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.
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Via an email today. She told me that she was removing my "cancel lunch deduction" from Saturday as she saw me picking up a Jersey Mike's order at that time. That time? 7:30pm. My shift? 8am-7pm. I was off the clock and grabbing dinner on my way home for my fiancée and myself. 1) That's embarrassing as fuck for her. 2) To so boldly accuse me of time theft and issue me a warning about clocking out when you're so blatantly wrong? She better be apologizing to me and giving me my lunch deduction back. I've been working under her for 5 years. I've never falsified a time card. ETA: She replied and actually doubled down. Then back tracked to "double check her timeline". Said that she thought I was there at 6, not 7pm. Then said "disregard". No apology. I'm about done with this place. submitted by /u/sharsacctnormalthing [link] [comments]
Why do pay and working conditions change so dramatically when nurses cross a state line? Its kinda crazy how crossing and invisible line makes a difference considered how hard we all work. Latest BLS median RN wages: California: $67.44/hr | $140,270/yr Oregon: $62.00/hr | $129,010/yr Washington: $59.71/hr | $124,200/yr U.S. median: $46.90/hr | $97,550/yr (if these wages are wrong please post your correct figure) Alaska : $44.00/hr | $91,520/yr Mississippi: ~$40/hr | ~$83K/yr Alabama: ~$40/hr | ~$83K/yr South Dakota: ~$39/hr | ~$81K/yr -- actually 73k reported by RN. it’s not just pay. California mandates ratios including 1:5 med-surg, 1:4 telemetry and 1:2 ICU. Oregon now has 1:4 med-surg/tele and 1:2 ICU. Meanwhile, nurses elsewhere are still carrying 6, 7 or 8 patients. Why the difference? Part of it is leverage...which we all have at our fingertips! Some nurses have organized, struck and won major improvements. Others have accepted multi-year contracts where the annual raises barely
God I hate what I’ve become over the last 3 years!! Every cell in my body has evolved into anxiety and misery, I’m so depressed and short fused all the the time that I started to believe I had turned into an evil bitch with no humanity But NO! It’s the goddam hospital politics every which direction, the fatigue which takes away the energy to actually go outside and do something, it’s the constant fast food meals because I’m either working or recovering, it’s me not even wanting to leave the house on my days off And it’s the fact that I’m so goddam sensitive and overly observant of every detail at work, the constant overthinking of every interaction that happens in the four walls of this hospital, and then dissecting them on my drive home, or in the shower before bed, oh and how can I forget in my freaking bed too I feel so freaking small, I’ve become so mean to myself ever since I’ve become a nurse which is a huge contrast to how things were prior And the irony is that I’m known as the
A few months ago I helped an older patient sort out some follow up stuff after discharge and gave his daughter a number to reach me because there was some confusion about who they were supposed to contact. I used my Cloaked number instead of my actual cell thankfully because somehow that turned into her texting me every time they had a question. Appointment times, medications, whether a symptom was normal, even stuff completely unrelated to his original admission. I finally told her she needs to contact the clinic directly and stopped responding, but I still feel kind of guilty about it. Anyone else ever blurred that line trying to be helpful and immediately regretted it? submitted by /u/Alternative_Apple_7 [link] [comments]
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Nurses filing for union elections include those at: Central Maine Medical Center in Lewiston, Maine Saint Francis Hospital in Evanston, Ill. and Olympia Fields Hospital in Olympia Fields, Ill. Union Prime RNs delivered 10-day strike notices at: West Anaheim Medical Center in Anaheim, Calif. Saint Mary’s Regional Medical Center in Reno, N.V. Saint Mary of Nazareth Hospital in Chicago, Ill Shasta Regional Medical Center submitted by /u/FairPerspective [link] [comments]
Night shift ED tracker was lit this weekend submitted by /u/cherrybombthreat [link] [comments]
Quotes around nurse in title added by myself. This is a story that is local to me. I am sick of these news publications misrepresenting this person as a nurse. The company that this CAREGIVER was hired through does not have nursing services. Yet because of articles repeatedly misidentifying her as a nurse, there’s dozens of comments on the Facebook posts about this situation “this is why you can’t trust nurses,” etc. So tiresome. submitted by /u/angelt0309 [link] [comments]
