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.
Hi everyone, I've been working as an over-the-phone medical interpreter for a good while now. Feel free to ask me anything that you'd like to know about the service or the job itself! submitted by /u/Slight-Statement5877 [link] [comments]
First time poster here... I just needed to let this out. I work pediatrics. I was helping a coworker with her patient, she needed blood work. The labs sent on night shift clotted (it happens) and so we went in to explain to dad we had to poke the patient for redraw. The first blood collection came from the IV. So this would be the first poke. The dad was furious and said the last nurse threw some blood away (the waste from IV) and then sent a tube earlier why do you need more blood now my kid is weak. (These were 2 microtainer so 2cc of blood max). He finally agreed then as we are getting the patient ready, he is visibly upset and says "you guys must not have any family". I was very confused by that comment and he said "you guys don't care". I told him " We don't want to poke her just to poke her, the doctor needs these labs pre op. If you don't want us to do it, I'll let doc know and you can talk to them" anyways he was upset still but let us do it. I was just so upset/confused by tha
Patient says "I think I might have to poop, what can we do about that?" I say "I can get a bedside commode for the room" She says "I don't think I can get up" I say "I can put you on a bedpan or put a diaper on you" She says "I don't like any of those options" In my head I'm like: lady, the only other option is to poop the bed. What option am I missing? submitted by /u/Sea_Willingness1398 [link] [comments]
My unit will have patients that get agitated to the point that hit/throw items/ spit on staff every day or multiple times a day. It’s not uncommon. Of course when patients are like this they will not take po meds and need an IM medication for agitation. More often than not there is no standing order for agitation even though the patient will have literally done this over a dozen times before. Instead there will be a bunch of one time orders for every individual time they start beating beside staff. The time it takes for me to page the doctor, wait for them to actually reply and then wait for the pharmacy to verify, routinely takes 15+ minutes. In the meantime we’re getting punched/ kicked/ having items thrown at us. Why do doctors refuse to just add a standing order of an IM medication. They can literally just add parameters, or a BARS/ RASS scale parameter if they’re worried that the med will be used flippantly. If a patient is hitting staff day after day or multiple times a day and t
I love taking care of people, I do. My dread and my anxiety and depression and PTSD and allllll that won’t deter good patient care. I truly. Hate. My job. My coworkers and management are toxic. I can’t report my concerns for fear of backlash. I’m just done. I want to work anything else. Anyone else leave and do something not medical? submitted by /u/CorgiUprising [link] [comments]
I regularly check our job boards and this is a new one that popped up this week. Knowing the state of US healthcare and the likely decline in reimbursements and rise in uninsured patients, I can only assume that they are hoping to increase revenue by attracting wealthy clientele from overseas who will come to get elective procedures and pay top dollar in cash. Some of the verbiage in the description: luxury, VIP patient experiences, dedicated patient liaison. Anyone else seeing this at their hospital? I legit can’t think of what procedures we offer that a “medical tourist” couldn’t get elsewhere at a more prestigious facility within a 25 mile radius but what do I know… submitted by /u/Ok_Independence3113 [link] [comments]
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I had one patient that needed to be transported to inpatient hospice and another patient who had been sitting in urine and needed to be changed. I asked my cna for help multiple times because I couldn’t physically be in two places at once. My request for help was ignored. Since I wasn’t getting the help I needed, a transporter ended up helping me take my patient to hospice instead. While we were walking down the hallway, both the transporter and I saw my coworker standing in the hallway talking on her phone. I told her again that my patient still needed help. When I came back to the unit, she was still standing there on the phone. I asked if she had helped my patient, and she said no. At that point I went to my charge nurse because I didn’t know what else to do. My patient was still waiting, and I felt like patient care was being neglected. After my charge nurse spoke with my coworker, my coworker immediately came up to me screaming. She started threatening to “kick my ass” and had to
