Psychiatric Registered Nurse

Love memes and scifi/fantasy.

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Joined hace 2 años
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Cake day: ene. 13, 2021

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The symbol of healers is NOT the Caduceus (two snakes around a staff). The Caduceus is a symbol of mercantile, both honest merchants and thieves. The true symbol of healers is the Rod of Asclepius, the single-snake you see in our community icon. I consider this a massively important (although symbolic) statement to make in an era of privatized, for-profit medical care. "The Caduceus is a symbol of Hermes or Mercury in Greek and Roman mythology. Caduceus symbol is identified with thieves, merchants, and messengers, and Mercury is said to be a patron of thieves and outlaws, not a desirable protector of physicians." "The modern use of staff of Aesculapius started when The American Medical Association had the staff of Aesculapius as its symbol in 1910. The Royal Army Medical Corp, French Military Service, and other medical organizations had done the same. Even today the World Health Organization, Medical Council of India symbols have the staff of Aesculapius in them." "In 1990, a survey was done in the US and it was found that 62% of the professional associations used the Rod of Aesculapius while 37% used the Caduceus and 76% of commercial organizations used the Caduceus."



So my mother is an old-school feminist. Part of the women’s army core back when that was a thing, a STEM graduate and worker in the 80’s. She’s seen some shit.

What she says about the feminist movement (and having been in three relationships now with men I agree) is that it advanced women, but men didn’t step up. Women became able to do it all, childcare, homemaking, AND working and even breadwinning. Many men took this not as an opportunity to step up and do more themselves, but as an opportunity to do less. They just let women do 50% of the work now, plus 100% of the housework. So modern women average out to doing like 75% of the work!

I can confirm that this was present in 2/3 of my relationships with men. The men involved were practically children I had to care for. They would do some work but would then spend the money on themselves and maybe give me some of it to make sure the bills got paid. They did nothing to clean or maintain the area around them. They did nothing to ensure the laundry got done or that decent food got made. Both of them I had to encourage to clean themselves. They spent the rest of their time playing video games. Sometimes for 16 hours a day if I didn’t “harass” them. I suppose I’m glad I had teenagers with part time jobs instead of something more akin to toddlers but either way they were confused when my attraction to them rapidly vanished due to their childlike behavior. I now have an actual grown man who is comfortable completing household tasks, perhaps even moreso than me. This is fine by me, as I am much more comfortable working 48+ weeks outside the home if needed.

I cannot speak to what branding would make this palatable to men, but I hope you find some way of encouraging them to see cooking, cleaning, and doing laundry, as general adult tasks instead of women’s ones. Please. For all of our sakes.


When my company switched to this new electronic medical record I had to take a bunch of online classes. One of them was how to bill my patients for the services I was providing as I documented during the shift.

I remember announcing loudly during the in-class portion that as a nurse I know they and the insurance are pulling fuckery on the billing end but the moment they directly involve the direct care staff such as myself I would bill 0 every time until fired then go work for someone else.

I must not have been the only person upset about it because I never heard anything further.

I got into this shit to help people and I know American Healthcare makes that almost impossible but don’t directly involve me in your financial fuckery ffs. If I could work for a company that just circumvented the health insurance entirely I would but there’s literal laws against that in america because fuck you that’s why.

I’ll never work for HCA though. Literally over my dead fucking body. Fuck HCA with a ten foot pole.


So there’s the serenity prayer right?

May I have: the strength to change the things I can, the grace to accept the things I can’t, and the wisdom to know the difference.

(I usually tell people the secular version because otherwise sometimes the wisdom is lost on those who have been profoundly hurt by religion) But there’s another layer there.

There are things I can change but not without a lot of help and/or a lot of time. Capitalism fits that description quite well; I’m one person, and it’s going to take everyone working together for a long time to change things.

In the meantime I and numerous others need to be able to keep up well enough to a) not die or become severely disabled b) have the energy to contribute to bringing down capitalism.

