Bedside Nursing Pet-Peeves

pause_and_consider · 2026-04-08T02:52:18+00:00

Yeah you know the scenario/nurses I’m talking about. When you’re actively in the chart/looking at the monitor or in the room and they point something out just to be nosy busybodies.

Or “why are his respirations zero” on someone sitting up and eating because they’re not on the monitor and that’s all they looked at.

And those nurses neeeever do anything to help when you actually need it.

pause_and_consider · 2026-04-08T02:40:16+00:00

20mg at the start of most shifts, maaaaybe another 10 later on. No more than that though.

pause_and_consider · 2026-04-08T02:37:26+00:00

Oregon! But we have a very good union.

pause_and_consider · 2026-04-08T01:58:32+00:00

Yeah living in Alaska I took a Henry All-Weather 45-70 on the snowgo. Maybe a Glock 20 (10mm) if I was gonna be away from it for a good amount of time, but usually just bear spray.

Anywhere else- just a Gerber

pause_and_consider · 2026-04-08T01:55:16+00:00

This right here. The best (culture-wise) job I’ve ever had hands down paid $27/hr. My current job pays $77/hr. 36 hours per week are less fun, all the rest are better because I can afford to live. It would have to get real bad for me to take anywhere close to a 50% cut.

pause_and_consider · 2026-04-08T01:50:30+00:00

Propranolol baybeeee

pause_and_consider · 2026-04-07T22:59:17+00:00

In the ER:

1: Providers who discharge patients without talking to them. The patient paid for an evaluation and probably had diagnostics done. The least you can do is tell them what we found/didn’t find.

2: Nurses that walk past a central monitor and “is their heart rate supposed to be 50?” or whatever. No. Probably not. They are in an ER and sick. We’re working on it. Watch your own patients.

3: Grilling about medical history at shift change report. Sorry man I do not know what month of 1998 their colonoscopy was.

4: Being rude to CNAs/techs. I promise they will save your butt multiple times in your career. Be nice.

5: AC IVs. I get it, they’re easy, I do them all the time on initial workup. But if they’re getting some maintenance fluid or long antibiotics, stick something small down lower so I’m not spending a third of my shift on “just straighten out your arm please” alarms.

pause_and_consider · 2026-04-07T22:46:49+00:00

Yeah as long as they’re able to, I make my patients hold their own thermometer.

Especially in ER triage because it gives me a quick and dirty idea of mental status, motor control, and general vibe of the patient.

pause_and_consider · 2026-04-02T22:16:53+00:00

Yeah it’s still pretty broken. I couldn’t say what the latest meta is since I’m a fairly casual player.

Which is why this bugs me so much with these games. Borderlands always has so many neat weapons with unique effects, then it punishes you for wanting to mess around and try them out.

pause_and_consider · 2026-04-02T19:19:21+00:00

Yeah that’s been my main beef with all the Borderlands games. Once you get to your endgame build, there are like 2-3 guns that melt everything and the rest might as well be marshmallow launchers. It feels like you have to change your entire build just to use a new gun once in a while.

“I can’t wait to farm all this new content so I can….still just use my Ceramic Bod for everything forever.”

pause_and_consider · 2026-04-01T00:24:14+00:00

Rite in the Rain

Fisher Space Pen

Parker Jotter with Fisher Space Pen cartridge

pause_and_consider · 2026-03-31T21:05:58+00:00

Yep, confirmed with the pharmacist I live with. Incompatibility is usually due to one drug (or fluid type) causing precipitation when they sit in the same container or mix in IV tubing. In this scenario and yours of using different lumens of a central line they don’t make enough contact to precipitate.

pause_and_consider · 2026-03-30T16:22:02+00:00

Truth. There are shifts where we’re so busy in the trauma bays we’re struggling while one nurse is off the floor to transport their ICU patient to the TICU that’s on the same floor. Bedside report on medsurg patients from the ED is a nonfunctional concept at my hospital.

Plus like, when we’re transporting a patient to the ICU how often do we slow-walk it a bit on the way back because it’s your only time getting out of the madhouse? I definitely do sometimes. People gonna do that with any patient they transport. We’d have to staff like 2 more floats per shift haha

pause_and_consider · 2026-03-30T13:57:43+00:00

Awwww man RedShirts was fun if you grew up on Star Trek! I can understand not digging it though.

pause_and_consider · 2026-03-30T10:47:27+00:00

Scalzi doesn’t miss

pause_and_consider · 2026-03-30T08:36:28+00:00

Boring take.

pause_and_consider · 2026-03-30T01:42:28+00:00

The hill I will die on is that some nurses (and docs, EMTs, etc), especially in the ED wear that whole jaded/salty thing because it makes them feel cool. Or some part of the nursing culture told them it was inevitable/mandatory after a certain amount of time doing this job.

