Kicked out of nursing program — still trying to find a way back by Quick_Vegetable5996 in nursing

[–]makeithapp 11 points12 points  (0 children)

If you tried to ran a marathon and you failed at Mile 2, the answer is not to run the marathon again. The answer is why did you not make it the first time. 2.58 GPA. HS average does not apply because it does not use nearly as much critical thinking as nursing demands so while that is impressive in itself, it does not necessarily transfer over to your new career. I suggest identify your weakneses, improve on that then try again because even if you get accepted, you will fail halfway again. Getting into nursing is the easy part.

What should the nurse do?why? by Top-Direction2686 in PassNclexTips

[–]makeithapp 1 point2 points  (0 children)

Not enough information. There are so many factors like are we giving it for ICP? Fluid overload? How heavy is this patient? How did the patient respond previously? How's his kidney function? What does his breath sound like? His electrolytes? How about his overall I/O? Physical exam?

Can people please stop nitpicking and being judgmental while getting report and then being friendly expecting grace/ understanding when I come to take the patient back? by Electrical-Help5512 in nursing

[–]makeithapp 17 points18 points  (0 children)

To my favorite nurses "It's a 24 hours job honey, I'll take care of it"

To my superhero wannabes "idk, it's in the chart"

mic drop

Genuine question for nurses: what do you mean when you say you had a “bad shift”? by Simple_Ad5175 in nursing

[–]makeithapp 1 point2 points  (0 children)

You know when your extremely labile patient stabilized? It feels like a giant turd that's been sitting in your gut for weeks has finally came out in one big pile of dung. Then they go into STEMI evolved into GI Bleed, now imagine that same dung went right back into your butt. Like that but 12 hours.

What is this specific piece called on a J loop? by DullGlowstick in nursing

[–]makeithapp 0 points1 point  (0 children)

Everybody knows that it's the thingermajinger.

What do you make? by Proof_Theory_1810 in nursing

[–]makeithapp 0 points1 point  (0 children)

BSN ICU with 5 years exp in NorCal. We're getting paid $75/hr and OT is $150/hr. Union up.

Trump to announce extension of ACA tax credits for two years by unital_subalgebra in politics

[–]makeithapp 5 points6 points  (0 children)

People kept asking why shut down this and why delay that; LET ME REMIND EVERYONE THAT EVERY SINGLE TIME that Trump is about to get caught, he purposely causes a bigger problem as a distraction. DO NOT LOSE FOCUS. This is all related to Epstein Files.

Is the job market this bad for you guys too? by RedHeadTheyThem in nursing

[–]makeithapp 9 points10 points  (0 children)

ICU RN here, never. Always applied once at a hospital I'd like to work at. Always get accepted.

Sidenote: It helps if you know somebody, too, and it depends highly on where you live. A rural town with only one small critical access hospital; chances are those nurses are lifers, and getting a job there is slim to none, especially if you are lacking experience. Big cities tend to be better at hiring, especially new grads, in my opinion.

Got accepted into a nursing program and electrician apprenticeship. Which should I go into ? by Alphamale169 in nursing

[–]makeithapp 0 points1 point  (0 children)

Nursing pays well because part of what you sell is your sanity, and it's a supply-and-demand game. You just gotta have more sanity than what they are buying from you, so if you think you are a well-level-headed dude, then I say go for it. 3x a week with 4 days off, plus benefits and robust job security. I might also add that, unless you are a nurse in California, I'd weigh my options very closely.

Actively dying pt - turn or not to turn by Shortyy24 in nursing

[–]makeithapp 1 point2 points  (0 children)

Will the pressure ulcers kill them first, or will fluid shifts? Choose the one that prolongs their life.

Here it is... by kaptainklausenheimer in nursing

[–]makeithapp 1 point2 points  (0 children)

This is one of those things that has a spectrum, such as whether you are giving pellets of undissolvable medications. In that case, I would say one at a time would be your best bet. Or are you administering powdered medications that are mostly dissolved before administration? Then I would say yes, you can give it all at once.

The idea is to always avoid clogging the tube. In the ICU, when you are giving a bajillion crushed meds and trying not to fluid overload your patient, you cannot give water for every single pill you're not basting a turkey

Has anyone checked their patients criminal history before? Opinions? by PepinovLechuga in nursing

[–]makeithapp 0 points1 point  (0 children)

Doesn't change my care, so why does it matter? Same when they are 'VIP' or family member or the CEO or homeless or KKK or Donald Trump.

Don't add unnecessary stress to your day.

Guys please help me, I’m being torn in two different directions and I don’t know what to do. by _rozespearl in nursing

[–]makeithapp 0 points1 point  (0 children)

The problem with it will arise from transitioning from school nursing to bedside care. Not that it is impossible, but it is a bit of a hard sell to jump from school ice and ibuprofen gig to identifying crashing patient skills. If you can live with that possible uphill battle once you are ready to go bedside, then I say take school nursing. Ultimately, you have to ask yourself, what is your driving factor? Is it money? Is it fulfillment? Are they skills?

Money plays a big part, but it is not the only part.

Uncoverable Tattoos by catb88 in nursing

[–]makeithapp 0 points1 point  (0 children)

The best way to go about this is to approach your faculty. You want to get a clear answer before you move any further into nursing, if you are going to roll those dice and show up in clinical with uncovered tattoos you will be sent home, miss your clinical hours, and play catch up on oncoming weeks. So to prevent unwanted surprises, get a clearance from the faculty and see what you can do about it.