You don’t have to agree with the game to play it for a little while. And for a lot of us playing that game does mean drugs. I hate it but that’s my truth lol.

But also, yes. The increased need for psychiatric medications across the board for as many people as we’re seeing is definitely indicative of a larger social problem that many people don’t want to admit.

“There’s always going to be disabled people!” Yeah but right now they’re intentionally disabling people to keep the system running, lol.


Yeah that’s modern Healthcare.

We’re all licensed so they can’t get away with not giving us fulltime hours and benefits.

But damn if they’re not gonna get all they can get for that money.


That tracks lol.

We had a guy straight up just stroke out at my old hospital.

Can’t prove it was the stress of 60-80 hour weeks that did him in.

And yet we all know that’s what it was.


I completely agree that they should be paid equally.

I also have to say that when my sister was working for goodwill industries she was the happiest and most well adjusted that she ever was while living at home.

Goodwill was definitely underpaying her since they’re famous for it. But at the same time they were providing the optimal working environment that she needed. The supervisors were all trained to mediate all of the myriad behavioral and social difficulties that came with her intellectual disability, including when she straight up started cussing out her coworkers on several occasions.

The cussing out her coworkers by the way, meant she was doing pretty damn good. I usually didn’t get that much warning as a kid. She used to just start hitting and throwing things in our house. I spent my childhood getting glass thrown at me by her. She gave me a permanent back injury as a child.

And they employed her successfully for years. She liked going there. She had friends there. She would talk about what they had her do that day and the skills she used and how she had to think to get those tasks done. Then with the (admittedly miniscule) money she made she was able to pay for a care aid to come and take her to the movies every Friday instead of. Y’know. HITTING US AND THROWING THINGS AT US. And when she was at home she was much calmer and more self-confident in a way that didn’t involve hitting people.

So something about the current system certainly needs to change significantly. It’s 100% not right and I hate thinking about the fact that they literally devalue human beings.

And a company that does all that gave me a sister that didn’t beat me twice a month for about two years.

I have some very confusing feelings about that.

There needs to be some kind of public service that provides that for people like my sister. I will fully admit that capitalism is not doing it in a humane way.


I wish it was controlled more by actual writers than Disney.

But that’s also how I feel about prostitutes.

Consistently making sure the pimp’s cut stays as small as possible seems to be a common difficulty with capitalism.

Like how do you make sure the prostitutes can hire private security without them becoming pimps?

How do you make sure the writers can have someone to distribute their content in a way that gets them paid without that person becoming Disney?

I feel like the answer is increased infrastructure in some way (police that actually do their fucking jobs and internet and computer systems that are functional and widely available) but I don’t have a more complete answer.





Help!
I know the issue is with the starred row, but I can't figure out how to reconcile it! UPDATE: I tried a nonocross solver that told me there's no solution. If you add one-more-one to the starred row, there is a solution that aligns with a sensible visual pattern. So my understanding is that this puzzle just has a typo. Thank you for reading though!
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Help!


Doctors, nurses, and other Healthcare staff deserve to be compensated for their labor just like everyone else working in society.

Shit like this is part of a longrunning psyop by Healthcare executives and insurance agencies in particular to attempt to draw attention away from the 90% of Healthcare costs that they’re skimming off the top to pay for their megayachts.

This is the equivalent of saying Jeff Bezos or McDonald’s or whoever else paying their workers a fair wage is going to make it so no one can afford any of their goods or services.

It’s a complete misdirection. Don’t blame your fellow workers.

I highly recommend “Deadly Spin” by Wendell Potter. He used to be one of the lead marketing guys for a few different health insurance companies before his conscience caught up to him and he explains the topic very well. If you’re looking for something a little easier to consume I know both Adam Conover and Hasan Minhaj have covered this topic on their respective shows.


