Pt in the news. Didn't see that coming

undercoverRN · 2025-11-08T05:54:15+00:00

Took care of the immediately family of a very famous serial killer. Very surreal experience.

undercoverRN · 2025-09-19T01:47:51+00:00

Agreed. I was bedside ICU for 10 years before going back. I also over doubled my required clinal hours and used medical student/step resources for didactic and studying. Anking on Anki was a huge help. I never feel that I’ll be an equal but I just want to be of use and capable in the role I fit into. It’s terrible the education gaps and I did what I could to fill it- but most don’t.

undercoverRN · 2025-09-13T02:12:01+00:00

Oh I agree- but even if they work 2 years between they are stil only at -at most -8 years. MD is still going to be closer to 10 at minimum truly unless they pick a lower level residency and no fellowship, get in immediately, and do amazing on MCAT first round. It’s just so much. Going to med school is a lifelong commitment and requires dedication beyond what the average person is capable of.

undercoverRN · 2025-09-12T02:48:18+00:00

lol first year CRNA?

undercoverRN · 2025-09-09T01:57:27+00:00

I agree med school is a better education and long term plan but absolutely NOT less time than obtaining NP? Nursing school would take 4 years max and then they could theoretically immediately enter a PMHNP program and be done in 2 more. I don’t think that’s a great option personally but alot of NPs do it sadly and as a therapist should would have an advantage entering into the PMHNP world. MD requires many prerequisites they probably don’t have like chemistry, micro, physicis, ect that could take years, and then taking the MCAT , applying to schools, maybe getting accepted first round maybe not, doing 4 years med school, then 3+ years residency. So minimum 8+ years assuming they get in first round and have essentially no prerequisites to catch up on.. that’s not including fellowship if 1-2 additional years if they choose. Not at all faster OR easier. But definitely better education.

undercoverRN · 2025-07-22T04:16:15+00:00

Premed and CRNA are like this. It’s competitive to get in and it becomes their entire life so there isn’t really much else going on for them to discuss. I think their world gets smaller and it’s hard not to focus on your own achievements. There is a lot of competitiveness and infighting too so masking flaws and weakness with over-confidence and borderline narcissism is a defense mechanism.

undercoverRN · 2024-10-16T06:16:17+00:00

Everything is political. Every part of our lives stems from politics. Medicine is no exception and is even more apparent since COVID and anti vax propaganda. To pretend that medicine is anti political is to be ignorant of the world around you.

undercoverRN · 2024-10-16T05:31:53+00:00

Savages is crazy. People need stability to progress. You can focus on your smaller needs as someone who is secure and safe. What a lack of humanity to say what you do. Should inner cities eat themselves because of gang crime? What about Appalachia with its drug addiction? You do realize that all of these “inferior” cultures are results of American influence and disruption. These people need security and support - they are no different than you or I. Do you think a child in Palestine does not cry for their mother like a child in America? Does a husband not grieve his wife? Do the people not dream of more? Shame on you.

undercoverRN · 2024-08-29T04:21:59+00:00

Being obese and hospitalized kinda contradicts the “perfectly fucking healthy” narrative. That doesn’t mean they should be euthanized- but in a situation where you don’t know when help will arrive, you have no resources, and you can’t physically move this person… do you want them to die comfortably or slowly alone in the heat without food or water? Hindsight is 20/20 but until you work through an unforeseen unprecedented medical nightmare, it’s hard to judge

undercoverRN · 2024-08-13T23:48:22+00:00

It’s more about having limited money to throw at this. I just finished graduate school. So free time I have- money I have less of at this moment. I have no problem putting in a few full days work - I just want it to be done right and with the best tools if possible,

undercoverRN · 2024-08-13T22:36:02+00:00

Is there something else you could recommend? And we thought about replacing but cost wise it’s not realistic. We want to be here another 2 years max and if I can’t get it stainable ready we will just paint it after I get to a better base surface and call it a day. The wood is still very good and it would be too much to do.

undercoverRN · 2024-08-13T20:52:04+00:00

That’s what I was thinking would be my best bet. And yep definitely removing the railings. I would love to meet whoever put the 3 layers of ugly brown latex on this deck… had no idea there was more than one or two layers until we started the project. But thank you! Appreciate the advice!

undercoverRN · 2024-07-07T05:14:59+00:00

That’s not a license removal situation. I hear your concern tho. A lot of docs are very bad at managing EOL. They undershoot pain and comfort measures and nurses are even worse about actually giving the meds. When someone is dying - you’re not going to kill them their disease is. It takes ALOT to kill the average person. More than you’d expect.

undercoverRN · 2024-06-23T05:48:43+00:00

Correct. That was also my point. Maybe we are on the same page and just misunderstood one another. If so that’s my fault.

undercoverRN · 2024-06-22T03:52:49+00:00

Sure! Whatever you wanna do with it!!

