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.
Does anyone’s hospital try and get patients or their families to sign a document saying they understand all the things they are responsible for doing to keep safe and not fall? I cannot wrap my head around the logic someone used to create this. My fall risk patients are confused and not appropriate to sign things and what family member would sign it? submitted by /u/GiveMeWildWaves [link] [comments]
Insane assignment and busy as fuck. Walked into a pts room last night and cheerfully said hi there my name is _ and I’d like to get you set up for an XR and mee maw with the quadrupole digit trop sat there and said ‘someone said they were going bring me a warm blanket it’s freezing in this hospital and no one brought me my warm blanket when am i going to get a warm blanket’ i missed no beat said ‘its so nice to meet you. I normally only get blankets for people who say please’ Goddamn if she didn’t say her pleases AND her thank yous after that. Edit: We got on well after that. She said apologized and said please and i got her a warm blanket and we laughed about how we wished we could plug it in to stay warm. I’m just tired of how I get treated at work on a daily basis. There’s no reason not to expect a small amount respect from others. If we don’t owe each other that, then i dunno what we have. And for some reason our profession has gone from being one that people truly respected, to on
Random rant, but I feel like people are constantly telling their stories about overcoming illness and “proving doctors wrong” after being told there was no hope. I constantly see people saying things like “Doctors told us we should give up,” “My doctor told me I had 3 months to live,” “They told me my son would never talk or have any quality of life,” “My doctor said there was no absolutely chance I’d ever walk again,” Or things like “My doctor said she couldn’t believe I wasn’t dead yet after seeing my test results!” I mean…maybe I just haven’t met enough doctors, but I have literally never heard a doctor say anything even remotely along these lines lol, and if I did, everyone would be flabbergasted. Like what? They might say things like “the chance of ____ is very low,” and I guarantee they throw in a “but, we can never be certain.” Or they might say “typical life expectancy at this point is ___ months.” Or they might say “our recommendation is to focus on comfort at this point in th
submitted by /u/BaraLover7 [link] [comments]
So last night I had to get a stool sample. Three different labels printed, i collected my sample and butterfly the labels and walked it down to lab. The tech told me it was unacceptable that way the labels was on, i said I did it before with no issues. He said it needed to be redone at bedside i said fine, give me the sample and I will go redo it. He then said nope and took the sample. I told my charge nurse who then went down and got my sample back, he had some words with the lab tech. My charge nurse said this guy is always on a power trip. Now I feel bad because I dont want my charge nurse to get in trouble for defending me. No matter what happens it always the nurse fault. He told me not to worry about it but I still dont want him getting in trouble for helping me. submitted by /u/ScarOk7288 [link] [comments]
We got AI photos in our health streams submitted by /u/emeritus_lion [link] [comments]
Five (yes FIVE) weeks ago I was the on-call OR nurse. I was called in once around 11pm and sent home, and then called back in around 2:30am for a c-section. So going on about 1 hour of sleep at this point. The c-section was urgent, not a crash. While we were waiting for the on-call Anesthesiologist to come in, the surgical tech and I went to open the OR and count instruments. When I got to the patient’s room, there seemed to be little urgency (the patient was talking on the phone to their baby’s father about locating her birth plan and him getting to the hospital). When she finally ended the call we headed to the OR. The OB who was doing the c-section came with us to the room while her spinal was placed. I then quickly did a vag prep and inserted a foley and was putting on sterile gloves to start prepping her abdomen. At this point the patient is lying awake on the table, the L&D and neonatal nurses and Neonatoligist are in the room. The doctor looks at me and claps his hands and says
OR nurses I need your opinion. Everyone else is welcome to chime in as well. So we had a nasty shit fly in the OR flying around in the actual room not in the halls not in the department IN THE OR. We were trying to kill that thing and in the process became increasingly aware of the fact that our ORs are beyond disgusting. We slapped at the fly on the room lights and I kid you not, pounds of dust fell to the floor. We slapped at it on the boom dust bunnies were hopping around. We literally could not believe how much dust was not kept up with in our OR. Anyway long story short the charge nurse calls in and asks what’s the hold. We tell her there’s a fly in the room and we’re trying to kill before either the patient comes back or before it lands on the setup. She tells “Oh we don’t delay cases for flies or insects in the room.” I was flabbergasted. We talk about surgical conscience and how if it was our sweet sweet mamas or family members we would change our gloves or break down an entire
