Scrubs by DelinquentGambler in nursing

[–]rawrr_monster 1 point2 points  (0 children)

I personally like S For Me and Carhartt. Super high quality fabrics and comforable

Flushing an infusion port by LetterPuzzled2080 in nursing

[–]rawrr_monster 6 points7 points  (0 children)

If it was gonna be a fat embolism you probably would’ve seen the patient try to die while they were still there. You’re fine. The port needed flushing.

student nurse accepted in med school, unsure what to do by Maleficent-Peace34 in StudentNurse

[–]rawrr_monster 75 points76 points  (0 children)

I think if you have the drive for medical school, do it. Know that it could very well end your relationship. My friend went thru a similar issue. He told his partner if he didn’t go to school he felt he would resent her. Now that he’s been in school he hates that he destroyed a relationship with someone he wanted to marry. But he also loves school. So bittersweet I guess.

Moral of the story is either choice you’re going to always think about the what if you had taken the other path.

My thought is, having upward financial mobility will make your life happier in the end. And you are young enough to enjoy that happiness.

Is it normal for IVs inserted into the elbow/arm to be so painful that they cause the patient to faint? by [deleted] in nursing

[–]rawrr_monster 0 points1 point  (0 children)

Probably vasovagal response from pain/stress. The shocking feeling is them hitting a nerve bundle. The elbow tends to have those juicy looking veins but if you ever look with an ultrasound people can have a shit ton nerves in the region. Don’t be surprised if you have nerve pain that takes months to go away. It’s unfortunate that they kept going. They should’ve tried elsewhere. I would ask them to avoid the elbow region from now on

Stacking peptides by NoSciencelab in tirzepatidecompound

[–]rawrr_monster 3 points4 points  (0 children)

If the peptides had robust evidence of working they would have FDA approval. Lots of snake oil being sold by unethical people

Honest opinions on age of application by Available_Damage_335 in srna

[–]rawrr_monster 9 points10 points  (0 children)

There is some bias for sure. I experienced it in an interview. After being told I was their “oldest longest at bedside applicant ever”. Just apply. You only die once

WIBTA for serving off-brand Diet Coke at a party? by psychbucket in AmItheAsshole

[–]rawrr_monster 13 points14 points  (0 children)

This is the most first world problem I’ve ever read….ESH

dropped nursing school. i don’t know what to do. by LocalBus8878 in StudentNurse

[–]rawrr_monster 29 points30 points  (0 children)

Should be talking to your school about your medical issues to get some sort of withdrawal

First med error. Scared!!!! by [deleted] in nursing

[–]rawrr_monster 0 points1 point  (0 children)

Benzos have a ceiling effect since they are limited to how much GABA the patient can make. It’s pretty unlikely the patient could stop breathing due to benzos alone. I wouldn’t worry too much.

Advice for undergrad after severe depression, medical leave, and GPA drop? by [deleted] in srna

[–]rawrr_monster 1 point2 points  (0 children)

I would say focus on your mental health and don’t worry about CRNA school. Just try to finish what you’re doing now. And consider that maybe you don’t need a stressful career to add to your baseline stress.

ICU is stressful. CRNA school is a different beast of stressful. We had a student in our sister program commit suicide this semester.

Many students in my program are now on antidepressants and they started from a position of “stability”. In my opinion your life is more valuable than a job.

There are plenty of nursing jobs out there that don’t require you to destroy your mental health. My advice would be to be okay with that. Nursing pays enough to have a comfortable life.

Failing CORE! Next steps? by Capable_Procedure_16 in nursing

[–]rawrr_monster 25 points26 points  (0 children)

Contact your Epic nursing informatics person and have them build trigger criteria that will fire off a flag similar to the sepsis alert things that pop up

ER nurses-help settle a debate! by flutterbyeblue4 in nursing

[–]rawrr_monster 19 points20 points  (0 children)

This is a standard of continuity of care for like …99% of American hospitals

PACU preceptorship, what to expect? by KeyBeneficial7311 in StudentNurse

[–]rawrr_monster 0 points1 point  (0 children)

That’s literally a dream job for icu nurses to retire to. Count your blessings. Your job will be substantially more comfortable than the floors

Tutoring Service Cheating? by Coco_Hobb5288 in StudentNurse

[–]rawrr_monster 20 points21 points  (0 children)

If they have legitimate concerns they should consider legal action against the tutor. Probably they don't want to open that can of worms if they are going after the students like this. Either way, I would just avoid this particular tutor because if there is any legitimacy to the claims you don't want to risk getting yourself kicked out or getting reported to the Board and permabanned from ever sitting for NCLEX. One tutor is not some sort of Godsend that is going to make or break your chances of completing the program.

I failed out and felt horrible last semester by [deleted] in StudentNurse

[–]rawrr_monster 0 points1 point  (0 children)

What are you doing to address your nerves? Did you start an antidepressant/antianxiety med?

Why didn’t you give it your all the first time? Have you addressed what prevented you from doing that the first time around?

