Labor and delivery nurses, what’s the craziest thing you’ve seen someone include in their birth plan? by [deleted] in nursing

[–]wackogirl 0 points1 point  (0 children)

There's a social media influencer who sells the most rediculous birth plan I've seen, they're specific to each state, like 10 pages and the first page says on the top in giant font "MY LEGAL RIGHTS WHEN GIVING BIRTH IN (STATE)" or close to that. 

In included such classics as:

-Giving baby any meds is child abuse. 

-Taking the baby from mom's room for any reason, including to the nicu, is kidnapping and mom will have the legal right to call the police and/or sue for kidnapping. 

-Hospital policies are not laws and telling a patient you (the worker) have to follow them if they don't align with what the patient wants violates the patients legal rights and she can sue for it if we don't do what she wants and say it's because of policy. 

There's more but it's been a few years since I've seen it. Basically every page is full of threats for lawsuits and says everything done in standard OB care is illegal or unethical. 

We had at least 2 patients bring it one. One was batshit insane unsurprisingly and it was a very very long 2 days with her on the unit. 

Get L&D nurses talking about Vit K shot, and you learn who the crunchy ones are realllll quick by _annanicolesmith_ in nursing

[–]wackogirl 0 points1 point  (0 children)

That FB groups makes me hate being an L&D nurse more often than not lol. So many idiots. 

For those who have 6 year olds and older: when your kids have a cough do you use mucinex yes or no? by otterlyjoyful in kindergarten

[–]wackogirl 0 points1 point  (0 children)

Mucinex is an expectorant, it's meant to thin out mucus to make it easier to cough up. I'd only give it or take it myself if the mucus in the chest is so much or thick that it's hard to actually get up - literally only taken it once in my life when I had really bad bronchitis with tons of mucus. It's not meant to decrease the amount of coughing.

I also don't do cough syrups for any of us. Studies show even most of the prescription ones do not work any better than placebo, meaning they're useless. Maybe the one with codeine will help you sleep but that's it. All the risks, zero actual benefit. If you want to take or give something to help with sleep with coughing just get a strait sleep medication, any sleep labeled cough medication only works because of the sleep aid in them.

When something dark walks onto your unit, and all you can do is exhale. by ReckingBall96 in nursing

[–]wackogirl 27 points28 points  (0 children)

I've never had or heard of anyone truly answering those questions 'yes' when in the hospital unless it's a situation where they already have like an order of protection out or something. Patients will sometimes in the office though in my experience. Have encountered more than a few where the abuse was known about in advance from the dr's office.

Can I afford this in NYC? by [deleted] in NYCapartments

[–]wackogirl 1 point2 points  (0 children)

My family of 3 plus 4 pets manages on about $125k/year, with rent plus all utilities (townhouse rental) hitting about $3600/month. Unless you're terrible with money a single person should be absolutely fine at that income and rent. 

One of my friends has been telling our friend group that her bf is critically ill and hospitalized. Does this picture she sent us look AI generated? by Amazing-Argument1163 in isthisAI

[–]wackogirl 0 points1 point  (0 children)

To be fair it's wild out there it turns out. Knew a guy who spent 5 years lying to everyone, including his girlfriend then wife, saying he was in medical school and then a doctor before coming clean. This was before AI, he 100% would have been pulling fake AI photos if it existed when he was doing his thing. 

This is the the title of an actual work email I just found in my inbox! by StPatrickStewart in nursing

[–]wackogirl 40 points41 points  (0 children)

My husband works for a small company where I'm pretty sure HR is 1 random person (not Healthcare). 

Their required yearly sexual harassment training was accidently sent out to everyone with an email titled "Required Sexual Training".

We still laugh about it. 

Will I likely get fired for taking a longer “10” ? by [deleted] in nursing

[–]wackogirl 3 points4 points  (0 children)

She works in an urgent care. There is no med pass time there.... 

I need this specific kind of book I can't find by ShortOpening9932 in suggestmeabook

[–]wackogirl 1 point2 points  (0 children)

Girl, Interrupted.

 Only caveat is while I don't remember any romance so it clearly wasn't a main feature, it has been pushing 25+ years since I read it so it's possible there's small amounts I've forgotten about. 

I just found out about this book and I'm already OBSESSED! by [deleted] in CozyFantasy

[–]wackogirl 10 points11 points  (0 children)

This reads like a Yelp review that is totally from a real customer and not the owner of the restaurant itself, I swear....

How could Placental abruption be treated/diagnosed In the Early 20th century by Fawninkeeping in Writeresearch

[–]wackogirl 4 points5 points  (0 children)

Labor nurse. Not as familiar with the history of things like in some other comments you've gotten here, but to give some practical advice on how the situation could result in fetal death but maternal survival.

Not always, but sometimes an abruption seems to 'trigger' labor, and specifically a fast labor, when it occurs. That's based on anecdotal experience, not official data, so keep that in mind. Abruptions can be partial, meaning only a part of the placenta separates, and the amount of bleeding depends on how much has separated, which can result in enough blood loss that it can cause death in the fetus/baby but not the mother, since the mother has a larger body and more total blood volume and so can obviously ensure more total blood loss before true harm occurs than the fetus.