My poor lady tonight. She needs to go comfort care and pass, but family has made her Do Not Resuscitate - NO ESCALATION. So I am maxed out on her levophed (15 was the max per the order and family request). She is intubated and on a fentanyl drip. Towards the end of my shift, she spikes a 39.4 fever and becomes even more hypotensive (MAPs in the 30s). The only way to even sustain her BP is to cut her fent drip and turn it off. Despite her HR being 120, breathing over the vent at 40 BPM, I’m forced to completely take her fentanyl drip away to raise her BP on sheer pain. Pain is the only thing keeping her alive. Family refuses to go comfort care and let her pass because “Jesus will take her when he’s ready”, but she’s actively trying to die and now we are just making it painful for her. I don’t understand how the family can watch her die in pain and refuse to let her pass peacefully. For those who don’t know, CCA-no escalation means that we try to keep them alive but without invasive inte
We all just recently got the ability to check our time cards. Our manager has been taking a 30 min lunch out of our pay automatically and clocking us in and out. She’s been clocking us out for education hours we take at home as well. I saw where I have 5 education hours recorded and she clocked me out for 30 minutes. What can we do? In our state this is illegal. submitted by /u/Ok-Independence-3193 [link] [comments]
i’m a nurse and work in healthcare. anytime a code is called or something that spikes my anxiety happens i immediately get pvcs that feel like every other beat. they feel super dangerous and maybe even get me lightheaded. just wondering if anyone else gets this and what they did. it’s not like i can not be anxious in those situations. everyone is. just don’t get why i get runs if pvcs submitted by /u/mbreezy_ [link] [comments]
Hi, I’m a new grad in med surg tele for about 3 months now. I have been feeling overwhelmed and stressed about this job. On my days off all I think about it work. And I cry almost every shift on my way home. I’ve been clocking out late almost every shift as well trying to catch up on charting because dayshift is super busy and my time management is not the best. It’s gotten to the point where I’m super burned out… (And yes, I’ve asked my boss to move to nights, and she told me that there’s no spots on nights). I’m not sure if my job sucks because I’m a new grad? Should I give it a few more months to gain confidence and get more comfortable? But it’s also got me thinking about if I should just quit and that I don’t even like bedside anyway. My friend who’s already reaching her 1 year experience of med surg told me that it gets tolerable with time, but she told the reason she kept going is because she found a reason/passion for her patients. She told me she feels fulfilled when she saves
I’m interviewing for a PCU position soon and would love some advice I have previous PCU experience, but it’s been about 2 years since I’ve worked in that setting. I’ve worked in dialysis since then, so I’m comfortable with things like patient assessment, fluid balance, renal issues, and recognizing changes in condition, but I definitely want to brush up on my PCU-specific knowledge before the interview. For those of you who currently work in PCU, what would you recommend reviewing before an interview? Any advice or resources would be greatly appreciated! submitted by /u/Artistic-Speaker4363 [link] [comments]
i notice this is the case mostly with male cna’s/hca’s. I routinely see them refuse help with 2pa/total care patients. Like, they’ll do the peri care and repositioning by themselves even if the patient is very heavy, and often even get them up onto a chair by themselves by just straight up lifting them from the shoulders in a hugging motion Usually, other cna’s offer them help and so do nurses, but they just absolutely refuse it. Why? Do they just not give af about their back? or is it something else submitted by /u/Longjumping-Life-607 [link] [comments]
At the risk of sounding like a nagging and unexperienced RN, I would like to open up this thread to discuss the abuse of “seniority” rank. I’ve been an RN for 3 years but I’ve been in my current position for 1 year. In general I like to think I’ve been taking taking positive/negative feedback well and been asking all the dumb questions for clarity and reached out to other RN on the floor for advice and what-not to compare notes and validate my thought process. I am not afraid to make mistakes as long as I am learning. At this one year mark I’ve felt personal growth and created trusting relations with my colleagues. With this growth, I can confirm what I assumed to be an abuse of power is in fact true. I watch new nurses come in and fail to ask for help because they are trying to prove themselves capable of doing the job or simply not knowing what they don’t know. I’ve also seen the same nurses be punished for not reaching out for help. Punishment looks like getting the most complicated
