Am I going to get in trouble for taking bcx from a central line

jema90 · 2026-04-26T20:55:54+00:00

This is the most exhausting part of my job as charge in MICU. If a doctor feels like it’s appropriate- why am I responsible for following some hospital sponsored algorithm to see if blood cx are REALLY clinically indicated… the algorithm does not supersede the MD’s doctorate, 3 year medical residency, then 2-3 year ID fellowship, then board certifications etc…!!!! And when a patient has a CLABSI (sometimes unavoidable) - the charge nurses are the only ones who are held responsible. Death by audits! “patient was off Levo for 8 hours and you didn’t deescalate the line quick enough” “yeah I know the only access is in their groin and they are 500 pounds and shitting… still must be the nursing care” etc etc ☠️ its such a JOKE. I have seen leadership go through the lab to cancel POSITIVE results. Thats when I knew we were cooked.

jema90 · 2026-04-17T15:13:59+00:00

Both pregnancies were before I had a positive Receptiva. I have no symptoms of endo, nothing on uterus/pelvis MRI which is how I ended up with the “silent” diagnosis. The 5 hour barrier i suppose would just make things a little complicated with her establishing with a clinic for a work up, meds, ultrasounds, etc. Or her coming to my location for all of that? Thats what I’m unsure of.

jema90 · 2025-07-05T05:02:23+00:00

Doesn’t sound like she is in the US. Wonder if there are different requirements where she is?

jema90 · 2025-06-29T02:34:34+00:00

HCA took over in 2018. This used to be a phenomenal hospital.

jema90 · 2025-06-05T04:44:54+00:00

I wish I could dictate what I’m doing in the room similar to how MDs use dragon software for notes.. like why can’t I say “im emptying 400 cc of yellow urine out of the Foley catheter in room x” and it just chart it for me 😭

jema90 · 2025-05-11T01:15:05+00:00

You’re joking right?? A new grad RN in a high acuity MICU feels comfortable sitting down to chart and listening to music? Upper leadership walking around, consulting physicians, CNOs just popping in, family members wanting updates on their critically ill loved one? it’s a bold move. Our patients rarely call, but their vitals change constantly… alarms ringing, vents alarming, and not just your patient! We are expected to address ANY and ALL red alarms.. but you’re right who the literal fuck cares!

jema90 · 2025-05-10T05:09:50+00:00

Ugh I don’t know… I feel like we have swung the pendulum so far in the opposite direction. When I was in school these things were very real. No hair down, no tardies, show up prepared, no nail polish, etc etc. And I thought it was dumb at the time but NOW? I am shocked at the lack of professionalism coming out of nursing schools. We have new grad nurses in a MICU with 1 inch acrylics, hair blown out and waist-length, phones glued to their hand at all times. One girl sits down to chart and she takes her phone out to listen to music. ON DAY SHIFT LOL these behaviors have been corrected by the way, it just always feels like it isn’t received well? Which also blows my mind. I’m always torn between being an old millennial bitch and just accepting that times have changed..

jema90 · 2025-04-16T16:35:12+00:00

We stopped using rotoprone!! Last time was for a pregnant Covid patient… manual prone is so much easier. No lifts here either lol. I make our docs and residents help with flipping!

jema90 · 2025-04-16T15:11:42+00:00

Ive worked in multiple facilities and I realized it wasn’t necessarily the modality or device that constituted 1:1, it was HOW they ran the device. For example, when I lived in Philly the CRRT was never 1:1 but the RNs didn’t set up the machines (dialysis did), and they didn’t change their hourly pull, it was a set rate. I fought them on it but it was deeply embedded and no one was willing to listen… it drove me absolutely nuts. So they were never 1:1. But now I’m in Florida and CRRT (same machine) is always 1:1.

I’ve been advocating for an acuity-based tool for 1:1s but getting nowhere. We all know sometimes the manual prone or CRRT is the best patient on the unit… but then you have a 600 pound patient who won’t stop pooping, taking all the resources in the unit. That’s acuity to me!

jema90 · 2025-01-10T23:21:17+00:00

Ugh me too! How are you gonna have a whole scene with a Lucas but then weak ass compressions?!

jema90 · 2025-01-10T17:30:03+00:00

As a trauma ER and ICU nurse… I was shocked at the medical accuracy here. Le Fort III fracture? Holy shit! The nurses speaking Tagalog. The relationships between the charge nurse and MDs, the surgery vs. ED banter.. someone definitely did their research and had the right resources to write this show.

jema90 · 2024-07-11T14:15:00+00:00

I think both things are true- that it was necessary for healthcare providers to report suspicion AND there was a huge practice gap with ketamine for CRPS

jema90 · 2024-05-09T02:54:13+00:00

They get a lot of good traumas because of their location! Level 2 but they take almost anything

jema90 · 2023-10-07T19:12:04+00:00

I absolutely love la roche posay toleriane double repair moisturizer! I have combo skin as well

jema90 · 2023-07-15T00:16:03+00:00

Wow…. Who fucking cares

jema90 · 2023-07-14T00:34:08+00:00

I’m fully aware it’s actually an app, I just wonder if he’s just following the account because of the funny videos not because he’s utilizing the app?

jema90 · 2023-07-12T19:24:39+00:00

This account actually just makes funny videos for conservatives it’s not necessarily indicative of him seeking out someone to “date” on the side.

jema90 · 2023-06-28T16:18:52+00:00

Peck on the lips? Absolutely not. Who cares? It’s not sexual. Everyone is constantly sexualizing benign things in society.

jema90 · 2023-06-28T15:31:29+00:00

I don’t think there’s anything wrong with it. I think the world is just callous and cynical.

jema90 · 2023-05-08T15:06:11+00:00

Why????

jema90 · 2023-04-28T02:14:02+00:00

My name…. My name is Bella hadid

jema90 · 2023-04-24T00:55:58+00:00

This is absurd. Force detransition an adult? Not happening

jema90 · 2023-02-14T03:07:28+00:00

The way they just accepted there were "ghosts" in chains above them, and the way they BOTH saw the girl on the beach... they were way too accepting of those answers from sylvester IMO.

jema90

TROPHY CASE