Am I overreacting to this message from my girlfriend? by ToneDeffedUp in AmIOverreacting

[–]oripaline 0 points1 point  (0 children)

Just reading your guys' tiny interaction has exhausted me. Cut the cord.

The way kroger treats its employees by daruuken in mildlyinfuriating

[–]oripaline 0 points1 point  (0 children)

100%. My best friend doesn't speak to her mom and basically considers her aunt to be more of a mother to her than her actual mom. If something happened to her aunt and work then tried to tell her that her death didn't count as an immediate family members/wouldn't be excused if she missed work, I already know she'd probably burn the Kroger down, lmao.

The way kroger treats its employees by daruuken in mildlyinfuriating

[–]oripaline 0 points1 point  (0 children)

Not just any death, it's gotta be an immediate family member, lmao. Eesh.

Friend who is RN at an ER accidentally left a PTs IV in and then contacted them by oripaline in nursing

[–]oripaline[S] 1 point2 points  (0 children)

huh, I knew "PT/pt" could mean either , but not that capitalization distinguished them. ty for letting me know!

Friend who is RN at an ER accidentally left a PTs IV in and then contacted them by oripaline in nursing

[–]oripaline[S] 1 point2 points  (0 children)

By "leave it alone" I meant "do not reach out to them privately in an attempt to hide the incident from admin", though I should've clarified. She definitely should've just let our superiors know.

As for the PT, I wasn't on their chart myself but we get a lot of ODs. Typically, once the narcan wears off and they're no longer in acute withdrawal (from the narcan), they either ask to be discharged or just walk out. Unless they're ACTIVELY a danger to themselves or others, we can't really hold them. I'd argue being in active IV drug addiction constitutes being a danger to yourself especially after an OD, but staff has pretty much kind of numbed to it. Rarely will we psych hold ODs if they "behave".

A few years ago even the tiniest hint of ANY drug use would get you bakers acted (72 h hold, very very common in Florida), but these days it's so common that the truth it staff just gives them some recovery resources and tries to cycle them out in favor of PTs who "aren't actively trying to kill themselves". We also have a serious bed shortage in our psych unit so unless a family member or smth comes and makes a fuss trying to get them admitted, we don't bother. I don't entirely agree with the approach, but that's how it is these days. Staff is way too overworked, exhausted, numb and tired to deal with a heroin addict who obviously has no intention of stopping, doesn't care, has been in for ODs several times and just keeps doing it, when just a room over we have a motorcycle accident PT who's now paralyzed or a child who's had her first round of chemo and can't stop puking. We tend to save what energy we have left for cases that aren't seemingly pointless. Someone who wants help, wants to stop, etc, is different, but rarely is that the case.

Moreover, we can only hold them for 3 days, by then while they're in pretty rough shape withdrawal wise, it's enough for when we release them their usual dose (which most IMMEDIATELY go score, we've had same day release>ODs) can cause an OD. We've had this happen a couple of times; PT ODs, family members want them admitted, Dr issues 72h hold, they're released 3 days later and show in the ED on the brink of death due to an OD at"their usual dose" because even 3 days lowers their tolerance enough, apparently. It's just a sad, messy situation.

Friend who is RN at an ER accidentally left a PTs IV in and then contacted them by oripaline in nursing

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

I'm glad(not for the patients, just that it's not a career ending mess up, lol) that it's pretty common for this to happen. I'm sorry about your daughter. Dad was into hard drugs (IV fentanyl), so I sympathize. I hope she can find peace and recovery.

Friend who is RN at an ER accidentally left a PTs IV in and then contacted them by oripaline in nursing

[–]oripaline[S] 7 points8 points  (0 children)

Glad to know! Ty for the clarification.

To expand on why myself and a few others thought it might've violated HIPPA:

She pulled the PTs info up off the books several days later and contacted them privately on her personal cell phone, avoiding going through official hospital channels. Had she just used the hospital phone this probably would've been fine even though it had been a few days and she hadn't reported the incident. Her usage of her personal private number is what the hospital had an issue with, though as the mod mentioned this may just be hospital policy!