To sum it all up. I was offered a job position of $31 from a hospital that I previously left (2 mo ago). Prior to my resignation, I had a base of $31, shift diff of $6, plus the hospital monopolized and $4 more were added prior to me leaving. I made $41/hr! HR at this other job position said to me and I quote… “because you’re a rehire with 3 years of experience we’ll have to drop your rate back down to $31/hr. Are there any questions?”. I immediately said “yes, I’d like to negotiate my offer. I am currently salaried but if I were to take that into an hourly it’s $36. Could we aim for this?” … they said to me “I will reach out to the director and see what they think”. Well needless to say it’s been about a week now and no response from them and honestly I’m okay with that. The least they could’ve done is matched my current pay. I even excluded the shift diff! That’s ridiculous. Especially since I’m not new grad. The sad thing is I’ve had 2 years prior of vascular surgery, general surger
What the title says. The amount of patients I see that are continued to be hospitalized when their outcome isn’t necessarily going to improve is a lot on my surgical floor. We are a level 1 trauma with no nearby level 1’s so I get to work with many TBIs, some hospice and a surprising amount of demented patients (high fall population). I get that there may not be a better place for them to go, but sometimes, many times, it seems like there has to be. And if there isn’t, then we need to be better ourselves at accommodating these complex conditions. I sit often, as I’m still a tech. I get to spend 12 hours locked in rooms with these types of patients often. It hurts my soul watching these people remain bed ridden, possibly restrained, in an unfamiliar place with sparse visitors. To be so alone, confused, and with no light at the end of the tunnel, is incredibly depressing. That’s not to say I hate my job though, because these issues are the reasons I love it. I get to be the person who is
"Hey nurse, do you have time to cut my dad's toenails today?" "Sure! I've got a 25 cent hunk-of-garbage clipper in par stock. Should be no problem!" submitted by /u/TruthWarrior27 [link] [comments]
How many measles pts are you guys seeing? I work in Pennsylvania, and we are seeing multiple a day in the ED. It is absolutely wild. It is mostly in the Amish community, because they don’t get vaccinated. The frustrating thing is we never used to get measles pts with the Amish. It is because they interact with the general public, got it from the unvaccinated general public, and now it is spreading like wildfire throughout the Amish community. submitted by /u/HubbaBubbaBubbaWubba [link] [comments]
submitted by /u/Emergency_End_7290 [link] [comments]
Tried out the ER for 8 months. Pretty soon into it I knew this wasn’t for me but I told myself to give it a year. I cannot do this anymore. I’m putting my mental and physical health on the line to care for people who berate me every day for things outside my control. The fact that wait times are 6 hours is not my fault. I have 3 other patients, one who is critically ill, and me not seeing you for an hour doesn’t mean I’m lazy. I’m sorry your mom got put in a hallway bed and needs to be changed in front of everyone. Being verbally and physically assaulted by drunk/high people who get a pass and come back every day to cause trouble and waste our resources isn’t my idea of fun. Stupid people are making more stupid people. I have such a pessimistic outlook on life. I pride myself in trying to provide the best care possible for my patients and that’s not possible here. We have no support from things like social work or pharmacy at night. I tried this out to expand my skillset but I’m just n
Kid is a hot mess, but parents can’t be bothered cause they’re too busy cuddling with each other on the sofa lol. 😂🤦🏽♂️ submitted by /u/umrlopez79 [link] [comments]
Does your facility still require dual sign off with 2 nurses for blood products at the bedside? I’m hearing some hospitals just scan the blood and nurses just double check with the computer nowadays. Is this a common thing??? I don’t know but it seems wild to me to see this practice… and a little unsafe IMO. submitted by /u/sweetdivin3 [link] [comments]
My little niece turned 7 and had a Taylor Swift themed party today. We made cute bracelets. submitted by /u/thatChickfromtheChos [link] [comments]