I mean this was kinda what I meant by weighting things in favor of the prostitutes. The whole theme of my comment in general was that they’re getting hurt one way or another, but they’re getting hurt way less overall if they’re at least allowed to do it on the public record in a lot of ways.


90% of the incels I hear from are raging misogynists who vehemently hate women for their ability to withhold a “resource” for money. Combine that with the low social status of sex work (which is not fixable with legislation) and you are just offering these women up to be murdered (which is already the case).

There are a few things legalization of sex work does fix.

  • once it’s much easier to access legal adult prostitutes, child prostitutes become significantly less desirable to those that might otherwise seek them out.
  • you can try to weight things in the prostitute’s favor by enacting rules that make brothels and pimping a lot harder (although you still need to have a good way for them to hire their own security).
  • It’s easier for prostitutes to seek justice from abusive johns if their side of things is perfectly legal.

An NFC/RFID tag can apparently hold up to a megabyte. Also I think some devices can store the data in a different way and just transmit through RFID, meaning much more data could be accessed offline that way.


Expecting them to speak English. I communicate very clear expectations to my cat as to what I expect and for the most part she has no issue following my rules. Everybody says their animals don’t listen or are spiteful and all I see is inadequate communication.

The biggest thing people notice is that when I tell her to stop doing or get away from/off of something she immediately stops and moves (sometimes trots/runs) away from whatever it was. I don’t have to yell a bunch of times I just sternly say “No. Stop that.” once. This is because this is all the warning she gets before I spray her with water. Even if she runs away, if I have to say it twice I will find her and spray her. To me, I’ve been tasked with her safety, which means keeping her from eating things she’s not supposed to, breaking glass and stepping in it, etc. So when I need her to not do something that command needs to work, and it needs to work right away. She’s also an indoor cat and the same rules apply for hanging around near the door.

On a nicer/cuter note, right now we’re learning to not step on my boobs. When I touch something she doesn’t like she yells and pushes me away with her paws. So that’s what I’ve been doing when she wants attention and steps on my boob. I say “ow!” about as loud as she’d yell at me and push her paw away. Today she went to step there but realized where her paw was going to be and put it back down and rubbed her head on my arm instead.

Stop expecting your pets to just magically read your mind lol.


They don’t actually care.

Or rather, they care in exactly the same way they care about racism, gay rights, and gendered concerns.

It is an ad campaign. They sign exactly one $10,000 check to an “awareness” campaign, then turn around and desperately lobby to keep themselves from having to pay for literally any form of social service that would actually alleviate any of these issues.

I know this because my unit is “desperately searching for any and all psych nurses or nurses who are willing to be psychiatrically trained (for $30/h in a major population center with one of the highest rates of rent gouging in America).”

Oh and I negotiated for that 30, and took it because any psych facility paying more is doing it to get you to overlook the patient and staff safety issues.

What I really want to talk about though is the commodification of human connection. “Internet doctorates” are suggesting people go to talk or behavioral therapy for things that are meant to be handled as a community.

They absolutely have their place, but the way people talk about it they’re recommending either a board certified dermatologist or just straight up a trauma surgeon for every scraped knee when really people need to learn how to come together as a community to just give the scrape a good wash and maybe put some ointment on it.

Also would a little basic emotional hygiene and both willingness and effort into bonding with other humans hurt anybody?



thoughts?
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But then you have people who can walk and/or hear while other’s can’t, as well as various other abilities. The only true solution is to blind, deafen, and amuptate the arms and legs of everyone everywhere. Once everyone has died alone writhing in dirt, silence, and darkness, we will have finally achieved true equality.


