Named after the hundred-eyed watchman of Greek myth, Argus watches the education landscape: spotting new opportunities, pressure-testing the ventures we're building, and tracing every read back to the real-world signals behind it.
The evidence library: the raw signals the pipeline is watching across the education ecosystem. Every idea is built from these.
Curious what your hospital’s policy is if a patient leaves with an IV in - whether they leave AMA or staff forget to remove it. We always shrug and hope the patient gets it taken out, and doesn’t use it for IV drugs. Recently heard about an ER patient who left AMA with an IV and they called for a welfare check on the patient submitted by /u/believeRN [link] [comments]
I recently started working the front desk at fetal treatment center, where patients are seen due to abnormalities with their fetus. It's not a happy place, there's very few days where there's good news. Many patients are so anxious and heartbroken. With a place so full of sorrow, I'm sure I'm going to hear the same things over and over, and I'd like some advice on how best to respond to these things. I learned to say "take care" instead of "have a good day" when patients depart. I've become mindful to not ask about baby names, or project into the future too far ahead. Keeping it professional, of course. But if a patient walks in for a follow-up, and I remember their name, sometimes they sigh and say "it's not very good to be known in a place like this." Or, "it's like being a regular at the police station". I'm left a little awkward when trying to respond. What would be a comforting/assuaging way to respond to this? I appreciate your input! submitted by /u/ConstantRide5382 [link] [comm
I was taught to write in 3rd person; I.E., “this nurse assessed patient ” or “writer assessed patient” and it just always feels so awkward and unnecessary. I’ve been noticing that a few coworkers notes are mainly written in 1st person lately. Is this acceptable (finally)? The nurses writing in 1st person are new nurses, is this what they are teaching now? I hope so! I think the ANA needs to re-evaluate this way of teaching. This writing method was taught before computerized charting became a thing. It’s silly to write “this nurse” instead of “I” now that we have EMR. Of course you or “this nurse” did or said or witnessed whatever you are writing about, afterall, it’s your name as the note maker on the EMR. It’s tome consuming to keep writing “this nurse” instead of “I” and it’s just funky. submitted by /u/Weekly-Mix-9480 [link] [comments]
Today I was telling my mom some nursing stories, specifically my time as a new grad during the 2nd wave/peak of covid… memories I haven’t thought of in a while popped up. Specifically one man… he was on high flow o2 maxed out, wasn’t doing too hot, could barely make a move without desatting. What he said will forever stick with me. “Am I going to die from this?” I reassured him that he would not, and has been doing better and he will be ok… 2 days later he was intubated/ on vent and died. Telling this story today I just started freaking sobbing and I couldn’t stop.. and then so many memories came rushing in that I haven’t thought of since they happened…I felt overwhelmed with flashbacks of emergency chest tubes being put in at the bedside, code blues, people FaceTiming their family for the last time. So many. Freaking. People. Died. Our unit was a half tele half icu and you knew once they got transferred to ICU side due to intubation it was pretty much over. Out of all of our covid pat
I noticed my patient was wearing pull ups for absolutely no medical reason. When I asked him about it, he just looked me dead in the eye and said: "I worked for 40 years. Now I do not care anymore, I earned the right to shit my pants." I was speechless. 🫡 submitted by /u/Ghostwriter881 [link] [comments]
I work at a hospital where doctors regularly expect you to put orders in for them. Are there any orders that you would flat out refuse to put in for a doctor? submitted by /u/dagnabit11 [link] [comments]
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I work in psych now and pt got mad bc I would not give her soda. She then says "fat ass, that is why you are fat" and just kept yelling. submitted by /u/4shmed4i [link] [comments]
Went in to see my patient and hang her new bag of TPN.. when I unhooked the existing line from the patient, this is what was attached 🤦🏼♀️ submitted by /u/fo0fff [link] [comments]
