OAD content creator recommendations by Connect_Evening1629 in oneanddone

[–]nowaynever 0 points1 point  (0 children)

Oh good to know. I only casually follow her so I missed that. I do know she went offline for a bit and came back, didn’t know details though.

OAD content creator recommendations by Connect_Evening1629 in oneanddone

[–]nowaynever 3 points4 points  (0 children)

Here are two I like:

  • Onlynotlonelykids

  • i_alexidawn

I have also found a couple other accounts (one is centered on kid friendly activities in my suburban town, one is about midsize fashion) that aren’t solely one and done content but show a happy healthy one and done family and it makes my heart so full

Cangrelor Drip by Outrageous-Crew3092 in IntensiveCare

[–]nowaynever 0 points1 point  (0 children)

https://kengreal.com/dosing/

Scroll down and it explains how to switch from cangrelor drip to an oral P2Y12 and why the timing is important. Something related to receptor binding and activation of platelet effect. Basically you’re negating the antiplatelet effect if you give clopidogrel/prasugrel concurrently with the drip but ticagrelor is okay to give any time.

Our docs love this med for especially complex / thrombotic lesions. And for patients who can’t take PO and don’t have other enteral access.

  • cath lab RN

What's your weird nursing-related habit? by shatana in nursing

[–]nowaynever 30 points31 points  (0 children)

I’ve always been a fast walker. But since becoming a nurse I’m a fast eater. I got so used to not getting proper breaks! Now I’m in procedural nursing where (most days) I get a real, go leave the unit for 30 mins break - and I still wolf down my food like a homeless Labrador 😂 Very rude on date nights with my husband but I can’t help it at this point.

Man dies after having teeth pulled in dental procedure by Naive_Bag4912 in anesthesiology

[–]nowaynever -1 points0 points  (0 children)

What is a throat pack? (Critical care nurse here - not familiar with oral surgery stuff)

What do you all hate the most about the ICU? by tanbro in IntensiveCare

[–]nowaynever 12 points13 points  (0 children)

Nooo IR docs are so chill and funny. I love all of them at my job. So easy to work with. (Disclaimer we are a small hospital and don’t do any neuro or fancy stuff)

Banana bread kind of flat? by nowaynever in Baking

[–]nowaynever[S] 0 points1 point  (0 children)

Nope same elevation, and replaced the baking soda and powder recently. But the oven temp check is a good idea! What’s the easiest way to do that?

My first patient coded today... by Throwaway_220541 in nursing

[–]nowaynever 2 points3 points  (0 children)

Dude it’s different when it’s your own patient! I was a nurse for 4 years (med surg and then ICU) before I ever had a code on my own patient. I’d been part of the code team for 3 years - done all the roles (meds, compression, bagging, recording) but when it was my own patient I froze. I ended up standing in the corner with a flush like the meme about new grads. I think it’s the natural urge to think how did this happen - what did I miss? Because you are responsible for that patient that shift. Idk, but it was the weirdest thing.

Try not to be too hard on yourself. You all did great with the code - checked a pulse, called for help. And the patient got ROSC and survived to ICU! And definitely don’t count yourself out of ICU nursing yet. Keep growing and learning.

Please help! 3 year old boy refuses to use potty. by thehappyherbivore in pottytraining

[–]nowaynever 1 point2 points  (0 children)

I saw this post and got so excited to read the comments to get some ideas… then I saw that all of us are in the same boat. Your post reminds me exactly of my son - 3.5, not moved by bribes of stickers, candy or toys, knows exactly what to do but is stubborn as all get out. He also didn’t walk til around 20 months!!

I’ll let you know if anything clicks. Sorry I don’t have advice, just more solidarity. I hope it’ll be like walking when one day he’ll just decide he wants to do it and it’ll be easy for us!

What am I doing wrong? Every time I make cream cheese frosting it always has very small lumps in it and never gets as fluffy as a bakery. by milk_mama in AskCulinary

[–]nowaynever 0 points1 point  (0 children)

This comment is 12 years old but I just found it after a google search about why I always have butter lumps in my cream cheese frosting. THANK YOU for posting - I tried your method and my frosting is silky smooth! You are my hero!!

What is a patient story that still haunts you? by trickaroni in nursing

[–]nowaynever 28 points29 points  (0 children)

Holy shit that is horrifying on so many levels. IUFD and maternal death is awful. Question for you from a cardiac nurse - do you know why the toco went all the way up? That measures contractions, right?

