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.
I work in LTC and have for years, so I’ve had hundreds of hospice patients at this point and have seen many of them die. I have absolutely no issue giving comfort meds, I think they are absolutely necessary for a peaceful death in a lot of cases. However, this one has made me question a lot. I currently have a resident who has been on hospice for a few months now. They are definitely making a decline and had a really bad week this week, but they weren’t declared to be actively dying. They are receiving more hospice visits though. Yesterday this resident seemed to be normal and baseline. They have dementia and are normally a wanderer so that’s what they were doing. They fall quite often, but they have for the whole year they have been here and years before when they were at home. In LTC the resident has a right to fall, so no restraints are allowed. The hospice nurse asked me if I had given them any meds yet that day, and I hadn’t because he wasn’t agitated or didn’t seem to be in pain.
*trigger warning- bugs* Charge RN in medical ICU here- we found maggots in one of our patients mouths today and I’m wondering what the likelihood is of the eggs originating from our unit (I.e did one of these fucking flies lay eggs in our patients mouths????) Patient admitted 6/28 for sepsis and was intubated 7/5. Maxed on 4 pressors now. ENT came to evaluate and ultimately said nothing they could do because pt is obviously too unstable for OR. But they made a comment saying that the maggots have been there for a while due to the amount of them. Upon further research it seems like the eggs are layed and hatched with a day. So we are all paranoid that these flies on our unit actually caused this. Does anyone have any experience with this? submitted by /u/cjd5081 [link] [comments]
Found these relics at a local town museum in Maine. I am uncertain when these bedpans and urinals were made but the building itself is from 1810 and became a museum in 1987. submitted by /u/ChemicalEcho [link] [comments]
RNs complain about CNAs and Clerk, CNAs complain about RNs and Clerk, Clerks complain about RNs and CNAs. It’s just non stop complaining and no one wants to (or can) do anything to make it better. As a clerk I have seen bad RNs, CNAs, and Clerks. I try to get along with everyone but it feels like a test of patience and professionalism. Call bells going off and RNs running in to help patients use the bathroom when the CNAs are sitting playing with their phones. RNs yelling at CNAs for having questions. Clerks literally just sitting there doing nothing. No one communicates professionally or acts professionally at all. I don’t expect anyone to be corporate but at least have some professionalism. Working as a clerk wasn’t my calling it was just the only job I could get and I plan to transfer to a job I like within my hospital. But seeing all this BS really makes me want to transfer out quicker. submitted by /u/LuckyVirus4781 [link] [comments]
I’m an LPN, I work in med-surg. And I’m sure many of you can guess, based on the title, what company I work for. Every day, I’m terrified for the well being of my patients, and I’m terrified for my license. Each nurse has 7 patients, and each PCT has 20+ patients. We recently had several nurses quit with no replacement staff being hired. Nurses have been fired for trying to unionize, management regularly documents that we clocked out for lunch even when we didn’t. Nurses feel pressured to clock out for lunch but work through their lunch so they don’t have to stay late. I have a year before I’m an RN. My employment options are limited. Idk what to do. submitted by /u/sparkplug-nightmare [link] [comments]
Wonder if it has any anxiolytic properties. submitted by /u/Ok_Dimension2197 [link] [comments]
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Or both? This person lives or stays with someone at my apartment complex. It's kind of giving "my job is my only personality trait" but at the same time I kinda want to meet them, because only people in healthcare would know what that is, so maybe that's the point. Then again I may already know them, since we're less than 10 minutes drive from the hospital. What we thinking? ICU? submitted by /u/Far-Spread-6108 [link] [comments]
I just started working in an emergency department that has a locked psych unit. I'm new to the ED but I knew I would have to rotate through this unit. What wasn't clear to me was that I would be assigned to the psych unit once every three shifts. I honestly don't know if I can handle it. I'm not the worst at handling psych/behavioral/mental health crisis type of stuff but it's definitely not my thing. The amount of psych/behavioral issues we deal with in the regular ED is enough for me. I'm not easily spooked but I genuinely feel on edge regarding my physical safety there. ED nurses, what do we think about this? submitted by /u/calypsoorchid [link] [comments]
