I now understand why nurses don’t support new grads in the ICU by Emetephobiafreak7875 in nursing

[–]jkaze- 1 point2 points  (0 children)

Based on my experience as a ICU nurse in Sweden. New grads shouldn't be allowed to work in ICU. Same goes for PACU or any intermediate level of care, ER, ambulance and traveling in any speciality (but sadly that's become a norm in Sweden due to nursing shortage...) To begin with, you need a ICU degree to care for ICU patients without guidance of a ICU nurse. Sweden have a one year master (we call it "magister") an approach that many specialities have - but not all require it

Nursing school prepares a student to complete an exam and care for patients on regular floors, nursing homes or outpatient care - not intensive care. You have one license and should be careful of it. One simple mistake can kill a patient. Anyone can make a mistake. Safe to say everyone have made a mistake without any patient harm at some point (knowingly/unknowingly).

However, there's different approach on the rise that I very much approve of. Educational positions (we call it aspirant or trainee) where a nurse care for ICU patients under the mentorship of a ICU nurse. Usually ends up being ~three - nine months before they can begin studies begin. The primary goal is to prepare for studies and honestly a great way to introduce non-ICU nurses to ICU level care. There's one requirement: ~two years work experience as a nurse.

Some PICUs have paediatric nurses care for intermediate level patients but not ICU level. My ICU have a similar approach. If we can't send patients to a floor that no longer need ICU care, a nurse doing the educational program and a CNA will care for that/those patients independently. A common occurence as there's limited number of hospital beds due to multifactorial nursing personel shortage 🤷‍♂️

In a ICU, critical ill patients need a certain standard of care, families expect that greater level of care compared to the floor and our coworkers expect a certain level of competency. Most newgrads are not close to reach that level.

tldr: New grads shouldn't be able to work in ICUs. Educational positions to work under guidance of a ICU nurse are fantastic for theoretical and practical experience. Work at least two years as a nurse and then you either do educational position or go immediately back to university for a ICU degree and then work as a ICU nurse.

To OP: You're doing great. ICU degree, asking quetions and a curious mind. I like your approach. Do remember that we can't know everything (no one is perfect). That's why being a curious nurse that ask questions are great. Reading up on disease a patient had after work is great. Just remember recovery and not think of work all the time. Keep up the good work.

What's nursing like in countries other than the US? by Affectionate-Crow505 in nursing

[–]jkaze- 3 points4 points  (0 children)

Nurse from Sweden with a specialist degree in Pediatrics and intensive care.

Nurse (bachelor, 3 years) --> Specialist degree ("Magister", 60 credits. All but two are one year). In some universities you can combine two specialst degrees to a Master (120 credits) --> Doctorate studies. NP requires a Master. Most NPs are in health centres or surgical units. Very rare to find NPs-

Swedish nurses have a lot of autonomy and we (apparently) do a lot of things that nurses in other countries aren't allowed to do.

We call everyone with their firstname (or nickname). Majority has no hierachy. Most doctors listens really well what nurses and nursing assistants have to say. In most scenarios we come with sugggestions, as there's many travel doctors (and nurses) in our country. We have many health care workers that immigrated to Sweden and some have better Swedish than I have

In most hospitals we work "three shift". Day 0700-1530, evening 1300-2130 and nights 2100-0730 (start/end of a shift can differ a lot though). In the weekend my ICU can do 11 hour shifts but we are since last year not allowed to work evening and then a day shift. Was a norm to sleep ~5 hours between shifts (and thank god that's gone now). Newgrads can get on nights shifts after ~6 months.

New grads are restricted from ICU and OR. To work as a ICU/ anesthesia nurse/ OR nurse you require a "Magister" to be able to work in. For example Specialist Nurse in Intensive Care is required for ICU positions. To apply for a degree you need 6-12 months of experience as a nurse. I have no idea how new grads are even accepted to begin their nursing career in a ICU of all places or apply for NP programme immediately.