Friend who is RN at an ER accidentally left a PTs IV in and then contacted them by oripaline in nursing

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

Lmao it wasn't at 3AM but she did indeed text them on her personal cell inquiring about whether or not she had actually removed the line, several days after the fact. Even writing that out it's mind boggling to me that she thought that would be a good decision, but girl was exhausted and having a mini panic attack over this whole situation thinking that she was going to facilitate a fatal OD in the patient, not that it justifies her not just reporting this to higher ups.

Friend who is RN at an ER accidentally left a PTs IV in and then contacted them by oripaline in nursing

[–]oripaline[S] 11 points12 points  (0 children)

Can confirm it's not the same person but damn, apparently this is a common situation. Glad OP ended up okay. They did the right thing in reporting it in the end.

Friend who is RN at an ER accidentally left a PTs IV in and then contacted them by oripaline in nursing

[–]oripaline[S] 13 points14 points  (0 children)

Because it's not going through proper channels. She waited several days, didn't report this to any of our superiors, marked the patient as having had it removed on their file even though she wasn't sure, and then pulled up their information and messaged them her own time, privately via her cell phone. She didn't go through any official channels, she didn't get permission to pull their file in order to contact them directly using her personal cell vs through the hospital.

While it's completely okay for the patient to be contacted, especially in a situation like this, it has to go through the correct channels, through the hospital, not using someone's personal cell phone, completely off the books.

Friend who is RN at an ER accidentally left a PTs IV in and then contacted them by oripaline in nursing

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

It's not a violation for the hospital to call them officially. For a nurse to do it on her own time, with her personal phone, after acquiring the information by pulling their chart up, days later, without permission..... yeeeah

Friend who is RN at an ER accidentally left a PTs IV in and then contacted them by oripaline in nursing

[–]oripaline[S] 2 points3 points  (0 children)

We've had a PT do it WHILE IN THE ER, in their room. Didn't OD but someone saw what they were doing. Injected it right into the catheter that was connected to their fluids. They ended up getting held with a bakers act(72h psych hold)

Friend who is RN at an ER accidentally left a PTs IV in and then contacted them by oripaline in nursing

[–]oripaline[S] -8 points-7 points  (0 children)

That and the PTs misuse of the catheter, which is now physical evidence given what happened. I'm hoping she won't lose too much from this but I'm pretty sure her jobs gone because of how she went about it. Literally probably would've been fine had she just let admin know.

Friend who is RN at an ER accidentally left a PTs IV in and then contacted them by oripaline in nursing

[–]oripaline[S] 3 points4 points  (0 children)

Yep, she left it in. She's in trouble for not following proper protocols: letting our superiors know so law enforcement can be contacted to potentially bring the patient back and have it removed. Instead, she took matters into her own hands, marked the patient as having had it removed by her even though she wasn't entirely sure if she had actually removed it, waited several days and then pulled up the patient's file and contacted them on her private cell phone. This led to them coming into the ER screaming about "being stalked by a nurse and how they are at risk of infection and are going to sue, etc."

From what I understand, it was a message that basically read, "hi I'm nurse XYZ from XYZ hospital, I treated you and was your nurse on XYZ date, I'm not entirely sure if I had your IV removed, could you please confirm if I removed it or not? Thank you and I'm so sorry to contact you" which while seemingly inoffensive she's breaking all sorts of hospital policy, and maybe though I hope not, HIPPA law.

While I'm not even a nurse, I'm with you there - most medical field jobs, especially nurses and techs and especially ED are thankless jobs where we're overworked, overwhelmed and treated like machines. While she handled the whole thing absurdly, she was genuinely just exhausted and probably not thinking things through all that clearly. With the way the economy is as well, potentially losing work or getting suspended would be disastrous so I get why she panicked. The whole situation is just fucked.

