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.
Hello all, I’m a day shifter on step down. I’m not sure how yalls unit works but on mine it’s an ongoing crisis of meds not being given and then your whole display is full of big RED marks saying OVERDUE and they never fall off unless you document on it. I’ve noticed a lot of nurses chart, “Not given previous shift”. I hate the clutter but I get worried that it could open you up to some sort of liability should something horrible happen. Ex. Pt didn’t receive Keppra over night you charted “not given previous shift” and then the pt has a seizure, could that open you up to scrutiny like, “why didn’t you notify the provider”, “you recognized the med wasn’t given why didn’t you escalate this”. Same thing charting on Abx, pt gets sepsis, so many examples. Also a med could be given but not scanned it happens, if I don’t know with 100% certainty that it was given or not I can’t assign my name to that charting. You could chart like MD notified and such but that would take forever and probably
For anyone wondering how the strike at BWH is going, despite admin saying the hospital is running “business as usual”, that is most certainly not the case! Only 1,300 scab nurses hired to cover 4,000 nurses. Doesn’t sound like business as usual to me! Reports of med errors, nurses not knowing what care is involved for our specialized patients, not having access to charts or medications until a few hours into their shift, all awful stuff. Not allowing the staff nurses to walk off their units the morning of the strike for a few hours in units like the NICU due to MGB not adequately preparing for the strike. Last night, *allegedly* someone in need was outside the ER and requiring medical assistance, yet none of the these “qualified” scab nurses came out to help. It got to the point that our L&D Night shift nurses at the picket line ran over to help. But only after the hospital’s security tried to prevent them from going over to the patient of course. There was media present at the scene t
This is not a rant. It is more of me venting, as I am sure almost (if not) all of you can relate, hence the "serious" flair. For context, I have only been an RN for a little over 8 months, and this is my first ever healthcare job (my previous job was retail). As stated in the title, this was my first time ever performing chest compressions, the patient was in her 80s and had dementia (albeit the nice version of dementia), and was a full code. She was never my patient, but I had helped redirect her whenever she would try to get out of bed. A very sweet lady. Two mornings ago, just after midnight (on 7/7), I had just brought a finished food tray out of my patient's room. After putting the tray up, I saw two nurses sprinting to another patient's room, and heard one of them yelling, "OH, SHIT!" Then I heard the charge nurse scream my name and for me to get the crash cart. I went into the patient's room, seeing the patient's primary nurse performing chest compressions. Once we had rolled th
I got hired in a new ICU in March and they only asked for my BLS and told them my ACLS is expired and they told me I can do it through them. I have been working for months and completely spaced it myself because I had a shit show orientation for 3 months (normal for this ICU even with experience) and was debating on quitting the whole time from the anxiety. I know it’s my fault, I need to keep up with these things 100%. But I didn’t. Could they fire me over this? submitted by /u/amessinprogresss [link] [comments]
Hey team I’m a Registered Nurse in Vancouver, Canada and for the first time in a long while we are on strike. Need some excellent ideas for some amazing quotes for my sign on the picket line. I’m not looking for anything suggesting more money but rather to express that my employer is not supportive and that the situation in hospitals is dire. Thanks in advance for your suggestions. This is my first strike rodeo in my 13 year career. submitted by /u/Honest_Schedule_9918 [link] [comments]
Hi, I’ve been a nurse since 2006 (with the exception of 2014-2017 when my license was suspended and I was in a nursing diversion program). I am 11 years clean and sober off opiates. This is obviously something I have to disclose when I apply to hospitals. Anyway, I’ve been working at an emergency department/level 1 trauma center for the past 4 1/2 years. I am usually night shift charge nurse. We are usually short staffed. To the point that our managers “force” us to make nurses stay late (ie: nurses who already worked 12 hours are being forced to stay an additional 4 hours or risk being written up.) I have pushed back on this because I don’t think it’s my job to force ANYone to stay late, especially because I have no control over staffing. Anyway, last week I worked a 12 hour shift. I was front triage nurse. I triaged all my patients and gave verbal report to oncoming front triage nurse. As I was walking out, the day shift charge nurse was on the phone with our manager, who was forcing
