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.
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I work on a med surg unit. Had an admission (my 5th pt) get admitted with active DKA. Had Q1 blood glucose checks, on an insulin drip, with LR + D5W fluids, and hung 4 bags of potassium q1h to prevent hypokalemia. (Potassium was within a normal range on admission). Anion GAP 26, bicarb 13, BG on admission was in the 300s. Such a sweet patient, when I left her labs were all good and oncoming RN was to discuss plan of care with day provider as patient could likely come off drip Is this appropriate for med surg? This was my first ever insulin drip. and with 4 other pts it felt difficult to time manage as I wasn’t checking in with them as frequently - however they were not nearly as critical Curious as to what other nurses think? Is this pretty common for other med surg nurses? submitted by /u/icedcoffee1976 [link] [comments]
Thoughts on this crazy case? The article says the doctor isn't facing any charges, either! submitted by /u/RNnoturwaitress [link] [comments]
Picture it. You work night shift. It’s 7:30am and you’ve been watching the day shift nurse look up all his patients for the last 20 minutes instead of offering to take report. Right then at 7:30am, your patient calls and says they had a BM - you’ve been waiting for a stool sample. When you give report to the day shift nurse after he finally decides he’s ready, he says to you “can you go get that stool sample and send it off before you leave?” submitted by /u/Minimum-Possible-415 [link] [comments]
Nursing school spends so much time prepping you for the Level 1 trauma scenario — crashing patient, alarms going off, ten people in the room, attending there in two minutes, everything runs by protocol. Then you graduate and end up at a 200-bed community hospital and it's 2am, your patient's O2 sats are trending down, and it's just you, one other nurse, and a phone call to the on-call doc who's barely awake. I've actually learned more about trusting my own assessment in the last year than I did through all of clinicals combined. But I wish someone had told me that "real nursing" for most of us doesn't look like an ER episode. It looks like standing in a dimly lit room at 3am trying to figure out if that subtle change is something or nothing. Anyone else feel like nursing school clinicals should include mandatory night shifts at a small hospital? submitted by /u/WyattNurse2000 [link] [comments]
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We got some new policies rolling out, one of them bans meta glasses (agree), smartphones, and smart watches. Mind you, doctors, management, supervisors, and charge nurses are apparently exempt since they keep coming in with their smart watches while actively telling us we can't have them. I'm sick of the micromanagement and hypocrisy. submitted by /u/vivalalyn [link] [comments]
Hi everyone, I’m unable to really ask this question to my coworkers because I don’t have any (we all work different shifts). I am a home health nurse to 1 young child who receives home health nursing via Medicaid. I’m new to home health nursing. My question is this, how much are pediatric home health nurses doing that is more in the parenting/babysitter realm? These parents expect me to play and read to their child all day, we don’t go outside, we don’t do activities, it’s a really really long day. When I’m with my own child, I don’t even play with them 7a-7p with NOTHING else to do. The parents also leave the house entirely for hours and hours sometimes to go to the movies, do other things. I watch her while they make dinner, watch Tv, etc… so she isn’t a distraction. Gee, I wish I had that type of service when I’m trying to make dinner with my toddler but instead I have to multi task while she unloads every pot out of my kitchen cabinets. I feel like my patient sees me more the she s
31M Bay Area nurse here. 6+ years experience in inpatient psychiatry; adult, adolescent, pediatric, and chemical dependency. To get down to brass tacks, I absolutely despise my career. I originally got into nursing because I spent four years at community college with no real ideas, I was good at biology, and I needed a job that paid more than minimum wage. Nursing was sold to me as a rewarding, well paid career with a reasonable work life balance and time to figure out what I actually want to do with my life. I initially sort of enjoyed it, but after six years of being repeatedly assaulted by people who don’t want my help and dealing with our satanic management, I’m officially at my wits’ end. I want out. Not just out of psych, but out of the whole circus. Unfortunately, six years of psych experience doesn’t exactly scream “hire me!” To any other nursing jobs, let alone jobs that don’t involve nursing at all. I make about four times as much money as my partner, so a significant reducti