Hello. I’m a new grad! Started my job on the first week of July. Two weeks ago, I made a med error, but I notified provider, filled out a report, told my preceptor, and met with my manager to talk about it. Since then, I’ve been so thorough on my medication administration. Today, I had a busy and rough shift. I come back home to see I have an email for a SUBUTEX that is unreconciled and if not addressed or witnessed, I have to write another report. I call my preceptor for everything for us to double check, but I’m also switching from using a Pyxis to an Omnicell — and trying to adjust. I have no support system. I do have my mom, but after telling her about the stress I was in, she ignored me and told me to go to sleep. Am I gonna lose my license, get a pay deduction, or get in trouble? I literally work tomorrow and cannot stop worrying. I’m just tired of being a failure, and I already have low-self esteem. I want to be a good nurse so bad, and it seems like the more I try, I fail. subm
What is your experience with mean nurses? Currently sitting in my car crying because I am being bullied by another nurse. She is consistently nit picky with me in report, complains about everything. She finds fault in everything I do. Same nurse taped a medication to the educators door because there was some in the vial left over. She claimed it wasn't here, but it was my patient and she had them that night. I am not a new nurse, I have over a decade experience. And this girl started as a new grad. She just hates me and is mean. I called my manager and let her know what was going on. I'm too old for this middle school bullshit. submitted by /u/elboweats [link] [comments]
Hi, i have been a nurse for a little over a year and a half. I started as a new grad on a very busy oncology/med surg floor. We have 5 patients, and here lately I feel like work has been so heavy. The patients are so so sick sometimes, requiring multiple blood, platelet transfusions, chemo, etc. In the last year I have had so many patients that have been on our floor for a very long period of time and we end up losing them, it’s very difficult to the deal with. I have several coworkers that I love, it makes work so much easier. But here lately, I feel like I’m miserable. Having 5 patients on a floor where the patients are so sick has become so difficult. I have insane post shift anxiety. I always wonder if I forgot to chart something or if I forgot to do something because it’s truly so busy. Most days I don’t take a lunch or even have time to drink water. I am thinking about looking for new jobs in December when my 2 year contract is up. But it’s been really hard at work and I feel lik
I have a patient currently who is gonna need to go back to the OR tonight for an emergent washout after their CABG this afternoon. They had a CABGx10 with cardiothoracic surgeon Dr. Deez Nuts who used to work in Yo Mama's Mercy Memorial Baptist St. John's Wort Hospital in Hell, Michigan. However the group was dissolved and we need to consult him/his group of nutz ASAP. I cannot find him anywhere and I'm stuck in the bathroom #ibswarrior. Does anyone know where he's at? THIS IS NOT A JOKE DO NOT DELETE THIS MODERATORS submitted by /u/chirpikk [link] [comments]
Same question as the title. I live in the DFW area. It is way oversaturated here. Tried applying to a ton of residencies in all areas and no dice. Really need a year of hospital nursing under my belt. Can't comfortably reposition due to financial and familial responsibilities but I'm honestly at the end of my rope and need to really consider moving even if it is a huge jump and honestly scares me a lot due to familial debt and etc I already am struggling to pay off. Needless to say: (preferably near or in TX) where is it best to move to as a nurse grad with only home health experience? I just need a reasonable pay and place to work atp. submitted by /u/hopelesscod [link] [comments]
I’m a new nurse working with someone who’s been a nurse for many more years than I have. This is going to sound mean, but they make me question their competency. Examples: They watch me draw up heparin and asked why I didn’t wipe the hard plastic cap with an alcohol wipe. I told them I was taught in nursing school to alcohol wipe the rubber part the syringe punctures, the cap is just disposed of. They told me they forgot if a particular medication was supposed to receive a saline flush or not after administration. This is an extremely common medication given on a weekly basis, that they have been administering and documenting for years, themselves. There have been a few other things that have transpired as well but I don’t really want to go further into details. I’m apt to think that this person is just F-ing with or testing me, and that no one who has been an RN for so long would be like this. Has anyone else experienced this type of thing? submitted by /u/echoes_into_the_void [link]
Who is in your hall of fame for rudest and most difficult family members you have had to deal with? ngl- I have literally told a family member if they think our care isn't good enough then they're welcome to take the family member home to nurse themselves. Usually helps to shut them up or it can amusingly make them more mad. submitted by /u/Outrageous_Fox_8796 [link] [comments]
