Honestly my biggest issue is getting randomly banned from trans spaces for expressing my own lived experience with surgery and how I view my own body and gender. They’re so “inclusive” that they start excluding people that don’t use their very specific language or share their beliefs exactly. They keep kicking people out then wondering where all the people went!

Also she’s gotta be all those things already while he works on them.

Sorry like the patients actually assigned to me personally vs the patients assigned to other nurses. I keep getting roped into caring for other people’s patients so they don’t rile up my patients. And then before I know it I’m practically holding up a whole damn unit by myself.

Tbh I’m trying to even just focus on my own pt assignment each night. Historically I get roped into helping with other people’s pts even when I’m not charge nurse and it’s especially hard to not do that in psych where milieu therapy means they’re all out and about and affecting each other’s care. I’m thinking about just moving to hospice it sounds so relaxing to just focus on making people comfortable. Maybe even home hospice so it’s always just one pt at a time.

“Plenty of staff” I’m calling bullshit right there. I don’t work corrections but I used to work forensic psych and they were the only part of that institutional system with worse staffing than us.

I quit my last job without notice because I had one lined up (but it turned out I couldn’t start immediately) and in retrospect my rent situation would have been a lot better if I’d just scrupulously covered my ass for a month. And I’m lucky enough to have the kind of job where people call back within 12h of me submitting a resume but that’s exactly because I do the kind of 100% essential jobs that have a coinflip’s worth of shitty bosses and the kind of pay that leaves you paycheck to paycheck if you’ve had bad enough luck and/or life choices in a particular year. I guess I could’ve just called places and got some temp work from the first employer to offer but then I’m still having to cover my ass but now against the devil I don’t know while learning a whole new set of policies that I’m only gonna use for one month before I’m learning the next ones. If you’re in a secure enough position in your life that you can just quit because you have a good enough balance of savings and demand for your skillset then please take a moment today and practice gratitude to whatever entity or lack thereof that you attribute your good fortune to.

I wonder if this is due to gobal climate change or local efforts towards sustainable farming and forestry to reclaim areas the Sahara has encroached on in recent years. Could be both.

• To: boss email
• From: your work email
• BCC: your personal email

Hey Boss

So as discussed earlier, you’re accepting my recommendation that we NOT do _____ due to the high risk of _____, correct?

Thanks in advance for helping to clarify this!

- yourname

I suspect the full modifiable risk factor trifecta is rounded out by nicotine in all forms and UV radiation (including sun exposure, but especially tanning beds).

I actually love this comment and this style of humor and wanted you to know that I’m absolutely chuffed.

Or you’re night shift and look like death and they just kind of look really guilty while they ramble on for a few minutes before mumbling that you can just go.

Psyllium Husk. Wonderful colon cleasner. It literally does this to your colon.

Mental health crisis -> housing

Anybody working in inpatient mental health right now can tell you that at any one time around 3/4 of our units are occupied by homeless people. Many of them will even fake or exaggerate symptoms of mental illness (usually psychosis or suicidal ideation) to avoid living on the street. Personally I don’t even blame them, I’d probably do the same thing. And it really highlights that housing is the primary driver of the modern mental health crisis.

I’ve talked here before about how delusions self-reinforce by:

• contextualizing everything (even new information that at face value seems contradictory) as part of the delusional belief system.
• driving the person away from non-delusional social supports through repeated conflicts.

So the solution is to get them out of the cult bubble and into diverse reality based interests / hobbies that connect them with people who don’t have those beliefs. You specifically want plenty of variety to increase the odds that they will both:

• find one they like enough to pay attention to outside of the context of the delusional belief system
• find people that are willing to look past the toxicity long enough for them to reintegrate.

For poop:

• the bristol stool scale
• and your frequency (anywhere from daily to weekly is normal and varies a lot person to person so learn your normal)
• color can vary a lot so that’s less important but here’s a few common ones other than brown:
  • bright red. This is a small amount of blood and from very close to the exit so it’s not great but you’ll be fine. Be nicer to your butthole though: stop eating taco bell and use more lube. Maybe put some A&D on the outside until it stops doing that.
  • dark black like tar. This is what a lot of blood from very deep in you looks like. Go to the ER immediately.
  • light grey / white. This means your liver isn’t putting old trash red blood cells into your poop like it’s supposed to and you should go to the ER immediately and find out why not and where it’s putting them instead.

For piss:

• should be light yellow “straw” color and clear
• not cloudy and DEFINITELY never chunky.
• Also should not be a syrupy consistency, I’ve legit seen diabetics pissing and it looks like they’re pouring syrup into the toilet also that’s how you get horrible bladder infections bacteria love that sugar.
• You should also pee about 4-10 times daily and it can vary a lot depending on how much you’re drinking and how much you’re losing other ways like sweating or vomiting.
• if your pee turns a little dark throughout the day that’s fine and you just need to drink more water.
• if your pee suddenly turns dark brown go to the ER.
• beets have a dye that can change pee color and that’s harmless
• some medications can change your pee color and sometimes that’s fine and sometimes it’s bad talk to your doctor about it but for example
  • pyridium turns it red and that’s fine
  • I can never remember which b vitamin but it makes your piss super bright yellow and so people use it to help fake drug tests because it makes their urine look less dilute when casually observed. They’ll be able to tell what you did if they look closer though.

The onion strikes again!

My tech who knows how to take and read basic vital signs, flip granny like a pancake and wash her genitals without giving her an infection, walk her to the bathroom without yanking her IV out or cracking her head on the floor, the basic legal aspects of a psych admission, and the basics of psychosis, mania, etc well enough to briefly counsel a patient on their symptoms and which ones are important enough to notify me about-

-makes 16 an hour. Not that the warehouse worker doesn’t deserve a living wage, but to call that skilled labor, and especially more skilled labor than food service is frankly delusional.

Even my partner who does work in food service knows more than the warehouse worker because he knows the biology and chemistry of food safety and sanitation, prevention of allergen cross contamination, knife / sharps safety, and fire and fire extinguisher classifications and how to put out a grease fire-

-and that was before he got a job in the hospital kitchen where he also learned about specialized medical diets including food and drink thicknesses and consistencies, sodium and carb restrictions, and even safety trays for violent and suicidal patients.

What’s in that warehouse training? How to lift with your knees instead of your back and rotating stock? Storage temperatures? Because food service does all that too. The only thing they might know more about than a food service worker is how to use a forklift, and that’s only if their employer thought they were intelligent and level headed enough to bother training on one, and this post does not evidence those qualities.

Any nurse who’s had their ass beat by a dementia patient at 2am could tell you this.

I love nurse Johnn btw, “mr. smith” is (usually) his character w dementia.

• The witching hour

• General nonsense

• Mr smith in the ceiling again

• But maritas gonna go get him

Also try the math comms this is more of a math question and also I really really wanna know the answer.

I’ve been told I’m annoying and need to shut up as long as I can remember. Probably since I started talking.