DumpingSh1tandBeingKind2
99213
2565
68
Jun 28, 2023 9:03 PM
DumpingSh1tandBeingKind2
99213
2565
68
usernametakenisthestoryofmylife
Whoever said "you're just a nurse"?! More like "Holy Shit - thank God you're a nurse!!"
NZSheeps
elusiveg
I know ER doctors that can set up most of all that.
TheUnstoppableWampas
Bare minimum there's at least one doctor that used to be a nurse that saw their job and said "Well fuck, I can do that". That doctor could set this up.
SmegheadIsMyName
Doctor here, can confirm, nurses are very skilled and very vital. Appreciate your nurses.
AtsaMattaForMe
NZSheeps
And the most expensive machine in the hospital
martineb72
I am sure there are lots of new doctors that could set that up, but after a decade not doing it they would probably need help now. Tell a nurse that has spent all their time at a family practitioner to do that and they wouldn't know either.
hallouminati
Nursing and doctoring are two complimentary, but often different, sets of skills. I would be absolutely dependent on an ICU nurse to navigate that set up, and she/he/they would in turn look to me as to what to do next during a procedure. Both things are needed to save people. I am grateful to nurses for their skill set and their willingness to put hands on patients to help. It's all about the person in the bed.
mamaZ2017
THIS. Medicine is a team sport. The patient is the focus and everyone should check their ego at the door.
Merky600
"Never let a doctor give yo a shot or dress a wound."-Cool male nurse dude after I came back w painfully dressed dressing done by Dr. The Dr. was concerned why it hurt. I couldn't say because you are a gorilla.
kletskoek
Or take blood!
kinarism
"Did I say just a nurse? I meant a nurse!" - Turk
tr26
Most nurses are fantastic. However everyone either has or knows of that one nurse in the family that is full of bullshit conspiracy theories, medical misinformation, and probably some oxy.
pinkypink007
Nurses are the absolute BEST!!!
NorrinxRadd
I will say the nurse that took care of my grandmother when she was in hospital was my superhero. For someone to go above and beyond was truly the best experience for my grandmother. I cant fathom what goes through someone's head to be rude when someone is helping you.
kholli
That's why we have different roles and so many different specialties. One person can't be expected to know everything. I have trouble watching medical dramas when they have the med students or docs running machines in radiology.
TheElementsOfHarmony
I know some amazing RNs but the ones I work with now are absolute bitches who think they are the bees knees for being able to fill out a form. There are shit people in every job.
JustaSimplePlumber
I have a nurse and an MD in my family, everyone in my family goes to the nurse for medical help, they go to the doctor for loans.
eetsumkaus
This sounds suspiciously like a Filipino family...
papercolor
its called ignorance. Seems to be a lot of it floating around these days.
Buffoonery
Without nurses, the whole damn system would implode. THEY are the real CAREgivers.
blomey
no one denies the importance of nurses. the problem with nurses is they think they are doctors. knowing your roll is just as important as being good at it
graceinsheepsclothing
*role
Zuegma197777
Like any career or job . There's assholes out there.
Brevin78
If I need that many machines just let me go
CyberneticWhelk
Some people do go home and live a life. But especially elderly or chronically sick can be kept alive but never return to being the person they once were. Coding and undergoing the brutal lifesaving procedures it involves is incredibly debilitating to elderly relatives.
CyberneticWhelk
Let your elderly love ones die in peace surrounded by family, not surrounded by strangers and beeping/hissing machinery.
orbitn
nah man, incorporate all of that into a wearable exoskeleton. Iron man me up. I don't care if the only thing alive is my head.
ObiWanKenobitch
Sounds more like Darth Vader you up. Trust me. I’d know.
wjodendor
Praise to the Omnissiah!