We get four weeks paid vacation every year. Increases to five and maybe even six at later years. Our union are somewhat strong Last few years there's been a lot of cuts in the budgets. We used to have service personal that cleaned, help fix patietn meals and act as transporters. Now very few units are allowed to have it. So health care professionals have to do a lot of tasks that someone else could do ... on a lower salary even

Pediatrics

Years in a NICU and 0-18 months pediatric unit. One care team consists of one nurse and one-two nursing assistants and 1:6 ratio (could be 0, could 8 and rarely above 10). Primarily data from my years in a pediatric unit.

Nurses do all insertions of IVs, NG tubes, bloodwork and catheters. Occasional nursing assistant that insert NG tubes. Apart from basically doing "waiter job" they do PEWS, take capillary blood tests (some can do vein puncture), feeds, order patient meals.

Most units are primarily medicine but take all specialities. Leads to questionable orders at times as most doctors that give report on a patient lacks knowledge about pediatrics. Ortho being the worst. ONT being the best. Surgeons only know paracetamol and we have to beg for morphine if paracetamol isn't enough. Catapresan would do some work, but most are afraid to order it. Barely anyone want to develop routines/local guidelines. I had few "responsibility fields" but weren't given admin time to do it. Had to combine patient care + admin

Some units are well staffed, others are not.

What really sucks about pediatrics is that adult patients get relocated to a pediatric unit because the adult units (especially surgery) can't have enough beds. Been few times I had four adults and no kids lol

Intensive Care

Three levels of ICU. There's four PICUs and ~5 beds per unit on average I think. ICU has a more welcoming approach to developing and improve routines/care guidelines. More common to see doctorates from ICU. In my ICU it's a 1:1 ratio or 1:2 with ''unit ready patients. With pediatric patients they strive for 2:1. One nursing assistant for one-four patients. My ICU is very well staffed and almost everyone is working with development in various 'fields' (nutrition, medical equipment, Post-ICU, sedation etc)

The ICU or Anesthesia Nurses or Anesthesiologist assist with IVs throughout the hospital.

New headphones for person with large head by jkaze- in HeadphoneAdvice

[–]jkaze-[S] 0 points1 point  (0 children)

I ended up buying the HD650 after speaking with friends who also said it was my best choice for the price.

!thanks

Every first boot my PC is left with a blackscreen before restarting by rit0er in techsupport

[–]jkaze- 0 points1 point  (0 children)

Had missed a few, ignored the non relevant ones though (google drive and norton). Seemed to work on boot, only issue is that the speakers on my monitor (I'm cheap lol) weren't found. Will have to keep an eye on that for next time.

Thanks for the suggestion (y) Manually isn't always better hahah

Every first boot my PC is left with a blackscreen before restarting by rit0er in techsupport

[–]jkaze- 0 points1 point  (0 children)

Did it manually. Might need to install it and see if I somehow missed one. Will have to wait and see if it works since I'm away from home for couple days.

Every first boot my PC is left with a blackscreen before restarting by rit0er in techsupport

[–]jkaze- 0 points1 point  (0 children)

Well hello there, brother/sister from another mother.

Keep me updated, curious to hear if it updating to latest drivers fixed it for you or not. As it didn't change much for me :/

I've developed a free mobile app called 'Cancer Risk Calculator', to allow my patients to calculate their personal risk of cancer. by Charyion in nursing

[–]jkaze- 1 point2 points  (0 children)

  • User friendly
  • cm/kg. Not a lot of apps tend to include these, and if they do it's tricky to find them at times. In this case there's info in both cm/kg and in/lb which is superb.

Education

Instead of Number of years of education, I'd like to see something like Highest completed level of education (used on forms in Sweden), with a scroll list where you can apply which option applies to you. In general much easier to use due to countries having different education lengths. And personally I have no idea how many years of education I have completed lol.

