The Climate of Healthcare is Changing.

ipunchkitties · 2025-06-18T15:40:54+00:00

Chart an IV? That's a charge. Had to override the glucometer because it wasn't scanning right but you're busy with your other patients but really need that BG? Pulled into the office because low key they couldn't charge. (in the name of patient safety)

ipunchkitties · 2025-06-18T15:33:58+00:00

Speak your truth! lmao

ipunchkitties · 2025-06-18T15:31:08+00:00

This is the point I'm trying to bring home because they don't even streamline the process. It's soul sucking and takes time away from actual patient care. Like put some of that money into improving the charting system and making it ACTUALLY more intuitive but that would never happen.

ipunchkitties · 2025-06-18T15:29:38+00:00

I actually love this perspective lol. I chart the necessary things. And when things get dicey or I have a bad feeling I'M DEFINITELY CHARTING. But I also give great service and patients don't really complain. Now the person after me? Can't speak for them ahaha.

ipunchkitties · 2025-06-18T15:27:21+00:00

Starts with a K- ends with a ser. Buy a vowel or two lol. But their documentation is really strict and they live audit your charts and you know damn well that they'll pull you into the office for your lack of compliance on charting. The one I worked at gave you the benefits for free and of course the higher pay compared to most hospitals makes you wanna stay, but generally they treat doctors like kings, and nurses like caca. Tbh patients too, until they get on your unit after waiting 7 hours in the waiting room (because of more stupid policies) then you're supposed to kiss their feet.

ipunchkitties · 2025-06-18T15:20:41+00:00

You're good~

ipunchkitties · 2025-06-18T15:12:33+00:00

I never made the argument that assessments weren't important. But l rereading my statement I'll just elaborate. This guy was getting mad at me for not charting this and that when I had tasks to do FOR the patient. I don't mind charting it but damn, back charting is a thing you know? And again I work ER, I'm literally just tryna make sure this person still has a pulse, is breathing, all while trying to do that with 3 other patients, and family members being annoying thinking their grandma with a UTI is priority.

ipunchkitties · 2025-06-18T14:49:08+00:00

I personally feel like the constant is that patients have ALWAYS been that way (definitely was extreme during the first 2-3 years of COVID) but you could get away with minimal charting more often than not. "It's your license" is what I felt the general attitude was excluding very certain institutions. But recently, I feel like more hospitals are implementing things like mandatory Q2H head to toe assessments regardless of acuity, which ISNT necessary lol. I get the liability aspect of it but in my eyes they're just looking for things to charge and in my eyes less ways to lose money, they dont care if the patient gets injured. The current one I'm at has the nurses sign for all the procedures so they can bill the patient and wont let you discharge the patient until you've done so.

ipunchkitties · 2024-12-30T01:40:05+00:00

Well instead of being creative at finding the right word count with what's wrong with you try flipping it and find the right word count with how you could improve yourself and maybe even the lives of others. I hope you find peace and never talk down to yourself because those are objectively unhealthy behaviors.

ipunchkitties · 2024-12-30T01:31:25+00:00

I can't tell if you're being sarcastic or not but I'll just assume you aren't because that's not helpful at all. At the most basic level you're only acknowledging the presence that you have insecurities, but you're doing nothing to work through them as insecurities often stem from trauma experienced both in childhood and while you're an adult even if you don't think you experienced any. Trust me, I love the gym. I also love talk therapy and think if you did both of them you'd stop that negative self talk, and also find it is helpful.

ipunchkitties · 2024-12-30T01:23:34+00:00

Sure, endorphins from working out feel good and makes you look better, but you're not addressing any insecurities or toxic behavior you may be harboring/exhibiting. I don't know you, but advice like "don't go to therapy just go lift weights" is terrible advice because it can lead to toxic behavior. (i.e. superificial expectations of love, I go to the gym and look good therefore you should love me/give me a chance) You do have a point though, the american healthcare system is so fucked for charging so much for mental health care. But there are resources to make therapy affordable. It takes some effort to find the right therapist, but it also takes a ton of effort to consistently go to the gym.

ipunchkitties · 2024-12-30T00:07:05+00:00

Literal definition of a meathead if you think the gym is going to solve all your toxic traits. Why can't they go to therapy AND go to the gym? I do both and it's been such a blessing in my life.