No PHI in the photos. This was about a month ago. I had an Amish patient who came in with no history for “not feeling well” due to “mild chest pressure” and was constantly in A-fib/RVR. BP was initially fine until I gave Cardizem. The push alone decreased his SBP from 140 to 100 over about 10 minutes, and the doc asked me to still start the drip and just give fluids if needed. Systolic rose to like 110ish, so I started the drip at 5. Monitor said the MAP was suddenly 50-55 at my first q5m BP with a rate still >140/150 🥲. Patient was still as responsive as before (moaning and pale but oriented x4), but I stopped the drip and could barely auscultate a manual BP while my preceptee alerted the doc. I pressured-bagged fluids in my other line while I waited. When they returned, doc looked at the patient and just sighed. We got the BP to come back up a little then pushed digoxin. Waited. Nothing happened. Waited. Nada. So my preceptee and I return to our computer just outside the room. I see
Hi all, I recently was offered a job on Jefferson Methodist Hospital’s PCU and was absolutely shocked at the rate they offered. The recruiter told me I’d start at $54.02. I’m moving from Columbus, OH, where I’m making $36.70 also on a PCU. I have three years of experience and am wondering if this offer is insanely high for my experience or am I just out of the loop? Thanks in advance. submitted by /u/jtodd94 [link] [comments]
I had the privilege to be with my spouse as they passed. They were diagnosed with stage 4 terminal cancer, and honestly, the realization that "today" was THE day, took us both by surprise. Hope is blind. We both knew the writing on the wall. My spouse begged me to go home so I could be rested for the next day, and I did, but couldn't sleep so went back to the hospital. What I would like to know is how much my spouse suffered because I couldn't leave their side as they were "transitioning." My spouse was given morphine to ease their passing and I was told I should request more if they seemed like they needed it. They did. But I was so adamant about not leaving their side, I think I might have made their passing more difficult than it should have been. Watching them pass, and gasping for the last breaths is a traumatic vision I can't ignore. Please don't sugar coat anyting. I'm well aware I failed my spouse. I just wonder just how difficult it was for them. submitted by /u/Lover_of_Lucy
I carry my cell, my drug phone, and trauma shears, sometimes a stethoscope, even rarer to have a pen. If I work in certain areas I'll have another phone and a pager. submitted by /u/deadecho25 [link] [comments]
Caught a patient going into severe sepsis territory right before shift change and informed the docs, got a whole bunch of orders and people to come into the room right at shift change. Handed off the patient in stable condition to night shift only for patient's daughter to start yelling at me saying I was being rude and rough with her dad all day and that she was gonna report me to my manager. The reason? Because earlier in the shift one his IV started leaking so I removed it but I had to apply extra pressure because it was bleeding a lot. He screamed. He was also the type to jump and scream anytime you flushed any lines, i.e. I'm torturing him. When I was starting to sepsis bolus I couldn't find his IV for a minute so I was turning his wrists around and telling him to keep them straight. An absolute lunatic. Why I gotta do that? When I left, there was another angry family member in another room wanting to speak to the CEO because the patient's BKA touched the edge of the CT scanner an
I’ve been an ICU nurse for 4 years and assisted with ~3 codes in which I was either the recorder, compressor, or the one pushing meds. But last night, it finally happened to my own patient. Internally, I kept saying, “what the fuck… what the fuck… no way this is happening,” while simultaneously seeing the monitor alarm asystole, seeing the A-line go flat, and feeling no pulse. I yelled for a crash cart, then remembered I’m in a negative-pressure room with the doors closed, so no one could hear me. I ran to press the Code Blue button and then started compressions. It felt like forever waiting for the team to come in with the crash cart and Zoll. My coworker took over compressions, and I helped put pads on the patient. After two minutes of CPR, the patient had ROSC. The patient is still very sick, but alive. And for the first time, I can say I’ve actually had to code my own patient. It was such a surreal experience. What was your first code experience like? submitted by /u/Beautiful-Viol
TLDR at the bottom. Context: least paid ER in my city, level 1 trauma, 80% floor staff is travel RNs, department is in the middle of a mass exit We have a union & I'm core staff, and we have safe harbor. They are using the excuse of "orientees are extra hands" Trauma has frequently had 15:3, and we're lucky if we have a 50:2 for our lobby. We're in the middle of the eye of the storm situation where this is our lower census time of month and we're going to hit a HEAVY upswing with past trends of 90+ in the lobby holding well into the 30s for admits. Our quick turn area has frequently been used to 'stablize' resus patients who have the potential for a room vs going back to resus. Keep in mind we have ONE cardiac monitor for this area. Of course we've been breaching our protocol for patient treatment vs what our management wants. Recently we had someone die in our lobby and just a couple days ago and orientee who was being used as a functional floor staff medicated the wrong patient with
