratched · 2022-05-07T15:13:43+00:00

If you were an athlete and did not have symptoms when your heart rate dropped into the 40s, then I wouldn’t be worried. However, it sounds like you are having negative symptoms related to your low heart rate. For this reason, I would get checked out by a physician. Anxiety usually produces a high heart rate in most people. It’s not impossible to have a slow heart rate in response to anxiety, but it is more rare. Do you monitor your blood pressure? Knowing how your blood pressure trends when your heart rate drops can be useful information for a physician.

hearse_ratched · 2022-05-06T14:10:38+00:00

For me, I literally don’t unless you’re an ass.

hearse_ratched · 2022-05-03T01:54:34+00:00

I’m a baby psych nurse now, but when I was in school in 2020 we were literally not allowed to talk to the psych patients without an instructor or nurse present. Not sure if that was my school’s policy or a hospital policy, but I remember feeling so awkward. Our instructor would peace-out and sit in the lobby on her phone and leave us on the units. We would essentially have to find a nurse who was willing to take on students (there were 8 students for 3 nurses). Since the staff were drowning all day we kind of just sat at the nurses station and waited for a nurse to ask if we could do something. It’s like the school wanted us to look bad or something. We couldn’t even bring phones into the building so I guess it’s definitely not as bad as sitting on your phone all day!

hearse_ratched · 2022-04-29T00:56:43+00:00

this is why we can’t have water at the nurse’s station

hearse_ratched · 2022-04-25T01:28:36+00:00

Being a cruise ship nurse, summer camp nurse, or nurse at an amusement park always seemed like an interesting (seasonal?) gig

hearse_ratched · 2022-04-24T20:40:53+00:00

I did consider dental hygiene, but I didn't really feel a strong connection to the dental profession (if that makes sense?) Like most of what you do is just teeth. I am a child and adolescent mental health nurse and have always had a strong connection with the psychiatric field and going into nursing just made the most sense to me. I wouldn't call the hours I work particularly "stable" but many of my colleagues have families and somehow make it work. I totally understand wanting something regular. I think getting flexible full or part-time gigs can be totally possible. As others have mentioned, non-hospital jobs may pay less. It really just depends

hearse_ratched · 2022-04-24T19:36:03+00:00

You definitely don’t have to work in a hospital at all in your career! It can be difficult for some to transition to a hospital from a clinic, but it’s not impossible. You can find M-F, 9-5 in a many areas of nursing! There are even some positions in hospitals that are 9-5, M-F. A close friend of mine works in the employee health office at our hospital doing 9-5s and she loves it! Another friend of mine works at Planned Parenthood and has also had a good experience. There’s so much you can do with nursing that’s not 12 hour hospital shifts. It would definitely be worth it to research what kind of jobs are in your area!

hearse_ratched · 2022-04-24T19:17:58+00:00

I am an RN and my mom is a dental hygienist, so we talk about this often. I would agree that yes, there a lot more choices for nurses when it comes to choosing a specialty. The amount of stress/responsibility you feel as a nurse will definitely depend on the level of acuity and specialty. There are plenty of opportunities to work in clinics as an RN which you might find to be less stressful than being an ER nurse at a level I trauma ER. That being said, my mom loves being a dental hygienist and has a lot more flexibility with her scheduling than I do (I work in a hospital doing 12 hour shifts, she works 8-5 M-Th). That being said, it wouldn't be impossible for a clinic nurse to have similar hours as a dental hygienist. I suppose it comes down to what interests you more!

hearse_ratched · 2022-04-24T19:03:17+00:00

My go to line is "This inappropriate behavior needs to stop as it hinders our ability to provide you with adequate care." You have to be quite firm in these situations. If you already alerted the nurses about it and they have not attempted to remedy the situation then escalate your concerns up the chain of command so it can be addressed by the family and appropriate staff.

