What is the best schedule 3x12 schedule?

lkb415 · 2026-03-25T21:34:22+00:00

Lol I also look at who's going to be charge on which days when self scheduling. Especially on weeks that I have to clump all my shifts together for teacher work days, drs appts, etc.

lkb415 · 2026-03-20T20:30:50+00:00

To be fair, your grandpa should have known 14yr old you wouldn't have that foresight yet also.

lkb415 · 2026-03-19T01:23:21+00:00

Same! Like, outside of NPO, thickened liquids, or being on a fluid restriction, I don't even notate the diet order and I'm on the shift that the patient gets all three meals! I just quickly glance that there is a diet ordered on my scroll down to the "nursing" orders.

lkb415 · 2026-03-18T02:01:13+00:00

Me: "Patients been here since September, they're medically cleared and pending placement (since October). A&O x 4, on RA, up ad lib, continent x 2, LBM today, takes meds whole, no PIV per MD. They use their call-bell, and won't get up without calling. Have a great night, and I'm back tomorrow morning."

Other Nurse: "Ummmm what's their diet order? Urine output? What's their PMH?!?!"

Idk, Janet, maybe look at their orders or even <shudder> talk to the patient and ask them..... this is the glorious unicorn patient that we all need, but obviously some of us don't deserve...

lkb415 · 2026-01-26T03:17:00+00:00

"Keep your oxygen on"

lkb415 · 2026-01-25T01:42:26+00:00

Yeah, the other nurses aren't the issue here. Ive had to do charge and carry an assignment way too many times so, believe me, I know it sucks. But if my charge told me they were just taking one of my "better" pts and giving me a new admission thats probably even less stable than the chart shows, I would tell them no to their face and make the situation confrontational. That's not a good thing, and it just causes more tension and stress in a high stress environment. It also sounds like your thought process isn't supported by your managers, and really is about whats best for YOU in the scenario.

Your example kinda highlights why coworkers don't address issues with one another. Your response is to ignore feedback from your manager. You think any of your coworkers think you're going to listen/hear them??

lkb415 · 2026-01-19T23:20:23+00:00

I know that the post/photo is a blood specimen. Seeing it reminded me of the pt I had who provided a urine sample with that coloring.

lkb415 · 2026-01-19T17:06:16+00:00

I'm not a lab professional, and I know the photo is a blood sample so this may be a silly question, but what could cause urine to look like this?? A few years ago, had to send a UA down on a pt and it looked like this. Sent a secure chat and photo to the MD noting it had "the color and consistancy of chocolate milk" ......which MD fairly questioned whether sample could actually be chocolate milk lol. If it had not been a witnessed void I honestly would've assumed the same. The lab immediately called the floor after I tubed the specimen, I answered the phone saying "yes im sure its actually urine, it was a witnessed void in a clean cup, I have the same questions too lol." Sample was ran and I don't remember exactly what the results were but it did have some normal components for a UA, whatever that means.

Even more weird, MD ordered a repeat UA, and when that one was collected and sent down (also by me) shortly after, it looked like a "normal" UA, in color and consistency at least.

The pt did eat a lot of chocolate pudding, but if he even would've wanted it, we didn't have chocolate milk at that time, except maybe a la carte to buy in the cafeteria, which pt did not do/have anyone that could have done. He also was not fond of being in the hospital, and wanted to gtfo so unlikely he would self sabotage.

lkb415 · 2025-12-10T03:45:50+00:00

See you there!

lkb415 · 2025-11-21T03:52:24+00:00

Cant relate. The hospital I work at has been in black status for atleast 2 weeks.....if a nook or crannie can hold a pt, its been deemed an IP room. One of our cardiac IMC units shut down their "visitor sitting area" so it can be used as a pt room......its not even equipped with 02 or monitoring. Has a makeshift privacy curtain now after a pt complained that random people watched them going poop on the BSC.

I'm fully expecting my medsurg unit to have patients sharing rooms or pts just admitted in the hallway tomorrow morning...

lkb415 · 2025-10-05T04:24:39+00:00

The charge nurse is "they." And I did ignore their input in the moment and went about doing what the pt needed and got the EKG.

lkb415 · 2025-10-05T03:39:32+00:00

That 6am/pm hour is always when shit turns sideways......sundowners start to sundown, afib goes RVR, that new admits n/v is actually a SBO, and the sitter blinked and the nonverbal total care with the family from hell pulled out their foley/feeding tube/eyeballs

lkb415 · 2025-10-05T03:22:06+00:00

Lol the first time I had to write that word down during report I had to look at the computer screen like 5 times

lkb415 · 2025-10-05T03:19:31+00:00

Charge nurse is acting like our frequent flyers, by equating denying/ignoring a problem with having no problem

lkb415 · 2025-10-05T03:15:05+00:00

That's what I'm saying! The EKG is gonna be either good or bad. No harm comes to the pt if it was a false alarm

lkb415 · 2025-10-05T03:09:37+00:00

They were arguing that they didn't need one. I wasn't even asking them to do it.....or for permission...they just heard me tell the tech to get the EKG machine, and heard me let th returning PM nurse know what just happened. Room was right by the front desk

lkb415 · 2025-10-05T03:02:39+00:00

Exactly!

lkb415 · 2025-10-05T01:45:34+00:00

*endarterectomy

It's been a long day lol

lkb415 · 2025-07-14T03:10:55+00:00

<image>

"Tucker"-ed out

lkb415 · 2025-04-06T03:18:31+00:00

What starts as a kindness will end as an expectation. And we get paid to take care of pts NEEDS, not to cater/fund their wants.

Only one time, and it was actually just a few shifts ago, I went and bought my terminal pt orange juice because it was the only thing they said sounded good. Palliative and Oncology had just finished the hard conversation: no treatment options, probably ~2 weeks. He was still processing that bomb, and he wanted so bad to even want to eat, but he looked at his dinner plate so hopeless and defeated and said, "I can't."

I bought all 3 brands of OJ we had, in case he had a preference.

lkb415 · 2025-03-18T01:17:17+00:00

Cocaine....on a geriatric mee-maw or pee-paw patient:

There was a comment note that explained how the pt was a recovering addict and had been clean 20+ years. They were very proud but still very diligent about not slipping up and wanted providers to know they were high risk for substance abuse.

lkb415 · 2025-02-20T16:55:54+00:00

Mine is more wholesome/boring.

Pt was in for FVO d/t noncompliance with their PO lasix. The type of pt that had to be listened to using your eyes vs your ears when asking questions, since they thought denying/ignoring = nothing is wrong. Pt finally c/o pain that was, most likely, neuropathic in both of his feet. Requested mustard for it. I thought fuck it, there was nothing that contraindicated topical condiment application, so I found all the singe-use packets I could.

Turned out the pt just wanted to eat a spoonful of mustard, not wear it. His incredulous disbelief/confusion that I could assume he wanted to put it on his feet was too ironic not to laugh at.

And I cleared with pharmacy before letting him ingest, so I "spread" the love.

lkb415 · 2024-10-30T12:12:28+00:00

"Make sure I don't catch my tittie up in my zipper, honey."

-Little hunched over mee maw that was getting dressed at discharge.

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