I took my course and written exam last year and did amazing, but had skipped my skills exam bc I had worked a 12 the night before and my test was early in the morning. I finally scheduled my skills exam 2 weeks ago and ended up finding a date for yesterday that wasn’t too far away from where I live. I almost didn’t even go (again) because I was exhausted and have had a really rough and emotionally intense week. My friend gave me some words of encouragement and that extra push I needed to get up and go AND I PASSED FIRST TRY with minimal studying and almost no practice since my actual course!!! I also started nursing school this week for my LPN and I’m doing great so far! Any school tips are welcome, and if you use any agency apps, send me a message so we can get a referral bonus!! submitted by /u/thechaoscrown [link] [comments]
Here we go again, folks. Like the healthcare crisis of the 2008-09 Great Recession only worse, as the ACA (passed in 2010) ameliorated a dire situation. Now, with Republicans gutting the ACA, cuts to Medicaid/Medicare, together with rising health insurance premiums, our profit-driven healthcare system is in its final stage. submitted by /u/AccomplishedScale362 [link] [comments]
UNC Hospitals is changing how premium shifts are assigned. Instead of offering a set bonus, nurses can request an open shift at the pay rate they want. If the shift stays open, other eligible staff can request it for a lower premium rate. In most cases, the lowest bid gets the shift, although managers can still choose someone else based on the unit’s needs or the nurse’s skills and experience. UNC says the goal is to make staffing more consistent across the health system, but the change has sparked debate among nurses because it encourages bidding against each other for extra shifts. submitted by /u/Strikelight72 [link] [comments]
Hello! I am not a nurse, but my boyfriend has been in the hospital after a heart transplant for several weeks now. The staff have been so great. I wanted to buy breakfast/lunch/snack/etc for the floor staff as a thank you. I was thinking of doing bagels + cream cheese, but there is a panera in the hospital, so maybe they’re sick of it. What would YOU want to get from a patient’s family in the break room? I would like for it to ideally last the day so both day shift and night shift can enjoy a bit. It’s a HUGE floor so I know not everyone will be able to get some. Assorted packs of energy drinks? Cookies/bakery treats from the grocery store? Let me know :) submitted by /u/Southern_Willow_2201 [link] [comments]
One of my patients recently had to have a TEE before his cardioversion and the doctor broke one of his front teeth while inserting the probe. I never got to find out what the follow up was for the patient but apparently this is way more common than I assumed? Does this happen often in other hospitals? My patient wasn't elderly and seemed to have good dentition and they still broke his tooth in half. It got me wondering how often the hospital helps pay for patients to get their teeth fixed, or if they keep track of which Docs break the most teeth? submitted by /u/PuntTheTurtle [link] [comments]
Just me venting... As a new grad nurse I've started to get the hang of my unit...from med pass...to admissions....to discharge...I feel like I've got my rhythm and flow...the one area I think I'm stressed about is unit culture....and I'm starting to wonder if I'm really a team player....for example...when our unit does shift report...I feel like I never know what's coming....I'm always the one standing around with my note pad ready to take the assignment from a nurse who likes to chat a LOT....lol....I try to be cool and chat along but I'm also looking at the clock with pre-shift anxiety about the assignment...stressed to the T...and she wants to talk about whatever is on her mind....or me giving a report and the nurse takes all day to receive it...the other day I was standing there trying to smile but I worked a long 12 hour shift...just ready to go home and didn't have any more energy left...but still waited patiently frowning in my mind... Then there is the unit gossip...y'all...I r
I’ve only been doing this for a year and I’ve hit a wall. I’m depressed. I hate the ED. I have begged for a transfer but it’s not 100% that I even get it. I’m stuck with a contract so I don’t wanna leave bc my dumb ass took a sign on bonus (I needed it). I know yall have made it clear that this would happen but I need help lol. Please. Any advice is solid atp. I’m considering a career change. How the fuck do yall do this for so long?? submitted by /u/Rare_Lawfulness_4361 [link] [comments]