I would really appreciate any form of advice or encouragement. I have two years of nursing under my belt, and started on a new unit five months ago. This week I had a complete mental breakdown at work. Snot, chest grabbing, hyperventilating breakdown. It happened in front of my coworkers and I’ve honestly never been so embarrassed in my life. I feel like I’ve spent the last five months giving absolutely everything I have to this job, and despite that I still ended up getting in trouble with management due to a patient complaint. The complaint was filled with false accusations yet i still had to take time out of my shift to practically beg for their forgiveness. It feels like no matter how hard I work or how much I care, it’s never enough. I genuinely do not remember why I chose this career to begin with. Financially, I am unable to take time off yet the thought of stepping back onto that unit makes me want to puke. I’m starting to wonder if I need to leave nursing altogether because I
I keep hearing stories about nurses getting fired, sued, or having their licence taken away. I am really afraid this may happen to me because I am a very "scatterbrained." I am not a nurse yet, but I am in school. What should I do to prevent this from happening. What should I do/not do when I am a nurse. Also is it really that common? submitted by /u/Previous-Answer-1853 [link] [comments]
Recovering alcoholic here. I was in the ER about once a month for a year stretch due to extreme withdrawals. Each time, even in the complete turmoil of my physical and mental state, I had an acute sense of the disappointment in your faces, or maybe just the pure sadness of having to watch someone continuously do this to themselves. I’m still in early sobriety, a little over a year, but I want you to know how much I appreciate you and that your efforts aren’t in vain. Addiction is a lifelong battle so never say never but I hope you know some of us do crawl out of that abyss you find us in, and it’s thanks to you submitted by /u/Professional_Bike467 [link] [comments]
She fights the rest of us when it’s time for lights to go off (usually between 9-10pm, and obviously they’re not OFF off just dimmed). She skips around at 4:30 am and cranks the lights back on. No warning, just flips them all on and prances off. I’ve tried politely addressing it with her and even provided a personal sunlamp for her to use. Others have also spoken to her. But it hasn’t mitigated the issue and I’m personally nearing my boiling point with her. So what would you do/say? Unfortunately this is not her only annoying quality but I’m trying to pick my battles 😂 Edit to clarify: This chick is also a night shift nurse and refuses to go to days. I’ve already tried getting our manager to offer her a day position. 😭 submitted by /u/Jinxicatt [link] [comments]
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The other night the nurse I worked with was complaining to the supervisor about how hard the day shift nurse was on him during report. Supervisor asked why and he explained she was upset because he didn’t do the q4 bladder scan ordered. Supervisor of course asks why he didn’t do it if it’s ordered that way. Because of course the following nurse would be aggravated and now she’s aggravated because he just told her. He starts arguing with her that she’s wrong too because, “I asked ChatGPT and it said I didn’t have to do it if the patient was sleeping”. Supervisor tells him ChatGPT didn’t write the order so if doesn’t allot for sleep, then it still has to be done. He hits her with, and I do indeed quote, “ChatGPT has all the knowledge in the world, it knows more than every doctor in the world, I’ll trust it first” I’m not shocked healthcare workers are using chatGPT, there’s always dumb apples, but what a wild statement. And over something so small. As the kids say, we’re cooked, chat. 🙃
Hi fellow nurses, last night I had a very violent, aggressive patient who spat and kicked one of the CNAs very hard when she was trying to take vitals. This patient was brand new to our unit (a transfer) and because it was shift change, I barely had a moment to sit down and read through all of the notes thoroughly, but the few things that I did read is that this patient has always had a sitter/in q2h bilat wrist restraints (we were too short staffed last night for a sitter so we had him on careview monitoring), and the other thing was the family specifically stated they do not want their spouse on any antipsychotic medications. After my CNA notified me she had been assaulted, I immediately messaged the Provider to get oral Zyprexa added as a 1x dose. Before administering, I wanted to be courteous and to let the spouse know that I would be giving this medication because of the patient assaulting staff, and an anti-psychotic would be necessary. The wife initially agreed. I gave the patie