CaptRory
MILK FOR THE KHORNE FLAKES!
wjodendor
Freakayou
DaOutlaw
I've been a nurse for almost 16 years and never heard that. Closest thing is the rare patient (always a boomer) asking why I didn't want to be a doctor.
wedgieweedless
Care aids do a lot too.
suiseiseki
Always be kind to the nurse treating you, even if your treatment overall isn't going as well as you thought it could. Even if your nurse is being an incompetent prick be as sweet and gentle with them as you can.At the end of the day they get to choose the gauge of the needle and how much they need to wriggle it around inside your vein. Treat them well enough and they'll happily bend some rules to ensure your stay is comfy.
FatBastardVegetarian
So, I'm in sales, people ask, "Are you just the salesperson?" Finally, I grew to understand they mean no harm
FatBastardVegetarian
I hit send too quickly. Most of the time, they're just trying to pinpoint exactly who they're talking to.
BlueSorceress
That said, I wouldn't want a nurse to do my heart surgery, so I'm glad that we have nurses to do their job so that the doctors can do theirs.
Guluzinyu
Yes, but the point is that this skill set ALSO saves lives even though some do not give it that credit. Don't "all lives matter" it.
GhostOTM
Exactly this. The jobs are drastically different and each can't exist without the other. You don't have pilots design airplanes and you don't have engineers fly them.
astrangehop
As a machine operator.. I really wish I could have a CHAT with the people who design the circuit boards I build.
GhostOTM
Then it sounds like healthcare, where doctors and nurses work closely together, is exactly what your hope for.
CaptRory
And things work best when they listen to each other and collaborate.
CatatonicCowMoo
Bro no joke I trust nurses more than doctors when it comes to my medical safety, and I prefer nurse practitioners over MDs for my providers
AmishMaritalAid
As you should. They and paramedics are front of the line when it comes to medical care. They are 100% there for YOU, not the title.
Mairoa
Same. Mds don't listen, NPs listen, order tests, and find what's up.
ZeroIsPlural
Same. I have cancer and the nurses and techs are the real heroes. My primary care isn't an MD, she's an NP. I absolutely love her. Best primary I've ever had.
10Upvotes
Just make sure NP has actually spent some years as a Bedside Nurse vs a Motivated NP who just graduated Nursing. Scary how many are practicing in Triage and can't asses a MVA patient properly
whatamisupposedtodo
I spent over a decade in cardiovascular intensive care before I became a NP. I agree, bedside in critical care is a must.
Guluzinyu
Just bedside in general, unless you're trying to specialize in something that requires a critical care background.
Khrye
There will be variance in any of the professionals performance, however NPs have so little clinical hours requirements compared to MD to graduate. Even if they practice for a long while as nurses prior, being in the decision makers seat is different. Love em for routine things, worry once there's anything undifferentiated. Medical safety in terms of checklists and policies, pharmacists and nurses are 10/10.
CaptRory
Doctors have increasingly esoteric knowledge as they specialize further and further. No one person can know everything. Even when a nurse specializes they always seem to be... a nurse. One could compare it to an NCO like a Sgt and an Officer. The officer has his job and the Sgt has his and at the end of the day it is the Sgt that knows how to get shit done, to motivate people, and to keep everyone alive.
Shaodyn
I also prefer to go to nurse practitioners. At least they won't just prescribe medication and tell me to go away instead of actually trying to find out what the problem is like some doctors do.
CatatonicCowMoo
My psychs that were doctors just kept throwing ssri pills at Mr. My NP psych listened and put me on a mood stabilizer and an atypical antipsychotic. I no longer want to be dead
whatamisupposedtodo
It’s how nurses are built and trained. Treat the whole person, not just the diagnosis. I’m glad you found what works for you. Keep it up, we are all better with you around.
CaptRory
*HUGS!*
CatatonicCowMoo
Vengeraxe
I aksed a doc one time when I was in the ER how to set up equipment like this, and his response "I hit this button right here (the nurse call button) if I can;t figure it out"
GrandPubabofMoldistan
I trust nurses for patient safety, that is their job and I am grateful they do that. I am not sure I trust an NP over an MD. This is speaking from experience as an MD based on method of treatment. I am not saying an NP is not a good person for routine healthcare, they are, but anything outside of routine should go to MD because MDs have more experience and training (on average). Note this is the US. I cannot speak about other countries.