I made the switch over to ICU and it’s almost been half a year. Here’s what I think you should know: A lot of the times it feels we are ‘prolonging’ life not saving. A lot of the times it will be elderly patients who no longer have the right to make decisions for themselves. A lot of the times you will find yourself making your patient uncomfortable per order. Don’t get me wrong- I do have moments where I feel like I’m making a difference in someone’s life and that’s enough for me to enjoy ICU. But a LOT of it feels cruel at times. You can tell the patient is tired and uncomfortable and yet we will trach + peg and send them to a long term care facility. (I am only speaking on the patients with irreversible damage) Just something to consider ! submitted by /u/Best_Egg_567 [link] [comments]
Young adult male. Severe unexplained hypoglycemia, blood glucose in the low 30s, multiple organ failure, severe renal failure requiring dialysis. Pt reports “no changes in lifestyle, diet, medication, etc.” Care team confused, days looking for answers, so many lans sent off. Well lo and behold family member finds unused syringes of peptides in the fridge. And the kicker is him refusing subQ heparin because he “cant be sure whats in it…” like babygurl please. submitted by /u/Firm_Avocado5432 [link] [comments]
I straight out forgot to give some of my pt evening meds. I didn’t realize it until the next day. I was absolutely stunned when I realized I had missed these meds.I told my supervisor what had happened. She was nice about it to my face but I’m sure there will be serious consequences. I don’t know what happens next. Does anyone know what happens when this type of error occurs? How will this effect my license? PS. no serious effects from the pt missing evening meds. submitted by /u/whiteRa33it [link] [comments]
i’m a new grad and have been at my new job for a little over a month. it’s where i had my practicum as a student and i like a lot of the people on the unit and the ones im closer with are very supportive and team work oriented. however, i do notice how they’ll gossip and talk shit about some of the other nurses which i’ll admit makes me more nervous of making mistakes. however i’m on a tele med surg unit where 5 patients per nurse is the norm. i’m literally doing something every second and even then im unable to get everything done without help. if i’m sitting im charting. i know im naturally slower because im a new nurse but i truly dont know how im going to do this. people talk so much shit on med surg but it’s one of the most complicated jobs i can imagine. what is some advice to better adapt and and promote time management submitted by /u/marshmellowdeer [link] [comments]
I'll be a new grad BSN soon and am considering applying to work in Alaska. I'd love to hear from people that have lived and worked in Alaska. One thing I've noticed is the COL is high compared to the pay, so I wasn't sure if the move would be worth it (I currently am in the northern Virginia/WV region). Alaska is somewhere my spouse, who is a fire medic, has always wanted to live and work. He wants to take a flight job out there and I keep seeing things about Alaska showing up for me in my life (maybe it's a sign, maybe I'm delusional). I think it could be a fun experience for a few years before settling down in the east coast again (where both of our families are). I'd love to hear all the pros/cons! submitted by /u/_-krimich-_ [link] [comments]
Registered Nurse moving to Seattle area from the Midwest in mid-September. I’ve got job offers in the critical care units from both Overlake Medical Center and Virginia Mason Medical Center. Now looking to decide which one to go for. Asking for anyone’s experience with those hospitals, healthcare systems, locations, etc. Any advice or tips on the area/how to succeed as a nurse in Seattle/Washington are also appreciated. I posted this in r/AskSeattle already but hoping to reach anyone in this sub who might know a thing or two. Thank you! submitted by /u/hough1950 [link] [comments]
I play powerball religiously and run the work pool when it gets big. I spend too much time fantasizing about the big win. And tonight it finally donned on me. In my powerball mansion, I'm gonna have a blanket warmer. How did this not occur to me earlier? submitted by /u/OptimalAmbition8524 [link] [comments]
Continues to get tubed an hour and a half later 😔🤌🏻 A tale as old as time submitted by /u/searchinforparadise [link] [comments]