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What’s something that when you hear it, it’s like hearing nails on a chalkboard? Obviously, the code blue alarm is a big one, so something else not so obvious. It could be anything. For me, it’s when I hear a patient asking for something simple, like “Can you push my tray table closer to me?” or “Can you dial this number for me?” and the person that’s with the patient says, “Let me go get your nurse for you”.. I honestly can’t stand it when I hear someone say this, because 9 times out of 10, it’s something that doesn’t require a nursing license to do. I’m getting older too, and I’m becoming quite petty when this happens. I be sure to take the person back with me and show them step by step how to do the super hard task that they just HAD to get the nurse for. “Oh, here. Let me show you how to call EVS on YOUR Vocera to let them know that the hand sanitizer is empty outside of room 412!” submitted by /u/Efficient_Pizza4739 [link] [comments]
Mine lets patients leave for 30 minutes. Go smoke a cig, walk over to the store down the road, whatever. I don't have say in if they're not stable enough to be going on adventures to the parking lot. They just roll their heparin, pca, fluids, and antibiotics onto the elevator. Like if they're not too sick to walk, they must be good? I do love that I don't get smokers having nicotine withdrawal fueled meltdowns anymore submitted by /u/Enayleoni [link] [comments]
Pretty much what the title says. My daughter has an NG tube (she is 9 months old if that matters) and we had been given this the last time they had to reinsert the NG tube to apply to the skin and we used medipore tape to anchor the tube onto it. I am hoping to get more for her in the event we have to reapply at home. Like we have recentlym I would ask the pediatric ER we received it from, but it seems every time we ask for supplies we get different and random tapes and adhesives that don't work as well. Any help would be appreciated! I figured this would be the best place to ask. submitted by /u/two-one-punch [link] [comments]
I heard that Canada had been heavily recruiting US RNs for a while (not sure if it has changed). Has anyone here spent some time working in the country? Would you care to share your experience? I was thinking of possibly working in British Columbia once I hit my two-year mark as I am very nomadic and enjoy traveling. Just looking for different thoughts/perspectives…. submitted by /u/CelticNomad95 [link] [comments]
Not really seeking for anything but just wanting to vent. I took 2 weeks off work and I’m heading back to work tonight and I can’t stop sobbing. It was literally the best 2 weeks off my life. I’m mostly scheduled every weekend (not my choice) and it was so nice to have a weekend off. I didnt do anything extravagant but I was able to relax, hang out with family and friends, and just do things I wanted to do. I feel like a total baby because I feel like I should be rejuvenated to go back to work. The worst part is, my manager scheduled me for 4 12’s in a row 4 weeks in a row and some days, I can barely handle 3 12’s in a row. I know I’ll show up and do my job but I’m so miserable. I’ve been a nurse for 7 years so I don’t know why I’ve been so anxious the past few months. Being in med surg probably doesn’t help. Wish me luck the next 4 nights! submitted by /u/yaya762 [link] [comments]
Ended up as a patient in my own ER. Coworkers saw me nakey. Internally bleeding. Emergency surgery. Then turns out some of my coworkers are also prn OR nurses! They saw me busted wide open. Thankfully I had the exact crew I would pick if I were to go down at work. Also, idk if I got the coworker special or what but 200 mcg of fentanyl is absolutely a nightmare. submitted by /u/carmelamacchiato [link] [comments]
SNF, short staff, same old story. New admit yesterday, actually, 4 new admits. Chaos, family, only nurse with 29 acute residents. Facility Director, former PT, decided to stroll up to the nursing station and told my coworker who’s doing half of our new admits “hey I know, I know, but I know these folks personally from the country club, can we give a little more care to them? Just pamper them a bit.” So he was pretty much politely telling us to treat this person better than we treat the rest of our patients and indirectly asking for a more diligent aide to be at their most minute request. Highly illegal first and foremost and I don’t give a fuck about your god damn country club membership or request, in this building I treat every fucking person the same, which is doing my absolute best. Be it homeless, be it trust fund, everyone gets the same level of care. Told fellow staff exactly that and continued to run around like a chicken without a head for the next 8 hours and collected OT at
I just need to vent. This is all public info. Yesterday one kid and very likely another kid died at the hands of a drunk driver who was speeding and split their car in half. I’m so angry. I’m so angry. I take great pride in being there for families and as much as I love peds, I can’t do this forever. I’m not sure how much longer I can do this. submitted by /u/MarvelingMelanin [link] [comments]
