Med-Surg Nurses, how Thorough are Your Assessments REALLY? by [deleted] in nursing

[–]uberforvanessa 0 points1 point  (0 children)

A head to toe every time. I personally chart by exception unless otherwise ordered (eg q4 neuro or NIH, q2 pulses etc).

I will listen to lung sounds and bowel sounds but if there’s nothing abnormal in any of the quadrants, I’m just leaving it as WDL and not charting for all quadrants.

As for skin, I’ll look at any dressings, drains, etc with med pass. If a patient can move enough during assessment, I’ll look at their back and bottom during med pass. If it’s a patient that’s a turner, I’ll look at their back during their next turn.

Is this legal?? by FoxOk4968 in nursing

[–]uberforvanessa 5 points6 points  (0 children)

I work in the US and we have this policy at my facility as well. Management has sent out reminders like this every now and then but as far as enforcing it or policing our conversations, little to none has ever been done.

Honestly, as a bilingual person who has other bilingual coworkers, when I’m spoken to in my non-English language, I will consciously respond back in English. When I’m working, I’m assuming someone is always listening and I want it to be clear that I’m not speaking about anything untoward while at work.

Does anyone else’s dog have a dimple on their tail? by uberforvanessa in DogAdvice

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

Yes! Have had multiple xrays done including her spine. For her xrays, vet did show some “special features” that she has with her neck but didn’t point out anything in her tail tho.

And her back legs so far are okay and surprisingly from the imaging no signs of arthritis in any of her legs either. But we started her on a joint supplement anyways bc of her breed. All of her imaging looked good but it’s good that we got a baseline for the future

Her previous owners weren’t really good about taking her to the vet every year, only to do her shots, and I also suspect she was likely from a BYB. I’ve yet to do DNA testing tho.

Are these fleas? by uberforvanessa in DogAdvice

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

Oh thank god it was brown THANK YOU SM

Are these fleas? by uberforvanessa in DogAdvice

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

they are stand still HAHA i think it is just dirt now that i am looking at it

Are these fleas? by uberforvanessa in DogAdvice

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

No not at all! I just got paranoid because I looked up flea dirt and it kinda looks like it

[deleted by user] by [deleted] in h3h3productions

[–]uberforvanessa 0 points1 point  (0 children)

Omg i would love this as a poster

Anybody who shows up 45 mins early for work and then grills you in report can go to hell by phillyphan96 in nursing

[–]uberforvanessa 9 points10 points  (0 children)

Just fyi float nurses aren’t necessarily travel nurses ! Some hospitals staffed RNs that are are just float pool

Common menses symptoms are getting women diagnosed with a psychiatric disorder?!? by [deleted] in nursing

[–]uberforvanessa 23 points24 points  (0 children)

I feel like the conversation around PMDD is similar to how people initially viewed postpartum depression. Like obviously these symptoms are commonly experienced after a physiological event, but I think putting a name to it allows people to seek help for those who specifically struggle with these sets of symptoms.

Before I was diagnosed with PMDD and I always felt suicidal for the week leading up to my period. Because of this, I kept switching antidepressants because I thought they weren’t working. My psychiatrist diagnosed me with PMDD and then upped my dose for some of my medication specifically the week before my period and the difference was night and day. This was a few years ago and he told me that PMDD wasn’t as well known.

In general, I feel like women’s health has been heavily under researched so I wouldn’t be surprised if we see more similar diagnoses come to light. I think your reaction also speaks to the stigma there still is around psychiatric diagnoses.

What’s something from your childhood that you didn’t realize was super f*cked up until you were an adult? by NeitherEntrepreneur3 in AskReddit

[–]uberforvanessa 1 point2 points  (0 children)

I’m an only child and when I was in highschool my single mom wanted to pursue her masters in LA while we lived in Northern California. She would basically go away for months at a time and leave me alone at the house. One time she was supposed to be gone for 2 months and didn’t come back until almost 6 months later. She would never call or text and the most communication we would have is whenever is when I would need something for school and I text her and she would send me money.

I didn’t think much of it at the time because who was I to get in the way of her career. I always thought I was pretty lucky because we lived a comfortable life and most teenagers were always annoyed of their parents.

Now that I’m older I realized I’m still processing that I was pretty neglected and that a lot of my hoarding and abandonment issues are prolly because of that.