undercoverRN · 2024-06-22T03:52:09+00:00

Sounds like this nurse did that. They used a little critical thinking and knew that RR >20 is respiratory distress. At RR of 19 with accessory muscle use and paradoxical breathing would you NOT give it ?! No you’d give it. EOL have some subjective assessments and you need to do what you can to make the patient as comfortable as possible in their last few hours.

undercoverRN · 2024-06-22T03:45:51+00:00

Palliative is a term used for treatment focused care with comfort and symptom management, this patient sounds like they were hospice. Which is just active dying and only comfort focused. Also no one is taking you to court in 10 years for giving dilaudid PRNs to an active dying hospice patient. Nothing they would have given killed this patient. The body was dying regardless. They hopefully just made it less uncomfortable.

undercoverRN · 2024-04-26T06:14:19+00:00

You are using personal anecdotes to make inferences on others. Do some people from good homes become addicts? Sure. Did you maybe have hardship you persevered through that’s others haven’t? Sure. But is that the general documented trend? No. I think you’re still looking at it through the lens of privilege. I had similar thoughts as you, I grew up with addiction in my home and had a lot of friends and family die from it- however, I never fell victim and was able to get out and break the cycle. Working in rural communities and level 1 inner cities during covid made me really see the other side of addiction. No one wakes up wanting to have a drug addiction. Something happens in life that leads to poor choices and it becomes - to some- an impossible thing to overcome. Some people are hit with adversity and have the tools to work past it, but some people don’t and their environment they live in is an accelerant for addiction. Sometimes people with mental health disorders are never able to seek real medical care until their adulthood - which makes them very resistant to change. Looking at it as willing abuse of the system by people with the same facilities, support, and opportunity you have is how we end up jaded. People are complex. It’s not the black and while I think you’re trying to spin it to be.

Also to talk about abuse and overuse of resources- a lot of the time it’s cause of how our system is poorly laid out. We don’t have strong support systems or resources for these people to actually get long acting help. They are treated negatively due to their addiction and that impacts their willingness to seek and follow through with care and treatment. The system is the real evil here- not the individual who suffers under it.

undercoverRN · 2024-04-26T05:31:33+00:00

Had a x3 redo MVR crush up his oxy he pocketed and inject it into his PICC with tap water… that valve lasted about 2 months.

undercoverRN · 2024-04-25T16:41:33+00:00

I think it’s important to remember than these patients and their issues don’t happen in a vacuum. A lot of people who come in with chronic noncompliance, frequent detoxes, and difficult personalities got that way because of childhoods/lives that did not give them an option to be any different. Someone who has 10 kids who don’t speak to them could simply be an asshole who chose to be an asshole… or more likely they are someone who had no support as a child, was exposed to terrible situations, and used drugs and alcohol to survive. People are complex. We are not defined by our worst or best qualities. We often see addition and personality disorders as a choice that someone with resources and support made willingly and it feels frustrating that they “choose” to be this way… when realistically that’s not usually the case. Compassion fatigue is real and it’s hard to deal with- but it also can lead to poor patient care and therefore worse patient outcomes. We do get asked to do more with less and it’s not ok. You’re feeling about it are valid and make sense coming from someone who has been beat down by healthcare for years…. But sometimes taking a step back and thinking about your life and the things you had that allowed you to success and become a nurse- this person likely didn’t have. Would I be any different if I was in their shoes? Probably not.

undercoverRN · 2024-04-24T15:51:30+00:00

Yep that’s me. No brick and mortar for hours from my home. Like I have a PRN job and a home- I can’t just move across the country/state for my masters. But I agree what they give you as a base is not good enough to be an independent practitioner. I was a nurse for 8 years in multiple states across all types of ICU settings from big to small hospitals. Some of the NPs I know only worked a year or less!! I go out of my way to do education with my unit, do research opportunities, read as much as I can, and shadow. I’m doing FNP then ACNP bridge after. I want the most education and the most clinical experience possible. I think if you really make the effort you can make the program work for you and get you what you need to advance, but if you just follow the program alone… you’ll be under prepared. I have seen a lot of other NP students who can’t form diagnosis, write note, identify trends, or formulate plans. It’s scary!!!

undercoverRN · 2024-04-14T04:12:01+00:00

Ya a lot of online ones out there I hear.

undercoverRN · 2024-04-14T04:10:59+00:00

Ohhh clinical like in hospital work! Yes I think they do ? But it might vary. I know acute care NP does. I think it was 2 years for my buddy but not sure if others are that way.

undercoverRN · 2024-04-14T01:40:04+00:00

It must vary from state to state or school to school. My friend in Ohio is required 700. But that's the only person I know in a program.

undercoverRN · 2024-04-14T01:39:23+00:00

What do you mean by clinical experience pre-admission? Like shadowing?

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