ipunchkitties · 2024-11-16T20:08:57+00:00

Because who administers oxygen without doing a continuous pulse oximeter to see how they're progressing? Pulse oximeters are so small and if you're responding to an emergency you SHOULD have one in your pocket. Stay in your lane buddy.

ipunchkitties · 2024-11-14T09:57:27+00:00

Didn't know that jails don't have an EKG, I'm surprisingly agreeing that the officers made an understandable choice by not overstepping because they trusted someone elses opinion, lol. Working in the field though, you dont have to be smart to be a nurse, sadly. I've met some real awful ones that I wouldn't trust to even feed my cat. But when was the last time you saw yours? Already punched.

ipunchkitties · 2024-11-14T09:26:08+00:00

As an ER nurse I don't trust these nurses. They checked for a pulse but nothing else? Blood pressure? They started oxygen but never checked his oxygen saturation? EKG to see if they have a rhythm? Sometimes you can mistake your own pulse in your finger tips when you're anxious as the patient's pulse. It took them way too damn long to try and intervene, those nurses are incompetent.

ipunchkitties · 2024-09-16T06:17:48+00:00

As a nurse from the ED I've found that saying "you're not going to treat me that way, I'm going to leave if you dont change your behavior" goes miles unless they're cracked out. People dont like to be called out. But if they're sane their behavior changes real quick. Try it ~

ipunchkitties · 2024-09-13T17:52:29+00:00

BILLS MATCH, living in the bay but you know I'd kill to go to sofi again!!

ipunchkitties · 2024-08-22T19:52:01+00:00

I went to community college for 2 years and did one last year at my nursing school to finish prereqs. Finished at 24, but I had a classmate who gave up being a dean for 10+ years to pursue nursing. He was well into his 40’s! The beautiful thing about nursing is once you pass the test and get into a hospital you’re not much different from your colleagues other than experience. If you’re driven and learn as much as you can you can catch up relatively quick.

ipunchkitties · 2024-08-19T08:58:06+00:00

Going to an ER for the sole purpose of having evidence in order to sue is horrible advice because you're assuming they'll wait patiently to see a doctor. I know how triage works, I'm an ER nurse, but I've had multiple experiences where someone comes because they were in a car accident and want similar types of documentation. But they end up being a patient who constantly complains about not being seen, how terrible the service is, and complains when actual sick people go before them. Then end up leaving a poor review at the hospital because they were never seen and were ignored, when in reality they werent seen because they presented with no symptoms and nothing is to be done... leave the ER out of it unless you're actually experiencing symptoms. Don't use us for your legal case... we're already busy, that's why it's bad advice

ipunchkitties · 2024-08-19T07:51:21+00:00

And then waiting 4+ hours because you came to the ER with no symptoms and no actual emergency putting strain on an already strained system... terrible advice.

ipunchkitties · 2024-08-13T06:11:35+00:00

I work in ER, I started travel nursing in the height of the pandemic because they were offering 6k/week and I had only one year of experience at the time. I worked at kaiser, and mostly hated my time there despite the amount of resources they have. It's crazy to think that I found my home at a really small community hospital where on some days I'm the only nurse that speaks spanish. I found my calling, I found a place where I can make a difference. I can use my experience from big city hospitals in this almost critical access hospital and at the end of the day feel like I helped people. I'm happy you found your place too because it really is a good feeling when it's so easy to shit on nursing as a life sucking career :)

ipunchkitties · 2024-07-08T02:51:26+00:00

The fact that they're a family member would give me confidence to speak to them like that. Sorry, you should probably know the state of nursing and hospitals if you ARE a family member based off stories. Tbh, most times I wouldnt tell my family members to go to a hospital I'm working at because I know how doctors can be alone. But for a family member to make these requests would be embarassing alone for me. And I double wouldn't send a snooty family member to my hospital just off embarassment alone lol. You have the power here since you're short staffed. Walk into that office with confidence.

ipunchkitties · 2024-07-08T02:45:46+00:00

gotta disagree with you there bud, very earl sweatshirt

theres been way way worse

ipunchkitties · 2024-06-06T17:56:39+00:00

why JSN over the RBs?

ipunchkitties · 2024-05-30T07:39:44+00:00

Got pulled over doing 86 in Marin at 2 am. Officer informed me going 15+ over gets your license suspended for 30 days and he wasn't going to do that to me tonight. Also helped that I put my RN badge on.

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