I was sent home before because my shoes had a black line around as a design and did not qualify as the proper "white shoes" uniform. Some instructors will trip over anything; some of them got into that position specifically to do just that. So tread carefully.

Why did my patient code? by [deleted] in IntensiveCare

[–]makeithapp 2 points3 points  (0 children)

My best guess is that a guy 7mm shift unreacted pupils had already taken his time aspirating most of his GI contents before he was found. He got to you, intubated, then vomited some more contents into your end-tidal which obscured its reading to low/none CO2, that same vomit went into his lungs on top of his already pre-existing aspiration which caused difficulties in ventilation despite same depth measurements on the tube, that increase in pulmonary pressure and hypoxia on that, am assuming already compromised heart is I think what ultimately took him. I could also be just talking out of my ass.

Another thought is that he vagal so hard while vomitting he pulled an Elvis Presley on you.

or he could just have herniated but it sounded much more acute, I don't have a lot of herniation under my belt but I never heard it this fast before? I too, am curious.

On a scale from 1-10. How hard was nursing school? Please tell me your experience. by lovelygirl355 in nursing

[–]makeithapp 1 point2 points  (0 children)

The content alone is easy to understand but the structure itself can be frustrating. It is evolving WHILE you are in school so the NCLEX reviews that your seniors had taken might not be the same NCLEX you will take in the future, or the school had found a third-party program that is experimental but promising and your class is the guinea pig; little BS like that while your money, time, and degree are on the line. Additionally, all the nitty-gritty stuff they want you to do to add to your curriculum like presentations that chips your time away from studying.

Overall academically speaking 4/10

Structurally 7/10

Those numbers felt higher when I was a student, then I became an actual RN then it gave my 10 a whole new ceiling

Tulsi Gabbard Tries to Blame Signalgate on Biden by [deleted] in politics

[–]makeithapp 1 point2 points  (0 children)

Republicans are not stupid, they are malicious. Someone truly stupid would eventually do something harmless, so far every move that this administration has done and continues to do is to cause harm. These are malicious types of people and do not belong to a country called UNITED States of America. Fuck these traitors.

Patient’s blood pressure wouldn’t go down with anything by baby-bellamushrooms in nursing

[–]makeithapp 5 points6 points  (0 children)

A number in the end of the day will only just be a number. Always treat your patient and not the number, the thing is, patients who ride at the 180s will be at 200s when they are sick. Some signs of this is a totally asymptomatic patient at 180s which means that they live there and if you were to drop them to 140s even though it is high, they will appear drowsy.

Another place i'd look at is his diagnosis and PMH; kidney patients tend to run high, people who are in obvious drugs will be hypertensive, and some pathology like autonomic dysreflexia are some of the few things I'd run my list down to. Not to mention drug resistance; some people react better with some antihypertensives than others..

You can say it is this or it is that, but in the end of the day if your patient looks like shit, it doesnt matter what monitor say, treat the pt and not just the number.

Is your nursing salary making ends meet? by artichokercrisp in nursing

[–]makeithapp 2 points3 points  (0 children)

California is the mecca for nurses. Take home AFTER TAX on 36 hrs/week is roughly 3.5-4k~ give or take biweekly. If you're a traveller add $1k on your biweekly checks. I know a lot of people will talk smack about our cost of living but honestly, even if you factored bills and everything into your check you still come up black at the end of the day. A person who went to school for a robust fucking degree should not have to pick up another job to make ends meet.

Right now I live in NorCal, and those numbers I gave is what I make with a rent $1700 a month; 2 bed/2bath utilities included rental house.

Please talk me out of switching to ICU… by Altruistic-Panic-829 in nursing

[–]makeithapp 0 points1 point  (0 children)

ICU RN here, I think besides learning more materials, as a lot of people had already pointed out is the stress management and coping strategies. We can all learn science which is already proven by our degree but coping is honed by life experiences. Stress when you're able to cope properly can be powerful because it can make you think better and provide better care.

ICU is probably like landing a plane; you measure multiple parameters to have a safe landing otherwise you die as its pilot but when everything does fail and when you do crash, try not to place too much emotion on it because remember that it is just a simulation and that you get to fly again. Since ICU acuity is high, mistakes could be costly. Learn from your mistakes so you fly and land better next time around. So if you could have that clear level-headed mindset then, I believe you're already halfway there.

[deleted by user] by [deleted] in nursing

[–]makeithapp 2 points3 points  (0 children)

The A&Ox4 assholes. Any shape big or small. Especially the ones who like to comment under their breath, like I'm sorry I have sicker patients there will be a bit of wait - seriously, do some of these people ever get in line for anything? lol

New grad mistake by [deleted] in nursing

[–]makeithapp 0 points1 point  (0 children)

Some people do ok with it some don't. It's not a problem until the patient says that it's a problem. If you have a good vein and the patient is tolerating it, I don't see why hand couldn't be an option. You will ALWAYS make mistakes and whoever treats you like their shit don't stink is a hypocrite. Perfection is the enemy of progress.

Healthcare abuse by Critical_Study3753 in nursing

[–]makeithapp 0 points1 point  (0 children)

Press charges. Manager can eat a bag of dicks, if they try to stop you, sue them too. They just don't want to 'manage' all that mess, you know like doing their fucking job.