I’ve been a nurse for over 10 years in which I worked a variety of specialties (the most recent in PACU). I started a new job and decided to switch to the OR. I went in knowing being a circulator is going be a whole different type of nursing than what I’m used to. I’m about a month in and I’m doing “fine.”The clinical coordinator checks in with me once a week to see how the orientation process is going. We discuss what’s next in my orientation schedule and discuss any feedback from preceptors (which there hasn’t been any). I am up front with her about everything and she’s been great with making the orientation process as easy as possible. I guess my point is the frustration I feel being an experienced nurse with a head full of knowledge that doesn’t really cross over so I feel like a brand new nurse. I’m still adjusting and I know I will continue to improve my circulator skills but it will take time. It doesn’t help that there are some co-workers I already don’t like because they have
So I applied for two jobs (IV TEAM PRN & FLIGHT PART TIME). I thought I wasn’t going to get the iv team job but I did and the money is great so I accepted it. Then I got notified I got an in person interview for flight and that is goals (24 hour shift is part time). If I get offered that job I was going to take it. However, as I’m thinking about logistics, is it possible to do two orientations? The iv team job is lax about the schedule with orientation and my manager said I would be lucky to get 4 shifts a month which is fine ( I want my picc cert and they will pay for it). IV is more for experience as I’m in the ER PRN but wanted something that offered more money. Flight finally had a position open so I jumped on it. It’s all hypothetical at this point since I didn’t interview yet but on the off chance I get flight, I want everyone’s advice on how to juggle jobs and orientation. Thanks in advance! submitted by /u/kmp2796 [link] [comments]
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Just wanted to get a consensus from everyone. Our management has dropped a new task on us as floor nurses that we are now responsible for obtaining pre-authorization from private insurance companies for our patients to be admitted to an inpatient bed from the emergency psych department. In my 13+ years, I have never been tasked with this. To me, that should be covered by UR or the billing department, or anyone else besides the floor nurse with a full patient load and a million other tasks. Tell me how it works on your unit or in your hospital. I feel like I'm going crazy. Tell me I'm not crazy before I reach out to our union. :) submitted by /u/Content-Flight6371 [link] [comments]
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It's crazy. Want to be a CRNA? You could, but then people will just think you have an ego and are just in it for the money Want to be a NP? You could, but everyone will think you're trying to replace the job of physicians. Why can't people not be tilted towards hating a certain career because ONE nurse you worked with was a pain? It's mind boggling. submitted by /u/Elegant_Bee849 [link] [comments]
Raise your hand if you’ve been personally victimized by forgetting an interval of restraint charting and been called back to fix it 🙋🏼♀️ I got home after a 12 hour 15K step shift and was so so so excited to shower …. And I get a call saying I forgot my 18:00 restraint charting 🤦🏼♀️ Sigh. submitted by /u/MurkyDevelopment6348 [link] [comments]
I started my shift at 2300. I do internal travel float pool. I was at an outlier hospital that I haven’t been to in over a year. I was on a “surgical care suite” floor. I got shitty report and was told that this pt (we will call him Mr. AAA) was on a heparin drip and had a AAA repair 7 days prior. I go in after report, do a quick assessment and pt reports his last BM was 9 days ago. WTF. Not mentioned during report but whatever. He was getting oxy PRN q4 around the clock so it checks out. His abd was rounded, no pain, had faint hypoactive sounds and was passing gas so that’s reassuring. I need to address this but it’s not emergent at this time and I have 3 other patients to get report on so I made a mental note to circle back on this. I move on to verify Mr. AAA’s heparin drip settings and then I see a full bag of K 20meq hanging from IV pole. It was spiked and tubing was in a pump channel but the pump channel was off and tubing was not connected to the pt’s IV. Great, during report th
I landed the nursing job at Cedars Sinai!! Officially moving to LA!! submitted by /u/JJKandJournaling [link] [comments]
Had an established appointment for my work physical at 0800. Get there 5-7 min early, park, and walk to the front entrance to enjoy the morning sun. There are two other vehicles in the parking lot (this is relevant). A moment later a man and woman get out of one of the vehicles and as the man approaches he asks if the door is open yet? I look up and he’s got a fish hook in his left pointer finger. I introduce myself and ask if I can take a closer look. The nail bed is cracked, the barb is buried, the finger is numb and pale. The front doors open up and as I turn to walk in there is another gentleman walking past me to enter. This is the other vehicle in the parking lot. The 3 of us walk inside, there are 3 receptionists. One asks for the first person, I wave my hand to the fish hook and tell him you have an emergency you can take my appointment. Apparently, this pissed off the other patron. “Hey man, I was here before both of you and I have an appointment, who the fuck are you to cut m
