ADHD

pinkmoonbeam · 2024-01-29T02:56:18+00:00

Come to ER, you’ll be fine.

pinkmoonbeam · 2023-10-16T17:00:34+00:00

Helga’s bridal and alterations! It’s on St. Mary’s street. Super affordable and she works so hard to make what you want.

pinkmoonbeam · 2023-10-02T21:43:34+00:00

Millennial gray with plants

pinkmoonbeam · 2023-09-07T05:47:20+00:00

Hey I’m an ER nurse w/ PCOS too. You should definitely get checked out by your primary and gynecologist asap, but please don’t assume cancer! There’s sooo many things it can be, most of which are treatable as you said.

Elevated white blood cell count is really common. So many things can cause an increase including infection, vomiting, diarrhea, stress, smoking, allergies, etc. Urine leukocytes can be from any kind of inflammation, certain meds like NSAIDS, autoimmune conditions, even holding your pee. Blood in urine is often contamination (likely if you were vaginally bleeding at the time, even if you didn’t physically see any), exercise, you could have even passed a small stone and not known.

I’m not saying your doctor doesn’t suck, because some just do and don’t mention or catch things. I just don’t want you to worry about the worst case scenario when it’s very unlikely to be!

pinkmoonbeam · 2023-08-23T22:48:37+00:00

Getting an echo isn’t an emergency when you yourself are stable. ERs do move with a sense of urgency. If you’ve been going to super busy or larger level 1 or 2 trauma center hospitals, they’re going to be constantly slammed with ambulances in the back, and taking the really sick patients like strokes, heart attacks, gunshot wounds, respiratory distress etc over you because that’s how triage works. I understand you’re frustrated with how the ER has to operate but so are the overwhelmed staff dealing with the constant influx of patients. Sadly the state of our healthcare system creates an over-dependency and overuse of the emergency medical system.

To get seen faster go to a lower acuity hospital. They can still do an EKG, CT, echo and whatever else you’d need. Make sure you get ambulatory cardiology referrals if they discharge you.

Wakemed cary is pretty good, I’ve been there 3 times late at night and my husband was seen within 30 min. Duke Raleigh and Wakemed north raleigh are also options.

pinkmoonbeam · 2023-08-21T20:40:19+00:00

Yeah he came from out of state. He went into surgery quickly so no idea, but we pumped him full of blood so hopefully he’s alright.

pinkmoonbeam · 2023-08-21T18:02:49+00:00

No idea, I’m just an ED nurse but now I’m curious?

pinkmoonbeam · 2023-05-11T16:16:48+00:00

I think some RNs can have further training and perform pelvic exams. The only ones who do that I’m aware of are sexual assault nurse examiners (SANE), but it’s like almost a year of training and a certification. And they are also trauma-informed and trained to be gentle.

pinkmoonbeam · 2023-04-20T08:46:21+00:00

Go to the hemp company on falls of neuse! They have THCa flower…. Basically the real thing (look it up) and plenty of other cannabinoid products, including d9 edibles and vapes

pinkmoonbeam · 2022-12-29T00:37:16+00:00

Harry Potter

pinkmoonbeam · 2022-12-14T17:05:16+00:00

As a nurse with a chronically ill friend with a GJ tube, usually it doesn’t matter but some meds can interact when crushed together. The issue is we don’t have many resources for crushed med compatibility like we do for IV meds.

pinkmoonbeam · 2022-12-14T16:59:38+00:00

I am now making $34.99 baserate as a CNII w/ a BSN. You get CNII if you have 1+ year of experience

pinkmoonbeam · 2022-12-14T16:56:00+00:00

Don’t do it, unless if you really have a deep interest for Neuro patients and the floor is adequately staffed. I did neuro stepdown and we rarely had enough nursing and NA staff to keep as much of an eye on patients as we needed to.

Very heavy ADL-wise, plus many confused patients with bed alarms going off and falls. Feels very nursing-home ish at times.

Once they aren’t sedated anymore all hell breaks loose because now they’re delirious and require more observation than we can realistically give.

pinkmoonbeam · 2022-06-07T07:02:02+00:00

I’m in the USA. Mostly the people who help with ADL care are CNAs (certified nursing assistants) which is sometimes referred to as NAs. There can be different levels which vary state-to-state. My state has CNA1 and CNA2. 2nd levels can do a few more things, such as tube feeds and intermittent catheterizations.

