Dibs_on_Mario








Bedside report is super helpful

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  1. It’s pretty common in the southern US, mostly in critical care. For example it once took me, a tech, and an RT 3 hours to get this patient in the MRI and they immediately start thrashing and bucking the vent. I give all my PRNs and they’re still not calm enough for the scan. In a perfect world I’d wait 15 mins for the next PRN or call the provider but they’re not always available and every second the patient is off the unit puts them at higher risk for a hallway code which generally don’t go very well. Long story short I gave the rest of my vials and we got the scan

  2. I've watched Steven play so many fucking hours of Factorio and I still have 0 fucking clue what's going on whatsoever :D

  3. You should try it out. It has amazing ratings for a reason.

  4. There'a quite a few nurses on my unit right now that used to be core staff and are back as agency. When someone who was previously core staff wants to come back as agency, my unit managers actually send out an email to all the core staff asking if we are okay with them coming back (knowing they're going to be paid 2-3x what we are).

  5. $32.14 + $4 shift differential. no critical care differential

  6. My unit does the same. Melatonin as first-line sleep aid, and when that inevitably doesn't do anything we use trazodone as second-line. It usually works pretty well in my experience. I think I've dispensed zolpidem one time and that was to someone who'd been taking it for a long period of time. It's a little too strong of a sleep aid for the ICU and we don't want patients to hang out with the Walrus if we can help it. IYKYK

  7. We do report at the nurses station and then go in for a handoff exam (neuro) and signing off on drips. I think that's pretty typical for ICU.

  8. That's pretty much how it goes in my ICU. Full report outside at nurse's station. Go into patient's room to hand-off drips, look at wounds and sites together, neuro check, device hand-off, other last minute stuff that the handing-off nurse forgot/couldn't get to. If the patient is aox4 we also talk about why they're on the unit in front of them and the plan for the shift

  9. Coming from a patient, I agree. Never did inpatient there, but I have at other local hospitals, and did outpatient at Lindner Center for years.

  10. What do you mean? You say you recommend Lindner Centre of Hope, and you say avoid UC. LCOH is a part of UC Health. Do you mean avoid UCMC?

  11. I don't understand why someone always has to reply to a Toosks comment with some variation of this comment. Every single time I open a forsen post, I furrow my brow knowing that not only is there going to be a stupid Toosks comment, but also the same exact stupid "CLASSIC TOOSKS LULE" comment right below it. Every. Single. Time.

  12. Side note, use a Tegaderm or two to cover your new tattoo. It's absolutely perfect for it.

  13. I’m incredibly jealous of our STAT RNs. It’s my dream job, I would do it in a heartbeat. Very competitive at my hospital, if you can get it, take it.

  14. It does sound like a fun job. At my hospital, the charge nurses for the CVICU, MICU and SICU are required to wear pagers and respond to rapid responses / codes. I've gotten to tag along to a couple rapids with my charge when I was in orientation and man I want to go to more, they are awesome learning experiences

  15. The woman just had a STEMI and now has new-onset chest pain and SOB, and your coworkers were saying you were doing too much? Your coworkers sound extremely lazy and extremely dangerous. Like what the fuck?

  16. This is really indicative of how misconstrued the public’s view of how much surgeons are paid is. At my workplace a standard breast augmentation reimburses about $600 assuming you’re a pretty high volume surgeon. So while yes, this surgeon is a morally decrepit piece of shit, two boob jobs only pays about 5% of what you assume they do.

  17. Gas stoves having? Having a gas stove is now a political position?

  18. Where did this whole gas stove thing even come the fuck from? I feel like all of a sudden I just started seeing Conversatives bitch and moan about Liberals coming to steal their gas hobs. Like what?

  19. I've only worked on my unit for ~6 months and even in that time it feels like the average age of patient has significantly decreased. The majority of the patients on my unit right now are under 50. There's like 8 that are in their 30s. Twenty-five bed Cardiac ICU

  20. Can't see it properly, was this with an avalon cannula or central access? I am always uneasy when a patient with femoral cannulae is starting to wake up.

  21. Large bore femoral access in general makes me uneasy. ECMO, Impellas, RVADs, etc. I'm always nervous the worst will happen. My unit recently had a patient (completely on their own) get up and out of bed and was standing up with a femoral Impella when the nurse walked out of the room for a sec. The sutures thankfully held their own and the catheter didn't move but I mean holy shit everyone was freaked out

  22. This is probably a dumb question - is it possible to be conscious while on an ECMO machine?

  23. Definitely. The vast majority of patient's I've taken care of are on sedation (or no sedation and are naturally comatose), but definitely as people's heart/lungs recover and there's talks about decannulation people can be aox4 while on circuit. it's not the majority though

  24. The article says he had 7 hours of direct contact with paint thinner without gloves. I would like to know why his hands had 7 hours of direct contact with paint thinner.

  25. Maybe I'm making this up and maybe it's just my city boy bias but from the limited experience I've had with blue collar dudes, I feel like there's a sort of "don't be a pussy" when it comes to wearing gloves on the job site. Obviously I'm generalising here but I think you all know what I'm talking about.

  26. The highest I've seen in person was a patient who came in from air care on 180 of Levophed. I've heard stories of 250-300+. Vaso pretty much doesn't move from the standard 0.03/0.04, but I've seen 0.06 before. Not sure how much that really helps since diminishing returns happens pretty quickly with vasopressin. Epi, somewhere in the neighbourhood of 50, i don't remember exactly. My unit doesn't really use neo/phenylephrine drips very often.

  27. I usually leave a small amount of air when giving SQ injections. Like for a 5000

  28. Serious question. Few people can live without any income. I live paycheck to paycheck. If my hospital were to strike, what the fuck would I do? Who would pay my rent? Who would pay for my heat? The gas in my car? Food for the week? I would be so fucked. I don’t get it.

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