Just hanging my scrubs up before my week starts and thought about how some of my scrubs are older than this year's elementary students. So, I'm just curious: how old are your oldest pair of scrubs? submitted by /u/jb_mmmm [link] [comments]
First one is supposed to say BLOOD GAS RT 😭 second is venous leg ultrasound. Thank god I proof read before I hit send submitted by /u/Head-Eagle-5634 [link] [comments]
That’s it. That’s the post. submitted by /u/realespeon [link] [comments]
in my hospital system, a CRNA administered 5,000 units of thrombin IV push leading the patient’s death😬 submitted by /u/boozecruise26 [link] [comments]
Lately I’ve been taking 7 PCU patients which usually has 3 -4 complete care patients in that mix. Our good CNAs have quit and we are left with the CNAs who disappear and do not do basic cares. I hate who I become during these awful shifts. I normally love to chit chat with my patients, especially the older ones. And they love it too. But not lately. I’m like I’m/out as fast as possible . If they start making small talk,,I answer bluntly and walk away swiftly. Quick listen to lungs, belly, quick neuro check, scan the meds and I’m out. If they start asking questions,, I usually tell them to ask the doctor. I hand no patience anymore. I think I’m waiting for the rug to get pulled out from under me by getting the call about a transfer it Admission or how I need to transport to X-ray. I feel so bad. A cutie little old lady asked if I had kids abc I said “yep” and then cut it off. And then 5 minutes before shift change she asked for a basin full of hot soapy water to wash up before her compa
I'm going into my 4th year of a BScN program in Ontario and have been doing a lot of thinking about my long-term career goals. To be honest, while I've enjoyed learning about healthcare and the science behind nursing, I don't see myself doing bedside nursing for the next 20–30 years. I'm willing to put in a few years as an RN after graduation, but I know that I eventually want to move away from direct patient care and especially the personal care aspects of bedside nursing. What I do enjoy is: Healthcare systems Leadership and management Improving processes and workflows Quality improvement Healthcare strategy Potentially government or policy work Healthcare innovation and technology I've been researching different master's degrees and I'm feeling a bit overwhelmed by the options. The main ones I'm considering are: MBA (possibly with a healthcare management/administration focus) Master of Health Administration (MHA) Master of Public Health (MPH) Master of Nursing (MN/MScN – leadership
I’ve been Nursing for along time. As a rule, I never leave pills at the bedside with one exception, Renvella. When I work on the Renal floors, it seems common practice to leave it at a patients request for when their food arrives. As you know, renvella/ sevelamer carbonate must be taken WITH food as it binds with phosphorus in the stomach and intestines keeping blood levels in check. Do you leave renvella What are your thoughts? submitted by /u/mnunez1042 [link] [comments]
New Grad RN & Single mom of four ages 3,8,12,15 * Very little childcare help outside of my teenager. * Primary childcare is school + aftercare until 6 PM & transportation home Question: Given my goals and family situation, which offer would you choose and why? Career Goals 1. Transition out of bedside into a non bedside role ASAP while being competitive for a great PRN hospital position. 2. Build the strongest resume possible to maximize job opportunities when I relocate my family. Additional Context I worked as a tech in a Level I STICU throughout nursing school, so I'm familiar with ICU workflow. The CV Step-Down unit was recently acquired by a large hospital system and is undergoing significant changes. It now cares for roughly 50% cardiovascular patients and 50% stroke rule-out patients. I was told to expect 6–7 patients on average. My biggest hesitation is that there is no formal new-grad residency program & only hospital orientation and unit-based training. The ICU position has a
I work at a large hospital and 50% of the medicine packages are difficult to open. There is no need for this type of 1. Lazy cheap packaging that is hard to open 2. Hard to open packages for child safety in a professional setting. submitted by /u/pabmendez [link] [comments]