Bright and early this morning a coworker wrecked my brain so I had to pass it along to coworkers all day. So Reddit it’s your turn! The Adult Long cuff cannot be used on an arm too large for the Adult Regular cuff. Same range, same circumstance when used within that range. So what my coworkers and myself want to know… why does it even exist if you cannot use it in place of the overly wide adult large cuffs? Are they more expensive than the adult regular? submitted by /u/rw421 [link] [comments]
I can't get my mom to understand that I'm leaving healthcare and I'm happy about it. She is partially correct because for years I called myself "just a CNA'' and that I wanted more for myself. I became an EMT because I wanted something different and thought being an EMT would make me feel better. The only thing I realized is that I'm just burnt out from healthcare. I dreaded the idea of going to work even just a few days a month. I dreaded "dealing" with patients and always in scenarios that wouldn't have bothered me before. My mom thinks I'm trying to prove myself and that I need to be great in order to see myself as worthy. That's partially true because again I've always called myself just a CNA. More in depth about why I'm leaving healthcare, is tied to Covid and the mass amount of misinformation going around. I worked through Covid and my hospital ran out of ventilators. My job was to listen to the pulse ox alarms and manually ventilate my patients when they stopped breathing. I sa
because the job is constantly in demand everywhere i figured it wouldn’t be too big of a stretch to take a year off to go be a wild lands firefighter or merchant mariner or something like that. just to say i did it and have an interesting life. i guess i’ve always thought of nursing as a safety net but let me know if im tripping submitted by /u/allcapszackattack [link] [comments]
A couple of nights ago we had a unwitnessed fall on my unit. I’ve always been taught to call the physician on call if on nights or hospitalist if it’s during days when a fall happens so they can come assess. However when this fall happened and I notified pages the physician (they called back almost immediately which wasn’t expecting) I told them about the fall and how there were no head injuries or major bleeds. Patient was alert. I hadn’t put the VS in the chart yet but they were stable. I told my co nurses and they all looked at me like I was an idiot for notifying the physician about this fall. I understand a full complete assessment wasn’t done but they said unless they deemed it necessary to call the physician during their assessment findings there wouldn’t be any point in calling them. For the past few nights I have been very confused and I’m scared I might’ve did the wrong thing. I feel very incompetent after their reactions. submitted by /u/Dear_Success3373 [link] [comments]
No im twiddling my thumbs and scratching my balls (im a murse) submitted by /u/JayLin95 [link] [comments]
Hi everyone! I just moved to a new city a few months ago for a new job. I'm a new grad nurse who just got off orientation, I work nights 7p-730a. I live alone in the city and don't know many people apart from a couple friends I have met at work. Recently I have been wanting a companion and I figured a cat would be perfect as they're more independent than dogs. I was just wondering if anyone else who lives alone and works long hours has cats? I have owned cats my whole life, but always while living at home with my family, never while I am the sole caretaker. What do you do while you're gone for that time? Would you recommend getting 2 so they can keep each other company? I'm just worried me being gone for 12 hours would make them lonely. Sorry i'm very anxious and want to be sure I actually can give a cat a good home. submitted by /u/No-Application4078 [link] [comments]
submitted by /u/ne0maximus [link] [comments]
My older post: https://www.reddit.com/r/nursing/s/lWC4MCaWpn I spoke with the manager. I got a different preceptor. She was really kind and patient. But she also recommended that I get more orientation days. I spoke with my director and they’re only willing to extend my orientation by 2 WEEKS (6 shifts) for a total of 4 WEEKS (12 shifts) orientation to ICU. I said that’s not gonna be enough for me and I don’t want to commit and say yes now, only to have this conversation again in 2 weeks. I asked if she could help me transfer to another unit, maybe med surg/tele. She said there’s no availability right now. So I just resigned. I want to thank everyone who gave me advice and made me advocate for myself. I appreciate all your thoughts and support. Super sad about this but I’m glad I was honest. submitted by /u/vivrelavie [link] [comments]
