#vesperfairchild

[md-admissions]

Whats your honest opinion of Nurse Practioners in Acute health care settings? Also what about them working in the critical care units?

During my critical care rotation over the past four weeks, I never encountered any nurse practitioners. We had, however, many really amazing RNs; I learned a LOT from them! 

Because of them, what I learned is that a critical care patient is not the same as your run-of-the-mill patient who needs a couple days in the hospital to get over pancreatitis or recover from an appendectomy. CCU patients can have scary things happen any time of the day. You gotta be on top of it!

Therefore it requires a different level of nursing and medicine. I saw the CCU RNs assist with intubations, manage IVs and PICC lines way better than I could ever (I saw one patient with three IV lines; I couldn't keep any of them straight but the RN knew exactly which line was for which of the patient's seven drugs. That's skill right there.) and still carefully record fluid input/output, administer medications appropriately, help patients ambulate, and tell US what was going on the with the patients when we were unsure!

So while I'm all for NPs in acute care or CCUs, it's got to be those who have undergone the training. It's definitely not something anyone can just waltz in and handle! 

Awesome question!

md-a

[grenadewithcurls]

for those of you who have asked, a snap jar, is a snap cup from the movie legally blond 2. essentially everyone writes something nice on a slip of paper, a warm fuzzy. then they put them in the cup and the snap cup(jar) mistress reads them. so like one of mine for deborah was "Deborah looks awesome in skinny jeans" and then we'd all snap for deborah. she's been sort of down on herself recently so i thought she could use some warm fuzzies.

[md-admissions]

vesperfairchild replied to your post: “It’s unethical but it’s reasonab...

In regards to what though?

It was in regards to medical ethics and decision-making. The big issue for me is that the feasibility of an action isn't an appropriate opposite or equivalent to ethical action.

[chronicillnessproblems]

andfornever said: My neighbor bought a hospital bed to keep in their house

I really might do that if there's ever a next time. I wanted to rent one, but they didn't seem to think it was necessary. I think, for me, for another kind of joint surgery maybe not, but spinal surgery feels like something it's reallyyyy necessary for.

nelayn said: *sends you love*

Thank you <3 <3 <3

shygaladriel said:❤❤❤❤❤❤❤❤❤

thank you lovely <3 :)

vesperfairchild said: It seems strange they wont allow you to have even a partial adjustable bed for a bit.

RIGHT. I guess just because they don't consider my surgery a super minor one because ACDF is definitely a big surgery, but my neurosurgeon that dominates that ward does a lot bigger ones, so I think they partially just aren't so worried about me as a high priority patient. '

schway-va-jayjay said: LOTS of pillows. If you can get a body pillow, fold it in half. Or get one of those pillow ‘chairs’ that yo can prop in bed, the one that has a top and arms? I suck at describing things. But they work sO well.

I've got a few, but bleh. My friend who had spinal surgery last summer is coming to bring me a chair (i think?) that helped her, so hopefully that'll help during the day at least!

thefragileporcelaindoll said: Air hugs. Sending healing energy your way

thank you very much :) 

creepykeyla said: You can buy special wedge pillows that keep you elevated without being super uncomfortable. My dad had to use one when he had major spinal surgery because his neck would swell like crazy if he slept lying flat.

YESS, mine's swelling when i'm flat, but at the same time i get so stiff in one position i have to keep switching from various ways of flat, gah.

hinakoumori said: Oh honey, I wish I could help you out. I’ve been throwing up and bedridden all day myself and have even LESS of an idea how to make you feel better, but I figured I’d send you good wishes!

  thank youu <3 I hope you feel better soon if you aren't already! that sounds awful :( :(

  @blaurascon said: Do you have pillows or blankets or anything you can use to prop yourself up while you sleep? Might help a little. Hope you feel better soon!

I do, they're helping a little but not too much. because i keep getting stiff when i can't totally control the angle. i managed to sleep without too much ice or heat last night though, so thats good.

[chronicillnessproblems]

vesperfairchild said: Uhm come to barrows. 3 day stay minimum with usual neuro rehab with some of the best surgeons and nurses :)

  aww that sounds nice! my surgeon is amazing, he's one of the extremely small few who know what they're doing in my conditions. just his office staff is not so great, i suppose as an excuse they are really busy, but still.