Before i start- this isnt some discpiline-war post. 99% of physicians, regardless of residents or attendings, are either competent or professional if not both. Most being both. But people who are shit at their jobs exist in all professions, and we should get rid of them when able. This physician was part of that 1%. Despite being an attending for a decade +, he constantly had to have basic things explained to him like how a NIHSS was relevant for a stroke patient. He made a constant stream of incompetent calls like trying to order a nurse use an IV to dislodge a DVT. He would frequently scream at mid levels or RNs in front of patients while we tried to keep him from killing them. he refused to follow modern practices and tried to reinvent the wheel every time, ordering treatments that were ineffective at best or dangerous at worst; and a few times refused to upgrade pateints who needed it because he was mad at the ICU nurses for calling out his poor choices and didn't want the intensiv
Been working here for 3 momths. Starting this job, i knew it was the reality of this career. The cold truth is that some of the kids that come in will lose their life to suicide. That's healthcare in general. You can't save everyone. Whether it's addiction, suicide, cancer, you can't save then all. I try my absolute hardest to be the best i can for every kid that comes in through our doors. I have kids yell my name when I walk through the door and ask what shifts I'll be there. I have kids make me little trinkets and artworks and I keep every single one. I love my job and I love knowing I made some kind of difference for them, but somewhere inside it fills me with dread. There was a girl the same age as my niece and so much like her. They'd be friends if they ever met. Hearing her story broke my heart. Hearing how her mom talked to her on the phone and seeing how she really is just a teenage girl who wants to be loved was enraging. She leaves today and I can't escape the thought that t
submitted by /u/Chocchipcookie-1 [link] [comments]
I’ve been a nurse for 18 years and I’ve never gotten one. I get compliments from patients and family almost daily. I feel like most nurses get them. I struggle so hard to form connections. Clarification: I feel like most nurses are at least nominated but receiving the award is rare . I’d like to just be nominated at least . That’s it. submitted by /u/skyword1234 [link] [comments]
The Nurses at Boston's Brigham and Women's Hospital went on strike this morning for a cost of living increase and safe and sane staffing. It is always about profits over people. submitted by /u/warname [link] [comments]
Literally if you’re just transferring my patient back to their long term care which is a 10 minute ride, the report shouldn’t take 8 minutes. I was giving this IFT EMS worker a report for my patient. I told her patient was only admitted here due to botox procedure on their bladder due to their worsening SCI. so they fixed it temporarily. Her questions? “was it anesthetic surgery local generalized”. I had already told his surgery was 4 days ago. Her next questions? “What kind of trauma” which was fair question so I replied MVC. But following that she asked me was he rough driving? collision on head on head?. I told her it was 5 years ago. And she still insisted to know. now, I can look at the chart to read but these guys will come exactly at 0700 and want no wait. How do i handle this going forward? I know I sound frustrated but Every.single.time, their reports are a chaos. Even on the most stable patient. I try to explain my reports using a story timeline. Patient came to er with heada
Context: I’m a 27F nurse of 2.5 years. I worked in a step-down unit on night shift for 6 months making $32.50/hr with $7 night shift diff, hated it. Then i transferred to med-surg oncology night shift for 7 months and loved it but hated night shift and had a long commute. I went to an outpatient triage position making $30/hr for 1.5 years where i learned A LOT and had significantly less stress but kinda missed bedside and felt like i left prematurely. Also missed the better pay. So i took another oncology inpatient position on days about 6 months ago making $35/hr. For additional life event context, my husband and I just bought a house and are planning to start IVF within the next year. I was talking to my husband the other day and he said he’s been at his current job for almost 3 years and is ready to look for another one. I tell him that in the time he’s had the one job, I’ve had 4 lol. I know that my resume is a little messy, but I’m already thinking about what my next job is going
submitted by /u/pabmendez [link] [comments]
Signed a lowly case coordination peasant 🙈 submitted by /u/Armsaresame [link] [comments]
Those mitt restraints were like a bio-weapon designed for hand-to-hand combat. submitted by /u/theDjangoTango [link] [comments]