I was let go from a job I held for almost 16 years. I was 2 months shy of 16 years. The last 7 of those years of coming in when needed, picking up extra, working 12+ hour shifts. Working 6 days in a row at 12+ hours. Coming in early, leaving early only to be able to have the required 8 hrs off to come in for an earlier shift the next day. I was let go because I called in for being sick. Too many call ins over a 6 month period. For being sick. Years of covering others shifts because they were sick. Years of switching with others because they needed a day off. Was I burnt? Did that lead to my immune system being off that I caught everything just by being around it? Maybe. I worked ER, ICU, Med/Surg and House Super as needed. Primary was ER. I could also cover LTC because I was trained in ALL those departments. Nobody else I worked with is able to do that. Bummed doesn’t begin to describe it. Thing is, I didn’t wanna leave bedside nursing. I’ve applied and applied and applied and been tur
Had a patient today, ANO x4. 40s. I was taking his vitals, and we were chatting. He asked me if I worked during COVID. I did not. I made a comment that "we lost a lot of nurses during COVID". I do realize I could've phrased it a little bit better, but I was referring to the fact a lot of nurses left. He was surprised by this. He asked me, "How could you leave your livelihood? Something you went to school for? Like they just left?" The example I gave him is typical ICU ratios are like 1-2 patients, right? Please correct me if I'm wrong, but you were going up to 4 during COVID. (This was per my aunt who was an ICU nurse at the time. She had 4 and was charge). This blew his mind. I tend to make it a rule to not talk about politics at work, but I added in that it was even harder with a lot of the anti-science things that came out. It really hit me that people outside of healthcare don't get it. I went on to say that if there was another pandemic, the healthcare system would probably collap
I’ve been working as a nurse in acute care and mental health for just 2.5 years, and I was thinking today that we never learned anything about death/dying. Obviously we learned about the million different causes of death, but we received no education on end-of-life care, medications used for comfort in palliative and hospice settings, post-mortem care, how to support families through grief, or how to navigate our own grief when a patient passes. In almost every nursing setting, we will encounter death, so I feel odd realizing we never received any education on it in school… I remember getting my first patient who wanted to opt for MAiD and not really knowing what to say to her. When I was new, I didn’t know how to navigate conversations about death with patient’s loved ones… and of course I have cried when patients have died without understanding that this sort of grief is normal. Did ya’ll receive education on death/dying? If not, do you wish you did? If you did receive education on d
I'm an ICU nurse. Had a patient last night who was hypoxic. Very confused. Bit me, kicked me, kept calling me a bitch and an awful nurse. Screaming all night. This went on for hours. Maxed on precedex and getting Ativan pushes. Neither working. Restrained so no bipap but on high flow. Residents, charge, attending aware of behavior. Residents/attending were trying to avoid intubating her. By the end of the night, I was starting to get snippy and just overall exhausted from this lady but still was obviously respectful and professional. Anyways, I come back tonight and patient is aox4. Doing much better. Apparently zyprexa did the trick and her status improved. I walk in and immediately begin telling her she looks so much better and l am so glad to see she's doing well. What does she tell me? That I was a bitch and that I should know that being bit/kicked is a part of the job and I need to get used to it. And she's totally alert and oriented. I'm just...I don't know. I never ever imagined
I started a position in an ICU in February and I can’t stand it. I’ve never hated a job like this. I dread going to work on my days off, I have panic attacks before shifts and after shifts. I was put on anxiety and depression medications. I hate watching all of my patients die. I hate keeping patients alive who want to die. It took me 6 years of college to get my degree (switching majors, and struggling with microbiology) and I’m terrified that I’ve done all of that just to hate it. I’m scared to go to my managers and ask them about what I should do. So I guess I’m here to see if anyone else felt like this. Does it get better? Will the panic and dread and fear go away? Will switching units or specialties help? Or is there somewhere where I won’t be scared of hurting someone every time I do anything at work. I don’t usually make posts like this but I’m desperate. I’m tired and I don’t know how much longer I can do it if it feels like this. submitted by /u/annistonblondie [link] [comment
This coworker wrote a MIDAS on me (my first one ever) because when I was the relief nurse, I took her patient down for a quick head CT. I returned him to the room and told her we were back but she needed to settle him in because I was behind on my other breaks for being in CT. She snapped at me for turning off and disconnecting both tube feeds and Lasix gtt. I was gone for maybe 15-20 minutes. It quickly spread that day to the charge nurse and the rapid response nurse ( even though they told her, they would have done the same thing as me and not to submit a MIDAS) apparently she still did. Management ended up just rolling their eyes and chuckling about the situation, basically it’s a non issue. But today I hear that she presented the situation to the ICU council committee and they all turned on her, stating she was in the wrong and she will lose trust in others if she keeps Submitting MIDAS’. I’m kinda livid, not because of the MIDAS, because had I stopped a pressor or inoprtope ( with
