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’m an ER RN (2 years at this job) 8 years total as an RN. We’ve been drilled to just accept the stupid hydration station myth that makes absolutely no sense. Why can’t I just drink water while I’m charting at a completely different area than patient care. I did it anyway by either hiding my drink behind something so management wouldn’t see it or something else. But today was when it all clicked for me. I’ve been out on maternity leave for about 6 months and I returned to work yesterday. First day back was smooth but my second day was shit. It wasn’t the worst ER day but it was just annoying. My managers and higher ups decided to “inspect” the department and had everyone put their water bottles and coffees at the hydration station that is literally in a different part of the department. It would take me 3 minutes to walk over to take a sip of water and 3 min to get back to work. If you’ve worked in an ED, you know that’s not sustainable or logical. But they were adamant that this is wh
There are so issues plaguing the nursing profession. Nurses union vary around the country, many nurses have no union at all. What's it gonna take for nurses to rally around together to demand better work conditions? submitted by /u/0Hednavee [link] [comments]
I recently started a job as a Plastic Surgery Clinic RN for a cosmetic plastic surgeon. I was surprised to discover that part of the job expectation is to take after hour calls from patients mostly to address post-op questions and concerns, as they arise. The surgeon I work for expects me to take 1st call with another surgeon acting as a designated 2nd call when he's out of town. His expectation is that I will answer any after hour calls from patients and escalate it to the surgeon on call as necessary. Coming from a decade of working as an OR nurse, on call hours aren't new to me...however, I have always been paid an hourly on call rate with the expectation to report to the hospital if I am called in and then be paid at a callback rate. I am currently getting paid my full hourly rate when I have to answer a call, but I am not being compensated for my time other than that. I have been asked to take nearly two weeks of call while he's out of town. I am currently in the process of negoti
submitted by /u/parishiltons_newbff [link] [comments]
Hi! I'm looking for some career advice (or free therapy) in regards to my new job in the OR. I graduated with my BSN in May and began working as an OR RN in the beginning of August. So, I've been at this job for around 1 month now and I have a few issues with the training process and wondering if I am just not the right fit for the OR. My training is supposed to be 4 months. After one week, I was circulating well for a certain case so they began putting me in on my own which I did not feel ready for. I have expressed that I do not feel confident but I have been put in this situation again after I had said something. I train with a different nurse every shift (when I am not on my own) which leads me to be very confused because different nurses tell me different things and will tell me I am doing something wrong but that is how another nurse showed me. I wish there was consistency and I was with the same nurse (or rotate between 3) so I am not thrown all over the place. When I come in th
S-B-A-R MOTHER F*CKER submitted by /u/Omega_Draconis [link] [comments]
I’m still in shock and just need to share. I showed up to work tonight and my manager pulled me aside and said she had been sent a photo of me sleeping on the unit. Handed over my badge and I left immediately. I never intentionally fell asleep just nodded off while charting (utter exhaustion and adjusting to nights). The unit is an absolute mess and always short staffed, unsafe practices abound though I think all the nurses are doing their very best. I own my mistake. But honestly my gut reaction was excitement that I got to go home. But next steps? I’m very experienced in a variety of specialties. Thank you for reading. submitted by /u/Tricky_Impression926 [link] [comments]
Tell me all the things you love and hate about it submitted by /u/NeitherNetwork3596 [link] [comments]
Hi everyone, I recently passed NCLEX and earned my BSN, but after dozens of instant rejections from hospital systems, I took a staff RN role at a subacute/rehab facility to get to work. Honestly, the stigma around starting in a SNF is getting to my head. Even though I have a job, it feels like I haven't "really" started, and I'm terrified I'll be stuck here forever. I keep applying to hospital positions and just get automated rejections within hours. I didn't work as a tech during school, but I had a semester DEU preceptorship. What am I doing wrong on this resume? What needs to change to actually get a hospital interview? Thanks for the honesty. Edit: thank you so much I didn’t expect this many responses, I really appreciate this and love reading every response I wanted to add that I never really had a worked due to personal unfortunate circumstances so I have no experience other than clinical so I feel that may be a major reason why they keep rejecting me submitted by /u/AdMaximum395