I made my first real fuck-up at work after about a year and a half of working acute care, and I need someone to tell me I’m not alone. I was messaging a doctor about my patient and getting orders throughout the night. Everything seemed completely normal. The doctor was even showing up on the patient assignment list, so I had no reason to think I was talking to the wrong person. Around 4 AM, my charge and I finally realized… this was NOT the patient’s doctor. 🤦🏻♀️ So basically, I spent the entire night communicating with the wrong physician and carrying out orders he gave me because I genuinely thought he was the correct provider. Obviously, I reported it to house supervisor and all that, and I’ve been replaying the entire night in my head like, HOW DID I NOT CATCH THIS?! 😂😭 Someone please someone tell me I can’t be the only one that has done something like this 😩 submitted by /u/Foreign_Snow_4460 [link] [comments]
i wasn’t made for this. i’d be better off in a lab or working somewhere different all together. some days are great when im in the er and it’s mostly traumas and i enter flow state and i love it, but all the neurocognitive disorders and caregiver abuse and sexual harassment/assault i’ve dealt with is too much for an 18 year old autistic girl getting state vocational rehab and occupational therapy. i was only 16 when i was hired. i started training at 17. i love my job so much and im good at it but im just too sensitive to do this for much longer. please i need advice, i don’t even think i want to eventually become a doctor anymore sorry for the rant i didn’t know where else to say this and i need advice but i probably sound stupid i’m sorry submitted by /u/WinAdditional7962 [link] [comments]
Hi, I finally decided to transition to a behavioral health job after thinking about it even before nursing school started. I’m super stoked to be a part of a unit that is brand new and opening in a short couple months. If you guys have any advice for someone transitioning to behavioral health nursing please let me know!!! for context i have a peds rehab background where i’ve had a handful of patients that have become escalated and so ive learned a lot of de-escalation skill during my time. anyway yay new opportunities:)) submitted by /u/Alternative_Mind3449 [link] [comments]
Just to start this off, I did not want to accept it but the family member got extremely defensive and started waving their hands in my face about they are “NOT taking it back”. It was gifted last night. I plan on going in tomorrow on my day off and giving it to my manager. I guess my question would be what are the chances I get fired for being honest and giving them back. Not sure what to do. I do not want to lose my job over some gift cards. submitted by /u/seriouslycwazy [link] [comments]
I have three years of experience as an LPN. I have recently got offered a position at Northwell Hospice it was great something I really wanted to do. The salary for the position was 32.00 hr in queens 9am-5pm. I was shocked how low they were offering. They only wanted to go up by a dollar. I felt like it was fair for me to ask for $35-37. Am I wrong to ask for more? submitted by /u/PeanutOptimal5798 [link] [comments]
Hi everyone! I’m an inpatient RN working nights, 3x12s, and currently going through a contested divorce/custody case with our final hearing in December. I have a 7-year-old in 2nd grade. Right now our schedule is basically: when I’m off, I have our child; when I work, he’s with dad. The problem I’m realizing is…I literally have no “me time.” If I’m not working, I’m parenting. I love working 3x12s and really don’t want to switch to a 9-5. I also make a decent night differential, and money is a big factor right now because of the divorce. Thankfully, my hospital self-schedules, so I can choose/cluster my workdays. I don't have much family support nearby, so I'm starting to consider a nanny, overnight sitter, or even an au pair. For other divorced/co-parenting nurses working 3x12s, especially nights, what custody/childcare schedule actually works for you? Do you have fixed custody days, week-on/week-off, 2-2-5-5, cluster your shifts, hire childcare, etc.? I’d really like to keep my 3x12s