I work in a VERY sick medical ICU. They just hired OVER 20 NEW GRADS that are going to be starting over the next month. They are asking people to precept who haven’t even been off orientation for a year… IN A VERY SICK MICU!! They’ve already said at huddle that almost everyone will precept at some point. This is what happens when hospitals refuse to pay experienced nurses well. Our unit is going to be extremely unsafe for the next 8 months. Wish me luck yall. submitted by /u/xCB_III [link] [comments]
The MNA has been fighting for a fair contract for over a year. submitted by /u/Redbandana325 [link] [comments]
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Oh you had to wait months to see your physician and then fight with your insurance to get prior authorization for an MRI? And then you had to wait weeks to even get scheduled? And then you had to wait another 2-3 months to even get the MRI? Must suck to be poor! You should be rich and get a private MRI like Mindy. Be proactive, not reactive - dummies! submitted by /u/SuspiciousMap9630 [link] [comments]
Hey guys, it’s me again. I followed everyone’s advice and got another job offer. I’m in SoCal, 2 years ICU experience in the Philippines, 7 months MS/Tele experience in the US. I just migrated last Nov 2025. Now I know the obvious choice is the ICU, that $20 difference per hour would be a big help to me and my family back home. BUT I am scared af. The unit manager gave me a tour of their ICU and it’s nothing I’ve ever seen before. I don’t know how to use pyxis or epic (my current hospital uses meditech and omnicell). I don’t know ECMO or how to use fancy ICU equipments. Back home we didn’t even have feeding pumps or CNA or even computer charting. I was honest with this during my interview. I’m genuinely surprised they even hired me lol. They did highlight how much they liked my personality tho. 🤷🏻♀️ I’ve been self studying on my days off. I’ve been reading “Critical Care Nursing made incredibly easy” and “AACN essentials of critical care nursing”. They want me to start July 27. Their
I’m a new grad and just experienced for the first time my patient passing during my shift. She had terminal cancer & had an acute illness in which she declined for surgical intervention and decided for inpatient hospice care. It was my first day taking care of her & the previous nurse told me they finally got her comfortable after turning her. My entire shift, I spent a lot of time trying to reposition her to a comfortable spot that would help alleviate her pain. Despite boluses for pain, nothing would help. She kept groaning. Near the end of the shift, the tech and I attempted to turn her to a different position to get her comfortable and then 2 hours later, she had passed. I can’t stop thinking that maybe I caused her to pass away quicker, or maybe it’s because we turned her to the other side that it happened. Did i cause too much stress for her? I thought she was having urinary retention so we placed a Foley catheter & she was retaining about 700. Maybe the foley stressed her out to
I-see-da-mini-fin :) submitted by /u/casualish [link] [comments]
lol moment Hit with a heavy assignment, I said 'you can't be serious' to a nurse manager but not my nurse manager. Got a verbal warning about inappropriate work conduct and how to remain professional. submitted by /u/Majestic_Flower_7772 [link] [comments]
I hope to check off protesting against admin on my summer bucket list submitted by /u/Boston_Crame [link] [comments]
i have a tech whos rly interested in medicine and i think shes in premed and everytime i have her assigned to my pod (our ed has different pods of different rooms) she follows me around like a shadow as if im precepting her. like she watches my charting, she comes in to listen to convos between me and the docs and the patients, shes constantly tryna tell me nursing tasks like “u should put the pulse ox on the forehead” (horrible example but thats the gist), she talks to the patients and visitors as if shes the nurse like “we’re gonna do some bloodwork to test for this and stuff” how would u feel about it and how would u go about it without being mean submitted by /u/cool-beans1013 [link] [comments]
He's usually interested in retro style stuff like this but has anyone had any experience with this nurse fob watch? His last fob watch broke in like 3 days and he can't wear a normal wrist watch in our country. Thank you in advance! submitted by /u/Badger607 [link] [comments]
Not sure if this is the right sub for this question but i thought y’all should see this at least. last night we get a patient for complications related to a foley he had placed during a bladder procedure (no idea what procedure it wasn’t my patient). then nurse was irrigating his foley and this came out. what in gods name is that? it was almost spongy but also hard but had give? def not a kidney stone (obvs? maybe?) maybe like an inch long. i’m thinking a piece leftover from the procedure ? but then what? surely they would have seen it on imaging? i’m at a loss. any ideas? (excuse any grammar mistakes, i’m a poor dayshift nurse covering on nights) submitted by /u/tlbpt2 [link] [comments]