YES. ANOTHER THING I MADE THIS COMMUNITY EXACTLY FOR


Lifehack!
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Studying with ADHD!
(This was part of a three-part series I wrote on how I got through nursing school with ADHD) When trying to study and pay attention with ADHD it helps to understand optimal stimulation theory. [Here’s an article to read if you want the nitty gritty](https://eric.ed.gov/?id=EJ1024473), but I’m gonna break it down the way I understand it. This is the idea that ADHD is actually a disorder of an under-stimulation, and that you have to increase stimulation to increase attention. It has to be just enough though, as too much stimulation also reduces attention. The problem is research into the specifics has gotten mixed and inconclusive results. The best advice is again, for each person to do what helps them. So put on some educational videos at home and try a bunch of different things out. Whatever helps you pay attention to the speaker most is what you should do. Here's some things I've tried and how I choose the right activity for various situations. It should give you somewhere to start. Basically I split my brain and senses into four parts that all need to be occupied. These are my eyes, my hands, my ears, and the ability to think/process itself. Different tasks need different parts, so the best complementary task varies. Tasks also tend to be less stimulating as they're repeated, so sometimes the effect will wear off and I have to try something new. # Lecture So lecture uses the processing of course, and it uses the ears, but it uses the eyes less often and barely uses the hands at all. So I need something that will occupy my hands and occupy my eyes but that I can look up from as needed. Here's some examples: * Knitting or crocheting * Adult coloring books * Doodling simple, repetitive shapes like little circles, squares, spirals, or wavy lines. I can’t draw complex objects or shapes and still pay attention, just simple repetitive ones. * Fidget spinners & cubes - They don't occupy your eyes in the same way but they do occupy your hands. * Handheld puzzles like rubiks cubes * Jewelry - a lot of people use beaded necklaces/rosaries just to occupy their hands. I've also seen spinner rings and necklaces with the time turner from harry potter. * A lot of people download the outline or powerpoint ahead of time when and take notes on top. That never worked well for me personally but again, figure it out for you. * Some simple phone games/apps but only very specific ones. You want something with * a lot of color and shapes * no reading or complex problem solving * mindlessly easy & repetitive * untimed, like I said, so you can look up * little or no sound/can be muted so both you and your classmates are not disturbed * Here's some great examples (I'd love some recommendations from apple users): [2048](https://play.google.com/store/apps/details?id=com.tpcstld.twozerogame) \- [Water sort](https://play.google.com/store/apps/details?id=com.gma.water.sort.puzzle) \- [Ball paint](https://play.google.com/store/apps/details?id=com.radpirates.ballpaint) \- [Art Blitz](https://play.google.com/store/apps/details?id=com.ketchapp.artblitz) \- [Tangle Master](https://play.google.com/store/apps/details?id=com.rollic.tanglemaster3D) \- [Sort N fill](https://play.google.com/store/apps/details?id=com.flexi.sortnfill) # Rules for fidgeting * Respect your classmates’ right to learn. Fidget quietly and, wherever possible, out of sight (this is less of an issue with virtual lectures, but keep it in mind). * Be honest with yourself about what works for you. The most effective fidget usually isn't one that feels fun (in fact that often indicates the fidget is too stimulating). It should be just stimulating enough to make work easier to pay attention to. * An important part of teaching is verifying that students are hearing and understanding. This is why open communication is so important. Talk to your instructors about what you need and what you paying attention looks like. Fidgeting with a phone is convenient, but more traditional teachers might understand doodling better. I talked about effectiveness and whether or not fighting them on this is worth it in a previous post. * If these things help you it will show. If you still answer questions and work on assignments, most instructors understand. * If you’re going to fidget in lab & clinical, the biggest concern is being sanitary. Knitting (as an example) can’t be sanitized properly. I also had the instructor reviewing my accommodations tell me fidgeting would not be accommodated in the lab/clinical setting. In practice this just meant I was responsible for making sure my fidgeting was not disruptive and in fact barely noticeable. * Bad Lab Fidgets * Knitting - not sanitary * Fidget jewelry - not sanitary, ligature/choking risk * Fidget spinners and cubes - borderline. Easier to sanitize, but has to be done quietly under table/in pocket * Good Lab Fidgets * Doodling - but depending on what else is on the paper, be prepared to shred it at the end of the day * Small hard plastic pocket fidgets # The Reverse, Reading the Book & Doing Homework So what if you need your eyes and your hands like if you're reading or working on an assignment? Well you do the reverse and occupy your ears! * I recommend music without lyrics. I like electronic dance music, but you can find instrumental music in almost any genre. * A lot of people listen to video game music because it was kinda designed to aid attention. * You could also listen to white noise. Lots of white noise generators have options like a coffee shop with people talking in another language in the background. * Experiment a little and see what works best. If you need to read something music or white noise occupies your ears but you might also need to fidget with your hands (see above). * Part of this is building a pavlovian response in yourself. If you don't have a sound to start with that puts you into "study mode" work on studying to a particular sound until you do (more on this in the next section). To sum up optimal stimulation, think about what you're doing and what parts of your brain the target task occupies. Then think about what parts tend to distract you and how to occupy them with a small task. Be willing to experiment to find the level and activities that suit you best. Fun fact: although not directly nursing school related, there are many mindless chores you will still have to do during school. Tasks like laundry or dishes occupy your hands and eyes, but rarely your ability to think deeply. This makes your laundry or dishes a great fidget for studying so you can get two things done at once. # Self Soothe and the Five Senses So this is actually another DBT concept. I mentioned pavlov and his dogs in the first post and here it is again. The dogs drool when the bell rings because they're used to eating when the bell rings. The only difference between you and those dogs is you get to pick what you want to be trained to do when the bell rings. Find something to be your bell, and train yourself so to go into study mode when it rings. Your attention or relaxation or whatever other conditioning you want can be trained to respond to any of your five classic senses. For best results, use multiple or even all five at once. Here's some examples of things you can use (copied from another, similar post of mine): * Sight - Curtains open to daylight or full spectrum white light lamps are abt $50 on Amazon if you live somewhere with little sunlight like the NW US or near the Arctic circle. You may be able to do this with some of those fancy new color changing light bulbs, but I suspect that's more expensive. * Sound - upbeat music, white noise recording or generator of a coffee shop (best if any talking is in a language you do not speak) * Taste - coffee / tea, chewing gum * Smell - a simulating essential oil like citrus, keep the coffee grounds in a cup, scented lotions or lip balms * Touch - it may help to do some light exercise like stretching or yoga, but I really recommend putting on real clothes. For instance I have a hard time studying if I'm not wearing a bra. This is kind of a repeat from the first post but for many people the best thing is not being in the same place where they sleep and watch Netflix while they're trying to study. It's a great strategy, but there are other options as well (and you may need them in this new COVID world). A similar strategy for people who are restricted to their rooms would be to have a desk or chair where they sit during the day and the bed is still reserved for sleeping. You could even curtain off this area or use one of those folding room dividers to create a separate area. You may be able to find these pieces of furniture secondhand for cheap. # Conclusion I hope this really helps all of you. I put a lot of work into making sure I included everything but that it was still readable. Look in the comments if you wanna read more. Lots of people have been sharing their own experiences and what does and doesn't work for them. Best of luck in your schooling and careers!
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I'll go first:
I'm steadily realizing that the effort it takes to build and maintain friendships is so draining on me that I'm probably just doomed to have few meaningful relationships.

