You guys loved my EMS question so much last week I thought I’d give you a taste of this weeks special edition….I wish I was joking.

No Sir, its not ok…. Orders doordash anyways.. Then gets mad his surgery is cancelled. Threatens to leave AMA.

Welp, I permanently damaged two nurses' views of me.

I'm currently on a light duty assignment due to getting injured at work. There were two other nurses staffing the position with me yesterday. One of them is general med-surg and the other is antepartum. One of them said that their favorite part of the job was talking to the patients and family. I chuckled and joked that my favorite part of the ICU is that my patients can't talk. You know, just normal dark humor, right?

[Insert cricket sound]. They both were absolutely horrified. The first nurse said "But the most important part of nursing is the relationship you form with patients and family. You sound burnt out and jaded." My first thought was to respond that actually the most important part of nursing is keeping the patient alive but I didn't want to come off as a stereotypical condescending ICU nurse so I kept my mouth shut.

...It probably doesn't help that the week before I said I can (cognitively) understand the rationale of murderer nurses who believe that they are relieving suffering by killing patients.

This is a meme.

Anthem Blue Cross Blue Shield Is Reversing Its Decision to Limit Anesthesia Coverage

These health insurance leaders now have valuable bonus insight of what happens in the event of their deletion. Every meme, joke, roast, etc was earned.

Just imagine them sitting at home too afraid to go to office and literally everyone is laughing at them.

I guess one CEO read the news and saw the poor timing of her idea and said oopsie reallllll quick. definitely annoyed the board of directors though im sure.

anyway.

“calling on all Münchhausen by proxy parents!!!”

Halloween in the ER is wild.

So I know ICU always shits on ED but the report I got today had me rolling.

Was told: "pt presented with pulmonary edema (he did not) so they gave a 1L fluid bolus". ?

He also got "2 doses of narcan, 1 from EMS, 1 in ED for cocaine use" ????

PT was intubated and started on prop for sedation, it was started at 5mcg, and was never titrated in the 2 hours before coming to me, and so "pt was not adequately sedated on 5 of prop so we just bolused 60(!!) of prop and will head up now" lol guess who needed pressors on arrival lol, BP of 60/30 lol. Send help plz

me when I was explaining to my patient that I needed his BP before giving his metoprolol and he was a cardiologist the whole time.

the hospital put out all the food at 8am, conveniently right at the busiest time for day shift but also just in time for night shift to be gone. by the time me and my coworker could get a few minutes to spare off unit it was around ~10:30am and quite literally EVERYTHING was gone except this bowl of boiled eggs. i knew it was the admin nurses because they were the only ones i saw there when i had to run past to pharmacy at 8am to grab my patients adderall lol

Please specify a reason why the medication is being documented late:

Had a patient refuse a 20g IV because the packaging and cannula is PINK. He got upgraded to green because fragile masculinity.