Hello- I am a new grad RN. I have a very inflexible schedule resulting in me only being able to work weekends. It’s impossible for me to complete a nurse residency at a hospital for this reason. I have been offered a home health job for pediatric hospice. I did do a hospice clinical rotation and LOVED it- but it was at a hospice house. How has your guys experience been with home health? Has anyone here went straight into hospice after graduating? submitted by /u/shinysylve [link] [comments]
I have a coworker who works 09-2130. After 5 pm she habitually sleeps. With her head on a tray table. In PACU. With patients on the unit. Wrapped in a blanket with a hair hugger blowing warm under her blankets. She makes herself nest and goes to sleep. Multiple staff have photos. Our boss knows she does it, and I’ve told boss we have pictures. She still does it. WTAF? submitted by /u/Any_Replacement_8336 [link] [comments]
so i am conflicted guys. Here is some backstory . i feel like my quality of life has improved since i have started working as a Home Health nurse. the schedule is nice since i get to workout and the work is amazing its basically me just chilling of course im on top of everything i need to do and j make sure to be the best at it! so this is where i get to the dilema i have a job lined up in the icu and im extremely scared of being burnt out and missing my entire day bc of night shift! with that in mind i know im capable in being the icu and i feel like im doing an injustice to the bachelors and the skills i learnt but i dont think life would be the same. what are yalls opinion? submitted by /u/MercenaryArc [link] [comments]
Patients in pre-op keep getting absolutely shredded by our BD clippers. It doesn’t seem to matter how many inservices we hold, using the “pencil grip,” wet or dry, sensitive or regular blades. Patients keep getting nicked, and end up looking like they lost a wrestling match to a cheese grater. I’ve tried telling my homies that it doesn’t have to be baby-ass smooth, but we keep fielding angry calls from OR about patients abraded to shit, and honestly, I don’t know what we are doing wrong. I’m a dude that’s pretty handy with a pair of clippers, but the rest of the unit suffers pretty terribly from clipping yips. I don’t want to clip every inguinal hernia that comes through the doors for the rest of my career. Please drop me your tips and tricks, or at least tell me that we’re not alone in our clipping frustration! submitted by /u/MitchelobUltra [link] [comments]
I have an interview coming up and I’ve been looking for a while and this is my ideal job so I’m trying to have a very strong interview. Any and all tips/ dos and don’ts are helpful. I have background education for the job but haven’t done this role before but have lots of transferable skills. Also a calling/passion to this specific area Thanks in advance submitted by /u/Chemical_Grab2954 [link] [comments]
i'm starting to notice having stage 1 varicose veins, i am looking for any good recommendations for stockings. i have pcos with thick hair on my legs and all of the ones ive tried so far have just been itchy because of that. any recommendations would help! submitted by /u/Maleficent_Hat_9165 [link] [comments]
7 months ago I made a post about new schedule guidelines at the hospital I was working at that were ridiculous. Since then I have left that job and gotten a new job with a "not for profit" hospice agency and I honestly have loved this switch. The cons and the pros really overlap because technically it's M-F 8-5 but I make my own schedule and most days I can be done by 2-3 PM depending on work load and admission. Our quota is 20 visits at least a week which averages about 4 a day but I usually do that or more a week depending on what is going on with my caseload. So far my case load has ranged from 12 to 20 patient and most of my patients are in facilities which I love. IMO I have the nicest facilities in my area so the patients are always pleasant. This is not a perfect job for sure but I absolutely love it and it made me love nursing again. submitted by /u/StellanaRose [link] [comments]
submitted by /u/Odd-Acanthisitta8395 [link] [comments]
I’m planning on going to nursing school. I have a felony on my record from 15+ years ago. I can sit for the NCLEX but I have to take a few classes after getting my license. I had no idea this “disciplinary action” (Agreed Order) was going to be a permanent mark on my nursing record, my lawyer failed to mention that. What are the chances of me being able to get a good paying job after getting my license while having this mark on my record? submitted by /u/My_Shape_is_Round [link] [comments]