It’s 1 a.m., and I think I’ve finally reached my breaking point with nursing. I’ve been a PICU nurse for a little under a year. In nursing school, I was incredibly motivated. My dream was to become a badass ICU nurse and eventually apply to CRNA school. That version of me doesn’t really exist anymore. I’ve recently started therapy, and it’s changed the way I picture my life and what I want my future to look like. Working nights is taking a toll on my body, and I chose weekends because it was the only way to have a consistent schedule. Lately, though, I’ve been dealing with constant floating sometimes multiple times during a single 12-hour shift. Add in being placed on call, staffing budgets, and the overall unpredictability, and I’m exhausted. At this point, I just want to be able to come to work, take care of my patients, and go home. I don’t want to spend every shift wondering if I’ll be floated, put on call, or moved around the hospital. I’m honestly at the point where I’ve consider
So I had NS running at 75 on a patient with zosyn y-sited into the NS. The zosyn was OFF and had been off before I ALSO y sited Doxycycline to the NS. IMMEDIATELY the IV infiltrated. Did I do anything wrong? I knew doxy and zosyn were not compatible but the zosyn was off. I’m kinda feeling like shit cuz the patient was in a lot of pain but part of me feels like I did absolutely nothing wrong since the NS was completely fine b4 hand. submitted by /u/Unlucky_Painting_173 [link] [comments]
especially if they're mean submitted by /u/diclofenac-sodium [link] [comments]
With Mitch McConnell in the news it got me thinking about the differences in care that he is receiving compared to a normal person. This is not meant to be a political post so please stay on topic. What happens when a VIP like a politician, a famous actor, or a billionaire is admitted to a hospital? I know some hospitals have VIP suits but what are they like? What equipment do they have? What type of nurses staff them? Like is it only critical care nurses, and how many? Do they have dedicated teams that see only the VIP? Do they pull dedicated staff off of their regular units to care for the VIP, and what if that makes their home units understaffed? What happens when the VIP has their own doctor that doesn't have privileges at that hospital? submitted by /u/KMKPF [link] [comments]
Like the title says, night shift is currently destroying my mental health. I have so much dread when I wake up everyday and I feel so deeply depressed. I worked night shift for a year and a half, then days for a year and a half, and I’ve been back on nights for 7 months. I feel so terrible that I can’t hack it. Some people do night for years or even decades and I feel like I’m being selfish and lazy for wanting to find a day shift job. submitted by /u/maddythegreat [link] [comments]
Hello! I’m a nurse in BC Canada and our union has called for job action, potentially starting tomorrow at 1201pm. To start, BCNU will be enacting a ban on non-nursing tasks (clerical/dietary/maintenance type tasks) For any of you who have been employed as a nurse during a strike, what was your experience? What should I expect? submitted by /u/panic-despair-dread [link] [comments]
I just accepted a very lucrative position. I am a new graduate, I am newly licensed. I received the job offer based on my experience in the workforce and my advanced age compared to most new grads (I am 31). The job is in a cancer centre and I will likely be working with chemo drugs. I am 10 weeks pregnant, I will be 12 weeks when I start. Are they gonna be mad? Am I allowed to give chemotherapy drugs as a pregnant nurse? Surely pregnant nurses have been chemo nurses before, right? Do I have to tell them right away? I'm not even out of the danger zone yet. Haven't even had my first ultrasound. Has anyone been in my exact scenario? submitted by /u/hueller [link] [comments]
Don't hand me an ice cold cup of "pee" and then get offended when I ask, "Is this urine?" I'm not stupid. submitted by /u/bwhaturlike [link] [comments]
I left my NICU job for a new specialty, but I wish I stayed. While I was sick of working nights and some of the stress of the high acuity, I miss working at a well-staffed and well-resourced hospital. My new job only really has one benefit: M-F, 8-4 and rotating weekends/holidays. My old job had a waitlist for days, every other weekend and I felt like I couldn't truly "control" my week-to-week because of my work schedule being flipped. Now I feel like this new job isn't a fit and I almost would rather go back where I came from than stay where I am (if my old manager would even have me). I'm aware that the same issues would be present, so I'm attempting to find something else, but the market is pretty tough, and I don't have experience outside of NICU (most NICUs hire into nights). It's basically been ~1 year of me trying to find a job I want to dedicate the next decade of my life to and I'm beginning to feel pretty down about moving around the way I have and still not being satisfied.
