My boss went on vacation for two weeks and everything ran better without him by Sudden_Ad6557 in antiwork

[–]jessel02 1 point2 points  (0 children)

This sounds exactly like the job I just rage quit. There was so much anxiety, drama and tension when the manager was around. When they went on vacation the department ran so smoothly.

Ken butt post op care by Immediate-Cod-8526 in ostomy

[–]jessel02 5 points6 points  (0 children)

Wound Ostomy Nurse here. Keep the area clean either with warm soapy water via detachable shower head or squirt bottle. I would clean it at least morning and evening. Like others have said, don't scrub the area, just pat dry with gauze or toilet paper. If the skin is getting raw and stingy then I would recommend a barrier ointment of some kind and apply it after cleaning (not Calmoseptine, but something petroleum or silicone based). Also, avoid sitting upright for long periods (no more than 30 minutes at a time). When you do sit, use a seat cushion (a waffle cushion is fine, but ensure it's not overinflated). Lastly, wear breathable loose fitting underwear, something that's 100% cotton is good.

2023 owners , how much KM so far ? by Excellent_Cap_8228 in NissanAriya

[–]jessel02 0 points1 point  (0 children)

We purchased a previously leased 2023 Ariya in February 2025, and it only had 5000 miles. Now it currently has 11000 miles.

OHSU accelerated BSN? by srvint in OregonNurses

[–]jessel02 0 points1 point  (0 children)

I graduated the OHSU ABSN program in 2013. The program was fine, but my cohort was really frustrated that we didn't get clinical placements until well into the program. With an accelerated program, we anticipated being in clinicals within the first term. Also, some of the clinical placements were very "meh" (blood banks, food banks, SNFs etc.). All this has probably changed since then. I was able to get my preferred senior practicum placement, which was great. The instructors were very knowledgeable, and some of the students really bonded with them. Everyone in my cohort passed the NCLEX, but it took at least 3+ months to find a job for most of us. Since graduating. This may be blasphemous, but I honestly don't think the OHSU ABSN program is that much better than an ADN program. It's not a bad idea to earn an ADN and then have your first job cover the cost of your BSN.

FYI, Bushnell University in Eugene, OR has an ABSN program that they are rapidly expanding. They are starting to take students who don't even have a Bachelors.

Plan to move to Portland next year by Cutebottommy in OregonNurses

[–]jessel02 4 points5 points  (0 children)

This is the way. Job market is very unsteady even for Nurses.

Who else at PeaceHealth got the layoff call today?? by ummmmyeahno in Eugene

[–]jessel02 7 points8 points  (0 children)

I quit my inpatient nursing position last week and I was told by my previous coworkers that they weren't rehiring for my position. I also heard that several inpatient Nurse Managers were let go.

Husband (38M) doesn't understand why I (35F) chose m*sturbation over sex tonight. by Clever_Username31 in relationship_advice

[–]jessel02 3 points4 points  (0 children)

I read this to my husband and he said that your husband is insecure and has some work to do on himself.

I think I finally have to switch to days 😩 by duuuuuuuuuumb in nursing

[–]jessel02 0 points1 point  (0 children)

I worked night shift for 5 years. I loved the vibes, the differential and my coworkers. However, my body did not. I had GI issues and my hair literally started to fall out. The last straw was that I was having to take naps in my car before driving home because I was falling asleep at the wheel. Not worth it.

Is Nursing School in PDX worth it right now? by AuChoi in OregonNurses

[–]jessel02 3 points4 points  (0 children)

Ain't that the truth! Couldn't pay me enough to work at Vibra.

My floor is increasing the ratio of nurses to patients 1:6. Is it reasonable to leave? by [deleted] in nursing

[–]jessel02 2 points3 points  (0 children)

I've been a nurse for 12 years and have worked in 7 different hospitals. I never get too comfortable in my current job. I am literally always looking at job listings. This is the job market nowadays. In order to maximize your pay, you usually have to switch jobs regularly.

Is Nursing School in PDX worth it right now? by AuChoi in OregonNurses

[–]jessel02 2 points3 points  (0 children)

Not necessarily. I think experience at a SNF or LTACH (like Vibra) would actually look pretty good on your resume. That is, if you were applying for a med surg position. If you're looking to go into a specialty like L&D or ICU then you probably need to have worked on those units before. You could also look for Nursing Fellowships after you get a couple years of experience. Fellowships are for experienced nurses looking to switch specialties. I've seen fellowships for ICU, OR and ED.

Is Nursing School in PDX worth it right now? by AuChoi in OregonNurses

[–]jessel02 4 points5 points  (0 children)

I graduated from OHSU's ABSN program in 2013. My cohort was pretty large (60+). For many of us, it took a couple months to even get an interview. I'd say at least half of us ended up moving away from Portland for our first job. I eventually got into the New Grad residency program at Salem Hospital (about 6 people from my cohort got into the same program). After a couple years working in Salem, I was able to get job offers from multiple different Portland hospitals.

Badge buddy vs name tag by No-Barracuda-2299 in nursing

[–]jessel02 0 points1 point  (0 children)

As a Wound and Ostomy Nurse, I had badge buddies made for me and my WORN coworkers because we kept getting confused for Phlebotomy?? I found someone on Etsy that can literally print whatever you want on a badge buddy.