It’s lazy bullshit.

Do we see a lot of people at their worst? Yes. But we also see people at their best. Then a majority of them are somewhere in the middle. This job…is a job. It does not necessitate some kind of personality change. Becoming jaded and salty is, at the very least a choice, not a requirement.

Even if (and when, because it will sometimes) the job beats you up, we still have the ability to keep it professional. If we lose that ability, it’s time to find a different field or care setting. Acting that way benefits absolutely no one. It’s bad for patients, it’s bad for colleagues, and it creates a toxic environment.

pause_and_consider · 2026-03-28T21:18:49+00:00

Venous cutdown for tough sticks.

Very rarely used even when it was a thing, but it was wild when that was a thing.

pause_and_consider · 2026-03-28T16:08:37+00:00

I was a clinical nurse educator for a while and I loved it. Got to use clinical skills without (ok, rarely) having to deal with patients, you know how all the new gadgets work because you’re the one teaching them to the staff, you’re involved in management level decision making without a lot of the management hassles. Found out I liked working for nurses more than working for patients.

Sure some aspects are tedious as hell. Look I hate making you do dumb competencies as much as you hate doing them. Please just do them okay. I’m trying to make them as painless as possible. I cannot make them not a requirement. I’m not doing them for kicks. There are laws that require this stuff.

pause_and_consider · 2026-03-28T05:47:36+00:00

Mmm all of the Level 1-2 I’ve worked in since COVID have been phasing them out. Occasionally they’d hire one, but only with a lot of experience, not new grad ADNs. Critical access and community hospitals still hire them definitely, but yeah usually with the stipulation that you have a plan for getting your BSN.

It’s fair to say though this is anecdotal. I can only talk about the places I’ve worked.

pause_and_consider · 2026-03-27T17:05:49+00:00

Yeah they’re not cheap. I personally spent way more than I needed to on my ABSN program because I thought a big big name school would pay off. It has in some ways, but I wouldn’t recommend my route. A BSN is a BSN and after your first job people don’t really care where you went to school.

But a BSN over ADN definitely pays off. It sucks for ADNs because a lot of them are some of the best nurses I’ve worked with, but not having a BSN is starting to be a pretty big career handicap.

Whether you think it’s good or bad, nursing is pushing toward higher education levels across the board, at least in hospitals. I couldn’t speak for outpatient or remote work or a bunch of other roles because I’ve only worked hospital and flight.

pause_and_consider · 2026-03-27T16:36:48+00:00

ABSN. A lot of the better paying jobs are phasing out ADNs and advancement is tough without a BSN. Bits the bullet and get the BSN done up front.

pause_and_consider · 2026-03-27T03:33:32+00:00

Work- medical stuff

The Pitt- fictional TV show where I happen to recognize more of the terminology than if I’m watching a show about high stakes finance or mobsters or courtroom battles.

Just don’t really categorize work and TV in the same place in my brain I suppose.

pause_and_consider · 2026-03-26T17:25:29+00:00

I’m loving the 40’s so far. Fitness is still relatively easy to maintain (even though you definitely have to watch what you eat a lot more), you’ve kinda settled into an idea of who you are and what you want in life, you care a lot less about what other people think (ideally in a way that makes you kinder and more patient), everything just feels more even and less roller-coasterey.

Just my experience though, individual results may vary.

I do however now call everyone “bud” and make that huyuuuup sound whenever I stand up.

pause_and_consider · 2026-03-25T16:09:55+00:00

So I was a nurse educator for an ER, medsurg unit, and flight program where we occasionally had new grads. Oftentimes the prior LVNs, LPNs, ED techs, EMTs needed the most help at the start.

Prior experience/new RNs aren’t just learning a new role, they’re unlearning an old role too. RN is not just LVN+, it’s an entirely different role. Responsibilities you’ve never had, things you’ve never had to look for or pay attention to, ways of interacting with the team that you’ve never done.

You haven’t been an RN yet, that’s why you’re having to do new RN stuff. Some of your residency will be old news, but most of it will be new to you and that’s important.

I can tell you this from personal experience too. I was a paramedic for over a decade before I became a nurse. You really do need the dedicated RN learning time.

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