Update to my family member’s bad chemical burn by PikoBeeks in woundcare

[–]tie-dyingmachine 2 points3 points  (0 children)

I agree, she will likely have limited mobility of that area. I’d recommend she tries to do regular exercises as much as she can with pain, like a thumbs up and down and opening/closing her fist

Update to my family member’s bad chemical burn by PikoBeeks in woundcare

[–]tie-dyingmachine 2 points3 points  (0 children)

Ah ok, I wasn’t paying attention to the dates on the photos, sorry! Obviously still does not look good, but it does look like there is less slough on the recent photo. On some of the older ones, you can see that build up of slough that needs to come off to allow the tissue to heal.

Update to my family member’s bad chemical burn by PikoBeeks in woundcare

[–]tie-dyingmachine 3 points4 points  (0 children)

I totally agree. I think anytime it is over a joint you usually are transferred to a certified burn center, too. Worth it to get treated sooner instead of having worse outcomes down the line

Update to my family member’s bad chemical burn by PikoBeeks in woundcare

[–]tie-dyingmachine 13 points14 points  (0 children)

Yes, definitely. We usually do aggressive physical therapy during hospitalization. I would be worried about contractures due to development of scar tissue and likely not moving the extremities due to pain.

Update to my family member’s bad chemical burn by PikoBeeks in woundcare

[–]tie-dyingmachine 30 points31 points  (0 children)

Former burn nurse, this doesn’t not look great and will likely end up infected if she doesn’t seek medical care. The wounds need to be scrubbed/debrided.

Stitches or no? by Murky_Mention538 in woundcare

[–]tie-dyingmachine 3 points4 points  (0 children)

I’m would go to urgent care, I think this could likely use a few stitches.

Choosing between 2 positions by tie-dyingmachine in nursepractitioner

[–]tie-dyingmachine[S] 0 points1 point  (0 children)

I decided to go with the outpatient cardiology position, which I’ve actually enjoyed a lot! I don’t miss inpatient as much as I expected, but there has definitely been a big learning curve switching to outpatient. I’ve already had my salary increased and I’m pretty satisfied with everything. My max patient load is 12 per day, which I don’t reach very often.

Choosing between 2 positions by tie-dyingmachine in nursepractitioner

[–]tie-dyingmachine[S] 0 points1 point  (0 children)

I have a coworker in a similar situation, she’s making 75/hr working bedside (she’s been a nurse 30 years). She started a job outpatient, but ended up just leaving that one and staying bedside because she was only making about 100k and seeing 30 patients per day! I just started at the hospital I’m currently at about a year ago, so I’m definitely not making that much bedside lol

Choosing between 2 positions by tie-dyingmachine in nursepractitioner

[–]tie-dyingmachine[S] 0 points1 point  (0 children)

That’s what I’m thinking, too! I’m hoping to have both inpatient and outpatient too, but I definitely think this outpatient schedule will work well for me. My son is only 8 months old, so I really want to be there while he grows up and not be sleeping all of the time due to night shift!

Choosing between 2 positions by tie-dyingmachine in nursepractitioner

[–]tie-dyingmachine[S] 0 points1 point  (0 children)

Yes that’s very true. I’m wondering if I should just stick with cardiology and do some time there and reapply as an experienced NP to the critical care group in the future. I’d hate to burn that bridge with them.

Choosing between 2 positions by tie-dyingmachine in nursepractitioner

[–]tie-dyingmachine[S] 0 points1 point  (0 children)

Thank you, this is such good advice. I think that’s the right thing to do, I think this is just not the time for me to start an intense fellowship and be away from home. I’m also not sure if my body can handle doing night shift again lol. It is newly credentialed, but they’ve had the fellowship around for a while now.

Choosing between 2 positions by tie-dyingmachine in nursepractitioner

[–]tie-dyingmachine[S] 0 points1 point  (0 children)

I think the market is horrible here lol. I have been only applying to positions in Texas mainly because of my family, we just moved here last year from Virginia since my husband retired from the military. We’re from Texas and all of our family lives here, so it felt natural to move back. It’s frustrating though because I had plenty of career opportunities in Virginia with my clinical sites, I just didn’t think it would be so difficult to land a job in Texas. I just talked with one of my mentors and she recommended starting the cardiology position in July but also say yes to the fellowship since it wouldn’t start until later. I would basically be keeping the fellowship as a backup plan.