CatatonicCowMoo
You talking about like specialist or like critical care?
GrandPubabofMoldistan
Yes, so specialists like nephrology, GI, neurology, surgery, emergency medicine, etc I think an MD has a need because of the increased training.
CatatonicCowMoo
Alright fair. I do trust the doctor that gives me my back shots with my life cause he could paralyze me if he messed up. So I take it back there is one MD I'd trust over an NP.
GrandPubabofMoldistan
Family medicine, psychology, etc I think with the shortage of MDs can be done with an NP, but I think the NP needs at least an MD oversight to make sure things are done right. Medicine is not done in a vacuum and it takes a team to care for a patient.
CatatonicCowMoo
My psych is an NP and she is the first one in a whole line of MDs that actually listened to me and tried me on some different kinds of medications rather than just throwing the next different SSRI at me. My gastroenterologist is an NP and I'd trust her with anything short of surgery. My GP is an NP and she sent me for an echo that diagnosed my pulmonary hypertension after the pulmonary MD said my breathing troubles were just cause I was fat. There's good ones out there
GrandPubabofMoldistan
I am glad you got a diagnosis for your problem. Just know, that there is a saying in medicine of if you hear hoof beats think horses. Obesity can cause shortness of breath more commonly than pulmonary HTN and is "easier" to treat in that losing weight is good for health and does not have side effects from medications. I am glad you had your problem solved though
JohnnyLawlessEsq
1) You shouldn't. You really shouldn't. A huge number of malpractice lawsuits A) involving death and B) originating in a primary or urgent care setting involve NPs. There are some really smart NPs, but they were smart, sharp nurses before they got their NP. In most states, there's very little standardization for their training, and there are a lot of training programs that are online only. The explosion in the use of NPs in primary and emergency care is because of private equity getting into...
JohnnyLawlessEsq
2) emergency care like gangbusters. The fact is that most people who show up to a clinic, even an emergency room, just aren't that sick, and because of that, private equity firms have started replacing actual physicians with NPs, because most people just don't need a doctor, and they can get away with it. NPs cost less and the equity firms can bill the exact same because the NP is "supervised" by a doctor who may be in another state and has probably never met the NP. This model of providing care
JohnnyLawlessEsq
3) is exactly the same sort of deal as the OceanGate model of underwater tourism. Provide a subpar product for the same price because you will *probably* get away with it. And when it does go bad, the private equity group bears NONE of the costs. The patient pays. The NP who isn't properly trained pays. The doctor "supervising" the NP pays. The NP and doctor's malpractice insurance carrier pays. Again. There are smart, sharp NPs. But it's a throw of the dice whether the NP who is seeing you...
JohnnyLawlessEsq
4) is one of the smart ones. And if they're not, you better hope you're not actually sick.
WhatsAHoya
Thank you for saying this. It's lunacy that anyone who has even the slightest understanding of the difference between a doctor and an NP would make the claim that NPs offer superior care. NPs play an important role and many are great at their jobs, but the amount of training they possess comes nowhere close to that which even the most nubile doctor has received, and the lawsuit/outcome data bears this out quite clearly
CatatonicCowMoo
I was just saying in my specific experience I trust them. Not offering advice at large
WhatsAHoya
Ok for real though, why?
CatatonicCowMoo
Cause by and large they've been the ones to listen and take me seriously enough to help me medically
whatamisupposedtodo
As a NP. Thank you
Vungor
LPN, thank you.
UggItsThatKid24
As a patient thank you. I feel heard by NP's vs DR's. Yinz excell not only at the technical aspect of your job's but the "bed side manner" part I.E. making us feel seen and comfortable.
JohnnyLawlessEsq
I'm glad they make you feel heard, but multiple outcome analyses confirm they consistently have worse outcomes than physicians, particularly with sicker patients. I'm a paramedic, and, anecdotally, some of the most pants-on-head stuff I've ever seen from other clinicians was from NPs.
CatatonicCowMoo
No sir/ma'am, thank you! Thank you for providing an unmatched level of care. Can NPs be surgeons? Or is that strictly for doctor doctors?