Yes, they sent me the hush money (chocolates). And i encouraged them to lightly haze their coworker for that almost big whoopsie. Anyone else have a good whoopsy story. Please share! submitted by /u/OneSmallTrauma [link] [comments]
I’ve been a LPN for 8 years and in December I obtained my RN. I was hired for a new grad residency in an ICU. I was excited so excited , but it’s turned into a nightmare. My first day (also the entire week) I was precepted by a young nurse that in my opinion shouldn’t have been a preceptor. My first day I introduced myself and I let her know my experience, and I also identified what I thought were my weaker areas. I feel like they were weaponized against me, and I was purposefully put in situations that would make me look incompetent/ stupid. One of the areas was vents. I was doing something for a patient when she said that she would be right back. I didn’t think much of it until she wasn’t right back. The patient needed to be suctioned frequently, and I had to grab her I was inexperienced with intubated patients. The family was upset and after they left the room, we went to give the patient a bath. She smirked as she was exiting the room and said “Start the bath. You think you can han
Amazing how hard I’m being downvoted within minutes. Don’t dare disrupt the basement dwelling keyboard warrior’s fantasy world! submitted by /u/Br135han [link] [comments]
For me it was removing bugs from ears. I have never had to do this, but I feel like we spent a considerable amount of time on this. At least it’s a cool party trick up my sleeve should the opportunity present itself submitted by /u/miss-swait [link] [comments]
I have a few. For example: -Fish Fridays -Smells. All the smells! -Entering the soiled hold before the bins have been taken and replaced with empty bins. I suppose all of these fall under “smells”! There are so many more… submitted by /u/Clean-Mycologist-298 [link] [comments]
SO MANY ridiculous posts from patients, other workers, etc lately making complaints against nurses. Some of them are obviously just mentally ill, but others are actually kinda funny. They aren’t allowed in this sub and get deleted (Rule #2). Should we making a sub entitled Nursing Complaints? 😂🤔 submitted by /u/No_Knowledge4718 [link] [comments]
So I keep to myself at work. I’m polite and helpful, but everyone knows I’m not the socializing type. I don’t engage in gossip about other coworkers and I don’t socialize with them outside of work. For that reason, I seem to get along with everyone on a surface/professional level and I like it that way. I accidentally became close with this one coworker and I’m quickly regretting it. This coworker has an issue with everyone and wants me to know about it. She’ll come to my desk and start whispering about someone sitting a few feet away. Never has anything positive to say about anyone or anything. Always in some drama with other nurses or techs. My issue is, because I’m more cordial with her at work than I am with others, people are starting to see us as a unit. I’m receiving the cold shoulder from people she’s antagonized, and that’s not the type of work environment I want to exist in. I’m really struggling with how to separate myself from her without creating drama. As a people-pleaser
These 3 capsules came out of these 2 packages, somehow. I peeled them and dumped them into a pill cup. As I was handing the cup to the patient I looked inside and there were 3 capsules instead of the expected 2. I was so confused, I took them out in the hallway to get my phone and take a picture to confirm I was not hallucinating. It was 2am when this happened. I tried to fit 2 of them in the blister pack and they really had to be squished to fit so it makes NO sense to me how this could have happened! Anyone ever experienced this? submitted by /u/Beginning_Fun_3913 [link] [comments]
Nursing school covers a lot of the clinical side but almost every nurse I have talked to says the real lessons came later, usually the hard way. For me it was realizing charting takes way longer than school ever let on and it eats into time you thought you had for patients. Wondering what it was for you, could be something clinical, a time management issue, or just getting through a rough shift. What is the one thing you wish someone had told you before you learned it on your own. submitted by /u/Diligent_Bridge_1674 [link] [comments]
I’m just randomly eating lunch in the middle of a chaotic shift and thinking about how grateful I am to be a nurse. I just got my heart smashed and I don’t even care because I’m too busy being a nurse. I had a night off and fell apart, but every night that I’m at work, I don’t even remember that I’m sad. I’m too busy making sure every person I take care of is as comfortable and healing as can be. There’s a whole lot of actionable steps I can take towards that, and every little step makes a difference. And when I’m not busy with all the things I have to do, I’m too busy yapping with my coworkers and they’re so funny. So yeah, I’m gonna pick up another shift 🤷🏻♀️ submitted by /u/ladytenacity [link] [comments]