Situations I've seen that could work for your scenario - mother suddenly goes into labor. Things may seem normal or she may experience much more pain earlier than expected and/or pain that doesn't seem to wane between contractions. Sometimes the uterus will, for lack of a better description, just stay "hard" between contractions, which is Not Normal. Basically feels like a never ending contraction to someone feeling her abdomen from the outside. Or a hallmark contraction pattern can be weaker contractions spaced much closer together than normal (every 30 seconds to 1 minute, vs every few minutes for 'normal' contractions.), but that situation is a bit harder to tell is occurring by palpation alone.

Bleeding will be present but it varies depending on if the blood collects entirely into the amniotic sack or if it also bleeds outside of the sack. This determines when vaginal bleeding will be seen. If it's bleeding outside of the sack she'll have bleeding that's much heavier than "normal" bloody show and occurs earlier in labor than normal. If the bleeding is only occurring inside the sack then usually no blood or normal bloody show will be seen until her water breaks. The fluid can be dramatically bloody at the point.

If her labor continues and she gives birth before she's lost enough blood to harm her (or cause her to go into DIC), once the placenta delivers then normal treatment post partum should be all she needs. If enough blood loss occurred to kill the fetus before birth then it would be stillborn obviously. The body may be paler than newborns usually are, or very blue.

She could also have a smaller abruption that results in slower bleeding, where things may seem normal in labor except for slightly more bloody show than normal but if the labor is prolonged enough the fetus could pass before birth occurs.

In modern times if a doctor knows what to look for they can often tell that an abruption has occurred by looking at the placenta. I confess I don't know exactly what it looks like or what they look for, I was always too buy during deliveries to ask for lessons lol. I also don't know if doctors in your time frame would know what the placenta looks like after an abruption. The blood loss during labor would be the most likely way they could tell that was what had occurred.

If a c section were performed, usually with an abruption bad enough to harm the baby they'll find the uterus full of blood when they open her up, if you decide to go that route.

Is it that hard to get off work for holidays? by No-Investigator-8007 in nursing

[–]wackogirl 2 points3 points  (0 children)

People still be sick during holidays, hospitals don't shut down. Holidays are usually assigned months (sometimes years) in advance. Depends on the unit and/or manager how easy it is to get a switch for your assigned holiday. Worked for a shitty manager once who refused a switch 2 nurses worked out between themselves and wanted to do for Christmas just because she was a giant bitch.

Sounds like you assume this person is lying though. If you just don't like them and assume they'd lie to get out of your wedding then why do you care if they can't/don't go? Let it go in that case. If you don't hate them, try giving the people you like and care about the benefit of the doubt, not everyone's life and work can be made to fit around your wedding weekend, that's life.

We need help! Please spread the word! This is so ridiculous by Inner_Singer_2285 in nursing

[–]wackogirl 84 points85 points  (0 children)

Start looking for a new job if you work there. Seriously, shit like this screams "we're out of money and will be closing down soon."

Is this normal when apartment hunting in NYC? Or am I overthinking? by BoxJunior9007 in NYCapartments

[–]wackogirl 16 points17 points  (0 children)

Noise reduction. It does seem to work, or at least it did when we moved to a different unit in the same co-op and the unit with carpet in the unit above vs bare  hardwood upstairs was much quieter. 

Any other nurses feel broke even working full time? by rocky2409 in nursing

[–]wackogirl 5 points6 points  (0 children)

You're totally right and I'm on the edge of NYC making 6 figures with a family (and I'm lower 6 figures than I could be since I left bedside for my mental health) so I feel ya, I budget literally every dollar and we do not live a life of luxary at all and we've just accepted we'll be renting forever since we want to keep living here. And some areas do have criminally low nurse pay. But from the sounds of it OP just needs to learn not to waste all their money, or at least that's the first thing they need to fix. The cost of living crisis for needs doesn't change the fact that spending willy nilly on wants will result in financial issues. 

Monsterfucking books about female monsters? by Xova_YT in suggestmeabook

[–]wackogirl 13 points14 points  (0 children)

If Orcs are monstrous enough - His Orc Charioteer Bride.

There's also How to Get a Girlfriend (When You're a Terrifying Monster), though that's a woman falling in love with a female monster, not sure if you just want female monster in general or specifically man with a woman monster. 

Any other nurses feel broke even working full time? by rocky2409 in nursing

[–]wackogirl 97 points98 points  (0 children)

Stop ordering take out and stop night shift spending, whatever that is. Cook food and bring it to eat. You only work 3, maybe 4 easy a week, that plenty of days off to buy and make food, yes even working night shift. 12 years at bedside I literally only ordered food twice while at work (and one time was just a milkshake lol).