Trumpelstiltskin
Doctor. Source I’m fist assist nurse practitioner. But we do most of the clinic visits and sew up the last part of the incision to make it as pretty as possible though :)
CatatonicCowMoo
Awesome! Thanks for the clarification
whatamisupposedtodo
Agree with above. I also feel it depends on the specialty as well. My first assists in cardiovascular surgery do a lot.
rmsrmsrms38
... "just a Nurse"...? Who says that kinda crap?
daniellelane33774
Nobody...
kinarism
Turkleton.
AboutThreeFifty
Do you think my name is turk turkleton?
kinarism
It isn't?
OtterAvalanche
Can I get another scotch?
PirateRubberDuck
Those who decide how much to pay them would be my guess.
Mavgurian
Male ballerinas
FajitaPrinceofAllMexicans
The COVID plague was pretty much a prime example of people not only purposefully ignoring nurses, but even some imitating nurses to try to lie about COVID.
Sturdycrotch
A lot of people. Those same assholes also say the same for us in Respiratory Therapy
Guluzinyu
My family and former employers/mentors when I said I wanted to be a nurse, not a doctor. Also admin nurses when I explain that I want to continue taking care of patients, not getting an advanced degree to land a desk job.
Aliceffe
Lots of people unfortunately seem to think nurses just like ....walk around the hospital just like? Being women? Which is the ultimate dogshit take any person could possibly ever have considering what a nurse ACTUALLY IS
JohnnyLawlessEsq
No one who actually works in the medical field. Doctors and nurses have different areas of responsibility, and neither can function without the other.
VampireTeaParty
I've heard from other guys whose jobs were as useless as smooth sandpaper. Only time I ever let it get to me I asked the guy something like "Don't you JUST still live with your mom?"
barnwolf
Patients who are scared and want the best possible care and don't know what a nurse does, or what decisions they are qualified to make.
lujotu
Turk?
JohnWickdidnothingwrong
No sane person, so mostly patients and some doctors.
HipsterCommie
My mom is an RN, the shit people say and do to nurses is criminal
KyrieLancaster
Just a resident.
Nipnep
Any patient that I explain that they can't smoke in the hospital bed because there is oxygen in the walls and an open flame might kill us
clamdriver
Right? Especially if you’re on your back in an ER.
verenelda
A lot of RNs and LPNs unfortunately. :-( Own your knowledge and the work you do!
vintagebroad
The same people that say “just a woman”
SuperIncoherentRantingMan
https://www.google.com/amp/s/www.nbcnews.com/news/amp/ncna998536 People that are wholly detached from reality?
Sasurau
Someone who wants their foley catheter yanked out like a motherfucker's startin' a goddamned lawnmower. Besides it just being the decent thing to do, I'm also not an asshole to nurses 'cause, you know. Foley catheter. Lawnmower start. Just sayin'.
CaptRory
There are two arguments to try and get people to treat others that "serve them" decently. 1. It is the right thing to do. They are people who deserve respect even if their current social or economic status is below yours. This works for most children but probably not a true dyed in the wool asshole. 2. It is wise to not piss off someone that can screw with your food, ruin your life, or otherwise take invisible revenge on you in so many, many ways. This is more likely to convince an asshole.
heirsasquatch
A lot of people have had bad experiences with nurses. My sister is a paramedic and hatessss nurses by en large
eromitlab
People who would rather push others down than lift themselves up.
TheFishFace
Pretty sure it's come out of my mouth before I slapped my hand over it. Luckily no healthcare workers in earshot...
EveryGOPAccusationIsActuallyAnAdmission
I hear it from people at work but I work with idiots so...