I need a place to put all of my unpleasant thoughts to have them kinda maybe heard. Put yours here too. Sometimes it makes them quieter! SCREAM INTO THE VOID. SCREEEAAAM.
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cross-posted from: https://lemmy.ml/post/184426 > A quick summary of the core issues: > > HR 1195 Workplace Violence Prevention for Health Care and Social Service Workers Act - violence has been on the rise in Healthcare since even before the pandemic. It's a combination of factors encompassing everything from people who are sick and confused to drug related violence and violence because people just don't like nurses telling them what to do (for instance, no eating before surgery), and many other reasons. Here's a good article on that: https://www.ajmc.com/view/violence-against-healthcare-workers-a-rising-epidemic > > HR 3165 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2021 - ratios are a commonly discussed topic in nursing because a higher ratio of nurses to patients means that we have more time to spend with each individual patient and ensure that they receive adequate attention to assess and treat them. Unfortunately nurses are constantly pressured to take on more and more patients at a time so that the hospital makes as much money as possible. Often these ratios are wildly unsafe and don't allow nurses time to check for and treat basic complications that would otherwise be no problem. That's why there's laws being proposed to limit the amount of patients each nurse can have in various settings. Here's a good article on that: https://www.nationalnursesunited.org/ratios > > HR 666 Anti-Racism in Public Health Act of 2021 - race is well-known to have profound and wide reaching effects on health, here's the CDC's article on that: https://www.cdc.gov/healthequity/racism-disparities/index.html > > Bring Awareness of the Implications of Pay Caps - recently a huge group of congressional representatives signed a letter proposing to cap the wages of travel nurses. They're trying to spin this as just being about the cut that the travel agencies are getting, but the truth is that the high rates of pay that travel nurses have been getting these past two years had the power to finally make it worthwhile to fairly pay regular staff nurses. Suppressing travel nurse wages is just a move to try and keep nurse wages low across the board. https://www.wwno.org/public-health/2022-02-09/travel-nurse-salaries-are-rising-due-to-demand-some-hospitals-say-its-price-gouging > > Support All Frontline Healthcare Workers (MD, NP, RN, LPN, CNA, RT, EMT, & FireFighters) - as nurses we understand we're part of a larger Healthcare team. We're in this together and we can't do it without our fellow Healthcare workers.