Still in the middle of my new grad preceptorship. I have 12 shifts left before I'm expected to work independently. I'm on day shift, and honestly I feel so overwhelmed by the pace. I feel like I'm constantly checking off tasks instead of really getting to know my patients. I'm learning a lot every shift, but I don't feel like I'm retaining much of it. I also feel embarrassed by how long it takes me to figure out what seem like basic things. I don't feel mentally sharp enough to adapt as quickly as I expected. Being around the managers makes me anxious, and even though my preceptor is still doing a lot of the work, I already feel like I'm drowning. I definitely don't feel ready to be on my own. I've been wondering if switching to nights would help. I feel like the slower pace and fewer interruptions might fit how I learn, but I don't know if that's wishful thinking or if it would actually make a difference. I'm also not sure how to bring it up with my manager. The hardest part is that I
The beginning part occurred while I was NOT working. We had a patient at my work die. Coded and unable to be resuscitated. It was very unexpected. We don’t have things like this happen often. The day they died, they had their breakfast, they laughed, joked like normal and talked to everybody like nothing was wrong. Now after the chaos happened. I arrived to work like I normally would, about 15 minutes before my shift starts so I can get settled in and what not. I haven’t even clocked in and several nurses start telling me what happened (as mentioned above). I asked them did anybody make phone calls? Yes. I asked next if family saw the body. I was told not yet. I said ok does post mortem care need to be done? They said “Probably. Nobody’s been in there”. I said “wtf that poor patient? I’ll do it. I don’t want family to see them like that.” So I clocked in early. They were deceased for a while. About 5 hours at this point they’ve been dead. They’re not a coroners case so post mortem care
I am taking the American Red Cross BLS hybrid class. I already took the written test online, but I thought it was just a practice test. A pop-up this after I finished. I still have the 1-hour in-person class to attend. My question is: do I still need to take another written test, or is this my written test result and I only need to complete the skills practice in class? submitted by /u/Beautiful_Buffalo338 [link] [comments]
I'm a new grad nurse who just got there license and considering applying to a mental health facility near me. My question is if I do start with psych, will that ruin my chance of being at a hospital later ? Or will it still be seen as experience? Just don't want to tie myself down to one type of population just in case I hate it. Thanks for any advice ! submitted by /u/lilbeans23 [link] [comments]
How do you like your position? I may take up a position in my hospital… Long story short, I work bedside but needed emergent back surgery a couple months ago. I need a safer position for my health and the long run. One of my worries is sitting for long periods? submitted by /u/humblebumblebee11 [link] [comments]
Hi! I am a nurse with 13 years experience in many different specialties. I was offered a position working as a high school nurse and am wanting some insight! I have done school nursing; but only for elementary! I know the pay cut is a huge difference in many regions compared to other nursing specialties, but it’s the schedule along w holidays/time off that makes up for the pay to be on a similar schedule to my kids. I basically am wanting any feedback or input on what it’s like being a high school nurse! Any and all input is welcomed! A day in the life, things to expect, what ill commonly run into, immunizations/physicals and other needed medical documents I will be needing to organize, collect ect , questions to be sure to ask and clear w the district related to protocol/ my schedule/ my pay? Like I said; ANY AND ALL input is appreciated! 🤗 submitted by /u/fukouttahere0 [link] [comments]
I have applied to four pediatric jobs office jobs. I emailed three of them. Two of them have denied me. I called the 3rd one today, to see if I could request an interview. For context, I am a current LPN, in an LPN-RN bridge program. In our career development class, we were literally told that doing this can help us get noticed. The HR lady was like, “that’s not how this works, if we feel you’re a good fit, we’ll give you a call”. I partially understand, but also cried over it. I have to, and need a daylight mom-fri nursing job. I can not work outside of those hours because of child care availability. I only have one child, and I’m considering not having any more children because of how difficult it is to work, literally do anything. These jobs are few and far between in my area within 30 minutes. I will hopefully be graduating with my RN in December. Idk what to do anymore submitted by /u/Similar-but-diff [link] [comments]
