OFFICIAL: Health Care Thread. Health Care Crew Unite!

[arman24]

Seriously? Why? Why not go from bsrn to MD?

If you try to become a doctor after getting your BSN you will basically be starting from scratch srs.

[fbreaker]

If you try to become a doctor after getting your BSN you will basically be starting from scratch srs.

yep, two totally different pre-requisites courses.

[Tormoz]

If you try to become a doctor after getting your BSN you will basically be starting from scratch srs.

Interesting. Ill have to look at that. Thanks

yep, two totally different pre-requisites courses.

Almost done with my nursing prereqs. Dang it.

[arman24]

Interesting. Ill have to look at that. Thanks

Almost done with my nursing prereqs. Dang it.

You can always look into nurse practitioner, it's as close to being a doctor you can get without being a doctor lol. They do a lot of the same things a doctor does.

[Tormoz]

You can always look into nurse practitioner, it's as close to being a doctor you can get without being a doctor lol. They do a lot of the same things a doctor does.

I was thinking about ARNP or Anesthesiologist, but doctors make muuuuch more. Idk.

[guyman123]

I was thinking about ARNP or Anesthesiologist, but doctors make muuuuch more. Idk.

inb4 you're not even in nursing school, you don't even know what you want.
inb4 have you even shadowed an ARNP let alone set foot into an OR?
inb4 if you do it for the money, you're going to get burned out really quick.

[Tormoz]

inb4 you're not even in nursing school, you don't even know what you want.
inb4 have you even shadowed an ARNP let alone set foot into an OR?
inb4 if you do it for the money, you're going to get burned out really quick.

Shadowed an ARNP, 4 surgeons, 2 FP's, and a Dentist. Not doing it for money, I wouldnt be in school if that were the case.

[StickLegs78]

I was thinking about ARNP or Anesthesiologist, but doctors make muuuuch more. Idk.

What about astronaut?

[fbreaker]

dead. fckin. serious. question

what do you guys wear for "business casual"

[guyman123]

dead. fckin. serious. question

what do you guys wear for "business casual"

[Tormoz]

This guys avi^

[guyman123]

Probably one of the sadder cases I've seen on my unit so far. Had a patient who hemorrhaged and coded during her c-section and she was brought up to my unit. She was given 30u PRBCs and some units of FFPs. I've only had two super sick patients so she was supposed to be mine, but she died in the OR the afternoon before my shift. Had a factor VIII problem or some chit. Baby is okay though!

[KMadigan777]

Trying to get some info on nursing from bros in it. If anyone would be ok with PMing I would really appreciate it. But in generally I kind of miss the challenge/novelty of fire fighting but that is in my past now, but I have been considering getting my nursing degree and working in an ER. Any insights?

[Rabbitw00t]

Probably one of the sadder cases I've seen on my unit so far. Had a patient who hemorrhaged and coded during her c-section and she was brought up to my unit. She was given 30u PRBCs and some units of FFPs. I've only had two super sick patients so she was supposed to be mine, but she died in the OR the afternoon before my shift. Had a factor VIII problem or some chit. Baby is okay though!

A crappy situation. Likely placenta accreta/increta coupled with a bleeding disorder (factor 8 likely hemophilia A though not very common in females). If both were known, the situation can easily be prepared for. You weren't there but ideally, mass transfusion should near a 1-1-1 ratio. (prbc/ffp/platelets) the platelets at every 6 since they're considered a 6-pack. Can't forget about cryo based on fibrinogen. Would have been great experience if it came out to you. Do you know much about TEGs? They can be very useful in guiding your transfusion.

[SoyEnergy]

took my nclex today. left the room after 75 questions with a big smile on my face. will be praying the next 48hrs

[.:Chris:.]

took my nclex today. left the room after 75 questions with a big smile on my face. will be praying the next 48hrs

Not doing the new CC trick?

[Megalomaniacal]

what's up guise?

so a hospital down the road from me (not one of mine thank goodness) just had a young mom kill her own child in their hospital room and then killed herself. craziness.