MantisTobagganMD
Turk Turkleton, Scrubs Season 2 Episode 7
Seethreepeeoh
Porn directors
LariCheltsy
Girlie1337
I have patients cancel appointments with me and then choose to wait months to see the doctor because they don't want to see a PA. Like, okay, but everyone who saw me today is already being treated or set up for surgery. But you do you.
nicoleoftheeast
Get the same bullshit as an NP
CorydorasAfavorplease
I hear it all the time and I'm not even a nurse
DumpingSh1tandBeingKind2
Asshole idiots unfortunately. Inc some doctors unfortunately 😡 my friend is a nurse and hears it from patients regularly 😢
alaest0r
I don't know much about medicine; I'm a layperson who watches medical videos on YouTube for fun. But if there's one thing I do know, it's that only a moron would ask for a doctor to put in their IV...
vicvalour
I feel this came from some some sort of assumption that a nurse is a doctor that didn't make it, and doesn't realize most nurses wanted to be nurses, not doctors
tacotaco8288
I was about to say. If I was needing medical assistance I hope a nurse sees me first. Specially an ER nurse or trauma nurse. A nurse keeps you alive while they call for a doctor
HufflePuffPuff
My mom, who is a nurse, when she doesn't want to do something.
thetinyhousepanther
I have absolutely said it to a doc who’s been giving me shit all day. “Sorry, I’m just a nurse and that’s outside of my scope.”
HufflePuffPuff
Out of your "stethoscope"
geekykeycap
My wife works as a vet tech and has talked about how new vets often need advice and sometimes even correction by senior techs, as well as guidance on how a clinic operates, policy, etc. I've always assumed the same is true of the relationship between Dr and nurse.
migratingotter
Can confirm, my sister early in her nursing career before becoming a NP had to do that. I also became a nurse and sometimes you have to tell them you can’t do that or educate them on how the system works.
geekykeycap
Ah that's really interesting! It's funny how those roles relate in ways a layman wouldn't realize.
FrozenInCarbonite
I'm sure male nurses hear it all the time.
DaOutlaw
Also a male nurse, never heard that. Either called a doctor or rarely asked why i didn't become a doctor.
tehranosaurusrex
I'm a male nurse. I get called Dr. by 90% of my patients. But I've never been called "just a nurse"
WhatDoesTheFauxSay
Also a male nurse and I've never been called "just" a nurse. but like the other guy said, I do get called Dr. a lot.
WenTheEternallySurprised
I know nurses that are superheroes. I know nurses that are arrogant, incompetent, absolute patient-abhorring assholes. It's the second type that always demand to be treated like the first type.
sortofkindamadbutnotreally
I feel like it may be like that Joker quote where you either die a hero or live long enough to be a villian. Least up here in leafland, where the gov gives nurses the middle finger a LOT, I can see a case where the former slowly morphs into the latter. Maybe not becoming the worst offenders, but certainly competent but jaded.
hawks88
And most nurses I know hate these posts lol
CptRobotNinja
I've been a nurse for nearly 20 years now and I've known ever shape of saint or bastard you can imagine being a nurse. People are just people. Take any group of them and you will find a spectrum. That's one of the few certainties in life
MasterMookie
Same with doctors as well. Some doctors are the best. Fucking does everything and more. And some who practically does nothing that Google can't do.
astrangehop
Do you think the incredibly rigorous and expensive process to become a USA dr screens potentials towards the latter? Any way you slice it, it takes an huge amount of dedication, drive, and aptitude to become a GP. But IMHO the guy who's like "I've got 14 years and $250k worth of education, so I'm gonna say your chronic pain is fine, fuck off" wheras maybe someone 92 percent allaround as capable might be more likely to be all "that sounds like it sucks, im gonna give you a specialist referral."
fign37
Lately the second type are the more, unfortunately
Penelelop
Indeed, I’m scared of the ones (and drs) who cause traumatic labour in women giving birth by denying their rights e.g. doing medical procedures without asking for consent, or getting consent through coercive tactics, holding women down to perform unnecessary vaginal exams without consent, etc.
JohnnyLawlessEsq
Paramedic here. Nurses who are great are REALLY great. Absolutely stupendous badasses. Nurses who are not great make everything around them *exponentially* worse.
LyraTheLycan
As always, it's completely illogical and rude to tar everyone with the same brush.
Alesdair
Radiology doesn’t get enough credit. The good people running the CT scanners and portable x-rays contribute so much valuable information, and the role is generally unrecognized and thankless. I love the shutter-bugs I work with!