How do I know if a patient is having genuine seizures or just faking it? I’ve seen a lot of seizures (tonic clonic, absence) but yesterday I had a patient who seems faking it. I’ve never had a patient fake it before so I’m genuinely curious. They had 2 seizures yesterday. Labs, CT scan, MRI, EEG done = all normal. Ativan, Keppra and Depakote started yesterday. They had 2 seizures again today. I didn’t see the first one because the boyfriend at bedside just told us after it’s over. Apparently it was 6 mins long. Second one happened I was in the room. The way she had a seizure is different. Her head was gently bobbing up and down, she was moaning and crying, but none of the extremities are moving. Gave her a bite block but she wasn’t biting on it because she was crying/wailing. Seizure lasted 5 mins. PRN Ativan given. Literally a second later she goes, “omg what happened?” Like in perfect, clear speech (not groggy or weak). It looks fake to me tbh. But I’d like to ask more experienced nu
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Hello, I am 29f My weight starting nursing school was 445lbs I was clearly the biggest one in my class during orientation and lectures. When clinicals came our shift was short it was only 6 hours first hour spent in pre-conference talking about patients (sitting), started getting back pain whenever i had to hold a patient for changing or log rolling, i had to go the break room and take frequent sits because i couldn't stand for long. I feel limited i know i should of lost weight before i got in but it was rough getting through the first set of clinicals. Now im going into second semester and the clinical shifts are almost 10hrs and it's at a real hospital, im scared my weight is gonna hold me back, im smart, like really smart i got A's all semester last semester i had people coming to me for advice, I only wish I could perform like my mind does. Im trying to lose weight over the summer so far i lost 30lbs over the last 2 months but I feel thats not enough i'll still be over 400lbs when
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I’ve been an RN for 13 years and I’ve been nursing a work-related lumbar strain for the last two years. I thought I loved bedside nursing in the ICU/PCU/tele unit but lately I’ve realized I need to step away from it. I’m looking for advice, discussion or personal stories about other nursing jobs that maybe I’m not thinking of. I have a BSN and considered going back to school but not sure which area to pursue: education, informatics, leadership, or advanced practice. Feeling stuck lately but also motivated to make a change. submitted by /u/Snoo_83331 [link] [comments]
I hate purewicks. I hate them so much. At my hospital it’s a nursing measure so far, no physician order needed, and it’s gone too far. Everyone has a damn purewick regardless of continence. I work at night, so it’s this messed up reverse situation where patients have them all day and are annoyed they have to get up at night. I’ll take them off of continent patients when I come in, right back on as soon as the next nurse comes in. I’m sorry, it’s ridiculous to do this for either our convenience or the patient’s. I believe in use it or lose it in regards to both mobility and urinary continence. Bathroom trips are the majority of these people’s mobility. I also believe they straight up cause more skin break down than just check and changing on truly incontinent patients. IMO purewicks should only be indicated for -measuring output on incontinent patients -preexisting skin breakdown for incontinent patients -non weight bearing status Also, not a real argument, but I hate the rattling sound
I have an opportunity to run a home health branch of a new nursing company. It… I’ve never done home health. Only LTC/rehab, clinics and the hospital. I’m thinking of turning it down, as I am currently a nursing home rehab Unit Manager and I love it most of the time. I’m on my 6th job since 2025, when I went from LPN to RN. I guess I needed to vent a little. Is 6 jobs a lot for that time frame? I’ve gotten fired from only two, and I was only at each for one month each, never fired from a “main” job. submitted by /u/Lynkern [link] [comments]
Recently I stumbled upon a post about a nurse discussing their concerns after receiving a drug test following consumption of kava. In the comments, multiple people confused kava for kratom, and many people named kava as being "not addictive" or "safe." I would like to offer a bit of (non-professional) education regarding these substances, as a growing number of patients are consuming them and I believe it is important for nurses to understand how these substances influence the brain. I would like to preface that I am in no way qualified to formally discuss this, but I have done a bit of reading on the literature surrounding the two substances. ----- First, let's discuss kava. Kava, sometimes referred to as kava kava, is typically consumed in liquid form that is gathered as a sort of "tea" from the root of the kava plant. The root contains kavalactones, which are the chemicals responsible for producing psychoactive effects. These kavalactones influence quite a few neurotransmitters, but