ER nurse here, I’m currently worried about what this is going to entail. It went into effect on September 1st and that was my last shift on for a week. I’m concerned that this is going to increase overcrowding of the emergency departments, worsen sick patient outcomes due to lack of timely interventions, and overwhelm our ERs even more than they already are. Looking for what some fellow nurses insights are on this. submitted by /u/Silly_Gear_9716 [link] [comments]
This is sort of a silly question, but since I’ve been in healthcare, I noticed that most medical students and doctors wear their scrub top tucked into their scrub pants. The RNs and CNAs tend to wear their tops untucked. In every hospital and clinic I’ve worked, this has always been an unspoken rule, but never actually written in any of the dress codes I’ve seen. There were a couple male nurses I worked with and they wore their scrub tops tucked in, and it always looked out of place. Anyone else noticed this or know why it is? submitted by /u/Abs_995 [link] [comments]
So my case manager and attending physician for this case are unsure of what the next steps are for this patient, I’m hoping somebody here will be able to help me… I have a bedridden patient admitted from a long term facility. She has a neurogenic bladder and chronic retention. She came in with a perforated bladder from apparently repeated trauma from a SUPRAPUBIC* catheter which was pushed so hard into her when it was placed that it went THROUGH the bladder out a pressure injury on her sacrum… she now has a new suprapubic catheter in place, performed by a urologist at my hospital. I am wondering if a report should be filed to her facility’s BON? This just seems so insane and negligent to me. The patient is currently A/Ox2, but is aware that somebody did something wrong to her bladder. I’m at a loss here. Thank you in advance! EDIT: complaint has been filed with the state. Thank you everyone for making me feel like I’m not actually crazy for being upset by this. I will always advocate f
My hospital just started piloting this new “chart with ART” AI documentation for nurses. I was one of the chosen lucky super users to test it out. So far I have mix feelings about, I feel like it is not easing my work load, the fact that I have to review everything than see if it correct and approve and fill in everything else it did not pick up in my assessment, is actually making more time for documentation. Has anyone had success with this program? I know there are only about 8 hospitals in the US that have been is this program, but maybe some of you are on here to give me your view point. submitted by /u/Neat_Comfortable_355 [link] [comments]
Coworker found a double ended nasal cannula. Very effective equipment. submitted by /u/EtOH-tid-PRN [link] [comments]
submitted by /u/AwareIntrovert [link] [comments]
I currently work peri operative nursing. I work in an inpatient facility so I have the benefit of making inpatient wages which is much higher than outpatient earnings. The job is fairly simple. A lot of the patients are same day elective procedures but I still need to maintain my nursing skills because I need to monitor lab values and read rhythm strips. We hold for inpatients as well so need to manage chest tubes, traction and other monitored interventions. While we don’t fully recover patients we deal with patients that the recovery unit passes off and often have to finish recovery so we still need to keep up with advanced certifications. It’s 4 ten hour shifts. No weekends, no nights and no holidays. So, I recently heard some RN educators basically stated that the peri-op nurses are barely nurses since we just “babysit” patients for an hour or so before procedure then discharge them after recovery. For some reason this has really gotten to me. So much so that I am considering transf
This is so long but a true rant to get it off my chest :( Floated to the ER holding for the first time. I've got 8 months of experience on a PCU/medsurg/tele floor, I was excited... Was.... I had no techs, only one other nurse who was floating to the hospital for the first time. I had 16 patients by the end of the day (only 6 at once, but cycling through)-- idk if that's considered a slow day or not. At first I was doing ok, lots of running around trying to find stuff. I felt terrible some patients were a complete mess but I barely had time to give scheduled medication, let alone change linen. I realized I didn't even get blood sugars. I didn't even get dinner trays anyway.. Towards the end of the day I just got so behind, all of my labs for an PCU pt on 4 different drips kept getting hemolyzed (nobody called me, until I realized later the labs still said UNCOLLECTED-- and a 5min hold with lab to figure out what happened) I asked someone for help and didn't think about it until way lat