ImabouttogoTRexonthesenuggets
I've only ever had to deal w the second kind
BigFatFailureTurtle
As with any job, some are doing the job of four people while others are doing the minimum not to get fired. I've seen nurses who do everything to ensure patients are comfortable, taken care of and treated correctly. I've seen others who couldn't tell you which ward they're in, but have a high score on Candy Crush...
Jamerperson
That's because they are all playing cards /s
rubypilgrim
had the second kind almost kill my father-in-law. We had to move him to a different hospital. THOSE nurses saved his life!
Merky600
I read that the Mean Girls in HS become nurses. The bullies become cops. Although I do hear a fare number of nurse spouses are firefighters, who were ??? in HS?.
TheBlackSonOfTheHonestMan
Jocks who found Jesus, disowned their Jewish father, went deep into the cult, married a below average everything psycho Christian woman.....
clamdriver
I rather see a nurse than a dietician or the pastor.
orbitn
What about the Therapy dog? What about the hospital exorcist? Mortician? Mohel?
IOftenDeleteCommentsCauseISuckAtTyping
I'll be the first to bat for them, but you have a point. My ex's mom is a CNA who had a friend in nursing, and that woman had the capacity to complain for HOURS a day and it fundamentally changed how i saw nursing and not in a sympathetic way. The two of them didn't work together, but she treated her CNAs like this meme purports others treat nurses.
OptimisticSchrodinger
I work in the lab, the only ones we see are the second kind…
MetalGifs4u
I'm a lab tech in a hospital without a tube station or phlebotomy at night when I work, so I get to know the nurses. It makes a huge difference in our relationship.
OptimisticSchrodinger
My hospital is 25 beds and I work nights. The greater contact and exposure makes my point that much more valid
MetalGifs4u
I've worked in a freestanding ED lab, even closer to the nurses than I do now and still had a good experience. Also I've been on nights for over a decade.
OptimisticSchrodinger
Had an ER nurse summon me to draw a 7 y/o at 2 AM, techs don’t draw, the nurses do. She proceeded to have a meltdown in the middle of the nurses station because I wouldn’t do her job for her, the ER doc and I were just looking at each other like “WTF”. She no-call/no-showed two nights later. I have a million of these nurse stories…
Spongybunny
Hospital police dispatch. You get to know from the first second which kind of nurse you have on the other end of the phone.
TwirlingDaisies
Yup especially if they're older and have a case of don't give a shit itis. I was in the hospital for a few overnights for bad asthma and there for another week because a bad nurse screwed up because she was in a rush and I got cellulitis as well as a blood clot because of it.
hubiejunior
I worked in a nursing home for 24 years. Our older nurses were the good ones and most of the younger ones were just terrible. Especially right graduating nursing school. They come to work with a sense of entitlement, no one will tell them what to do, and just overall very bad attitudes. Like they are doing the center a favor by working there.
TwirlingDaisies
I'd think that's more of a working with the elderly issue because unintentional ageism is a thing for younger nurses sometimes where older nurses would feel a closer sense of camaraderie with the patients in a nursing home. But that's also a case by case basis. Burnout can happen to any person at any time but a lot of older nurses can be set in their ways and not take to newer research or better ways of doing things.
M4Firefly
This entire post is a bit flagging. Any lawyer, mechanic, or electrician can say "no doctor in this world can do THIS".... what's the point here.... its a different job!
Cyberjvh
I think the point may be that some people view nurses as just assistants to doctors and that any doctor could easily do the job of a nurse. Nurses are probably undervalued by a lot of people.
M4Firefly
Well..... they are somewhat defined as that for the longest time so can't blame people for thinking that. But at the same time, there's also the belief that you should value and be as nice to a waiter as you are to a doctor... so it really shouldn't matter.
NCPBullet
Im willing to bet i can train a doctor down on a nurses job but cant train a nurse up to a doctor's.
basufari
Well I mean there are nurse practitioner's as well. But then I guess they're considered doctors then and not nurses.