A quick summary of the core issues: HR 1195 Workplace Violence Prevention for Health Care and Social Service Workers Act - violence has been on the rise in Healthcare since even before the pandemic. It's a combination of factors encompassing everything from people who are sick and confused to drug related violence and violence because people just don't like nurses telling them what to do (for instance, no eating before surgery), and many other reasons. Here's a good article on that: https://www.ajmc.com/view/violence-against-healthcare-workers-a-rising-epidemic HR 3165 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2021 - ratios are a commonly discussed topic in nursing because a higher ratio of nurses to patients means that we have more time to spend with each individual patient and ensure that they receive adequate attention to assess and treat them. Unfortunately nurses are constantly pressured to take on more and more patients at a time so that the hospital makes as much money as possible. Often these ratios are wildly unsafe and don't allow nurses time to check for and treat basic complications that would otherwise be no problem. That's why there's laws being proposed to limit the amount of patients each nurse can have in various settings. Here's a good article on that: https://www.nationalnursesunited.org/ratios HR 666 Anti-Racism in Public Health Act of 2021 - race is well-known to have profound and wide reaching effects on health, here's the CDC's article on that: https://www.cdc.gov/healthequity/racism-disparities/index.html Bring Awareness of the Implications of Pay Caps - recently a huge group of congressional representatives signed a letter proposing to cap the wages of travel nurses. They're trying to spin this as just being about the cut that the travel agencies are getting, but the truth is that the high rates of pay that travel nurses have been getting these past two years had the power to finally make it worthwhile to fairly pay regular staff nurses. Suppressing travel nurse wages is just a move to try and keep nurse wages low across the board. https://www.wwno.org/public-health/2022-02-09/travel-nurse-salaries-are-rising-due-to-demand-some-hospitals-say-its-price-gouging Support All Frontline Healthcare Workers (MD, NP, RN, LPN, CNA, RT, EMT, & FireFighters) - as nurses we understand we're part of a larger Healthcare team. We're in this together and we can't do it without our fellow Healthcare workers.


Quick reminder that when they say they're going to replace American workers with foreign ones who are less familiar with US labor laws and willing to accept less pay and less safe conditions, that's called human trafficking.