I was recently hired to a level 1 trauma high-volume ED (with almost 100+ beds in just the ED alone) a few months ago and honestly it’s been rough. Prior to this, I worked at a critical access ED for a few years so I was looking forward to work at an urban area. Coworkers and management have been great — no concerns in that regard. However I feel like the workload for the very high pt acuity has been insane and to an extent, I feel unsafe? My ratio is thankfully generally 1:3 but occasionally 1:4 and sometimes 1:7 in fast track (tbh even these pts in fast track are still very acutely ill, eg. sometimes they cardiovert and potassium-shift). No ED techs in the hospital (this is baseline staffing), hardly any extra float staff due to chronic short-staffing, sometimes no patient watch on my involuntary admit pts. Very very SICK pts. All the other nurses generally have the same workload so even asking them for help is sometimes difficult because even they are drowning too. So I’m often left
I don't know whats wrong with me. Its always with wound charts as well. I got called into the managers office for the second time, as i keep confusing my lefts and rights. I'm always rushing each shift and can't ask for help. I'm genuinely worried i'm going to get kick out because i can't differentiate between the two. I don't know whats wrong with me. Another thing i've realised is that everytime i do something wrong, its projected, however, i've seen people upload a completely incorrect image and even the wrong location for wound review and nothing seems to happen to them. Idfk i'm thinking of persuing a different career. It doesn't matter how much time you put in, to help, you get scruntinised and torn apart. I can acknowledge my wrongs, but i can't acknowledge putting other people on a higher pedestal. Fml. submitted by /u/notinmyham [link] [comments]
I’m a RN on a 22 bed unit at a level 1 trauma center. My rant is that I and many other coworkers admit SO INFREQUENTLY! There’s at least 3-6 cases M-F, most on day shift, 1-2 at shift change/nights & even a couple on Saturdays. I’ll maybe get an admit once every month or two, and have to ask for it when I pick up. And honestly most of the time really inexperienced/newer nurses get admits, or the same people over and over again. I understand maybe they are trying to get new people experience, but does it have to be weekly?? There’s the cycle of admit first day, send to step down second day, admit again & repeat. Should these admissions be spread out more evenly?? I say this as we also can have many chronic patients, and spending weeks with the same type of patient (trach, peg, bed bound, not stable enough for floor but not acutely ill) is NOT helping my experience. Every acute admission I’ve done well with & receive positive feedback. Is it that I’m competent & they see that? submitted
I have three weeks left in a 14-week orientation. I did an 8-month externship in a very high-acuity neuro ICU and CVICU during my last semester in school and three months post-graduation. I saw a lot of stuff. Balloon pumps, CRRT, impellas, neuro patients with EVDs, etc. After that, I precepted in a Tele unit and felt like I was doing great, gaining confidence, my unit was supportive and the culture was amazing. They were all friends, played sports together, were invited to each others' weddings, etc. Patients here were very sick and got to see some drip titrations, wounds, chest tubes, drains, trachs, etc. This new unit is so different. It is a very low-acuity ICU, I barely got to see ONE balloon pump a few weeks ago. I've seen two CRRTs during my orientation. We often get Tele patients. Most patients in my unit eat, drink, shit, and walk. Yet, the expectations at this hospital are very high. I am getting shit for not managing my time better. I am getting shit for not being "louder" a
A person with a business Bachelors degree completed an online MSN program, had about 2 months of orientation as a bedside RN, and is now going to be teaching students at the online school she graduated from. They will be adjunct faculty for an online MSN–Direct Entry program and are “excited about the opportunity to help teach, coach, and support the next group of nurses coming through the program.” They are, “especially excited about working with students in virtual simulation, clinical judgment, and NCLEX preparation.” This person is now referring to themselves as “professor.” Am I the only one who thinks this is wild? Someone with almost zero experience and beginner clinical judgment teaching others? submitted by /u/Digging_Naturalist [link] [comments]
I am a PACU nurse (post anesthesia) I was feeling myself today... hair was hitting right, outfit was cute FIGS Scrubs, overall 10/10 vibes. I was caring for a patient fresh out of oral maxillofacial surgery who couldn't speak yet, so he motioned for a pen and paper ✍️ He writes one word: "HOT" For a solid three seconds, I was like, Damn, okay... even with a wired jaw he’s shooting his shot. Then he pointed at the blankets. He was just sweating. Humbled 😭 submitted by /u/External-Advance-425 [link] [comments]