I recently left my first nursing job and I’m realizing now that how they did things was pretty weird. i’m wondering if anybody else’s units do this as well? essentially, they would play musical rooms at night. Meaning during the night shift, they would change the room number of most of the patients and we would have to switch and swap a patients entire room during the night shift. keep in mind I worked in an ICU. Most of the patients were on some form of machine (impella, cvvhd, ecmo, balloon pump, etc) and many, many drips. They always waited until 3-4AM to tell us. We would just be getting started with morning labs/meds and assessments and they would tell us we need to switch rooms. Each patient took around an hour between packing and prepping, moving them, setting them up in their new room, and then breaking down the old room for the next patient. We also needed multiple staff members to help move them. It ALWAYS resulted in us being unable to do all of evening tasks and caused so m
I really think more people need to know about Kim Hiatt because her story shows just how broken our healthcare culture actually is. Back in 2010 Kim was a super experienced pediatric nurse who made a fatal medication math error that sadly killed a fragile baby. She reported the mistake immediately. The guilt was instant, but what happened after made everything so much worse. She became a textbook case of "Second Victim Syndrome", where a healthcare worker gets completely traumatized by an error and basically drowned in shame and isolation. Instead of getting psychological support or help from colleagues, she was fired, publicly dragged, and left totally alone with her guilt until she tragically took her own life seven months later. We demand absolute 100% perfection from nurses and doctors every single day, but as soon as a human mistake happens, the system just discards them instead of helping them cope with it. If we don't start building actual psychological safety and peer support i
I know this a negatively coded. Im sorry. But, in the ED, when someone who just came in becomes npo, gets agitated, and says "but I haven't eaten all day!!!@111" when denied a turkey sandwich 5 seconds after getting triaged. How the fuck am I supposed to make sure you eat something in the previous 16 hours before you came in? Ill make sure your bgl is ok and feed you when I can, but why is this suddenly your AMA hardline stop? I know there are reasons and extenuating circumstances. But besides those. Im getting slightly irritated by this. submitted by /u/kawugiri [link] [comments]
Why is it the norm that, to get your break, you give your 5-6 patients to a nurse who also has 5-6 patients? Leaving that nurse responsible for 10-12 medsurg patients. To me, that shouldn’t ever happen even for 30 minutes. Yeah, hopefully no one calls and all is good. But what if all hell breaks loose? I never do that to another nurse because I’m so convinced it’s horribly unsafe. I take my break at a time when my patients are least likely to call, and if they do call then I just deal with it. I understand every nurse deserves a break, but there’s gotta be a better way to do it than making another nurse responsible for 10-12 patients. submitted by /u/Minimum-Possible-415 [link] [comments]
Hello! A couple months ago I had nominated a nurse at my local hospital for a DAISY Award. And nominated her for something that happened in 2024 that I had always wanted to thank her for and never knew her name so I’m very excited born at this moment because she actually won the award. From what I’ve read online, it will be a pretty quick ceremony, but they emailed me to say that I could be there and I really really would like to bring a gift that would be helpful and long lasting to show my appreciation. So far the only things I have found that are useful to ER nurses are pens, high quality metal badge reels and trauma shears, but I don’t even really know if these items would be appreciated or heavily used in the ER. I’ll be honest I didn’t really know where to even start to look for ideas. That’s why I’m posting here! Please help me think of a long lasting, thoughtful and practical gifts that I can give the nurse during her ceremony! Thank you for any suggestions and the work that yo
Throughout nursing school I always wanted to work in the ER. I worked as an extern at both of the major hospitals in my area and spent most of my time in the ER. When it came down to applying for residency I was offered an ER position at the HCA owned hospital (which I already worked at as an extern). This hospital was the only trauma hospital in the area so even though it was an HCA facility I knew I would get experience. Going into my nurse residency I already knew some of the problems with the facility, but I tried to have an open mind starting as an RN. After 2 months and multiple shifts with my preceptor showing me how undoubtedly unsafe working here was, I decided to quit. I spoke with the department managers, and the nurse residency coordinators and it really didnt seem like anything was gonna change. I knew that if I was to get off of orientation I would never feel safe as a nurse working there. The department is chronically understaffed, patients are thrown on the wall like it
