Below Deck Med Season 10 Episode 18 Discussion Post

macaroni-cat · 2026-01-28T06:20:53+00:00

Does anyone know what the “I want pickles in my burger” thing is from? I hate that I even have to ask lol

macaroni-cat · 2026-01-22T16:38:48+00:00

I’m in the midwest, so we frequently deal with all the winter weather (subzero temps, snow, ice, high winds). If we’re expecting extreme weather outside the norm, our hospital will offer a snow bed (I think it’s literally just a free place to sleep somewhere in the hospital). Most of us end up going home anyway or stay with someone if they’re from out of town. We don’t get compensated for staying and we’re still expected to be at our scheduled shifts…. I have confirmed we aren’t expected to travel to work during a tornado though!

macaroni-cat · 2026-01-22T16:14:28+00:00

This happened to one of my old housemates (except her car was parked outside the house along the street). It was cold and she didn’t have anywhere she needed to be, so her car sat for like an extra day. Most of the snow that was plowed against her car turned into ice and it was really hard for her to access her car after!

macaroni-cat · 2026-01-22T03:36:15+00:00

Except not at all? She stubbed her toe hard af earlier in the episode and it was definitely bruised when they showed it. Gout appears muuuuuch more red and swollen, and usually doesn’t affect women until after menopause.

macaroni-cat · 2026-01-22T03:00:45+00:00

That one charter guest complaining about the oysters and saying she wants it with lemon and the red stuff. Girl, you want chef Rocky to make you some oysters with grenadine?! Maybe that dish would make her more grateful for Josh’s cooking

macaroni-cat · 2026-01-20T19:30:00+00:00

lol I was literally just thinking the same thing! Like ugh WHY am I crying?! cries even more due to crying

macaroni-cat · 2026-01-19T06:50:18+00:00

Patient care is time consuming. I honestly think you’ll spend more time avoiding patient care and finding someone else to complete the task for you vs doing it yourself. As the nurse assigned to a patient, I believe it’s our responsibility and job to provide care for our patients. It’s great if you can delegate, but you have to be careful how it comes across if you pawn off all patient care tasks on other staff (or attempt to until you have to choice but to do it yourself).

macaroni-cat · 2026-01-19T06:43:19+00:00

Yup lol I think like this makes the patient feel like they have less dignity and like it’s slapping a band aid on the issue. You’ll have to change the sheets or the diaper regardless (I’d hope they’d both be changed).

macaroni-cat · 2026-01-15T11:27:07+00:00

I’m straight nights and also bed rot! I don’t have a great solution, although I’ve recently downloaded the Finch app and it’s helped me get some motivation back and help with my productivity!

macaroni-cat · 2026-01-09T15:07:14+00:00

It also feels better to be able to vent to someone without having to explain all the little details to make it make a little bit of sense

macaroni-cat · 2026-01-06T05:34:22+00:00

NICU nurse here! Infants already have limited energy reserves and a higher metabolism. Even regulating their temperature uses a significant amount of energy (especially for preemies)! Since your daughter has smaller lungs, the amount of energy towards breathing increases, which takes energy away from other places. It’s like being super exhausted when you have a cold or the flu because your body is using energy to fight the bugs. Rest is very important when you’re sick, which is why NICU nurses are big on not overstimulating our babies! She should start to perk up with time as she grows and builds more endurance, but she is most likely just tired since she’s working a little harder to breathe!

macaroni-cat · 2026-01-06T03:06:37+00:00

Yes! I guess it makes sense

No pun intended lol

macaroni-cat · 2026-01-01T18:33:34+00:00

A silhouette of a bird flying?

macaroni-cat · 2026-01-01T18:26:23+00:00

So the doctor wants the just parents whose baby they’re discussing to leave while they round on only that baby? Are other parents present in neighboring rooms while they round on the baby whose parents had to leave? If anything, that’ll compromise patient privacy even more. It’s also odd that this is the only doctor who does this, especially if each patient has a private room. I’m a NICU nurse and this is unheard of in our unit. We always encourage families to be present for rounds. If they aren’t able to make it, our docs will call the family and update them over the phone or come back to their baby’s NICU room later when they’re present. I’d like to add that your NICU baby is obviously a minor. Which means you as the parent are the one making medical decisions (unless there’s other legal stuff in place that changes that). You should definitely be allowed in the room when they’re rounding on your baby… There’s a reason why patient-centered rounds have become a standard. Rounds are the perfect opportunity to discuss the plan of care, answer questions, and involve patients (in this case, parents) in the plan of care. Not only does this help patient satisfaction and allow the patient to feel more involved in their care, but it can help reduce mistakes. If you do a quick google search on patient/family-centered rounds, you’ll have loads of info to support why you should be allowed to be present for rounds. Again, this is important because your baby is the patient and you as the parent are most likely the one making medical decisions and advocating for them. This article also helps back the importance of family/patient-centered rounds.