Y'all. I just need to vent for a minute. Background: my hospital has an annual survey we all have to complete. This year, the "would you recommend this hospital to family and friends" question got terribly low scores. Basically all the staff said absolutely not. Now, this is after months of layoffs including educators, managers, most of the transport staff, and secretaries. One whole department got dissolved and they were all walked out with security. So in typical nursing fashion - who is picking up the slack? Who's answering phones and doing paperwork without secretaries? Who's leaving their units to transport patients around the hospital? Nursing. We're doing it all on top of our already painfully short staffing and bad ratios. The hospital's solution? HRO training - "teaching teams in high-risk fields like healthcare and aviation how to minimize errors and achieve zero harm through standardized safety behaviors." A hospital wide paid 2 hour training that teaches us how to prevent m
I work 6:30p-7a on acuity adaptable and just got bumped up to 4 patients (our ratio is 1:4). Im in my 5th week of orientation. My preceptor comes in at 6 every shift to look through everyone’s H&P/orders and write down everything she needs before report. She’s been telling me I should come in early too so I can have all of that done and be in my patients rooms by 7. The problem is we don’t get paid for that 30 minutes and I genuinely do not want to start coming into work at 6 every single shift just so I can stay ahead. I want to be able to get into a routine where I’m able to get report, see my patients and review H&P/orders without coming in early. I just don’t know how to get that time management down since my preceptor does it differently. Am I being stubborn about this? Do you guys actually come in 30 mins early to look through charts or do you just get report and figure everything out from there? submitted by /u/LowNight6469 [link] [comments]
Just got off a 12 hour shift and my mom (retired doctor) told me she’s starting to get annoyed with the nursing strikes and that it’s “too much.” A little context, she used to work for Kaiser and she’s specifically referring to the Kaiser strikes. I snapped a bit, told her “what do you want me to do about it? Maybe you guys should unionize too!” (But I know that it’s more complicated for doctors to strike and unionize). I understand that doctors are also overworked, have their struggles, and deserve better work conditions but dang Mom sounds like you’re resentful (is that the correct word I’m looking for…?). Anyways, direct your anger towards admin! I wish we can all team up and fight for better workplace conditions for everyone in healthcare. It sucks that healthcare is pretty much all about business :/ submitted by /u/Lumpy_Tonight_393 [link] [comments]
Soooooooo I have had three separate instances with the MAs at the clinic, and it's not for "small snd silly" reasons, like clinically these MAs need more training. The first time I don't exactly remember what she did, but it was somrthing with vitals and her not having any clinical understanding of what those vitals mean. So I immediately told my PCP who said she would take care of it when she came in. That same MA in a separate visit was asking me what I do, I said I was doing some travel nursing. The MA said, "Oh, I did travel nursing as well!" I kept my mouth shut, and have been sitting on telling the clinic until the newest problem. I had to get a skin TB test and she first of all freaked out about my tattoos and she didn't know where to place it. I disclosed to her I am a RN and she can place it on a spot on my arm. She decided to ask the clinic RN (I'm not judging this part, like I actually want someone to verify placement if she isn't sure!) Who came in, checked my arm, touched
So I’m not sure how the culture got started that every piece of communication needs to go through the bedside nurse, but it needs to stop. The other day I get a patient up from the ED. The first thing she does is hand me her insurance card and tells me the registration lady couldn’t figure out how to upload it into the computer so she told the patient to give it to the nurse when she got upstairs and have us handle it. Like, are you fucking kidding me? My job is to care for people from a medical standpoint, not spend my very limited time troubleshooting computer issues that are in no way affiliated with my role. Just because I CAN figure things out, does not mean I’m Mr. Fix It every time an issue arises in the hospital. And this type of offloading of work exists has wormed its way into every discipline in healthcare. Doctors messaging me things to message other doctors instead of just doing it themselves. Kitchen staff calling because a diabetic patient wants an extra piece of cake. P
