I love genuine questions and people putting in the effort to love and understand each other better. If you come at me just wanting to argue I’m going to troll you back. FAFO.

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Joined 1 year ago
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Cake day: June 12th, 2023

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  • I try to read all the articles I post but for this one I noped out after 1 sentence. Enjoy!

    I gotchu.

    Bro had prostate cancer at some point and the article says they removed his bladder. The “surgical wound” is likely a permanent ostomy, where the internal ureters (which no no longer have a bladder to drain into) are redirected right out of the abdominal wall (there’s usually a bag taped on to catch the urine). I forgot they usually just drain them into the intestines if you still have them, which is why they were involved in this. Anyway, my guy was doing well and they were pretty sure he was healed up, but age and possibly chemo both slow healing and doctors (like the rest of us) aren’t perfect. Because he was pretty sure he was healed up, he went to breakfast to celebrate, and happened to sneeze. Sneezing raises pressure in the abdomen, and busted his intestines right out of that almost healed wound. The article correctly refers to this as “wound dehiscence (opening) and evisceration (the bowels protruding).”

    In nursing school, they actually teach you specifically what to do about this specific occurrence. First you sit the patient all the way up and honestly leaning forward over their legs a little. This takes pressure off the abdominal skin so it doesn’t tear any further than it has. Then you cover the wound in sterile gauze soaked in sterile saline. If you have an abdominal surgery that has dehiscence and evisceration as possible complications, you likely will not have access to sterile gauze or sterile saline on you at all times, especially not if you’ve gotten far enough into recovery to be going to brekkie, but any reputable surgeon will be happy to provide their own specific instructions as to how to manage the situation until the EMTs arrive, which I encourage you to follow.




  • Situational awareness. I’ve had people look me up and down and ask how I handle the patient population I do considering I’m kinda skinny-fat and like

    a) I’m a lot stronger than I look, especially with adrenaline in me one time I picked up one of the weighted dayroom chairs because I needed to get to a patient and it was in my way

    b) 99% of it isn’t even fighting people anyway it’s mostly just having an ear for bullshit. One time we had a patient set off one of the safety alarms in their room and waited in the dark behind the door for someone to come answer it. I got there, saw the darkened room with the weird alarm going off and just noped the fuck out and called security.

    If you have the common sense of every guy in the horror film that says,“Absofuckinglutely not” (and you don’t mind being paid pennies) psychiatric nursing calls to you.












  • Yeah but in practice you catch the face by accident a lot anyway. You also have to realize that these people are uncomfortable and scared for both real and delusional reasons, so they’re not exactly heavy sleepers. I should also add that sleep is arguably the single biggest factor in recovery from most acute episodes of any psychiatric disorder. When I’ve had inpatient stays they even disrupted my sleep occasionally and I can usually sleep through anything. Even opening the door wakes a lot of people up and a lot of people can’t sleep with the door open, and also sometimes things get loud in the hall, even at night.

    It’s another example of people who have never actually spent any real time in that environment either working or receiving care trying to make rules that don’t make any sense and without regard for what the people those rules actually affect are telling them. As someone who’s done both several times over in several different places, that kind of thing hits me doubly so.

    People also have a tendency to make decisions based on what makes them personally feel better instead of allowing the disabled and institutionalized the dignity of privacy and making at least some of their own decisions. In this case they want me spying on them more but there are lots of ways this manifests. People especially get super uncomfortable thinking about disabled people having sex or even just a sexuality at all. People would also literally rather me tie their 98y/o grandma to the bed and let her scream until the drugs kick in than let her crack her head falling on the way to the bathroom and die and/or admit that they were blessed she made it that far to begin with.


  • Nursing/Psychiatry: here’s what to pack for your friend in the psych hospital!

    • T-shirts, logos fine, avoid anything explicit/vulgar
    • stretchy pants, no drawstring or that can have the drawstring removed and don’t need a belt
    • a sweater without a hood or zipper
    • socks
    • slide on shoes (no laces)
    • a puzzle book with more than one type of puzzle
    • a book in a genre they like
    • a coloring book
    • a notebook to write in
    • crayons
    • a stress ball
    • one of those silicone bubble popper toys
    • snacks/food that are still sealed or that have one of those doordasher stickers fast food places use sometimes.

    DON’T bring:

    • anything with long strings or cords
    • anything sharp or pointy or made of glass or ceramic
    • plastic bags
    • bedding/pillows
    • anything valuable or sentimental other than maybe a smartphone, and ID