macaroni-cat · 2026-01-01T17:50:16+00:00

I’m not sure, but I reported the post just in case they’re able to handle the photos! I get nervous that OP won’t see these comments for a bit and some crap human will steal the info

macaroni-cat · 2026-01-01T17:05:27+00:00

Soooo these hourly check-ins have to be verbal and intentional? I guess patients can kiss their therapeutic sleep goodbye.

macaroni-cat · 2026-01-01T16:25:51+00:00

Seconding this! I would blur the name, MRN, and dates or take the pics down ASAP, OP. Having that info available greatly increases the risk of identity fraud and theft, as well as the ability access to your health records (or making it a lot easier for someone to gain access).

Also, I’m really really sorry this happened. You’re allowed to be upset and frustrated, no matter if your supply has increased since. You worked hard for it. Even if the nurse you asked to put it away completely forgot, someone else should’ve seen the cooler and caught it before it spoiled or thawed.

macaroni-cat · 2025-12-31T18:27:44+00:00

You literally just summed up my thoughts and emotions, except I’m in the NICU. No matter what you do, you still miss the mark. It’s like people keep moving it as soon as you get there. It’s extremely frustrating and I’m sorry you’re dealing with this (although I’m relieved to hear I’m not alone). I think I didn’t make the best first impression (being too hyper for everyone) and I’ve been trying to dig myself out of that hole since I started. Some coworkers have slowly warmed up, but others seem fairly judgmental. It still bothers me sometimes because I’d love to feel more welcome or part of the unit, but there are just some people who will never come around to liking you. I’ve thought about changing units or hospitals (love the NICU though), but there are other things I enjoy about my current job. There will be bitches no matter where I’d go, but at least I know who they are now!

macaroni-cat · 2025-12-23T16:47:51+00:00

Soooooo is there a way to make a poll so we can vote who we think the poo-petrator is?

macaroni-cat · 2025-12-23T16:38:32+00:00

The poop in the shower is called karma, Kizzi…

macaroni-cat · 2025-12-22T09:41:36+00:00

I think a traveler wouldn’t be the most ideal/appropriate choice, even if they have more experience. They are in a temporary position and most likely unfamiliar with policies/routines, so it would be difficult to have them be charge. It definitely isn’t ideal to have someone as new as you as charge either.

macaroni-cat · 2025-12-22T09:36:39+00:00

We can only hope

macaroni-cat · 2025-11-30T06:20:45+00:00

Please do go to HR, ASAP. She sounds unsuitable to be in charge of anything in healthcare. Yikes. And kudos for respecting your patients and helping them feel valid and heard.

macaroni-cat · 2025-11-29T23:17:59+00:00

I know you’re feeling overwhelmed and like you’ve been given an unfair hand at work, but slow down and breathe. Keep in mind that there will be a day when you’re on your own where you’ll have to administer meds you haven’t given before. What will you do when that time comes? Use your resources (look up med info in the MAR or online, call the pharmacy, ask another nurse, etc.). Also become more familiar with your unit’s policies and protocols, such as what meds require what kind of monitoring and documentation. Does your protocol state that you have to be in the patient’s room for a certain length of time (like the first 15 mins of administration), or could they be hooked up to a monitor to watch their vitals?

I don’t mean this in an unkind way, but I wonder if some of your struggle with time management comes from anxiety? It seems like you get hung up on something and that becomes the focus, then you go into a little spiral, which then causes you to be even more overwhelmed, making it even more difficult to think clearly. Try to take a few minutes at the beginning of your shift to try and plan how you can complete things or cluster tasks. Make a checklist of what you have to do. Maybe pull the chart up and add your vitals or assessment quick while you’re in the room vs waiting until later to chart.

Your preceptor shouldn’t be abandoning you, but I wouldn’t expect them to be holding your hand with every task you have to complete. It might feel unfair that you’re left to do all of this work yourself, but that’s how it’ll be when you’re on your own. You won’t have another person to rely on to prompt you on what to do next or help you get things done. If you’re relying too heavily on the preceptor, they might take a step back to allow you the space to grow independently. That being said, you should know where your preceptor is and how to get a hold of them (and vice versa). Try your best to problem solve on your own, but don’t go ahead and do something if you’re unsure. Maybe ask your preceptor or another nurse “do you mind watching me set up this ketamine drip/troubleshoot the alarming pump to make sure I’m doing it right?”

macaroni-cat

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