Hi! I’m thinking to move from Arizona to another state after I graduate. The states I have in my mind: Colorado Texas North Carolina Virginia I don’t’ want to go up north because I hate the cold weather. Any thoughts on those states? Thanks. submitted by /u/Wise-Marsupial998 [link] [comments]
I am so over the hospital. This is not just about the patients it’s administration too. I just want to say “You know what? Do what you want.” I’m tired of giving practical evidence based education. I’m tired of explaining logic to hospital executives and sick people’s 3rd cousin. I don’t want to be mean. I don’t want to tell them to play in traffic. Just go forth from this place and do whatever your heart desires. submitted by /u/VehicleLevel4885 [link] [comments]
It makes no sense to me and feels kinda gross. Some important distinctions in my mind: Clients exchange money with a contractor for a good or service. Patients do not directly compensate nurses. The homeless guy with no insurance does not put a penny into your or your employer's pocket but we still care for him. Contractors may stop working for clients at any time for any reasons. Nurses (and doctors) are morally and legally obligated to care for their patients except when their safety is endangered. Client's are serviced for profit within the confines of law. Patients are cared for within the confines of ethical standards as well as the law. Clients are usually on the same standing as their contractors - both hold equal-ish power in the exchange. Patient's are vulnerable and we protect them from exploitation from ourselves and others. Clients must always provide consent for services. Patients often do not provide explicit consent for care. The service of a client has a well defined be
so i work on a surgical floor. lots of catch and releases, as at least half are scheduled surgeries. 6:1 ratio for 24 beds, 2 aides and a charge that also takes a full 6 (cries in NC). it’s about 1700, im on my 3rd admission of the day (started with 6, discharged 4 now at 5) and the last one was not doing so hot. back surgery, BP was elevated in 180s (parameters were to keep under 140) and he had been vomiting since he came up. sugar was in 400’s, dude had a lot going on. neurosurgeon and PA even came to bedside and were giving me face to face orders they wanted carried out then. now for the point of the post. i had 1 more empty room. room is dirty as my 4th discharge had rolled out only like 15 min ago. PACU, the same nurse that brought the previous guy up, tries to call me report at 1710, she’s like “i know the room is still dirty but I wanted to see if I could call report.” I respond that I’m in a pts room and that I’d have to call her back. she asks for my direct extension. i give
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The most difficult thing on the planet is having to stay quiet on social media or google reviews when you see the public ranting about healthcare. You’ve seen it. “They almost killed (person) because (exhaustive and strayed reasoning)” and it goes on and on. They were never your patient exactly but you’ve had them before and all you can do is grind your teeth and refrain from typing to them that everyone knows better and they don’t have any where to go BUT social media. It’s worse when they ARE your assignment and you actually have someone trying to die, but you have to deal with a story of about how, say, giving a pill cut logitudinal is fatal and latitudinal is the only way to do it because (30 minute anecdotal testimony). /rant submitted by /u/AquilaCrotalusEsox [link] [comments]
a UK Biobank study says night shift workers show accelerated biological aging and lose almost a year of life expectancy. I feel sick to my stomach discovering this. submitted by /u/TheNzm7 [link] [comments]
I’ve been out sick for 2 days, and it’s about to be a 3rd but one of the nurses messaged me about my patient and said “***** passed away”. I get it’s my patient but at the same time… I’ll be back later this week. I’ll find out then. That’s not my concern right now. IM my concern right now. I understand that nurse is helping with my caseload but I didn’t reach out to that person when they were on vacation about their patients. I took on their caseload and updated them later. I hate how work follows you everywhere in this position. submitted by /u/consideredtaken [link] [comments]
The brown bag in the upper left corner is my SSRI + adhd meds LMAO. submitted by /u/Saelem [link] [comments]
I’m talking to you Bob and Tammy. You guys are “all talk” pretending to care about employees mental and physical health. You care more about sponsoring the sports teams and advertising how US News ranked you as a top hospital. You’re only as good as your employees and I hope there’s a mass exodus. You guys make millions and we barely make a living. submitted by /u/AlwaysWithTheOpinion [link] [comments]
My husband is absolutely gobsmacked that I’m not guaranteed a lunch every shift I work (ER) I told him that was kinda the national standard, so plz drop below if you ever get a lunch break lmao submitted by /u/carmelamacchiato [link] [comments]