i was at an annual check up with this PCP w/ a complaint. the MA rooming me asks her questions and then asks the "when was your last period" question. i said 3 years ago and she wanted an exact date. i remember it being in the month of march and i was thinking out loud. i say something along the lines of, "well i know it ended in march.. not sure when the start date would be but if i had to guess... let me..." she then cuts me off and says, "i don't care about the date it ended, whenever people in healthcare ask this question we want the start date. i could care less about the end date. why don't you have that app that tracks your period like the rest of the girls your age?" (hard to tell in writing, but her tone was pretty nasty) i just got off a shift that morning and slept 2 hours to be able to get this appointment, so i was a lil more emotional than usual. i was so pissed off i just kinda froze. so many thoughts... 1) you didn't even let me finish my answer. 2) when i was getting p
My cousin is currently in her final year of nursing school (general nursing track) in Vietnam. During her clinical rotations across various hospital departments, she has collected some of the weirdest, funniest, and most absurd patient stories. I wanted to share 10 of them with you all: A high school girl came to the hospital with her parents, who insisted she was suffering from severe appendicitis. After a quick clinical examination, the doctor bluntly told them, "Appendicitis? She’s literally in active labor and about to give birth!" Outraged, the parents accused the doctor of lying and attacked him. Half an hour later, the two parents were holding their newborn grandson, completely stunned and speechless. An 85-year-old man was brought in by his son and son-in-law for a hemorrhoid checkup. The doctor diagnosed him with grade 3 external hemorrhoids that required surgery, but also casually noted lesions consistent with genital warts (HPV). Furious and embarrassed, the son and son-in-l
Any pay incentive? Rules/requirements? Etc. Not on call, to be clear. Just push back for a scheduled shift. Like you’re scheduled for a 7 AM shift and you’ve been pushed back until 10 AM. You may be pushed back again or cancelled for the shift if you’re not needed at 10. submitted by /u/elizzzzer [link] [comments]
Is a quote one of my patients said today when I asked if they had gotten their COVID shot last season to update their records. This circus in charge is really the biggest disease out there submitted by /u/Educational_Sir3783 [link] [comments]
Oncology nurse, been one my entire career (4 years). Worked some bedside jobs and moved to outpatient clinic a year ago. Great pay, 2 remote days a week, the whole nine of soft nursing. My god I am starting to hate it, mainly because of my coworkers. When I first started everything seemed fine. It’s a small specialty clinic (4 providers, 5 nurses) that’s part of a large cancer center. Everything just feels like it’s starting to sour. We’re all under 40 in this clinic, and it was great at first. We all got along smoothly. Now I’m starting to just plain hate it. I feel like I’m constantly walking on eggshells. There’s new bullshit drama every week. Someone is always mad at someone else for some convoluted reason. It’s fucking stupid. Unfortunately I am stuck here because I make good money and the job market is shit. Tomorrow I have to sit in on a meeting with my supervisor because two nurses can’t get along. I’m not involved, but supervisor decided everyone should be on the meeting for w
I’ve been a nurse for 2.5 years. I’ve worked ED my entire career thus far. I started in adult and moved to pediatrics thinking it might help to boost my morale, but I’m more burnt out than ever. The trauma and suffering is also just too much for me I think. I try to have a positive mindset and work hard, yet I still cry from stress/anxiety/anticipation before nearly every shift. I work at a hospital with good nurse patient ratios, but the chronically ill patients, rude people, long hours, and night shifts are weighing on me so heavily I feel like I’m about to snap. I know a lot of others have felt like this. Was healthcare always like this?? submitted by /u/Evening-Passenger885 [link] [comments]
Today I babysat a delirious 97 year old and prevented her from falling out of her chair. What did you do? submitted by /u/Head-Lawyer3080 [link] [comments]