Am I the only one that sleeps terrible or very little before a shift? I can feel the stress building and I am not even there yet. Sighhhhh. A job shouldn’t make you feel that way every time you have to go in. submitted by /u/Life_Anybody_2340 [link] [comments]
I am dreading my moms voice in my head over and over “you should’ve went into nursing”… Instead I choose an Education degree. I am currently on summer break and I am having so much anxiety right now about having to go back to work in September. The waking up at 6am to coach, teach to 70+ kids a day (I teach Phys. Ed and because of increased class sizes and no classroom caps, I am stuck being the only teacher with this many kids). The demands for student care inside, outside, and around the community is becoming more demanding. I just cannot keep up and I am in my third year of teaching. My concern is really money and time. I feel like I wasted a degree, I also feel like I wasted potential because biology/sciences was my shit early University and highschool. Is anyone a second career nurse? Was it worth it? I am only 24. submitted by /u/BeautifulEgg6309 [link] [comments]
I’m a nurse at a hospital in Canada and I recently was made aware that there was unauthorized access made to my health record while I was inpatient on a different unit than where I work. The accesses were completed by several co workers of mine. What would you do in this situation? submitted by /u/LividCut4595 [link] [comments]
I work at a large community clinic and our medication management agreement explicitly forbade using marijuana (even medical marijuana), alcohol, and illegal drugs if we prescribe you any narcotic substance. Enforcement has been varied, but I have definitely talked with some old ladies on the phone sobbing that their friend gave them a CBD gummy and, even though it helped them cut their Norco usage in half, they swear they'll never do it again! I serve on the ethics committee as the nurse rep with a bunch of docs and senior execs. From a harm reduction perspective I was able to get them to vote to strike the language. I thought I had won! No! It took months of hounding our forms committee to actually change the language in the contract. But it just went through last week! And they actually took the whole line out about alcohol and drugs too! OK?! I'll be upfront that the data on cannabis and opioid usage is mixed. It's not black and white. But at the end of the day, I advocated for meem
I was shopping at Home Depot today and the fire alarm went off. It didn't even register, I just figured it was one of the forklifts beeping. I even said to my partner "wow that forklift must be right in the next aisle it's so loud" as I continued to shop until a woman ran up yelling that this wasn't a drill. I was so confused, I didn't understand what she meant by "not a drill" until she said the store was on fire. I think I need a holiday lol. Also in my defence there was no smoke or smell submitted by /u/i-love-big-birds [link] [comments]
I was only glad that it was my 3/3 🤣 submitted by /u/AccomplishedGate2791 [link] [comments]
a huge reason I have not gotten serious about my transition/come out in all my social circles is because I am scared to come out at work :,) I live in Appalachia, I have enough coworkers who are progressive and very kind, but it’s just so scary to me and I barely know any LGBT nurses, let alone someone in my boat who I can actually talk to about it (don’t really want to breach it with a coworker first lol). I also work with the elderly, which is absolutely my calling, but I worry there will be conflict as I get more in between looking :/ I guess I’m looking for advice/others experiences with this, long time lurker first time poster :) submitted by /u/carbonatedmilk420 [link] [comments]
Doctor here. Genuine question for the people who actually run the wards and homes. Watching staff build the same collection of bits from scratch for the tenth time in a shift (the same gloves,wipes,pads,bags pilgrimage around the store room) makes me think the pack manufacturers have never actually watched anyone work. Blank slate: if you could have any situation turned into a ready made grab and go pack, what would it be? The job where you're always hunting the same items. The 3am task where half of what you need is in a locked cupboard. The thing you do rarely enough that nobody remembers where everything is, but urgently enough that it matters. And the follow-up: what would it need to contain to be actually right, not manufacturer right? (Half serious about doing something with the answers, so be as specific as you like.) submitted by /u/rmau12 [link] [comments]