I’m extremely sensitive to criticism and overthink/analyze everything work related and just wondering what you guys think of this email from my manager. I’m worried that doctors are complaining about me. I didn’t expect to receive an email about this as it was a very minor oversight, and sounds like one of the doctors is finding little things to complain about. Email from my manager: Hi, Can you please review and double review before contacting physicians about patients? They have noted that they are contacted about meds/orders that are already entered. Thank you for your attention to detail. If you want to speak with TL/CH before contacting the physician, please do so. My response: The only situation I can recall was last week when I contacted a physician about a PRN medication. If there were any other instances mentioned, I would appreciate knowing what they were just so I can become more aware of any patterns in my communications with the physicians that I may be unaware of, or if i
I'm finishing my BSN and have clinicals in the ED. I'm in my mid 30s and have been working in the hospital as a CNA for two years. Normally when theres some "excitement" like a code blue or a rowdy patient that requires extra hands, I enjoy being able to help out. Normal stuff like chest compressions or whatever usually doesn't phase me. But this most clinical nursing recent shift was really messed up, and I'm not the same after. Normally I come home and am like "let me tell you about these interesting cases I saw!" But yesterday I was like, "I can't talk about it. Dont ask." I felt like a war veteran who was like "I've seen shit we can't come back from. What happened there stays there..." I know I'll grow a thicker skin. But damn. submitted by /u/thom39901 [link] [comments]
It’s med surg. But listen… Critical access hospital that transfers out 99% of what comes to ED. OR only does outpatient stuff, and then theres the floor. Thats the whole hospital. Usually there’s like 1-3 patients total on the floor. They told me they never do ratios above 1:4, on the rare occasion there is actually that many patients. Luckily, they also never send the second nurse home for low census, because they don’t want to staff the one nurse alone. Some shifts we have two nurses and one patient. I’ve worked shifts where we had no patients. Is it slow? Absolutely. We go sit in the break room and play cards for real 😆 Afternoons, we use the PT equipment like it’s our own personal gym. The people are nice. The cafeteria is actually good. It’s so satisfying because I always have time and energy to go above and beyond for patients and coworkers. We never miss a turn or a bath. I never give a late med. We always do all the ambulating and therapies for the day. It’s not an impossible c
That’s all. submitted by /u/Icy-External5682 [link] [comments]
Were nurses, but we do literally everything. From being the therapist, to filling in servery shifts, to admin, cleaner, physio, honey, you name it. I absolutely hate it when people undermine what we do. We do a damn lot. submitted by /u/notinmyham [link] [comments]
I’m 1 year in as a new-grad in acute dialysis and thinking of applying for ICU newgrad opening. Is it worth the added stress to do bedside? submitted by /u/Bob_Burgero [link] [comments]
Cut pineapple because yes I deserve it. I don’t care what you say but sometimes my ass need pampering submitted by /u/No-Rock9839 [link] [comments]
I still think about this one patient every now and then. Middle aged guy, on high flow oxygen. He had been declining for hours. But mentally he was completely with it. Every time I would go to the room, he would smile, apologize for " being a pain " and ask if I had eaten on time. Near the end of my shift I went to adjust his IV pump because it kept alarming. He looked at me and asked, " Can you tell me when someone is about to die ? " I laughed it off and gave the usual answer that we are doing the best we can. He smiled and said, " No, I mean you. You guys see this everyday ". For a second I did not know how to answer that, and that question stuck with me. The next day, when I entered his room was empty, the nurse told me he had coded around 3 a.m. They got ROSC briefly but he never made it. I don't remember half med passes from that month. I don't remember the assignment I had the day before. But I still remember him asking if I had my lunch. What's the one patient, interaction or m
I have a patient with a very long (almost 3 inches) very oval ostomy that is recessed in a abdominal fold. I have tried to put a shit ton of ostomy paste, a molded wax ring, stoma powder and tape on the ostomy bag and it still leaks. The patient is having skin breakdown because if this and the stool is getting all over their wounds. I need some advice from some badasses with more experience than me. -A frustrated younger nurse of 2 years. 🩷 submitted by /u/PelliNursingStudent [link] [comments]