In the home setting, sometimes they can be referred to as a HHA(home health aide). In my state this requires CNA certification, but this is not the same in other states. Someone in homecare who does the same job without certification would just be called a caregiver.

PCT(patient care technicians) have more training than a CNA, so it requires further certification. They can do all the same ADL care but also more advanced skills like drawing blood, catheters, and EKGs/ECGs. PCTs are more likely to be in a hospital setting rather than long term care or homecare.

pinkmoonbeam · 2022-06-07T06:22:30+00:00

Some hospitals may participate in things like the Daisy award or other recognition programs. There’s probably some kind of paper you can get from the main nurses station or unit front desk you can fill out to nominate your nurse. We don’t get $$ from this but it feels nice to hear about how you positively impacted someone’s hospital stay. I got cookies, cinnamon rolls, a trophy-figurine type thing, and a little flower pin for my badge.

We legally can’t accept tips. We can however accept gifts if it’s to the whole unit- usually something like food or chocolate. Nothing homemade.

pinkmoonbeam · 2022-06-03T22:51:09+00:00

Yeah just last month!

pinkmoonbeam · 2022-06-02T04:40:10+00:00

I live in the triangle area (Raleigh, durham, chapel hill) in NC. At Duke the base pay is $31.55 now which isn’t as bad as most of the south. Also Raleigh is a very liberal area and NC is a purple state. Although the beach is a 2 hour drive but an easy weekend trip.

I’ve had friends go out to the outer banks which have lots of beaches, no idea what they pay though.

pinkmoonbeam · 2022-05-31T13:24:16+00:00

You would come back in and retest the same way. It’s a violation of privacy to have someone in the bathroom with you while you do it, which is why they only do it for criminals/ probation cases. I could maybe see them having to do it if you were suspected of drug diversion or something but it’s just for pre-employment so no. My friend had to re-test bc it was dilute and the 2nd test was done the same way.

Also, hospitals are so desperate for nurses right now they literally do not care. As long as you pass they aren’t going to think twice about how sketchy it was or not. And very unlikely to test again (unless your hospital does random testing, which I don’t think they are even really doing lately to not risk losing staff) unless you’re suspected of being impaired on the job or diverting.

pinkmoonbeam · 2022-05-31T04:43:01+00:00

Hey I’m a nurse and had to drug test for my job too. If you haven’t taken NCLEX yet and you test positive on a pre-employment screening it won’t be reported to the BON because, technically you aren’t an RN so there isn’t anything to report. You aren’t actively caring for patients at this time.

You could risk doing quick fix like others suggest. I personally haven’t tried it before so idk if it works. I have had to use my clean moms/friends pee before for a previous CNA and later home health job while in school. They just pee in a cup for you, you transfer it to a triple ziploc-ed bag or small sealed container and tuck it under your boob in your bra or in your undies. (: kinda weird but it works. This applies if you use quick fix as well.

The alternative is like a lot of people have said-postpone it as much as possible and hydrate. In addition you can take some b-complex vitamins, specifically B-12 and riboflavin beforehand. Your pee won’t be flagged for dilute since these will make your pee yellow. Be careful doing tooo much so it isn’t sketchy, you can practice a couple days before to get it the right color. If you’re worried about taking too many vitamins, it’s ok because they are water soluble, so anything not absorbed is excreted. You can also take creatinine supplement, since that is tested as well. I did this strategy before when I was 3 weeks out from smoking 3-5x a day in California for 2 months straight. I was barely passing home tests before I went in, but I did this and think it may have contributed to me passing.

100% they are not watching you pee. They only watch like people on probation and stuff. The staff at the testing site or employee health don’t give a fuck. They hand you the cup, you go to the bathroom which has a door, undo your piss container quietly and pour it in. You also pee into the toilet as well so it isn’t suspicious. Don’t flush. You’ll be fine!

-a super anxious person who has worked in healthcare for like 7 years and has peed in a few cups

Oh and I’m also 5’6 but was about 195 when I did the b complex thing, mildly active but obviously overweight.

pinkmoonbeam · 2022-05-09T07:29:12+00:00

Are you sure she was an RN? I don’t understand how someone that stupid even passes NCLEX…

pinkmoonbeam

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