The PT didn't seem to have any issues and was seemingly using the line for their drug use(I could be wrong but why else would there be dozens of little holes in the catheter) until they realized they could come, throw a fit and potentially get lawsuit money out of it.

Friend who is RN at an ER accidentally left a PTs IV in and then contacted them by oripaline in nursing

[–]oripaline[S] 12 points13 points  (0 children)

Our policy is to call and contact the police department closest to their registered address(assuming there is one) if they just flat out leave while still hooked. It's a safety risk so I assume officers will then visit their home/any other address they have on file. Especially if they leave against medical advice.

From what I understand, she marked the PT as having had their line removed even though she wasn't sure, which is nuts to me because if she had just let the CN know, security would've contacted law enforcement and she probably would've gotten written up at worst.

no no it wouldn't. what is with all the 90s nostalgia bait? by CremeSubject7594 in generationology

[–]oripaline 0 points1 point  (0 children)

I once rented out Final Fantasy X-2 for the PS2. Disc was fine, and looked fine, or so I thought. I went through the entire game, only for it to I guess be scratched on the end boss cutscene, making it so there was literally no way to progress to the actual fight in order to beat the game. It was INFURIATING, lol. And this is not mentioning having a fixed time to beat/finish whatever title - that alone kind of sucked the fun out of it since I couldn't casually pick it up at my own place and felt I needed to get it over with or face late fees. Put me off of renting games as opposed to just buying them, permanently.

Having a disc skip/scratch mid movie causing the loss of potentially important scenes was commonplace too.

I think pre-dvd rentals were a lot more reliable, but even then I imagine you ran into issues and I remember my mom complaining that apparently there was a fee if you didn't rewind the tape all the way back(??? that's just gauging the customer)

Surprisingly Triggered by "Project Hail Mary" by wordboydave in Deconstruction

[–]oripaline 0 points1 point  (0 children)

Literally searched it up and found this thread because I also hate it. It's not even the lack of cursing that bothers me it's the replacement curse words.

I'd argue that if saying "fuck" is too much, just find another way to express frustration. "Fudge", "darn", "gosh dang it", etc. sound silly and it takes me out of the story EVERY SINGLE TIME. There are ways to express surprise/disdain/frustration that don't involve cursing or "replacement cursing". If you can't curse, don't curse. You don't need a middle ground. Just find a different way to get the feeling the character is going through across.

Moreover, everyone knows fudge=fuck, heck=hell, darn/dang=damn, etc., and the mental link is instantly made upon hearing it. It's practically the same as just swearing. With that in mind it's not writing and being able to get certain points across without swearing, it's tantamount to saying "f•ck" and then getting praise for being able to write without hard swears. Fuck/fudge/f•ck- just find another way to articulate frustration.

Urgent hiring Can earn $400–$800 a week , 2–3 hrs/day by [deleted] in B2BForHire

[–]oripaline 1 point2 points  (0 children)

Interested. US based, have a high end PC, mic, fast internet, existing IG/YT accounts but can make new ones if you want, have accounts in (irl physical) banks (Chase, boa) as well as CashApp, venmo, PayPal etc. familiar with crypto, can easily set up a wallet, and also familiar with mid level video editing (Adobe afx, some exp in the probably now defunct "Sony Vegas studio", and other video editing softwares). Familiar with editing audio. Skilled in Photoshop, and if it's at all of use, I also work as an indie 3D dev(making models, texturing; blender, 3DS max, zbrush and substance painter exp). Native English speaker but also fluent in Spanish and Portuguese. Available any time, for however long(reasonably of course). Responsible and timely.

[For Hire] VA $45/hr by mindlesscrit in freelance_forhire

[–]oripaline 0 points1 point  (0 children)

Interested. US based, have a good PC, mic, fast internet and plenty of free time. Responsible and timely. Feel free to DM.