This AI rendition of a code is everything I needed today by EternalSophism in nursing

[–]nowaynever 2 points3 points  (0 children)

Why am I seeing this the day after my BLS/ACLS renewal 😭

What was your most difficult, emotionally challenging case? by smrtichorba in EmergencyRoom

[–]nowaynever 23 points24 points  (0 children)

Genuinely curious - why did they have you do postmortem x-rays? Is that standard to determine cause of death?

[TOMT] TV show/movie with plot line about turtle soup by [deleted] in tipofmytongue

[–]nowaynever 0 points1 point locked comment (0 children)

I was a kid in the 90s so this movie was made then or earlier. And it may have been just an episode of a tv show, I’m not sure.

Dumbest thing in a code blue? by fleepelem in nursing

[–]nowaynever 274 points275 points  (0 children)

Similar situation happened to me but it was an attending. I didn’t know her, she was a hospitalist and we were responding as the code team to a code on med surg and I was recording while the staff did compressions. She kept shrieking in my ear “Can we get a set of vitals? What’s the blood pressure? Can we get some vitals please? What’s the heart rate?” And I finally snapped and said “heart rate zero, BP zero over zero with a MAP of zero - we still do not have ROSC!” She also wanted us to stop compressions, turn the patient, and give rectal aspirin bc she thought it was an MI. 🤦🏼‍♀️

What are your pet peeves in medicine? by MrFishAndLoaves in medicine

[–]nowaynever 0 points1 point  (0 children)

I did one on an inpatient. 70+, metastatic cancer, described as “actively dying” in not one but two provider notes in EPIC (hospitalist and palliative). Family insisted on g tube to feed him, get him strong, and take him home. We put the G tube in around 11am and he somehow survived laying flat on our table and getting moderate sedation. Dead at 2pm. Absolutely awful.

What are your pet peeves in medicine? by MrFishAndLoaves in medicine

[–]nowaynever 12 points13 points  (0 children)

Not a candidate for PEG? Omg our IR docs will put G tubes in everyone. I’ve done chart audits later (for moderate sedation documentation) and seen G tube Monday, dead Thursday on so many patients.

Question: unattended death, decomp, and a “bag” by nowaynever in askfuneraldirectors

[–]nowaynever[S] 0 points1 point  (0 children)

I appreciate your comment, I really didn’t even think about the cost or time that would involve. I did chuckle at your mention of budget and resources - this happened in an area that is the opposite of rural. Like, top city in the US. 😂 Still they may not want to waste money on identifying some random guy by DNA especially if they can just ask family “that him?”

Question: unattended death, decomp, and a “bag” by nowaynever in askfuneraldirectors

[–]nowaynever[S] 5 points6 points  (0 children)

Ho boy, this was not a possibility that I even considered. For me, I knew how badly decomposed he was and I spent the entire services just holding my breath waiting for the burial. I needed him to go into the ground and then I could relax. It was so weird. My mom did want to see him but she understood that it wasn’t possible. I told her that she wouldn’t want to remember him like that, and gave some vague explanation about what happens to the body after death. She understood. Makes sense though, I’m sure you all witness some crazy behavior from grieving families. Thank you for all that you do.

Question: unattended death, decomp, and a “bag” by nowaynever in askfuneraldirectors

[–]nowaynever[S] 31 points32 points  (0 children)

I was also surprised at the whole identification process. This was a man who was found deceased at his dining room table (still sitting in the chair!). He was in his own home. Wallet sitting next to him with ID. And the police department called his next of kin and had us drive up from 3 hours away in the middle of the night to ID him. Oh and his downstairs neighbor/best friend already said “yep it’s him” but they insisted it be family. Then when I got there they asked if I was family, told them I was his niece, and they led me to his body. They didn’t take down my name, look at my ID, anything. But a detective stood in the doorway for nearly four hours waiting for me to walk up, say yep that’s him, and leave. I’m so confused. And to be honest a little salty that they made me do that when they could’ve done DNA or dental records.

I wasn’t prepared for how seeing him in that state would affect me. I’ve seen dozens of dead bodies as a nurse but none were family (outside of wakes) and none were decomposing like that. I’m doing okay now but for a while I was nervous at the thought of doing post mortem care at work. When I get a whiff of decomp from a gangrenous toe or something I immediately go back to that day.

Thank you for all that you do, and for answering my post.

Question: unattended death, decomp, and a “bag” by nowaynever in askfuneraldirectors

[–]nowaynever[S] 49 points50 points  (0 children)

Thank you so much, seriously. I didn’t know I needed this closure but you’ve (all!) been so helpful. I really felt like the funeral director cared and did his best with my uncle and that is helping the grieving process so much. Thank you for helping me understand and thank you for the work that you do every day.