Let me just preface this post and say, I have absolute respect for every single nursing students and I admire those who truly is in it because for passion and see themselves getting in the industry to find a fulfilling life career. This past week, I had a chance to partake in an an event that lets current team members meet and greet all the students that had their clinical in our facility who are interested in applying or have applied to our new grad program. Our facility decided to do it with the intent to truly get to know candidates, get feedback on what they think would be supportive during their transition from being a student to licensed nurses, as we have seen an influx of new grads burnout within the first year. We pride ourselves on being supportive to the new generation and we don’t condone the “eat your young” attitude in our floors. BUT! Oh my lawd, I was appalled by how majority of these participants are truly not prepared to practice bedside. They can’t answer simple ques
I saw a post earlier about how a hospital is cutting the ICU unit differential (awful). However, I’ve never heard of a unit differential before. I work in an “everything” ICU (I’m talking CT surg, neuro, level 1 trauma, medical) and I’m curious if other ICU nurses or nurses working in specialties that require extra training get any kind of differential for doing so? submitted by /u/blobbin3 [link] [comments]
and yes I was paired submitted by /u/Old-Bowler4150 [link] [comments]
I don’t know who needs a feel-good story, but here goes: I‘m a new nurse, not new to healthcare, in a critical care unit with a few other new grad RNs on orientation. Last week, a resident came through and asked one of the new nurses what her patient’s urine output had been that day. She gave a perfectly acceptable response, “Let me look that up for you.” Y’all, this guy started lecturing her HARD. Him: You want to be a nurse, right? Her: I am a nurse. Him: Oh, OK, sorry, you are a nurse. If you’re going to be a nurse, you need to…blah, blah, blah. (as if he went to nursing school, not medical school, and is going to teach her how to do her job. Preceptor: EXCUSE me, don’t talk to my orientee like that. Resident starts listing all the reasons he needs to. Preceptor: No, if you have a problem, talk to me. Resident gives a little more lip and then leaves. 30 minutes later…unit manager comes to the unit. Preceptor tells her what went down. Manager: He did WHAT?!? Oh, no. He better not be
Hey guys (idk if this is even the right place to post this), I am a new grad RN who just got a position in the OR. I've been in this position for about 2 months, and I was just wondering if anyone has any advice on how to get more acclimated to an environment like this because I honestly feel pretty lost. I've been talking to my preceptors and know that "things will just come with time" and "that because I'm so new it's ok to make mistakes and not know everything" and "not to be too hard on yourself", but I just feel lost and a beat behind everyone. I enjoy where I am and what I'm doing and know that progress isn't linear, but I feel like I'm just making too many easy mistakes and nothing feels like it's sticking even though I'm trying my hardest. Idk I'm sorry if this just has some cliché answer but I just feel super lost and unsure about everything I'm doing to the point where I'm just anxious about going to work every day. Thank you in advance for any help! submitted by /u/lol_44_ [
Spotted at a hospital near you submitted by /u/Mediocre_Radish_7216 [link] [comments]
New RN — is this normal urgent care chaos? I’m a new RN working in urgent care in Maine. I actually like it for the most part, but I’m trying to figure out what’s normal vs. what might be a problem with the practice. We see a surprising amount of high-acuity patients because the closest ED is 20 miles away, but our resources are limited. For example; The other day we had a patient actively seizing and didn’t have lorazepam available. I’m also one of the only RNs, so there’s very little I can delegate because there’s no support staff and often all other nurses are tied up. I end up doing labs, autoclaving, IVs, meds, procedures, etc., while also managing my own patients. There’s also a general lack of urgency, things get done, but I often feel like I’m the only one thinking about what needs to happen next and seeing patients based upon acuity, and I cannot delegate because I’m new and no one takes me seriously (rightfully so….) but I’m the only RN and it is my responsibility to make sur