I was told this was the perfect work/life balance. It. Is. NOT!! There are 3 nurses for this specific company. One of those nurses is out for a month so it’s 2 of us left. We have to take their caseload. On top of that we’ve had at LEAST 5 admissions within 7 days. I have a patient who’s on ACT so there’s a daily visit on top of my caseload and NEW admissions. I had to work on an admission last night until 7pm!! That’s 4hrs of work. Admissions are NOT short. On top of that I have IDG notes to complete on 11 patients, 6 of which are recerts. Those are ALSO not short narratives. Not to mention I’m on call tonight. Then it’s constant admissions with no help. My manager told me “it’s all about time management” EXCUSE ME?! How about we stop admitting all of these people with 2 nurses on board. That’s almost 35 patients divided between 2 and more to come. Then manager says “our sales team is doing a great job”. By burning everyone else out. We have no help!! I hate it here so much. There is
There’s a lot of talk in here lately about correct charting and what that means. We’re taught this is nursing school but when you work in a hospital sometimes you’re taught incorrect charting habits. For example, in my ICU they encourage that you chart your assessments at 0800, 1200, and 1600 even when if you have two patients. I tend to chart in real time (0800 assessment for pt 1, 0845 assessment for pt 2) because I want my charting to tell a story if I were to be disposed (I saw pt 1 first and pt 2 second, clearly due my charting instead of charting both at 0800). I’m looking for good rules that help us discern bad habits being taught at hospitals vs what actually serves us in court. I’m not looking for “chart as much as possible” here because sometimes my shifts can be insane. Insights from nurses who have been deposed or from legal nurse consultants are ideal. Thank you! Edit: I appreciate the answers so far, thank you. I particularly appreciate all of the conflicting advice. I th
Without getting into details, I am currently being investigated at my workplace for an incident which absolutely did not happen in the manner alleged. I know that there is documentation in the chart that reflects my version of events because I charted it . Other coworkers that night also documented what they saw. This is going to ultimately save my ass, because the allegations are career-ending as presented. Always CYA and document , y’all. submitted by /u/AlphaLimaMike [link] [comments]
Guess the patient? submitted by /u/Scarbarella [link] [comments]
Hi. I’m a new grad and I recently got trained on inserting IVs. I find myself kind of panicking when starting on people with barely visible and barely palpable veins. Like genuinely no matter how much I readjust the tourniquet there’s no fkn way I’m feeling anything still. I get really discouraged because I eventually want to move to a unit that regularly starts IVs, I work with generally stable pts, so it’s not often we get to start IVs. I know the arm anatomy and I somehow still miss often when it’s the forearm, have missed in the hand a few times. submitted by /u/GreenBlue420 [link] [comments]
Why It Matters: The rule would have let the Education Secretary disqualify employers found to engage in activities with a "substantial illegal purpose". One of the big focuses of the lawsuits was that the language was based on the administration's policy priorities about immigration, gender-affirming care, and DEl programs rather than settled criminal law. Teachers, nurses, and nonprofit workers faced losing credit toward forgiveness if their employer was cut from the program. This would include major non-profit University Medical Centers, and end contracts many Nurses entered into to reach PSLF after 10 years of payments while working for a qualifying facility. How day they target Nurses who have worked for years to achieve this changed employers to achieve this. Earned this benefit. Yet wealthy people qualified for PPP loans they didn’t have to pay back? No I’m sorry, this is political and they’re weaponizing the DOE against us. This is unacceptable. submitted by /u/CodeGreige [link]
submitted by /u/misterecho11 [link] [comments]
If a breastfeeding woman is in the icu intubated, does the nurse have ger pump so she doesn’t get engorged/lose supply/get mastitis? I’m assuming the milk would be unusable because of the meds but I’m curious how it’s handled. submitted by /u/ohshitiamtheadult [link] [comments]
three years of nights and i still have not figured this out. like i meal prep on my day off with the best intentions. little containers. protein. whatever. and then 3am hits and i am standing in the break room eating a string cheese and half a granola bar that was in my pocket since tuesday. the cafeteria is closed obviously. vending machine options are depressing. i brought a real meal tonight and somehow left it in my car. everyone talks about sleep hygiene and circadian rhythm stuff but nobody talks about how genuinely hard it is to eat like a normal human being when your body has no idea what time zone it lives in. hunger cues are completely broken. i am never hungry at the right time and then suddenly starving at 5am when i am also trying to finish charting and give report. i have tried the big meal before shift thing. i have tried smaller snacks throughout. i have tried just not thinking about it and that was the worst one. night shift nurses specifically. what actually works for
Inhaled...not eaten. submitted by /u/toothpick95 [link] [comments]
submitted by /u/indogneato [link] [comments]