The display broke, had to fix it somehow since no one is available until tomorrow. submitted by /u/martyrdomm [link] [comments]
As schools reopen across Virginia, just under 10% will operate without a nurse, leaving critical gaps in student healthcare, advocates say. School nurses are responsible for managing complex student medical conditions and helping to reduce absenteeism . Most school divisions in the commonwealth employ nurses, but current laws permit, rather than require, their presence. Legislators and experts are exploring updating the state’s Standards of Quality, the school funding baseline requirements for the state and local governments, to include mandatory full-time licensed nurse positions . A report is expected to be presented to the state’s School Health Services Committee next month. “It is time that we establish a standard of quality that really does require a nurse in every school,” said Senate Education and Health Committee Chair Barbara Favola, D-Arlington, who also chairs the state’s school health services committee. Favola, advocates and education leaders in Virginia are pushing for ma
I had a patient on three pressors: vaso, epi, and maxed out on quad strength levo (32 mg/250 mL). The family had also changed the code status to DNR/DNE. From the beginning of my shift to the end, her BP was averaging 70s–80s systolic over 30s–40s diastolic. Considering how hemodynamically unstable the patient was, the intensivist placed a Do Not Turn order. For context, this was a bariatric pt (about 170 kg) on a low-air-loss bariatric bed. Her skin was severely edematous and weeping. I tried to change the underpads by lifting her legs, but she was too heavy and the pads would not pull through without tearing. I changed the underpads under her arms and cleaned up as much as I safely could without rolling her. When handoff came, the oncoming nurse became extremely upset with me for not changing the pads under the patient. She stated that a Do Not Turn order doesn't mean you don't turn your patient to clean them, it just means you don't perform routine Q2 turns, which makes zero clinica
they want our vascular team to just be staff nurses and want patients who need midline’s just to wait and go to IR. IR definitely isn’t backed up all the time anyways so why not! (/s) if we have a hard stick they just want us to call a nurse from ED or ICU because they also are definitely not the two busiest units. idk. i’m only 6 months into nursing and i chose this hospital because they seemed a lot more community or family oriented or whatever but they keep making more and more changes that are driving nurses away. they changed our matrix so now we can have 6 patients instead of the max of 5 (med surg obviously). they also just started a points based attendance system where even 1 minute late is half a point. calling out sick even if you have sick hours is a point. And you only get eight points per calendar year. Not like we live in one of the busiest metros with some of the worst traffic in the country but whatever. dare i utter the U word??? this is just insane to me submitted by
How come some doctors prefer to be called by their first name only? I always wanted to know the reasoning. Yesterday there was an anesthesiologist. New doctor, i think he just finished his residency and is an attending now. I called him dr. Xxxx and he is like, just call me bob. Edit: thanks all for your replies. Very insightful comments :) submitted by /u/RespectSufficient663 [link] [comments]
The MA BON just announced that the NLC will be implemented in May of 2027. submitted by /u/Liberated3 [link] [comments]
Hello all. I finished classroom-based orientation Friday and tomorrow is my first actual day on the floor (in a new grad residency program, so not being thrown to the wolves or anything). For more background I'm 29 and this is a cereer change so I know the basic things: be humble, be respectful, HR isn't your friend, boundaries, punctuality, etc. I will be orienting on day shift and then going to night shift after (which I'm not looking forward to). I will be in a neuro step down at a household name hospital system (think Mayo Clinin, Johns Hopkins, Cleveland Clinic - I just don't want to specify and out myself). What should I bring with me that I'm not thinking of? Someone please tell me what to pack and what not to pack. What should and shouldn't I do to learn but not be annoying or in the way? What advice do you have, as general as life advice in the profession, or specific to any area of this career like documenting or whatever else it is i can't think of because I'm just starting?