Just passed the NCLEX and got my RN today. Do I get my own aesthetic or IV fluid clinic now? Do they automatically enroll me into an NP program? Or do I have to get my CRNA first? /s But yay for all of us new RNs! submitted by /u/Counselurrr [link] [comments]
Has your hospital ever made a big mistake with a patient? Ours did recently, and it's bad...Wrong patient & procedure. Can't go into details, thank God had nothing to do with me or my unit! 😱 submitted by /u/DoItRightOnce1st [link] [comments]
So anyway, if y’all know of any job openings in a land far far away where I’d never see anyone ever again, pls lmk 🤧 submitted by /u/DirectionAcceptable9 [link] [comments]
I’m currently an oncology rn with over 1.5 years of experience, but I also recently got out of the crisis stabilization unit for admitting to my manager that I am suicidal after a patient passed and my brain was convincing me it was my fault. I spoke to the nurses in the unit who convinced me it wasn’t. And my manager and coworkers did as well. But my brain wasn’t accepting it. I felt better after being discharged for a little bit, but now every little thing is stressing me out and things I used to have confidence in addressing myself are things I’m freaking out about now. Yesterday a patients most recent potassium was 3.5. However out EMR flags it as low. Normal in the EMR is 3.6 to 5.0 for some reason. I asked a coworker to double check orders with me and she mentioned it. “Are they doing anything about the potassium?” And I was like, “I was always told 3.5 is normal” because that’s what I was taught in school. And she was just like “yeah ok.” And signed them. But I started spiraling
This nurse cared enough to report her local sheriff department to APS. When the sheriff claimed no wrong doing, she pushed the issue and fully documented the injuries. The patient, who was in a medical crisis for FIVE DAYS in a holding cell, lost his leg and is now permanently disabled. With the help of her extensive chart documentation, he’s now appropriately suing the sheriffs department. He was never arraigned or convicted of anything, neither. Excellent reminder to maintain accurate and consistent charting. 👍 submitted by /u/No_Knowledge4718 [link] [comments]
For those of us who worked through covid- and still feel the trauma of all that death. All the people we met and then watched die, or held an iPad in front of an intubated face with a sat of 40% and PEEP of 25 while listening to sobs from faces on the other side. Are any of you feeling the creeping sense of the memories and anger while reading the countless posts on SM "Yeah, I saw all your tick tock dances, you liars!". "Empty ICUs, empty hospital parking lots" like we are all collectively making up this huge conspiracy, and we didn't experience constant death. And I didn't hear the guttaral screams as a mother hit the floor while I crushed the chest of her 25 year old son, and the PA told her we had to stop? I know they are morons. They sat at home and listened to other morons tell them what their smooth brains wanted to hear via podcasts, SM, fox news or whatever they could find to placate their 6th grade mindset while we experienced what we did. I remember talking to my husband aft
This may have somehow given an ounce of inspiration in the otherwise trodden down world of being a night shift nurse: A surgeon, of all people, who was trying to get my patient into the OR that night, had to cancel bc of some trauma (idk). So he told her it’s not happening. Great. Now, she hasn’t eaten in two days. I hadn’t addressed that yet. Well, he asked me about it and probably could tell it was pretty low on my priority list (it was shift change)… well, he goes down to the cafe and buys her dinner out of his own pocket and then came back up to the floor and hand delivered it. Wild. Nobody gets how wild that is. I have never ever seen that in my years. Anyway thought I’d share. submitted by /u/Avatar617 [link] [comments]
The nurses at work were reminiscing about the covid years, the volume of deaths, family members, the media, the pressure injuries on their faces from wearing masks, and just the sheer pressure on the healthcare system. A lot of the nurses voiced that they would leave the profession if there was another pandemic in their lifetime I joined nursing towards the end of the pandemic so I don’t have the raw experiences like many of you do Would you stay through another pandemic like covid? submitted by /u/No_Leading3793 [link] [comments]
Hi all Is anyone else using this Painchek thing at their facility? It's an AI video analysis that is meant to check if the non verbal person is in pain I seriously think it's a waste of money. I can't find any evidence it's better than the abbey pain scale either. I also learned they didn't test it on people who weren't white (?) submitted by /u/Outrageous_Fox_8796 [link] [comments]