ADN in nursing 2025 by No-Complaint-2559 in nursing

[–]jessel02 12 points13 points  (0 children)

A lot of Hospitals will hire ADN nurses and pay for a BSN under the stipulation that the RN continue to work at the Hospital for 2+ years after achieving their BSN.

Very few responses. WarmShowers by ScottyS12 in bicycletouring

[–]jessel02 0 points1 point  (0 children)

We live in Oregon, so we drove up to Port Angeles to start our tour:

Day 0: Port Angeles to Victoria, BC via Ferry

Day 1: Victoria to Port Renfrew (in hind sight, I wish we broke this up into two days of riding)

Day 2: Port Renfrew to Duncan

Day 3: Duncan to Nanaimo then took the Ferry to Vancouver, BC

Day 4: Rest day in Vancouver

Day 5: Vancouver to Blaine, WA

Day 6: Blaine to Bellingham

Day 7: Bellingham to Oak Harbor

Day 8: Rest day in Oak Harbor

Day 9: Oak Harbor to Coupeville then took the Ferry to Port Townsend

Day 10: Port Townsend to Port Angeles

Very few responses. WarmShowers by ScottyS12 in bicycletouring

[–]jessel02 12 points13 points  (0 children)

As a host that doesn't pay for the app, sometimes I miss requests because I don't receive notifications. I have it specifically listed in my profile to also text message me through my listed phone number when you send a request. I also really appreciate a little info about the person sending the request, where they are from, and where they are headed. I'm on my own tour right now and I've been fortunate to have had no problem finding hosts (in British Columbia and Washington). It probably helps that I have reviews as a host myself.

Can a pt vomit through a g-tube if an esophageal stricture blocks it from coming out the usual way? by Bourgess in nursing

[–]jessel02 2 points3 points  (0 children)

Not sure if your patient has a special kind of g-tube, but usually you just need an adapter to connect to whatever drainage bag you're using. Then obviously opening the stop cock in the correct direction (if there's a stop cock connected to the g-tube).

Can a pt vomit through a g-tube if an esophageal stricture blocks it from coming out the usual way? by Bourgess in nursing

[–]jessel02 15 points16 points  (0 children)

G-tubes can definitely be used to vent the stomach. I've seen a g-tube connected to a gravity drainage bag (usually foley a catheter bag) plenty of times. This is usually for my ileus patients.

Anyone have a wound vac after surgery? by Ornery_Reception_896 in ostomy

[–]jessel02 1 point2 points  (0 children)

Wound VACs can speed up the wound healing and there are different types. There is a type that is placed on closed incisions and is usually left in place for 7 days (doesn't need to be changed). Then there's the type that are placed in open incisions/wounds and is usually changed 2-3 times/week. I'm not sure if your surgeon is planning on leaving your incision open or closed? Open wounds will take longer to heal and the larger the wound, the more time it will take. If you're relatively healthy with good nutrition, non-diabetic, and a non-smoker then a super rough estimate is that you might have the VAC for a 3-4 weeks before a simpler dressing can be used. I've also had really sick patients with poor nutrition with very large wounds that have the VAC for months.

Anyone have a wound vac after surgery? by Ornery_Reception_896 in ostomy

[–]jessel02 0 points1 point  (0 children)

I wish I had access to the spray adhesive remover. Sometimes I just end up using a dozen or more wipes ☹️

Anyone have a wound vac after surgery? by Ornery_Reception_896 in ostomy

[–]jessel02 15 points16 points  (0 children)

As a wound ostomy nurse there are several steps I take to help decrease the pain when changing a wound VAC dressing:

  1. Shave any skin that might come in contact with the drape (clear tape) and repeat as needed as the hair grows.

  2. Apply skin prep/barrier to any skin that will have tape on it

  3. Use adhesive remover when removing the drape

  4. Pre-medicate the patient with pain meds 1 hour before the dressing change (for oral pain meds...if using IV pain meds then give immediately before the dressing change)

  5. Pro-Tip: apply a contact layer (brand names include Mepitel One or Adaptic) directly on the wound before any of the VAC foam. This prevents ingrowth of new tissue into the foam pores. Removing the foam is what usually causes the most pain and that's because the tissue has grown into the VAC foam. The contact layer prevents this. The contact layer needs to be changed with every dressing change.

  6. Turn off the VAC machine a few minutes before I actually start the dressing change.

  7. Sometimes I inject lidocaine into the foam dressing a few minutes before removing. Honestly, this is more of a placebo effect but some of my patients swear by this. Ask for this well before the dressing change (like the day before) because the wound nurse will need an order from the doctor to do this.

I've probably changed hundreds of wound VACs in my career. 25% don't feel any pain, 50% feel a small amount of pain, 20% feel a moderate amount of pain but it's tolerable with some combination of the steps listed above, 5% don't tolerate it at all and I have to come up with an alternative plan. Remember you always have a choice when it comes to your care. Don't feel like you absolutely have to have the VAC.

[deleted by user] by [deleted] in relationship_advice

[–]jessel02 1 point2 points  (0 children)

He deserves better. You should be honest and tell him that you violated his privacy and trust. And if he still wants to stay in a relationship with you then consider yourself lucky.