SarcasticRN
I'm somewhere in the middle because I'm in nursing middle management. My team is filled with superheroes but I'm not one. I'm just Alfred (not super alfred)
madflenser
Username checks out I guess lol. For what it's worth, I've noticed that as a junior doctor, if you simply listen to and communicate with the nurses, and regardless of whether you take their advice or not, and explain your reasoning, you get the respect paid back. Even from the sarcastic and grumpy ones :) I'm sometimes shocked how some of my colleagues don't understand this...
SarcasticRN
Respect your nurses and you will survive residency lol
madflenser
Oh FCK yeah. Saved my ass too many times to count
Kehy
Alfred is the guy who can put a cup of tea in superman's hand without him even noticing. That's next level
SarcasticRN
That's fair. More like the incompetent monkey throwing feces at fires until they go out
OnlyOneArman
Wait, your fires GO OUT‽
SarcasticRN
Some take a lot of shit but most do... ish
NothingPrince
Alfred kicks was. In his youth he was a soldier and trained Batman and now once kicked superman was. We need you to train the next gen and keep them going
DaPastry
I am like 90% sure you're still allowed to say ass here. Also in all fairness he had taken a pill that gave him temporary super powers and Supes had become a violent dictator that had just crippled batman.
SarcasticRN
I plan to teach in the next 5 years :)
NothingPrince
👍not all hero's wear caps
walkingtothemoon
Ifyou’re doing your job supporting the excellent nursing care then you are as much a reason for the superhero accolade. For every unreasonable, patient care denying, violent family member, violent patient, bomb threat sending, lazy staff member, police harassment, unnecessary meeting that should have been an email that you take care of, or change of policy you deserve the a superhero accolade. Whenever you let us take our bereavement leave, call in sick, provide OT you are a superhero!Thank you!
SarcasticRN
Let you take your bereavement? I'm sorry but please tell me this isn't an issue. Hell, I've asked my staff if it was their cousin or maybe it was their uncle and they are confused on the genealogy? Uncle gets 3 days paid, cousin does not. My team educator took 2 weeks off with a day in the middle and I told them no, take the whole time. If your team isn't mentally same, then your patients aren't.
OnePostCloserToAHappierLIfe
And that is why *you* are *their* superhero, SarcasticRN. You believe in making sure they're taken care of, like they care for others.
SarcasticRN
Mentally safe*
whatamisupposedtodo
Ugh. I can name and run every machine in the pic as well as noting the patient is very sick. They have CRRT, temporary internal pacing and are intubated bc of the propofol bottle hanging. Assuming full cardiogenic shock with end organ damage. Next step will be to add additional cardiac support like impella, IABP, or ECMO.
imuglyandimproudd
So….they fucked up?
WhatYearIsThis
Probably, but if they’re using all pf this equipment, they believe the patient can recover
Kateness
And the machine that goes "ping!" That's my favourite!
JohnnyLawlessEsq
I get the joke, but I assure you, *all* of these machines go ping.
TheUnstoppableWampas
Wow. Those are some fancy words. It's not often I run into a situation where I have no idea what the person said but know they are very skilled at what they do. Hats off to you.
bigballofwibblywobblytimeywimmeystuff
Don’t forget the Jevity 1.5
AdOculos
Ryebread91
Tastes that bad?
bigballofwibblywobblytimeywimmeystuff
Yes, but luckily people don’t have to drink it bc it goes through a feeding tube.
Anonymouse64
I mean I doubt they'd hook you up to twelve different machines if there wasn't anything wrong with you.
CascadiaPNW
Yeah the only time I’ve seen that big green one roll into my OR we were about to transplant a kidney
FreaksOnWheels
I’m an inpt coder, cardiac specialized. I know what you’re talking about!
FoxAffair
Oh, man. Just pull the plug already. And then that plug. And that one. Now that one. And that one. That plug, too. Also, pull that one...
eetsumkaus
JohnnyLawlessEsq
When I looked at this mess, I got a feeling of someone with an already questionable heart who got MASSIVELY septic.
whatamisupposedtodo
Sepsis is certainly a possibility. I would be more inclined to think it’s cardiogenic shock rather than septic shock. But I like where your heads at.
