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Inspiration Needed


I am Roxana, 23 :D Welcome to my world <3

Favorite bands 1. Deftones 2. A Perfect Circle 3. Tool 4. Nine Inch Nails. Things that you should expect; Pokemon, Video Games, Hello Kitty, Kingdom Hearts, Cats, leopard things, tattoos, love, Bioshock, Left 4 dead, Music, Science things, Lots of Deftones and Tool, puscifer, Zelda, a little bit of fashion, nature, Star Wars, movies, animals, funny things, I am a lover not a fighter, I am quite interesting :D

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"Peace, Love and Understanding"


Ask me Archive Submit

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girlgonecraycray:

Yayo- Lana Del Rey

"Let me put on a show for you daddy." 


Apr 18th at 1AM / via: virginrosemary / op: senorhoudini / 22,007 notes

(Source: senorhoudini)


Apr 17th at 4PM / via: catsexx / op: thelostie / 378,173 notes

titsandidiocy:

gingerface1000:

This is my whole life.

literally college

(Source: thelostie)


"

I worked nights as a new grad. It’s great because you have time to learn, but it sucks because the only time you get to know physicians is when you call them in the middle of the night and piss them off. You become the annoying nurse that wakes them up every time they’re on call instead of your best bud.

(HINT - doctors that are become your best buds and trust you are AWESOME)

To make it a little less painful, here are some hints.

#1 - Don’t immediately apologize for calling them. Yes, it sucks you had to wake them up, but it’s their job and you’re just doing yours. It’s all business.

#2 - Don’t get nervous and just say the patient’s name and ask your question. This is the on-call doctor, they may not be familiar with your patient. If you’re not sure, first ask if they are familiar with your patient. If they’re not, give them a brief summary of the patient’s main problems.

#3 - Be prepared. Have a fresh set of vitals, know their allergies, have their labs pulled up, anticipate their questions, and be in a quiet area because they’re probably half asleep and will talk softly. If possible, know what order you want. For example, if they haven’t voided in 8 hours after a foley was D/C’d, anticipate an order for a straight cath if their bladder scan shows more than 500 ml. If they’re in terrible pain after a thoracotomy earlier that evening and it’s not controlled at all despite all of your PRN’s, anticipate (or suggest if asked) a morphine PCA on the lowest setting.

#4 - If it’s a recurring problem, ask them when they want to be notified again. If you’re calling because they had a 3 second pause and their heart rate is in the 40’s and he tells you he doesn’t care, ask when he wants to know and write the order. CYA.

#5 - Make sure you have scratch paper handy to write down orders. You think you’ll remember it, but then he gives you 4 unexpected med orders and your tech is trying to talk to you while you’re on the phone and now you’ve forgotten them all before you’ve hung up.

#6 - Don’t page and go do something else. Nothing makes them more upset than waiting on hold while you finish getting someone off the bedpan for 7 minutes. I think I’d be pissed too!

#7 - Ask ALL of your fellow RN’s if they also need to speak with that doctor . Another thing that, rightfully so, pisses them off is multiple calls from the same unit about things that could have all been asked in one call.

#8 - If they’re pissy, don’t take it personally. The sooner you figure that out, the better. Doctors can get mad and rude, but that doesn’t have to make you feel like crap for the rest of the shift. Maybe they had a patient they had been heavily invested in die earlier that day, maybe their kid won’t stop crying and he had just fallen asleep, or maybe they’re just awful. But you’re not, so there!

EXAMPLE OF HOW CONFIDENT AND AWESOME YOU WILL BE:

RING RING!! RING RING!!

“This is Dr. Smith. Someone paged?”

“Hi Dr. Smith, this is Jaclyn Evans from the observation unit. I have a question about the patient Edward Godwin in room 8123. Are you familiar with him?”

“No. Who the hell is that?”

“He came in yesterday for chest pain and is here overnight for observation. His cardiac work-up thus far has been essentially negative. He is scheduled for a stress test in the morning. His only history is GERD and HTN. I’m calling because he is bradycardic. When awake, his heart rate is 45-50, and when asleep, he’s gone as low as 35. He’s asymptomatic. I’ve also noticed an increase in his PVC’s. He had occasional PVC’s at the beginning of the shift, and now he’s having 25/minute.”

“What was his mag potassium this morning?”

“K was 3.2, Mag 1.6 and replacement was not administered. It looks like he received his scheduled HCTZ and lasix this morning and has voided approximately 2.5 liters since 0700 today.”

“Draw a STAT BMP, give 40 mEq PO potassium x 1 dose and a mag rider of 2 gm IV x 1 dose. Call me back if his K is less than 3.0”

“There are no labs ordered for tomorrow. Do you want a BMP in the am as well?”

“Obviously.”

“Great. And his heart rate?”

“I don’t care.”

“How low can his heart rate get before you want to be notified?”

“As long as he’s asymptomatic, I don’t care.”

“K thanks bye!”

“GRrrrrr…” (grumble) (hangs up)

Orders you would enter:

STAT BMP

BMP in am

magnesium sulfate 2 gm IV x 1 dose now

40 mEq potassium PO x 1 dose now

Call if K+ is less than 3.0

Call with symptomatic bradycardia, do not notify for asymptomatic bradycardia

Calling Docs on Nocs | Nurse Eye Roll (via adventuresintraumaland)

Good advice. Need to read back telephone orders tho.

(via chadmsanders)

ALL OF THIS. ALL OF IT. SO THIS.

(via nightnursenotes)

Why doesn’t nursing school teach this?!?

(via rebellinginscrubs)

^^^ I am so glad someone else thought that. This was a beautiful SBAR and call. 


musicstomyears:

Lana Del Rey - West Coast

OMG <3 and Lana is next week :] 


vicarious-escapism:

Deftones | This Place Is Death

You arrive in my dream
Beside me every night
You and me, we explode through the scene
We try to drain the night empty

No one goes off in every way
Like you do
We go out together
We weave our own web
Tangled in the waves
With you we spray the scene in red

We both erupt in colors
Then carve out our names
You keep me aroused
I know you feel the same

You arrived in my dream
Beside me every night
Just you and me, we explode through the scene
We try to drain the night… empty

No one else has a hold over me
Like you do
You open up the covers
You lure me in
Tackle me anxious back into bed
Well I hope to discover all of your waves
This place is death
I know you feel the same

You arrived in my dream
Beside me every night
Just you and me
We explode through the scene
We try to drain the night…

(Source: godless-vegan)


He will never take a good picture lol 

but I still love him <3 


head-down-headphones-in:

The Chauffeur - Deftones


Apr 12th at 9PM / via: catsexx / op: whitepassing / 225,312 notes

fatwink:

"so how is school going?"

image

(Source: thatsociallyawkwardkid)


Apr 12th at 12AM / via: uprroar / op: sizvideos / 91,698 notes

(Source: sizvideos)


(Source: oursuperadventure)


(Source: rebel2thegrave)


Apr 11th at 9PM / via: some-texas-chick / op: tatehorror / 6,009 notes

tatehorror:

Trying to stay awake in class like


Apr 11th at 9AM / via: catsexx / op: sandandglass / 136,583 notes

lobstrocities:

just for that last bit

(Source: sandandglass)


I hate  

Sassy teachers, CALM YOUR TITTS… BITCH!

This clinical is going to be a fucking nightmare.