How do I care less and not let things affect me? Most things at my job don’t affect me, but lately I feel like they are. I am freshly back from maternity leave, but not a new mother. In the past month I’ve had a couple incidents where I just can’t get over them. Essentially I was gas lit by the doctor, I was catching all of the signs for my pt declining as soon as I got them, they would not order anything, tried to tell me the pt was previously like that when they were not, and he ended up dying overnight. I can’t even look at that doctor without feeling anger. My coworkers bring it up and I can’t even talk about the situation without feeling emotional. I then admitted a patient that was a huge safety risk, I brought it up to the higher ups, nobody did anything and an extremely traumatizing code white happened days later. The higher ups claimed they were unaware of the patients history, despite me bringing it up to their faces. I don’t know why I am feeling things so deeply lately and
I hate it here. I'm about to go get my CDL and call it a day. submitted by /u/ARepeatedFailing [link] [comments]
I'm a 37 year old male in my second year of an ADN program. Last week during clinical I was able to be a part of a C-section. I was completely blown away by watching a baby being born and had such a strong emotional response to it that I wasn't expecting. I don't have any of my own children yet. I had no idea I was going to have that type of emotional response to it. It was such a beautiful experience and doing an assessment on a newborn, seeing their eyes lock with mine while they grasped my fingers made me realize how precious a new life is and how lucky I felt to be there that day to help care for them in the first few hours of life. Today I was paired up with a labor and delivery nurse who has been graduated from the same program I am in for about a year and half now. We had a G2P0 in labor. She was 6/70/-2 when I came on at 7am. She had no problem with me being there and had an epidural before I came on this morning. Her husband was there as well and I was kind of surprised becaus
submitted by /u/DaTickla504 [link] [comments]
So we had an incident in the ER, pt got super combative and security didn’t show up for about 30-45 minutes because they were already upstairs dealing with a separate issue. I understand they were busy, but is it normal for hospital security to only be able to handle one situation at a time? Or send every single security member to a single incident for almost an hour while they are aware of a potential combative patient in the ER?? submitted by /u/restrainedkiller [link] [comments]
So I recently accepted a position where I’m on call 2 days every 6 weeks. Not bad, but I’ve never been on call before, what do you do on the days you’re on call? Just chill at the house? Does anyone have a routine for this? 12 hours of maybe free time is going to be new for me. submitted by /u/Arlostyles [link] [comments]
Have a lethargic child come in the front door, EKG my tech handed me has ST elevation, we have no beds so I’m on the phone with charge on where to take these two obviously sick patients - father of a different patient comes up and asks if I’ve skipped his child with a RASH who is LAUGHING in the lobby because “all these people came in after us but have been seen” like sir there’s people that are dying. Give me a minute. submitted by /u/Expensive-Eggplant-2 [link] [comments]
I don’t know why the call bell system is allowed to be in the nurse break room. I hate sitting in here trying to scarf something down real quick or RELAX for a hot minute with the background cacophony of that damn thing going off every 20 seconds. I bet European nurse break rooms don’t have this!!! submitted by /u/phatmexican13 [link] [comments]
I’m only a month into my new ICU position and I’m struggling so much with my mental health. Ive been diagnosed GAD since I was 16 but have never dealt with depression. Since graduating college, nothing has brought me joy, my friends have all moved away, I’m doing long distance with my bf, and I’m living with my parents again. I have no social life but no energy to go out and do things on my days off. I’m doing everything “right” at work. I haven’t made any errors (I stare at the MAR for 5 minutes before giving a med bc I’m so scared to mess up). I ask a bunch of questions. My coworkers and management are so supportive and I have a long orientation. My assessment skills and medication knowledge are good and everyone says I’m right where I need to be. I feel like on the outside I’m a competent new grad and I’m starting to take on more responsibility and overall doing well. I stay calm during emergencies and handle the grief of the job better than I thought I would. But why do I feel so a
I just found out that my kids "school nurse has a revoked license and it looks like it's been revoked for quite some time. This person administers medications to the children. This doesn't seem right to me so I'm asking everyone else what the best course of action is? submitted by /u/SakinaPup [link] [comments]