[Megalomaniacal]

Trying to get some info on nursing from bros in it. If anyone would be ok with PMing I would really appreciate it. But in generally I kind of miss the challenge/novelty of fire fighting but that is in my past now, but I have been considering getting my nursing degree and working in an ER. Any insights?

if you are looking at it for a novelty, that is the wrong mindset to have

[guyman123]

A crappy situation. Likely placenta accreta/increta coupled with a bleeding disorder (factor 8 likely hemophilia A though not very common in females). If both were known, the situation can easily be prepared for. You weren't there but ideally, mass transfusion should near a 1-1-1 ratio. (prbc/ffp/platelets) the platelets at every 6 since they're considered a 6-pack. Can't forget about cryo based on fibrinogen. Would have been great experience if it came out to you. Do you know much about TEGs? They can be very useful in guiding your transfusion.

Got damn, you're fukking smart. No, I don't know what TEGs are.

what's up guise?

so a hospital down the road from me (not one of mine thank goodness) just had a young mom kill her own child in their hospital room and then killed herself. craziness.

I heard about that. The article I read made it sound like the nurses found them hours after she shot the kid. I wonder if that's the case. Intredasting.

[bernbabybern820]

Travel nurse brahs... how the hell do you pick a travel nurse company to reach out to? It seems like there are hundreds of them. Kind of want to go to Portland (living in DC now)

[moofthedog]

Shadowed an ARNP, 4 surgeons, 2 FP's, and a Dentist. Not doing it for money, I wouldnt be in school if that were the case.

I was thinking about ARNP or Anesthesiologist, but doctors make muuuuch more. Idk.

The fact that you'd even question whether you'd want to be an M.D or not means you shouldn't imo.
It's a huge commitment as you're aware, 4 years of school and 3 years of residency. It's super competitive, with a seemingly endless supply of Asian and Indian students who have dreamed of getting your spot in med school since they were in the pre-operational stage of development.

And if you want those ridiculous bucks be prepared to work ridiculous hours. At what point is more money worth it? Plenty of nursing brahs here probably grossing 50-70k working 3-4 12's per week, that's enough to afford bills, save up for retirement and still have a decent amount of disposable income.

[DatMurse]

Travel nurse brahs... how the hell do you pick a travel nurse company to reach out to? It seems like there are hundreds of them. Kind of want to go to Portland (living in DC now)

see what they have to offer. as much as amn healthcare has a bad rep. They have the highest amount of contracts.

I just went from travel to perm at my hospital. I did my share of research. I talked to people and picked the one who didnt talk to me like I am an idiot but an Actual person. I do not fare well with teh whole car salesman talk. Spicyprice is with TNAA and I was with AMN

[arman24]

Tfw u find out Biology and Chemistry don't count towards your science GPA when u apply to the nursing program and u got A's in them so your GPA won't be as high as u thought it would be feelsbadman

[StickLegs78]

A crappy situation. Likely placenta accreta/increta coupled with a bleeding disorder (factor 8 likely hemophilia A though not very common in females). If both were known, the situation can easily be prepared for. You weren't there but ideally, mass transfusion should near a 1-1-1 ratio. (prbc/ffp/platelets) the platelets at every 6 since they're considered a 6-pack. Can't forget about cryo based on fibrinogen. Would have been great experience if it came out to you. Do you know much about TEGs? They can be very useful in guiding your transfusion.

Probably Von will brands , the treatment is factor VIII concentrate. Pretty sad if this wasnt given. You need to call the blood bank as soon as you get into weird bleeding so you can get the hematologist involved.

If it's really hemophilia A, you don't give ffp or cryo as it just leads to antibodies and screws stuff up for later.

[Rabbitw00t]

Probably Von will brands , the treatment is factor VIII concentrate. Pretty sad if this wasnt given. You need to call the blood bank as soon as you get into weird bleeding so you can get the hematologist involved.

If it's really hemophilia A, you don't give ffp or cryo as it just leads to antibodies and screws stuff up for later.

True as von Willebrands is the most common, would still shoot for desmopressin if in that situation. Probably get it faster too

[Megalomaniacal]

I heard about that. The article I read made it sound like the nurses found them hours after she shot the kid. I wonder if that's the case. Intredasting.