So, I’ve been a nurse since 2011. No kids of my own. Have spent most of that time in inpatient and outpatient behavioral health working with adolescents and adults before I got my current job in outpatient family practice just over two years ago. Today I took a call from a NICU NP who wanted to coordinate care with one of our pediatricians - her two week old patient was being discharged on home hospice. Baby has been in the NICU their entire life. It’s stuck with me all day, I keep thinking about how fragile life is. So I just wanted to say thank you to the NICU nurses out there. I couldn’t do what you do at the bedside every day - I only helped facilitate a phone call between two providers about this and it made me pause. Thank you for being there for these babies and their families. submitted by /u/Top-Lawfulness9338 [link] [comments]
I’ve only been a nurse for about 2.5 years. In that time I have worked on a GI floor (while still a student), did my preceptorship in cardiovascular surgery (hated it), worked on a pulmonary unit for a year ( hated it), worked in outpatient addictions (meh), and now I am working in psychiatric emergency. During all of these experiences I have simultaneously worked in oncology/palliative care research. I went into nursing to become a psych emerg nurse, so I thought that this would be it— I would finally find my place in the world of nursing!… But I still feel like I am missing something . All of my previous experiences have had pros and cons and I feel like I have acquired a wide breadth of knowledge in just a couple of years… but I am worried I might never be satisfied with where I work. For nurses who have been in the field for a decade or longer, did you eventually find your niche? If not, did you learn to accept that no place will ever be the right fit for you? (I also have ADHD so
I just accepted a job as a dispensing nurse at a MAT (methadone and suboxone) clinic. I was told that the dress code is “business casual” but when I went in for an “interview” (it was really more like a chat) the nurse that I would be working with was wearing a cartoon chart scrub top and jeans. That would have been the perfect time for me to ask about dress code again but of course I didn’t. Everyone else appeared to be in more business casual attire. I don’t start for a couple more weeks, so I have time to buy some clothes (my current wardrobe consists of scrubs and ratty leisure wear so I would definitely have to shop for anything business casual). My understanding of the job is that is it extremely patient-care-less. I’m dosing patients, maybe occasional assessments, the worst of it is probably testing urine maybe? I don’t know a whole lot about the gig yet, honestly. So I’m not sure if pockets are a high priority. WWYD? Business casual? Scrubs? Combo (like scrub pants with BC top)
When I was a CNA in long term care, we had two separate instances of a child of the resident coming in to visit their elderly parent who was using a low flow O2 nasal cannula. The visitor shut off the concentrator and booked it out of the building. … An assassination attempt, apparently. This didn’t go well. Concentrator alarm went off nice and loud. We got it tuned back on, settings where they should be. Assessed patient. All was well. Visitor banned moving forward, obviously. I am curious how many others have witnessed a similar occurrence? submitted by /u/Sudden-World-2304 [link] [comments]
Hi all. Quick question to my healthcare workers, “ What do you think the best shift to work is between the following”: (5 x 8’s) 8am-4:30pm (4 x 10s) 8am-6pm (3 x 12s) 7am-7pm I’m in Nuclear Medicine so there can be days when there is a lot of down time, and the days can drag. But I love the idea of having 4-5 days off a week, but I realize those 3-4 days on im exhausted. I’m not really cooking dinner or going to the gym how I’d like. Is this something I’d adjust to? What’s your preference? M-F (5x8s) aren’t bad because you have your entire evening free, but two days off just isn’t enough. And most corporate businesses are always closed while im working 🙄 submitted by /u/HighlyFavored7777 [link] [comments]
Out of curiosity. My current place of employment has no pay bump, no time off incentives, and I have no interest in doing it because of the added responsibilities. In the past, I’ve worked in settings where the charge nurse role came with an hourly pay raise or an additional 12H of paid time off per scheduling period. For people who have successfully avoided the charge nurse role, what did you say to your management? submitted by /u/Forsaken-Egg-9896 [link] [comments]
As seen in Bristol, Connecticut; good to know some of us can keep a sense of humor whilst the world is on fire! submitted by /u/merryone2K [link] [comments]