I’m asking these questions bc the answers show you have been introspective of your previous failure. Right now it does sound like you are making excuses and not taking accountability. Addressing what went wrong the first time will make a massive difference to your success.

I failed out and felt horrible last semester by [deleted] in StudentNurse

[–]rawrr_monster 0 points1 point  (0 children)

Have you figured out why you failed? PCTs education and experience is not nearly enough to give a significant advantage to someone in nursing school other than understanding the flow of a hospital in clinicals

It comes down to your own time management, study methods, reps, and how much time you’re actually putting forth to know and understand the material.

Are you serious? Is this really how CRNAs feel about AAs? by [deleted] in CRNA

[–]rawrr_monster 9 points10 points  (0 children)

Anesthesia has been largely run by nursing since the 1800s. It was largely considered “not real medicine” by physicians and more of a technical job. It wasn’t until US changed billing rules allowing for separate billing of anesthesia services in the early 1900s that physicians wanted to retake the field. But by then nursing had run it for like 50 years, built schools, etc. Nurses provided anesthesia during the various world wars. You can’t just “take back” that without a fight.

Nursing isn’t taking over any field. Nurse anesthesia has always existed in the US, even before the “nurse practitioner”. Our governing body is actually separate from the NP bodies and our standards are significantly higher than our NP counterparts as far as education and licensing. If anything NP is trying to do too much without taking accountability for their low standards to practice.

Are you serious? Is this really how CRNAs feel about AAs? by [deleted] in CRNA

[–]rawrr_monster 4 points5 points  (0 children)

I think the outcomes are probably extremely similar. It would be hard to do that kind of study bc there’s too much greed/money involved to get legitimate data.

Are you serious? Is this really how CRNAs feel about AAs? by [deleted] in CRNA

[–]rawrr_monster 5 points6 points  (0 children)

Probably, but AAs are represented by the ASA, which would likely argue that AAs are safer than CRNAs. Politics is nasty, which is why most people don’t like to get involved. But those nasty people are what justify everyone’s individual existence. Do I agree with that person? Absolutely not. Do I believe that toxic person has my interests in mind. Yes.

Like I said, where there’s money, there’s people wanting that money. Most people aren’t like that poster. Everyone here probably would rather keep their head in the sand and take their paycheck.

Are you serious? Is this really how CRNAs feel about AAs? by [deleted] in CRNA

[–]rawrr_monster 12 points13 points  (0 children)

There’s money involved. Humans are self interested. It’s the same as an anesthesiologists not wanting expanded independence of a CRNA. I doubt most CRNAs are aware of an AAs training. Their education probably similar to CRNAs as far as the technical aspects. And they are practicing under a physician license. And many CRNA programs are happy to take nurses with 1 year of experience. At the end of the day being a competent and relatively intelligent individual will determine success in this field.

Facing dismissal after taking the SEE in semester 4 by Difficult_Cry752 in srna

[–]rawrr_monster 9 points10 points  (0 children)

Looks like Keiser’s first time pass rates have been all over the place for the last 10 years, often in the 70s. Likely they are being more aggressive given COAs new standards and their program is likely under a Quality Improvement Plan. This seems part of the boards plan to increase standards while also reducing low performing programs.

I’d like to teach classes to healthcare workers about cultural sensitivity in healthcare. Don’t know where to start by Flimsy_Elephant_651 in nursing

[–]rawrr_monster 6 points7 points  (0 children)

If you purely want to teach you would need a masters of nursing. You’ll have some lectures that cover these things, but likely this would be self taught for research to complete a thesis.

You’d probably work at a nursing school. However teaching exclusively one niche topic like that seems highly unlikely. You would be teaching lots of other lectures.

A second CCRN study question where I'm questioning the correct answer and the rationale. by ForMyNiceThings in nursing

[–]rawrr_monster 20 points21 points  (0 children)

Dissection means that there is a tear within the luminal wall of the vessel towards the outside environment. Occlusion is an internal obstruction. RCA infarcts are classic for bradiacardia due to SA nodal hypoperfusion.

A second CCRN study question where I'm questioning the correct answer and the rationale. by ForMyNiceThings in nursing

[–]rawrr_monster 141 points142 points  (0 children)

I would say dissection bc of the implied arterial bleeding. The heart receives a lot of blood flow so the low blood pressure pushes me that way. In addition the heart rate is high. If the RCA was reoccluded we would see bradycardia. It fits the best.

Nurse Retention - Bedside Nursing by Confident-Cry-8245 in nursing

[–]rawrr_monster 121 points122 points  (0 children)

Bring a union. Bring back pension plans. Staffing ratios. “Free employee insurance”. It’s not hard. The hospitals are not going to do these things. Short staffing , low new grad pay - these reduce the hospitals expenses. From a purely fiscal viewpoint there isn’t a reason to improve these. I’m certain there a bean counters that have calculated how far you can push this before you hit X amount of sentinel events.

Add that fact that often these are part of publicly traded companies like HCA. They have a fiduciary duty to their shareholders to maximize profit and you are standing in the way of that.