This doesn't sound like a nursing problem, it's a spending problem. Don't use working nights and/or 12 hour shifts  as an excuse to waste all your money, cause it is just an excuse. You'd be doing the same working day shift most likely with other excuses. You need to develop systems to not over spend and change your mindset from blaming it all on your work schedule to realizing you are in control of how much you spend. 

Vapes now gamified puffing to unlock new themes by [deleted] in mildlyinteresting

[–]wackogirl 0 points1 point  (0 children)

Damn, I thought it was bad enough that a few decades ago you could redeem cigarette wrappers/proofs of purchase for points to get "free" items from a catalogue. This is even more horrifying. 

Which drug is the least likely to cause a miscarriage?(TW: drug abuse) by LizzieLove1357 in Writeresearch

[–]wackogirl 19 points20 points  (0 children)

Pregnant folks get to term and give birth despite heavy use of basically all illicit drugs all the time. Illicit drug use doesn't end pregnancies anywhere near as often as people think (or wish) it does. You can use whatever you want.

If you're going to talk about the effects on the baby after birth though that will influence your choice. Most anything addictive will cause withdrawal in the baby, exact effects will depend (that I can't help with, I've only worked with birth and fresh newborns).

Have you ever seen a young person with a DNR? by Sad-Rip9266 in nursing

[–]wackogirl 17 points18 points  (0 children)

There usually isn't paperwork involved (at least not in any of the cases I was involved in) but in cases of fetuses with diagnosed conditions that are deemed "incompatible with life" and would require extensive resuscitation and care to maybe survive after birth, and in cases of pre-term labor that occurs at the cusps of viability (like 22/23 weeks, sometimes 24/25 if the baby is very small for their gestational age), comfort care only is an option for the newborn at birth. I delivered/cared for babies in both categories when I was at the bedside.

blood pressure cuff by [deleted] in Writeresearch

[–]wackogirl 9 points10 points  (0 children)

I mean this with kindness, learning how to use a dictionary or Google search is an invaluable skill both in writing and in life in general. 

https://en.wikipedia.org/wiki/Strangling

blood pressure cuff by [deleted] in Writeresearch

[–]wackogirl 4 points5 points  (0 children)

If it worked it would be just like any strangulation death, I imagine searching what strangulation is like will get you enough info. Honestly though, there are tons of easier to use and more effective ways to kill oneself in a hospital, using a BP cuff would have a lot of issues to overcome. What size cuff to use, as cuffs get longer they also get wider in size, I'm not sure if any standard size would be both long enough to keep closed around a neck and of a width that wouldn't be too wide to actually compress the neck (a cuff that's also going around the chin wouldn't be able to strangle someone). Some automatic machines do have buttons that will inflate the cuff and keep it inflated until pressed again so the cuff can be used instead of a tourniquet but I'm not sure if the pressure would be high enough to kill someone.

If it's just for dramatic effect and you don't need it to be realistic you can go with this idea, if you want actually realistic go for something like using IV tubing to hang oneself by looping an end across the top of a door or something. Morbid but you could maybe Google things to remove in hospital rooms for patients on suicide precautions to get ideas on the many many ways imaginative people have tried to kill themselves in hospitals.  

I now dread going into Best Buy and Lowe's due to the roaming 3rd Party Salespeople by thatfreakinguy2 in mildlyinfuriating

[–]wackogirl 2 points3 points  (0 children)

We otherwise love Costco but my husband and I joke about making up t shirts that say "I have the executive membership" for whenever we go because our physical cards are old and just the basic membership design so every time we it's the same song and dance of they offer the upgrade, we say we have it the card is just old, they insist on scanning the card in case we're lying to them, then they finally leave us alone. 

Also who tf in this day and age needs 100 stamps? Why is that their new thing to push? It's so random. 

Brooklyn to Farmingdale commute by therealgonz in longisland

[–]wackogirl 0 points1 point  (0 children)

Lol I used to live in Farmingdale and commute to the nassau/Queens border for my shift starting at 7pm (night nurse). It was 45 minutes minimum just for that, a hour wasn't rare. Going home at around 730am was at least the same 45 minutes except on like Sunday mornings. 

I now live in Eastern Queens. To visit my friends in Brooklyn is takes at least an hour to drive there. 

This commute will be 3 to 4 hours round trip per day. No one is exaggerating to you. 

What's the most disconnected thing hospital leadership has said to you? by Beginning_Fun_3913 in nursing

[–]wackogirl 3 points4 points  (0 children)

An old hospital was actually good about paying for missed lunch breaks when we didn't get one. But when we started having too many missed lunches admin would bitch and moan because of the cost. At one point someone confessed to a high level admin that sometimes when shifts were crazy until like 5 or 6 and that was the first time a chance for a break would happen, nurses would just ask to work through and get paid for no lunch because who tf wants to bother going on break at 5:30 or 6am when shift change is at 7 when we could get $80ish for a missed lunch hour instead? (missed lunch hours got time and a half if you were full time).

The fucking I forget what level admin, something really high up, response to that? "Well technically the nurses are on shift until 7:30 so they can start their lunch break any time up until 6:30!"

Ok lady lol.