Hello, I made a massive mistake and I can't stop feeling guilty and ashamed. The other day I was cardioverting a pt with a doctor because the pt had afib-rvr. I got the pt all set up, had RT in the room, and had extra people to help. We did a time out to confirm the pt, procedure, and their consent for the cardioversion. The doctor pushed etomidate, and the pt was sedated and was able to maintain airway. I was instructed to charge to 150J and to shock. My idiot self for some reason forgot to hit the sync button and delivered the shock. We instantly look at the defib monitor and the in-room patient vitals monitor. We also check for a pulse. The defib monitor and the in-room monitor both read NSR. EKG was done stat and confirmed NSR. The pt was closely monitored and thankfully returned to baseline. The pt was aox4, vitals signs stable, and maintained NSR. The doctor consulted cardiology and they said that the pt won't have any long-term adverse effects. Pt was able to walk and be dischar
Anybody else? Just me? Alrighty then… submitted by /u/trektovienna40 [link] [comments]
The wealth of the nation is being funneled to corporations by promising the elderly long life beyond reason or dignity. How much is spent keeping extremely ill people breathing? Hospital stays, skilled nursing, memory care, pricey medications. These things will burn through finances like a raging wildfire. What are the young to do when the wealth of the nation evaporates, leaving them with a ruling class of billionaires and few possessions themselves? Schools and roads crumble, jobs disappear, agency over our politics erodes. The only explanation is greed and solipsism. We would all do better by spreading the resources around. Lord knows that a trillionaire can lose most of his wealth and not be materially affected. When will we reshape our society so that we can enjoy the fruits of our labor with nod to the fact that we are all mortal and that not all life enjoys quality of life? Sometimes it’s better to pass on and pay it forward than leave a smoking crater. This dynamic is plain to
Not talking about the long game of diabetes where it takes years to catch up or immediate like “wear a seatbelt while driving in case of a car accident” but deaths that snowballed in weeks/days and could’ve been easily prevented. For my own patient, he dropped a Stanley mug on his foot when walking back from the kitchen. Didn’t go to the hospital for 2 weeks because he thought it’d heal but by then his foot was black bc it actually broke due to the mug. He went septic, soon became paralyzed/nonverbal, and died few weeks later. The family agreed if he went sooner before it got bad, it’d be a simple broken foot he’d heal from :( We just had another patient on our unit die because she was taking a ton of meds that made her constipated, but she started refusing interventions that’d help her poop. It got so bad apparently she started vomiting feces, aspirated on it, went unconscious, and died. She was supposed to discharge soon after making a complete turn around health wise after being her
“I thought you guys might need one so I brought it to the hospital just in case.” He made it before he came in. Icon. submitted by /u/DirectionAcceptable9 [link] [comments]
I occasionally have to call patients after hours from my personal cell and really don’t love the idea of them having my actual number. I’ve used *67 before but have had patients ignore the blocked call, or worse, I forget and they end up with my personal number. I need a secure way to call patients that displays the clinic number on their caller ID. What are you all using for this? Ideally something simple that doesn’t require me to carry a second phone or sign up for a subscription service. submitted by /u/thisaintgonnabeeasy [link] [comments]
Hey everyone I need your help. I need to find the best pens that won’t explode or leak inside my scrubs, I recently had to replace one of my top scrubs because of this annoying problem. It would have to be a pen that is durable and won’t break while being in my pants. The workplace can get really physical due to violence from the patients and what not. Thank you in advance 🙏🏻 I’m not worried about the price either submitted by /u/savedbygrace37 [link] [comments]
Ah yes, the usual vent graphics, pressure, volume, flow, and ECG lead 2 submitted by /u/Cold-Performance-864 [link] [comments]
Maybe I'm being a little pissy, indulge me... I get so annoyed when another nurse's IV pump, bed/chair alarm, or monitor is alarming and they let it continue to alarm while trying to fix the problem instead of just silencing it. Now other nurses (me) have to abandon our current task to check the patient just to see you're already in the room. I understand doing this when the patient is unstable but that's usually not the case in my experience. Am I the only one who think this? submitted by /u/dotspice [link] [comments]
*I graduated highschool, l’m starting first year uni this fall. I always research about nursing because it’s always been my goal. I chose it because l will almost always be guaranteed a job, l like science especially bio. I suck at math tho. I find learning about the body to be very interesting and helpful. I also hear that there’s really good pay. But here’s the problem. The closer l get to this journey, the more l feel like backing up. I’m always thinking if it’s the right choice. I’M SUPER STRESSED OUT!. Like everytime l look at social media there’s 2 completely different sides to nursing. Like one person is like” choose nursing it’s the best career.” They be posting the luxury cars, shopping, fancy lifestyle. And l see a ton of other posts of people genuinely depressed and saying you can’t make a living with nursing and they need to work an extra job to afford their lifestyle or crazy overtime hours. The crazy thing is sometimes both of these people be working in the same departmen