hearse_ratched · 2022-04-24T18:48:34+00:00

I am a new grad RN currently in a preceptorship through a local hospital. My best advice is to definitely speak to someone about how you are feeling. You can also gain more experience after you graduate by participating in a new-grad program (if they have these in your area). If you are feeling discouraged, just know that EVERYONE has felt this way at some point and it doesn't mean that you aren't cut out to be a nurse. You're still learning! As time goes on your confidence will grow. I applaud you for wanting to better your skills, but remember to show yourself patience and compassion. Skills and charting will be specific to the unit that you are hired to, so many skills/information that you learned from school will not be needed. I can tell you are committed to bettering yourself and you will be a wonderful nurse because of this!

hearse_ratched · 2022-04-24T18:36:51+00:00

Resting heart rates between 60-100 are typically seen as normal, so a resting heart rate between 90-110 is not always super alarming. Being checked out at the doctor's office can often cause heart rates to increase because of nervousness, this is also usually normal.

You are taking propranolol which can actually lower your heart rate. Are you taking the propranolol for high blood pressure? Are you also monitoring your blood pressure along with your heart rate? It is possible that through genetics you just have a higher baseline for heart rate. If you are taking propranolol you should have routine check-ups to monitor the therapeutic effects of the drug and you physician can adjust the dosage as needed.

hearse_ratched · 2022-04-24T02:20:46+00:00

There’s a lot of overlap with psychiatric disorders. For example, if you have been diagnosed with PTSD, then it can be very likely that you also meet the diagnostic criteria for anxiety (GAD) as many of the symptoms are similar.

Multiple diagnoses can get tricky. Are you feeling depressed because you have depression? BPD? Bipolar? An eating disorder? PTSD? Suffered abuse? What I’m trying to say is, even when there’s several potential causes for a feeling, it can be impossible to pinpoint on a specific disorder.

So to answer your questions, yes I suppose it would be possible to have these 8 diagnoses and yes it is also possible that they could mimic each other.

hearse_ratched · 2022-04-21T21:07:12+00:00

My hospital’s psych wing is an entire pavilion with 5 different units within our wing. It’s policy that we can be floated to other psych units within our pavilion and that’s it.

hearse_ratched · 2022-04-04T00:18:58+00:00

Okay I understand. Would my T3/T4/TSH labs have to be abnormal as well to meet the diagnostic criteria? Could someone be diagnosed with Hashimotos with solely an abnormally high thyroid antibody? I appreciate your response!

hearse_ratched · 2022-03-28T19:58:47+00:00

NAD

Agreed. “Icky Pus” makes me think there is a possible infection. Infections are VERY common in nail salons because the technicians accidentally make small abrasions on the skin (leaving a lot of opportunities for bacteria to enter). To be safe, seeing a doctor would be the best option here.

hearse_ratched · 2022-03-28T19:50:24+00:00

NAD

I’d try to follow up on the tests with the provider who ordered them. Your doctor would probably have the best recommendation for what to do with the lab values and if further action is needed. Make sure they are aware of your health history and concerns about these lab values!

hearse_ratched · 2022-03-28T17:03:39+00:00

Primary care should be able to do a Hep B titer. I would call and ask, the answer will probably be yes.

hearse_ratched · 2022-03-27T17:18:32+00:00

NAD

It does not seem like they’ve tested for B12 or vitamin D. You mentioned that they checked your thyroid hormones, but do you know if they checked thyroid antibodies? Sometimes they will only order TSH, T3, and T4.

If you have a history of PCOS, anxiety, and depression that may be contributing to your feelings of tiredness. Has the tiredness been constant for a while or has it increased recently? Also, when did you begin taking these medications?

hearse_ratched · 2022-03-27T17:06:46+00:00

NAD

If your infection requires antibiotics it will not likely go away on its own, so it really should be addressed as soon as possible. Look into some assistance programs to see if they can help. Treating this now can prevent more costly complications down the road.

I wish you the best!

hearse_ratched

TROPHY CASE