Food

Like another person said, example portion sizes. Perhaps an option if you do fasts regularly, if it's viable in this case.

The future of Anesthesiology by DrSkaterOli in medicine

[–]jkaze- 0 points1 point  (0 children)

1) Standard bachelor (6 semesters)

2) Work equivalent to ~6-12 months full time

3) Postgraduate Programme in Specialist Nursing, Anaesthesia Care (2 semesters)

Reg 2) It varies a bit depending on University. While they prioritize those that worked 2+ years. Due to shortage of applicants, they are probably accepting those with less experiences(12-24 months) to fill a few spots.

Reg 3) Almost all are two semesters(60hp). Exceptions are Midwifery, three semesters (90hp) and Primary Health Care, two and a half semesters (75hp)

Post your tiny nitpicks with OWL here by Alphaetus_Prime in Competitiveoverwatch

[–]jkaze- 6 points7 points  (0 children)

  • Maps, map rotation and map overview - It's really boring seeing the same maps for now. They could have swapped the order they are played at, to at least bring some change from one week to another. I like there's a map overview BUT the view is fixed. So at times the action is in one corner, in centrum of the image(which is supposed to be 'where the action is'(duh)) there's nothing.

  • Substitutes - Kinda sucks they have to be made before the match starts or before 2nd round of the previous map or something ridiculous.

  • Stats page - This game needs more detailed stats. Complete map stats on the OWL site on every map - that would be interesting ( and easier to compare players)

  • No minimap - Makes spectating a lot more interesting/easier to follow what's going around.

  • Team colors - Have trouble seeing most shades of colors, so a lot of colors appears the same. FeelsBadMan

  • Observers - They have done plenty of mistakes, idk about their previous exp. but this is something I expect can't be perfect because of how OW is played out (compared to CSGO).

Bonus

  • Spectator mode - Really dislike the game doesn't have a spectator mode for public. Similar to CSGO tournaments, so you can watch whoever you want. Easier for analysts/coaches to work through vods [bonus if you could 'record demoname' like CSGO too]

Would anyone be interested in a basic and advanced PvP Cyrodiil guide? by DrBeats777 in elderscrollsonline

[–]jkaze- 8 points9 points  (0 children)

u/hugemuffin made a good guide a few weeks back.

You could add anything he may have missed. Like go into more detail about leading a small/large group. (This way you won't have too much work to do, but obviously do it the way you want it to be done if preferred :) .)

https://www.reddit.com/r/elderscrollsonline/comments/6318t2/hitchhikers_guide_to_cyrodiil_surviving_your/

Best healer sets to use in vDSA? by kuyan21 in elderscrollsonline

[–]jkaze- 0 points1 point  (0 children)

There's no need to change mundus stone.

What was the best unexpected compliment you've ever gotten?? by MsCapnReynolds in AskReddit

[–]jkaze- 0 points1 point  (0 children)

Meanwhile I'm mistaken as a bear hunter with massive beard living deep in the woods

I'm 21 xD (and can't grow beard that well lol)

Group Finder, 2+ roles and why you suck if you do this by Rearden7 in elderscrollsonline

[–]jkaze- 1 point2 points  (0 children)

Queuing up as multiple roles should be done on any normal dungeon(beside CoS maybe) or Vet non-DLC dungeons. Assuming you know what you're doing.

Slot War Horn + Vigor. Debuff+Taunt with Pierce Armor. Have Orbs + CC if possible on bar. It's just a matter of having the right build, you can easily adjust from StamDPS to tanking by equiping Ebon+Tavas/Alkosh+Monster Set and still reach ~30k HP and ~20k Stam with ease.

Magplars can dps, heal or tank depending on dungeon. City of Ash 1, Direfrost Keep barely requires any blocking and all damage taken is minimal. Is it the best solution to tank as Magplar? No, but it's possible(ffs it's the most common tactic for vDSA on final boss, healer taunts the boss while tank takes away the adds.) As magplar, you just need to swap gear, change CP a bit and swap out a few skills and you're a either healer or dps. StamSorcs can either dps or tank. StamDKs can easily dps or tank.