Some context: Had a patient with inflammation in his upper respiratory tract. We contacted the primary team and they got ahold of an ENT resident to come take a look, they said compared to their scope from the day prior, it looked stable. Fast forward it’s roughly 0430 and I’m in the patients room administering IV diphenhydramine and doing our routine blood draw. About 5 minutes later it looked like he was seizing but I realized he wasn’t breathing. Called my preceptor on the vocera and started yelling help hoping someone can hear from the hallway. Ended up calling a code blue because he no had a pulse and I started compressions. Between me and my preceptor we did 4 rounds of CPR and were able to get a pulse back. For the rest of the shift it felt like it was my fault for what happened to him. I don’t know if it was the Benadryl I gave, or because I was sticking him for the blood draw, or because I wasn’t being more diligent for whatever reason. All in all, I feel like I did something
Even funnier if it’s the red one. submitted by /u/SavvyKnucklehead [link] [comments]
TLDR below. I've been a med/surg RN for almost 5 years now working on the same unit since a new grad, but I've hated it since day 1 and I have been beyond burnt out. I work nightshift weekends only, and because I signed up for the weekend contract the pay is excellent ($39/hr base + $7/hr night weekend shift diff + $10/hr weekend contract). I am single, live alone, and support myself... so this money has really helped me thrive by not having to worry about $/bills because all of it gets paid with tons left over every month. But man has this job sucked the absolute soul out of me. My anxiety seems to have gotten worse year over year, I dread going into work to the point of tears, I am a zombie on my days off despite having a consistent schedule (3 on 4 off), and I just HATE direct patient care now. We also float so much and I'm so sick of going to other units without proper training and getting shit assignments, and it doesn't help our hospital took away our float pay a few months ago.
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My director is mad because I wrote a Nurse's Note. I work in a nursing home. During my overnight shift one resident assaulted another resident resulting in the victim having a (minor) injury. Both parties have dementia. I went through all the proper procedures. Alerted the PD and EMS and ended up getting the aggressive resident sectioned and taken to the hospital. I alerted residents' families, called the DON and the NP on call for orders, filled out the paperwork and got everything squared away. The DON told me not to write a Nurse's Note for either resident on the incident which seemed odd. If there is any incident at our facility involving resident injury or change in condition we have to write a Nurse's Note. I was scared about not writing a Nurse's Note and documenting the assault. I thought it might reflect badly on my license. So I wrote the Nurses' Notes anyway. Now my DON is furious, saying because of my Nurse's Notes she has to report the incident to DPH and get the state ale
I recently accepted my first full time RN job as a new grad, and I’ll get paid $55/hr. My goal right now is to save as much money as possible, so I’ve been hearing about nurses working per diem or picking up side gigs in addition to their full-time job. Would you recommend a new grad start working per diem as an RN right away? Are there other side gigs that you’d recommend for a new grad who wants to earn extra income? I’m willing to work a lot but I also don’t want burn myself out. submitted by /u/No_Bus5203 [link] [comments]
Last night around 22:30, I was starting an IV. I work medsurg and this was a good shift for me. I had passed all of my evening meds. I had then requested all of the additional medications that my various patients had insisted they needed, obtained orders from our very patient night hospitalist, and circled back to pass this bonus round of meds. All of this by 22:30. So many little side quests I won't bore you with, completed at this very reasonable hour. And then I got the IV on my first try. A really promising start to my third night of three. I look up and see on the wall a suction canister with about 400 mls of brown liquid. This patient came to the hospital with a SBO. They do not have an NGT currently, but I know from report that they did have one recently. So, not entirely bizarre to see a container partly full of stomach acid on the wall. I retrieve the container and, naively, mind already racing ahead to the next few things I have to do, dump the liquid in the toilet. By the ti
Just found out I’m getting paid $1.50 more than new grads as an RN with 4 years of experience. I’ve been here for 1.5 years, I already had 2.5 years of experience when I started this job. Is that typical in nursing? We usually get a pay bump around Nov, so I’m waiting to see what it’ll be. Although I’m not expecting anything more than $2/hr. submitted by /u/Reasonable_Row1681 [link] [comments]
Our unit director came during morning huddle the other day, and told us that our unit diff is being cut completely starting in 2027, hospital wide. For us in ICU, that’s going to result in a 22k annual decrease. Budget cuts will budget cut, but a 20% pay cut is a tough pill to swallow, especially in a level 1 icu. submitted by /u/_Valhalla___ [link] [comments]