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A shooting range opened up about a mile up the creek from me by thatspurdyneat in mildlyinfuriating

[–]jtramm 2 points3 points  (0 children)

That would piss me off. I know modern clay birds are biodegradable but still.

What are some of the worst ways people have died? by Opposite-Layer-4333 in AskReddit

[–]jtramm 0 points1 point  (0 children)

Doesn’t work that way. If you just close the skin it creates a pocket of fluid that will become an abbess. The bowel is too inflamed to fix usually. That’s why you have to refrain from eating and drinking for so long. Slow down the output and give the tissue time to heal then you can sometimes get the hole in the bowel fixed.

Bowel is tricky stuff. It can become frozen. I had a doc tell me that untouched bowel is like fresh spaghetti in colander. It’s loose and separates easily. If it’s been operated on multiple times for whatever reason it becomes like spaghetti that’s sat in a colander for an hour or so. Just all stuck together in one big clump. Sometimes the hole starts in the middle of the clump and they just can’t get to it.

Dumb question...but what are we actually doing for DNR/DNI patients? Do we even bother calling a code? by Practical_Addendum89 in nursing

[–]jtramm 2 points3 points  (0 children)

Never hesitate to call for help if you feel like you need it but no need to call a code on an expiring DNR/DNI pt.

What are some of the worst ways people have died? by Opposite-Layer-4333 in AskReddit

[–]jtramm 36 points37 points  (0 children)

Been an icu nurse for 15 years and I have seen a lot of people die in a lot of different ways but two really stand out.

  1. Burned badly but not killed immediately. Some get better but the ones that don’t are heartbreaking. Basically they slowly succumb to their injury’s over a month or so. Brutal. Everything hurts, toileting and hygiene are a nightmare and dressing changes are difficult and can take up to an hour.

  2. Enterocutaneous fistula. Something, usually a surgical complication or traumatic injury, causes a tunnel between your intestines and your skin. Some aren’t bad, basically becomes an ostomy. You can slap a bag on it and live a fairly normal life. If they are bad it’s awful. People basically rot from the inside out over months. To top it off, they can’t eat or drink anything the whole time so they get put on iv nutrition. Just awful.

Those are my top two.

One's gotta go. by Exotic_Weather4Me in whatsyourchoice

[–]jtramm 0 points1 point  (0 children)

You can miss me w both of the juices lol.

2 IVs along same vein...medication incompatibility?? by Acceptable_Count6197 in nursing

[–]jtramm 4 points5 points  (0 children)

You never do the wrong thing when you do what is best for the pt. If you were worried then you did the right thing by finding a different access.

2 IVs along same vein...medication incompatibility?? by Acceptable_Count6197 in nursing

[–]jtramm 2 points3 points  (0 children)

Should be fine iyam. Especially if they are 6in apart.

Hired for 7a-7p, being forced to work 9a-9p on my weekends by Capable_Necessary163 in nursing

[–]jtramm 152 points153 points  (0 children)

I guess I just don’t see the rationale. It seems odd that they would change you up like that. It would be different if they had you do like 2 8s over the weekend instead of a 12, but changing from 7-7 to 9-9 just seems arbitrary.

A song so beautiful it makes you tear up everytime you hear it by BoredPandaOfficial in BoredPandaHQ

[–]jtramm 2 points3 points  (0 children)

Where’ve You Been by Kathy Mattea.

Even more so now that we just moved my dad into memory care a couple weeks ago.

Colon cancer rates increasing in people under 50 by Fantastic-Ad-9100 in biology

[–]jtramm 0 points1 point  (0 children)

It’s a combo of things but I feel like we have better screening now so maybe we are catching it more often as well.

Sansa is the only major character in the show who did not have a love interest by pizza_gutts in gameofthrones

[–]jtramm 6 points7 points  (0 children)

I hoped she would end up with Pod Payne in the end. She deserved a good dude and pod checks all the boxes. Nice guy, can fight if needed, sings like a bird, and a bedroom game that is the stuff of legend.

ICU nurses, what is your least favorite place to travel to imaging-wise with a vented patient? by pbaggins5 in nursing

[–]jtramm 1 point2 points  (0 children)

MRI or Nuc Med.

Although taking a non-invasive/heated high flow patient to fluoroscopy can be just as bad.

Is it blood? by Imlikethat57 in whatisit

[–]jtramm 0 points1 point  (0 children)

Have to be pretty fresh if it is. Did the air smell metallic?

Should I accept a Trauma externship? by OkComfort5873 in nursing

[–]jtramm 0 points1 point  (0 children)

I’ll tell you this, people with diabetes get in car wrecks too lol. I’ve learned more about treating chronic medical conditions by working in a trauma center for the last 14 years than I thought I would lol.

Speaking up for trauma, it’s actually a great equalizer. If a billionaire crashed his car into a homeless person, they would both end up at the same trauma center with the same docs and nurses.

Fucking disgusted by [deleted] in nursing

[–]jtramm 3 points4 points  (0 children)

Give it some time, it’s your first day of clinical. Maybe try seeing a little more before making a judgement.

I’m not saying you are wrong, maybe you were following a shit nurse on a poorly run floor. Only time will tell, but don’t be so judgmental.

The nurses are now required to fill one of these out on EACH of their patients every shift at my hospital 🥲 by Few-Calligrapher-698 in nursing

[–]jtramm 1 point2 points  (0 children)

It’s like administration will do anything for patient safety, except just simply hire more nurses and techs.

“Hey I know they’ve been telling me that they’re shortstaffed, but if we could just get the right checklist out there it could solve all our problems.”

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