I need feel like patients are just so ever reliant on nurses and want us to just do everything for them, even the simplest of things. I helped a patient with her food menu and listed the choices Her: what would you choose nurse Me: well it’s your menu so it’s your choice Her: well what would you pick Me: I’d eat any of it so it’s your choice Her: oh you just fill it in for me and put anything down. Then rolled over and went to sleep But why? Just choose what you want 😭 why do I have to choose your meals or just guess what you like. Then typically the food came and she was like I would have never ordered beef I haven’t eaten red meat in years. AHHHHHHH why didn’t you say that It happens with clothes. You help someone to dress and you ask them what they want to wear and they want us to decide for them. I ask patients it they want pain relief and they will say oh I don’t know do you think I should take some. Then I ask if they are in pain and they say yes. So if they know they are in pain
Evidence-based practice met featherly resistance. Medication administered per protocol. Patient insulted as per baseline personality. Post-intervention assessment: patient stable, relationship guarded, snacks indicated submitted by /u/keiko17 [link] [comments]
I've seen nurses on Instagram and youtube from i believe USA who take their scrubs home with them. I, as someone who works in elderly care in sweden, could get fired if I'd take the scrubs home with me because of hygiene. Same for my parents, who are both nurses. So my question is, do you have your personal scrubs in other countries? And how would that work with hygiene since it is no guarantee that they get washed after every shift. submitted by /u/Livhoefer [link] [comments]
I saw this morning. All I could think of was mad cow disease submitted by /u/menum78 [link] [comments]
I just celebrated my one year of being a nurse. It's been mostly fine. Stressful, but it's a living and I like my job enough. The team is good. I'm in my preferred specialty. I feel well supported, blah blah. But as an introvert I HATE THE NURSES STATION. Everyone walks up to say hi (EVS, dietary, providers, social work, literally everyone you could think of). I hear every call bell. I hear the secretary and other nurses typing. I hear the printer. I hear every phone call the secretary takes. I love talking to others so I get sucked into conversations, but I since I'm an introvert that depletes my social energy. It takes just as much energy to lock in and ignore conversations. I feel hypervigilant at the nurses station. If I have downtime (it's not every day but I work in mother baby and sometimes census is low), I feel like it's unacceptable to do anything other than scroll on my phone or talk to someone. I can't read a book, step away, or do anything else. I can't chart somewhere mor
I work in a 300 bed level 2 trauma hospital. My department is called vascular access team, other nurses call us "IV team" "PICC team" "ultrasound IV nurse," etc. I've been doing it for close to 5 years and worked in VAT at different hospitals. Total 11 years of nursing including med/surg, ER, outpatient. I was so excited and felt so cool when I first started this specialty. Now I'm just always irritated and tired when I'm at work. They staff exactly one VAT nurse per day at my hospital. But we cover all of inpatient, outpatient CT&MRI, and also do scheduled outpatient PICCs. Supposedly our main duty is picc&midline insertion and help with difficult PIVs requiring ultrasound guidance only if we're free. But most of the time the PIVs are what makes my day so hectic and half of the time they're easy sticks that an average inpatient nurse should be able to get. I'm tired of going back and forth with providers and nurses asking for renal consult for CKD/ESRD patients before placing a picc.
I’ve been a nurse for 25 years. I’ve been going through the worst of the worst of my life and I’ve lost 20 pounds. Somebody reported that they thought I was on drugs so they pulled me off the floor took me to HR and drug tested me. I totally was humiliated. At first I was thinking they’re not gonna find anything but then I remembered I had had two kava shots the night before. Then when I googled it, it had not had any Kratom listed, but it said that it was a synthetic Kratom stupid me. I’m wondering if I could get fired for having Kratom in my system? Not that I was drinking them at work or anything. Not that I have any drugs in my system, but I have proof that there is nothing listed on there. Anyone have experience with this? I don’t even know if they’re gonna check for Kratom. Thank you everyone for your feedback. I know drinking those things is addictive. I wasn’t drinking a ton. I just know it was in my system. I know I’m depressed. Everyone’s been on my case about my weight at wo
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