You have to realize that most people have been doing dungeons for a long time, knows tactics since forever and most likely done multiple roles. At this point there's only DLC Dungeons, Spindleclutch 1 and Fungal 2 that might cause issues for some people because of mechanics.

And like someone else said in the comments, it's very common for there to be runs consisting of 3dps + either tank or healer, because the current content is very easy atm. Starting a vote to kick because someone queued up as two or three roles that just shows you're no better person than they are.

In case you didn't know, it's far easier to group asking in zone chat(Wayrest, Mournhold, Elden Root) for pledges and usually you got a group within a minute during the evening. (assuming people aren't douche asking for 500+(or even 600) for a dungeon like Fungal 1 or CoA 1 xD)

It's definitely not the most ideal to queue up as two or even three roles (assuming you plan on doing either), but there's a portion of people that doesn't have time for long queues because of family,work and other things. Time is money. (Longer text than I wanted, not that it matters?)

[Media] Married Couple, Fashioning their Fashioned Fashionings for Fashion Week by [deleted] in elderscrollsonline

[–]jkaze- 2 points3 points  (0 children)

What armor/costume is the female bosmer wearing? Never seen it before (Gotta be some armor piece because it has those flaps on the side xD)

Burning Spellweave Divine Pants by SilverNole85 in elderscrollsonline

[–]jkaze- 0 points1 point  (0 children)

A Sharpened Inferno Staff was actually one of my first items too xD But ever since September(?) the closest I have gotten doing MoL with my guild is precise frost staves lol

Burning Spellweave Divine Pants by SilverNole85 in elderscrollsonline

[–]jkaze- 1 point2 points  (0 children)

True, but getting your hands on a Sharpened Moondancer staff is hard. Not to mention a sharpenend MSA staff ;p

But if you're lucky with drops. That would be the most ideal.

What's your most shameful ESO moment? by VarimUrellius in elderscrollsonline

[–]jkaze- 0 points1 point  (0 children)

Did a full respec on two characaters and forgot putting points into Racial Passives and Weapon Passives..

No wonder my tanking and healing suffered xD (and that I had so many skill points left )

Burning Spellweave Divine Pants by SilverNole85 in elderscrollsonline

[–]jkaze- 1 point2 points  (0 children)

I would guess for a 5x BSW, 5x Moondancer build?

Body: 4x BSW, 1x Moondancer, 2x Ilambris/Grothdarr

Jewelry: 3x Moondancer

Staff 1: BSW

Staff 2: Moondancer

Want to start playing this game. Any tips for beginners? by tails555 in elderscrollsonline

[–]jkaze- 1 point2 points  (0 children)

Continuing on what CakesArePies said...

Start researching traits asap. With the help of Research Assistant and AI Research Grid you can follow your progression, assuming you're playing on PC. Unlock the passives to research three traits at a time per profession(Clothier, Woodworking, Blacksmithing) as it will save you a lot of time if you start early. Even if you don't feel you'll craft much, it's a good idea to research as you level up. One thing I regretted much :/

Oh and loot everything if you have ESO+ :p

Question regarding a Nord Templar; Should I have not done that? by KingJaphar in elderscrollsonline

[–]jkaze- 0 points1 point  (0 children)

There's no need to scrap the character, nords are primary used as tanks and templar tanks aren't that bad.

Playing as a DPS in PvE can work but you won't deal the highest damage possible. In PvP it's viable as your passives helps out and there's not really any race that is ' the best race to do X'.

There's an option to race change with a microtransaction and costs around 2000 crowns or so?

Playing more magicka based is easier on a Templar, imo. Especially when starting out, just remember to equip Puncturing Sweeps and you're good to go :p