I work in a urology clinic. One thing we do as far as procedures is exchange chronic catheters for patients with chronic urinary retention. Most of these patients come in monthly and PRN. The nurses and staff alike all get to know these patients quite well. At my last shift we had received a call from the daughter of a chronic SPT patient reporting the patient had passed. When word got to me, I came unglued in a way i didn't expect. This patient was in their mid 60s. Quad with history of spinal cord injury, once fully independent. AxO 4 and just one of most genuinely kind and fun people I ever had the pleasure to know. Their life was very hard. But despite all the health issues and losing their independence, they were always kind and downright hilarious. Their transportation had often brought them to appointments late or not at all (several phone calls from our office reporting this had been made). When this patient came in, we would talk and joke like old friends. There were days they
I have multiple chronic health conditions that are aggravated by swapping between day and night shift, and I have not ever found a way to reliably stack day vs night shifts that doesn't do it, and I am trying to upskill by changing units. The problem is most units want you to rotate in the first year because of "learning opportunities" or whatever. Has anyone successfully used an ADA accommodation to allow you to not rotate shifts? Has anyone tried it and gotten pushback? submitted by /u/princess_lydia123 [link] [comments]
This has less to do with actual nursing and more to do with dealing with a manager. I can’t spare too many details, despite being anonymous. My manager essentially didn’t talk to me about a situation I was directly involved in and got my coworker into trouble unnecessarily. My manager had my coworker APOLOGIZE to me in front of union, which I expressed how I felt to the union rep at that time, but I need to speak to my manager regarding this. My manager assumed things based on someone else’s account of the situation. I’m so angry because I’m a person AND (believe it or not) I can speak for myself. Now, my manager has it out for my coworker, so I KNOW she did that on purpose. What are some things I can say to really drive home my anger and disappointment? I want to be a corporate as possible and leave emotions out. I NEED this manager to have a bit of a reality check. I’m reviewing our policies and education on workplace culture and whatnot, but I would love some advice. I know this is
This is a question for all the retired RNs' in this forum. I retired about 5 years ago and I still have nightmares centered around not doing my job well. I was an excellent nurse and never had any issues.. The dreams vary from anything like, I'm way behind on passing meds. I didn't get a good handoff report and I don't have anything written down on my cheat sheet, chart checks didn't get done, or I haven't gone in and taken assessments nor have I charted anything and it's almost time for my shift to end.. The way I feel when I awaken from these dreams is guilty, shameful and generally shitty. Im wondering if this is normal, Or maybe i'm just more susceptible to the PTSD of it all... submitted by /u/RoxySpectacularSD [link] [comments]
bless the triage nurse. i needed this laugh. submitted by /u/aka_applesauce [link] [comments]
Okay, I went through a period where my mental health wasn’t good and I got behind on my bills. Do I want to work this much? No. Do I practically have to? Yes. For those of you who work this much regularly or every so often. Give me your tips. I gotta still get groceries, cook, clean the house, manage time with family, and sleep. How do you stay sane and what are some tips? submitted by /u/bubblegoblin1 [link] [comments]
Looking to find out whats the best: * click pens * commpression socks * O2 monitor * stethoscope * undershirt * lunch box Anything else you recommend for a new nurse starting out? submitted by /u/TheDirtyDrunk [link] [comments]
Argumentative, disrespectful, negative patients? And what do you find to be most effective in protecting your peace and energy? submitted by /u/Substantial_Host1849 [link] [comments]
I started my career in on a step-down ICU unit with 5:1 nurse patient ratios. I’ve always struggled with generalized anxiety disorder and major depressive disorder, I thought I had it well-managed before starting this job, but boy was I wrong. After my only 5 shifts of orientation, they set me free, and I quickly became acutely mentally unwell. I asked my manager if I could transfer to an “easier” unit, and she refused due to the nature of my contract. I couldn’t even apply to other positions because, due to my contract, they required my current manager’s permission for me to get a different job. My options were to either quit and be unable to afford rent or to just stick it out. At one point I was so suicidal I had an exact plan, means, and date to end my life. After calling in sick for a shift, I booked an appt with a therapist and found a doctor to do a med adjustment. I gradually felt a bit better, was no longer suicidal, but was still incredibly depressed. My contract was only 9 m
I work 5 x 8. Holiday and weekends off. I’m exhausted. Just laying in bed all day today. AC 24x7. No energy to go out. Perhaps tomorrow. Mental health day today. submitted by /u/Calm-Struggle3898 [link] [comments]