They did rounds every 2 hours at that facility, so between rounds she suffocated her baby then shot herself

[spicyprice]

see what they have to offer. as much as amn healthcare has a bad rep. They have the highest amount of contracts.

I just went from travel to perm at my hospital. I did my share of research. I talked to people and picked the one who didnt talk to me like I am an idiot but an Actual person. I do not fare well with teh whole car salesman talk. Spicyprice is with TNAA and I was with AMN

Im actually with PPR now. They were offering better contracts for NY than TNAA. PPR REALLY stood up for me on some issues that came up when the nurse manager said there were extra shifts required and when i agreed to the extra shift they gave me a legit OT rate whereas the other chics are getting 20/hr at time and a half. There has also been an issue where I am possibly going to be listed on a lawsuit (incident didnt happen on me, THANK GOD) and they put me in contact with their clinical supervisor who took notes and agreed that I will probably be listed due to the fact that I am a traveller and my company holds another "bank" of malpractice insurance and who reassured me that when the time came they will have my back. SHe listened to a lot of my safety concerns wih the unit and they were willing to pull me out if I wanted.

AMN/Cross Country have a bad rap for a reason. The thing with them having the most assignments is that although they may be the main contract holder, they can never fill all of the positions so they ALWAYS have to open it so other companies can bring people in. SO any contract that AMN has, other companies have too.

[swimmd99]

Probably one of the sadder cases I've seen on my unit so far. Had a patient who hemorrhaged and coded during her c-section and she was brought up to my unit. She was given 30u PRBCs and some units of FFPs. I've only had two super sick patients so she was supposed to be mine, but she died in the OR the afternoon before my shift. Had a factor VIII problem or some chit. Baby is okay though!

You should figure out the diagnosis and read about it so you're prepared for when it happens again

A crappy situation. Likely placenta accreta/increta coupled with a bleeding disorder (factor 8 likely hemophilia A though not very common in females). If both were known, the situation can easily be prepared for. You weren't there but ideally, mass transfusion should near a 1-1-1 ratio. (prbc/ffp/platelets) the platelets at every 6 since they're considered a 6-pack. Can't forget about cryo based on fibrinogen. Would have been great experience if it came out to you. Do you know much about TEGs? They can be very useful in guiding your transfusion.

Definitely bleeding disorder but there are many others beside FVIII deficiency, some far more severe

Depending what it is, even a massive transfusion protocol may be useless

Probably Von will brands , the treatment is factor VIII concentrate. Pretty sad if this wasnt given. You need to call the blood bank as soon as you get into weird bleeding so you can get the hematologist involved.

If it's really hemophilia A, you don't give ffp or cryo as it just leads to antibodies and screws stuff up for later.

plasma or cryo may be useless and not contain enough FVIII in regards to hemophilia - the development of antibody is independent of that and a risk with almost any FVIII preparation. Even if vWD is more common it would depend on the severity of the disorder

True as von Willebrands is the most common, would still shoot for desmopressin if in that situation. Probably get it faster too

desmopressin is effectively useless in life threatening hemorrhage.....if vWD you'd give an impure FVIII concentrate - but you should be doing this with appropriate concentrate respectively prophylactically for either vwd or "hemophilia"

hematologist signing off

[Megalomaniacal]

tfw you are standing in an elevator of people at the hospital and some little girl is coughing all over everyone without covering her mouth. Even when one of the nurses sweetly asked "how about we cover our mouth when coughing?"

the little girl smiled and proceeded to cough more on purpose on everyone.

[GetHimABodyBag]

TFW

Taking a black trash bag with a 3.5 month aborted fetus and "sliding" it out into a tub of formaldehyde.

34 y/o mother. P:4 G:9
Nonchalant about the whole thing.
2 kids looking at me. Mom didn't mind them being in the same room, told the kiddos to look away.

Can't get it out of my head. The little black eyes, undeveloped head, the limbs, in a fetal position.

I am so disturbed and weirded out.