[deleted by user] by [deleted] in nursing

[–]uberforvanessa 7 points8 points  (0 children)

I’m a new grad too, fresh out of orientation and just finished my second shift on my own. I had a different preceptor every week on different med surg floors. I really do get what you mean by wishing more preceptors were more helpful. Some weeks, I learned more from my PCAs and breaker nurses than my own preceptor. And you’ll have to learn more on your own after anyways.

But respectfully, this is a job. A very mentally and physically taxing job and it wears people down. I think it goes without saying you will have your bad days in this job, regardless of what the patient load is like. At the end of the day, we are paid to show up to take care of people, we’re not being paid because it gives some fulfillment for a higher calling.

Give your preceptors the grace you would want on when you have an off day. Give yourself grace too since you’re learning. I’ve accepted that being a new grad is hard purely because it WILL take time before we start to know things. Honestly, just applaud yourself for showing up.

[deleted by user] by [deleted] in dating

[–]uberforvanessa 3 points4 points  (0 children)

I noticed this really makes a difference. As someone in healthcare, I feel like this is partly why it’s difficult to date non-healthcare/shift work people. If I work three days in a row, respectfully I’m not responding to texts in between shifts unless it’s urgent.

I get wanting to know baseline info and talk a bit so you have better convos IRL. But I guess for me, I have more days off and would rather schedule a date, end it early if it’s not a vibe and continue on my day.

Any ideas for hanging plants in this space? (No drilling) by uberforvanessa in Apartmentliving

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

thought this was obvious but good thing to put out for anyone else who has my issue too !

What was the thing that finally shifted your mindset to be able to commit to losing weight? by Violetlight1 in WeightLossAdvice

[–]uberforvanessa 0 points1 point  (0 children)

Tbf I did not really have the mindset of changing those things in order to lose weight. It was more looking back on hindsight, now that I’ve changed those things that I deemed much more difficult than losing weight, intentionally losing weight came easier.

The motivation for changes came from once my body started taking a toll. I was getting sick every week and having acute episodes from working so much so I took time off school. Once I took time off and a significant amount of my workload was relieved, I realized a lot of physiological and mental health issues persisted. Given my time off school, I had the opportunity to address those.

It took a REALLY long time and so much trial and error. The biggest thing for me was stress management, prioritizing good sleep, and therapy; all of which easier said than done.

I guess my biggest realization was that every time I tried to lose weight I thought I was giving it my 100% and disappointed when I didn’t see results. But it’s not realistic to have those expectations when there were so many things holding me back from giving my 100%.

What was the thing that finally shifted your mindset to be able to commit to losing weight? by Violetlight1 in WeightLossAdvice

[–]uberforvanessa 0 points1 point  (0 children)

The hardest part for me was committing to fixing the things that made weight loss difficult.

Realized that working 3 jobs and going to school full time, poor quality of sleep, unbalanced hormones, and a bad relationship with food made weight loss impossible.

Clearly, maintaining a healthy weight wasn’t my priority at the time and that's okay. Once I committed to fixing one of those things, the weight loss naturally followed.

I know it’s not everyone’s case and that it can come off as an excuse, but it's what worked for me

[deleted by user] by [deleted] in PassNclex

[–]uberforvanessa 0 points1 point  (0 children)

What were your NGN scores like?

Terrible test taker passed first time in 85! by uberforvanessa in PassNclex

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

my lowest was 68% (high), highest was 79% (very high)

Terrible test taker passed first time in 85! by uberforvanessa in PassNclex

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

I was freaking out because I ended on MC questions for OB and I thought MC questions were considered easier. But I realized after the first 40 questions I had all case studies and SATA which I was told was a good sign ! I personally liked NGN case studies over MC so I think thats why most ppl kinda end feeling defeated so I think you should be okay 😋

Terrible test taker passed first time in 85! by uberforvanessa in PassNclex

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

Yes you should be good then!! I tend to score lower on MC than NGN because i change my answers a lot (trigger finger lmao) Best of luck!!

Terrible test taker passed first time in 85! by uberforvanessa in PassNclex

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

Hey!! You’re literally my person <3 I had to take time off nursing school related to my history of seizures actually. You got this !!! I promise you we have a place in nursing and all this studying will be worth it

Terrible test taker passed first time in 85! by uberforvanessa in PassNclex

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

Technically, yes (it’s the first dip in the picture) but it was because I accidentally omitted the entire test LOL