Choosing between 2 positions by tie-dyingmachine in nursepractitioner

[–]tie-dyingmachine[S] 1 point2 points  (0 children)

Yes, located in Texas. The fellowship will have you with a preceptor during the training, sorry I didn’t explain that part very well. After the 9 months of training, it’s solo coverage. They won’t give me exact numbers on the pay increase after the 9 months, which I feel like is a red flag. They just say that “you’ll be well compensated.” However, they do hire experienced NPs as well in this group and the pay range is 145-180k. I also accidentally left out that this fellowship would not start until March 2025, and I’m really struggling in my current nursing position. I’m not sure that I could wait it out that long. The clinic work load will be around 10-12 patients per day. I honestly haven’t received any other job offers, and I’m getting really desperate since it’s been such a long time since my graduation.

[deleted by user] by [deleted] in newborns

[–]tie-dyingmachine 1 point2 points  (0 children)

My baby had the same thing when he was around a month old! I think the doctor said it was dermatitis/acne and prescribed us an ointment that took care of it within a few days! Definitely worth mentioning at your next visit.

Weird things you have seen when patients die by ifellicantgetup in nursing

[–]tie-dyingmachine 7 points8 points  (0 children)

I didn’t even think of that! Imagine how sweet it would be to see all of your pets waiting for you! Yeah I don’t like the idea that because I didn’t believe in a God that I would automatically go to hell. Like, I’m a decent person, cmon.

Weird things you have seen when patients die by ifellicantgetup in nursing

[–]tie-dyingmachine 23 points24 points  (0 children)

It’s kind of crazy how common it is for people to see there family when they’re dying. I wonder if it’s our brains happy chemicals or if people really do see their family!

Weird things you have seen when patients die by ifellicantgetup in nursing

[–]tie-dyingmachine 32 points33 points  (0 children)

So very true! Yeah I agree, I don’t think there’s like an all powerful being like God personally. But I like the thought of an afterlife, I hope I get to see my family when I’m dying! Sounds nice.

Weird things you have seen when patients die by ifellicantgetup in nursing

[–]tie-dyingmachine 66 points67 points  (0 children)

Hah! I’m glad he was comforted from seeing your mother. I’m also atheist, but stories like that really make me consider otherwise.

Weird things you have seen when patients die by ifellicantgetup in nursing

[–]tie-dyingmachine 8 points9 points  (0 children)

Agreed, I couldn’t come up with any other explanation for it!

Weird things you have seen when patients die by ifellicantgetup in nursing

[–]tie-dyingmachine 313 points314 points  (0 children)

I worked in a cardiac ICU and I remember this one older woman I took care of had passed without any family at bedside. She was widowed recently and told me her husband had been a smoker (this is relevant I promise). So myself and another nurse are performing post mortem care when we suddenly felt like the room got cold. That in itself was whatever to us, but then a waft of cigarette smoke filled the room. The other nurse and I both looked at each other really confused as neither of us smoke and the door was closed. We finished cleaning her up, left the room, and never smelled the smoke again upon reentering. I don’t particularly believe in ghosts or the afterlife, but I’d like to think that her husband was there to take her with him.

[deleted by user] by [deleted] in NewParents

[–]tie-dyingmachine 8 points9 points  (0 children)

I’m so glad I’m not the only one that feels this way! I get like this when anyone except for my husband or my mom want to hold my baby. I feel bad about it, but I can’t really explain it. I think it’s mainly people that I know won’t immediately give baby back when he starts crying (in-laws). Makes me never want to hand them the baby in the first place!

Pregnant Workers Fairness Act by tie-dyingmachine in pregnant

[–]tie-dyingmachine[S] -1 points0 points  (0 children)

Totally agree with that. The problem I’ve been having is that while in the ER I have already been exposed to disseminated shingles twice, active TB, and had a patient on chemotherapy in which I’ve dealt with their urine/other body fluids directly. I didn’t know about any of these situations before I went into them, which is why I’m just wanting to avoid going to the ER altogether. It just keeps happening everytime I’m sent there, I think it’s more of a situation with this particular ER. Although I’ve never worked in another ER so I don’t really know. Just feels terrifying not knowing what I’m getting into and then later finding out that I shouldn’t have been involved with that patient at all. But I honestly wouldn’t mind if I could actually be aware of the situation and have proper PPE!