At our work ever since they implemented a new schedule system a year ago we have to get approval to work more than 3 days in a row. I would prefer to do six in a row and be done. Curious if anyone else work is like this? submitted by /u/Final_Minimum1443 [link] [comments]
This is actually what their sign said, we were misled by media. submitted by /u/bkai76 [link] [comments]
Been about a year since our hospital rolled out the spectrum IQ’s and I haven’t heard of other’s having issues with the pumps. Loads of safety features/alarm limits, almost feel that this model throws alarms even when there AREN’T issues. Anyway, had this larger (137.6 kg) patient with severe MVD for the last 2 nights now and has been running Heparin since the 28th. Had not had a single q6 UFH IIa within range during his admission yet, titrated up to 25units/kg/hr. Pretty high dose compared to our average therapeutic range which is usually around 11-16units/kg/hr. At shift change the first night, I swapped the bags with the off-going nurse because the pump was dry and alarming. Heparin gtt’s require 2 person sign off so it was just easier to do it with her. She did the bag swap and scanned it in, I double checked that the pump and MAR’s dose and pt weight were the same and signed it off. The only thing is I didn’t check the volume to be infused, which normally wouldn’t be an issue. Aro
EDIT: I have already, as of yesterday, resigned. I am simply looking for advice and what the events following a report look like and entail. Thank you to those who reached out to me. That being said, I have been a nurse for nearly a decade and this is the first time I’ve felt the genuine need to file a formal report to the state. New nurses, please don’t be afraid to advocate no matter how scary it seems, because it is, but there are times when it’s truly necessary. Anyways, again, thank you everyone. submitted by /u/Any-Diamond1459 [link] [comments]
I switched preceptors during my new grad orientation because we just weren’t a good fit. There wasn’t one huge incident, but there were enough issues that I felt I wasn’t getting the learning experience I needed. Management was supportive and I was reassigned pretty quickly. Now I’ve found out my former preceptor has apparently been telling people around the unit that she’s upset I “fired” her. On top of that, she’s been going up to my coworkers (some of whom are friends) asking what I’ve said about her and trying to find out if I’ve been talking about her behind her back. She’s even mentioned that she’s upset about the fact that she’s no longer getting paid extra because she doesn’t have anyone to precept. The thing is…I haven’t. I’ve vented to management and a couple of close people when I was asked for feedback, but I’m not walking around the unit gossiping about her. Meanwhile, she’s the one bringing it up to everyone. I’m trying to move on and focus on learning with my new precept
So I 33f am a CMA in a cardiology office. I’ve been in the healthcare field for the better part of the last 13 years. I have received multiple, I don’t want to call it an award, but they would pass out like little certificates if we received positive patient feedback. I get compliments from my patients almost daily. I am very friendly, very down to earth while also staying professional. I have excellent relationships with a lot of the patients that we have to see more often. Well let’s fast forward to today. Today I had a 22 year old female come in who was accompanied by her brother and grandmother. Our triage room is not very big so it’s pretty difficult to have more than just myself and the patient in there. Well when I called the girl to come back with me, grandma and brother came too. So I put the grandma and the brother into the room she was going to see the dr in while I take her to triage and all of that. Well it didn’t seem like a big issue. I got her in there took her BP asked
I am currently working on a medicine floor. I'm brand new (about 2 months) and getting used to shift work. Last night i was working and I went for a 45 minute break. Normally the nurses sleep during breaks for an hour and a half. I like to take 20 minute naps because more than that makes me feel groggy. However, I set my timer on my iphone and for some reason it didn't go off. I woke up 2hrs later. I was mortified. Do you guys think I will lose my job? My break buddy said he didn't care and the other nurses said it happens all the time but I cant help but worry. If i get called into management, do you guys have any tips? Feeling like the stupidest new grad ever. submitted by /u/NoCow7685 [link] [comments]