JohnnyLawlessEsq
I did BLS interfacility transports for a while. Everything there is sepsis sequelae or dialysis, so I tend to think sepsis is under every couch cushion, and assume everyone has a fistula on their arm until proven otherwise.
StrangePaegan
Yeah, I thought it looked a lot like my late husband's last setup.
TheOlympusKing
You're just going to ignore the suction regulator, flow meter and kangaroo pump like that?
silentflute
That is on the other side of the bed...
Ryebread91
Covid?
tyrsfavoritesword
Ecmo: when the nursing staff is assigned to fight death face to face.
JohnnyLawlessEsq
Don't forget the perfusionist.
paduaitaly389
My husband was on Ecmo for 2 months. Those nurses were incredible. He still calls them his Ecmo Angels. He was in a coma the whole time but I told him stories about all they and the ICU nurses did for him.
SixFingersOnMyRightHand
Fite me bro
RobotOverlordFromTheFuture
Actually, first you need to configure the flux capacitor before integrating additional components to the arrangement.
rollondough
I think I see 3 transducers. Is that related to the internal pacing? Haven’t taken that device
whatamisupposedtodo
Cardiac output monitors. I’m assuming based on the setup, CVP, arterial line, PA pressure.
whatamisupposedtodo
Cardiac output monitors. I’m assuming based on the setup, CVP, arterial line, PA pressure.
TheMobilePengwing
So palliative end of life treatment? End organ damage sounds… like a killer.
JohnnyLawlessEsq
Nothing palliative about all this. This is the kitchen sink. All that's missing is full cardiac support.
nicoleoftheeast
None of that would be there if it was palliative. They're trying to save this person
TheMobilePengwing
Goes to show that I have no clue about anything to do with practicing medicine.
whatamisupposedtodo
In the setting of cardiovascular icu, “end organ” is referring to the major organs the heart sends blood to. Like the kidneys, liver, intestines, Brain, etc. for this person, the machine on the left side of the pic is supporting the kidneys by continuously filtering the blood.
TheMobilePengwing
Oh, so that’s what it means. Yet another example of things you dont know unless you are either native speaker or work in the field I suppose. Thanks for explaining it for me!
VampireTeaParty
It's not good. But you'd be amazed at how damaged someone can be and we can still bring them back
EMTsaidwhat
No kidding. Some of the injuries I've seen pre-hospital, it's amazing how much damage someone can take and still be alive.
CaptRory
Humans are literally some of the toughest animals on Earth. As a species we have crazy Constitution Scores. People have survived having multiple limbs ripped off, falling out of airplanes, being bled white, shot and buried alive, scalped and thrown off cliffs... Our bodies' scar tissue is crazy and is a big reason we can survive big hits. People say 'He's as healthy as a horse' but compared to us horses are made of spun glass. And our endurance is absurd. We can chase animals to death.
TheMobilePengwing
Humans are space orcs eh? And we consume poision for fun and recreation…
Mistruths
𝘸𝘩𝘢𝘵 𝘬𝘪𝘯𝘥 𝘰𝘧 𝘥𝘢𝘮𝘢𝘨𝘦 is usually more indicative of difficulty healing than 𝘩𝘰𝘸 𝘮𝘶𝘤𝘩 𝘥𝘢𝘮𝘢𝘨𝘦, at least with sufficient and expedient medical care.
VampireTeaParty
So true. I've taken care of patients who broke every limb but didn't have any brain damage, who are just fine. And an equal amount that had only a head injury, but one so profound they'll never recover
CaptRory
At the start of Covid my dad was rushed to the E.R. His gallbladder ended up going bad, going septic, and his organ were failing. He had to be put on a vent and had to repeatedly move rooms when floor after floor was taken over by Covid patients. Dad and I went to IHOP for dinner tonight and his gallbladder was removed a few months after he got out of the hospital for sepsis.
TheMobilePengwing
I’m glad your Dad made it! Covid was/is hellish.