We have a patient with a very terminal tumor. He's a full code but parents refused interventions-repositioning, pain medications, assessments. Aspirating on all consistencies but family is allowing them to eat by mouth (which is totally fine, but relevant to the story). They're still getting chemo and steroids. They were sent home on hospice but readmitted with pneumonia and pressure ulcers (stage III) that are gaping wounds. Family is declining pain meds and telling people not to ask him about his pain. I understand this is an awful situation, but it all feels so unethical. There is one way this story ends, and the patient is suffering, but ethics has not been consulted and the medical teams are okay with continuing what's been going on. How do you navigate supporting a family through this difficulty while also trying to advocate for a pediatric patient who cannot advocate for themselves? submitted by /u/wayward-daughter75 [link] [comments]
I’m in nursing school right now and a number of my instructors have complained of the injuries they sustained while working. They make it seem somewhat like the trades, in that it is not a matter of ‘if’ but ‘when’ you get injured. Has this been true in your experience? Has anyone had a longer career and avoided physical injury? I wonder if this possibility is the main driver of new grads trying to get out of bedside as soon as possible (trying to go NP/PA/CRNA). How frequently would you say you get forced into “unsafe” assignments? Edit: To add, would you say that unionized hospitals do a better job with making sure RNs aren’t put in unsafe situations? submitted by /u/CelticNomad95 [link] [comments]
I need to know if I'm overthinking this because this whole situation has been so confusing. I've been a med-surg nurse for 9 months. I started on nights and later switched to days when openings came up because several people left. It's been a great learning experience, and I've learned so much. I genuinely appreciate my coworkers and manager for giving me the opportunity. A while ago, I asked if I could go part-time because I have young kids and needed a better schedule. I was told it wasn't an option. Since that wasn't possible, I applied elsewhere and accepted an OR position at another hospital. The schedule is much better for my family—no weekends, no holidays, and hours that allow me to be home with my kids. After accepting the offer, I met with my nurse manager June 20th and told them I was resigning, with my last day being July 5. I also said I would email my resignation, which I did. Instead of accepting it, they asked why I wanted to leave and why I wanted part-time. I explaine
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I’m an ER nurse with a little over 1 year experience and am precepting a new grad. I’m trying to use my preceptors strategy; see one, do one, teach one. That helped me I feel get to where I’m at. My unit really bands together to teach our new grads but of course they’re stuck with me for a while. It’s only been 2 days so we’re still getting a feel for each other. I really want to boost this nurses confidence. I’ve let them do a few easy IV starts to get us going but I can still see the nerves in his hands or in the way he speaks. I know confidence comes with time and experience I just want to make sure I help in that process. Any tips would be wonderful for helping this nurse become prepared, independent and confident! submitted by /u/BeneficialBanana5350 [link] [comments]
admin just denied my pto for november. Again. "critical staffing" as usual, but they sure have the budget to hire another middle manager we don't need. Im literally sitting in the clean utility room right now just to stop hearing the tele alarms for five minutes. Was zoning out on my phone and fell down a rabbit hole looking at those mobile medical vehicles they build for community outreach. kinda sounds like a dream right now tbh. Just packing up a rolling clinic, driving out to some quiet rural town, doing basic primary care and not dealing with endless audits and cold pizza in the breakroom The bedside burnout is hitting so hard this week. I think I just want to be left alone to actually do patient care without all the corporate hospital nonsense. submitted by /u/Italiancan [link] [comments]
To my nurses who work in oncology with pediatric; do you love your job? I always hear people saying it’s so depressing working with children who have cancer but it’s also gotta feel like a million bucks for the ones that do get better and knowing you were there helping them. I feel like you’d definitely need to balance your life in a healthy way outside of work. Any advice or experiences from the nurses who work this field would be appreciated!!! submitted by /u/Virtual-Paint-8138 [link] [comments]