New-Patients

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This poor young fox was brought into the centre recently by the RSPCA. He had an advanced case of mange and was covered in scabs.

Luckily, mange is a treatable condition if caught early enough, and we have high hopes that, with time and medication, he will make a full recovery!

Hospital Jargon (as explained by an American floor nurse)

Writing something that takes place in a hosptial? Consider this list of phrases to add a sense of realism:

HOSPITAL LIFE:

Report/ in report: When one nurse hands their patients off to another

PACU can f*ck right off until 1930, we’re in report.

Sign-Out: When one doctor/resident hands their patients off to another

*returning page* “Are they dying? I’ve barely gotten sign-out here

EPIC- Electronic charting system. Literally any electronic charting system. Does not have to be Hyperspace/supplied by the EPIC corporation to be called this.

Hey, could you put those vitals in EPIC for me since you’re already logged in?

Bed 45/46-2/47-1/48/etc…: how we refer to patients, by their bedspace number, denoted “room-bed”.

Hey Nikki, do you remember what 45-2′s blood sugar was?

Assignment: The patients any one particular medical professional has responsibility for- be they a nurse, doctor, aide, respiratory therapist, physical therapist, etc…

My assignment is rooms 43-45, how about you?

The Board: Where the status of the patients on your floor get listed, including who is to be discharged, who has certain needs, and the day’s expected admissions. Used to be a physical white board, but now is electronic. Usually used to talk about how many patients a floor is about to admit.

“Jeeze, did you see they just put four new patients on our board? We’ve already got 16- call the nursing supervisor.”

Flexed up: Taking more patients than you’re staffed for on a floor

Well, we’re staffed for 15, but they ‘found’ three more bedspaces so they’re flexing us up tonight.

Code/Call a code/They’re coding: A Code Blue. When a patient’s heart stops on The Floor and everyone shows up to practice CPR and transfer them to The Unit.

They’re coding, get a crash cart to 75-2 and call a code blue

Rapid/Call a rapid/Rapid response team: Almost a code, but their heart is still beating. For hospitals who have a separate “Rapid Response” nursing team. Two Crit Care nurses show up and handle things. Also who you call if you and everyone else on your floor can’t get an IV.

They have an INR of 9.5 and the doc doesn’t want to do anything- I’m gonna call a rapid.

Float/they’re floating you: When you don’t have enough patients on your floor so the nursing supervisor sends you to a different, unfamiliar one.

They’re making me float to 9C. Again. Can you believe that??

Full: Can’t take any more patients, either due to physical space or nursing staff.

Tell the nursing supervisor to stop putting patients on our board- we’re full

Clinic: Outpatient. Where you want your patients to be.

Tell them we’ll see them in Clinic in three days. They have no medical need to be here anymore and they know it.

KINDS OF PATIENTS:

Contacts/isolations: Any patients who’s rooms you have to don a gown, gloves, mask, and/or respirator to enter.

Are you sh*tting me? I have five patients today and four of them are isolations.

Frequent flyer- Someone who, for medical or social reasons, just can’t seem to stay out of the hospital

Did you hear Darlene is back?” “Yeah, we’re officially engraving her name on the Frequent Flyer wall of fame

Crump/Crumpy/Crumper: Colloquial term for patients who are medically unstable/at a lower level of care than they need/will be transferred to The Unit when a bed becomes available or when the inevitably code, whichever comes first.

73′s a crumper if I’ve ever seen one. Rapid’s in there working her now.

‘Seeker: Someone in the hospital with their own agenda, but who largely has no medical need to be there and will threaten to sign out AMA (even though they’ve been discharged four times and keep refusing to go) if they don’t get what they want- be it drugs, social interaction, or over-the-top waitressing. Will probably threaten to give a horrible review of the hospital on their social media platform of choice and mention you by name if they don’t get what they want.

49′s a total seeker. When she’s not begging for pain meds, you’re getting her crackers, juice, tea, hot packs, cold packs, everything you could think of. I didn’t sit down all night and my other patients slept pretty much the whole night. Give her some percocet and get her the hell out of here before I have to deal with her again tonight.

Heavy: A patient that takes up a disproportionate amount of your time, but usually for a legitimate reason.

Dr. P’s patients are really heavy. Something’s always going on with them and they have tubes coming out of everywhere that need care of some kind every hour… I had two of his patients today and I’m so tired… could we break up the assignment for the next shift please?

HOSPITAL PLACES:

The Floor: Medical and Surgical floors, sometimes specialty floors- basically anywhere that’s not the ED, Psych, or The Unit. These have higher staffing ratios (more patients per nurse) and lower patient acuity than The Unit

They didn’t really need a bed on the Unit so they were transferred to the Floor

The Unit: The Intensive Care Unit. Where crumpy patients go, comes in the following flavors (though smaller hospitals may have just one): MICU (medical), SICU (surgical), PICU (pediatric), TICU (trauma), NICU (neonatal), NICU (neurological), BICU (burn), and Stepdown (in the days after an ICU discharge).

They weren’t doing so hot, so we called a rapid and had them sent to The Unit.

The ED: The Emergency Department. Oh dear lord it is not called the ER.

They’re sending up that new admit from the ED in like 5 mins, do you have the room ready?

PACU: Post Anesthesia Care Unit, where people are stabilized after surgery.

PACU’s calling again, they’re backing up and need to give report.” 

THE NURSING HIERARCHY:

Director of Nursing: One Nurse to rule them all. Directs all facets of nursing, from training to hiring to staffing to quality improvement.

Nursing Supervisor: One nurse to rule them all… on a given shift. The nursing supervisor assigns patients to nursing units and makes sure everywhere is staffed accordingly.

Nurse Manager: In charge of the general staffing and personnel management of a particular floor, including scheduling, patient satisfaction, staff development, and service recovery.

Charge Nurse/Charge: The “shift manager” of nursing. Has final say on a lot of things you don’t want to be the bad guy on, as well as creating assignments/checking the crash cart, and submitting service requests when the nurse manager isn’t there. Also has a patient assignment.

Staff nurse: The nurses who do assessments, pass meds, start IVs, carry out orders, give updates to doc’s, chart, manage a patient’s day, make sure they get to tests/procedures on time with the right paperwork, and are overall responsible for managing patient care and providing first-line response to issues that arise throughout the shift.

Nurse Aide/Nurse Tech: Provides the majority of basic patient care. Counts intake and output, gets blood sugars and vital signs, sets up rooms for new admits, cleans and clothes patients, gets blood and urine samples, transports patients if necessary. Staff nurses are responsible for this when aides/techs are not available.

Would someone please add the Medical Hierarchy if you know it? I don’t feel I know it well enough to do it justice. Thanks!

A Summary

YOI Fandom: Gets new art and content almost everyday, having a legit party, everyone’s just thriving and happy af

Voltron Fandom: New discourses everyday, we rarely get new art, waiting patiently for extra content and season three, we’re past a complete breakdown, but we still somehow manage to survive LOL

Help. I’ve fallen hard for Mystic Messenger and I can’t get up. 

I’m one of those fans who have multiple MCs, cause damn they all deserve to be happy. It’s just more fun that way for me ^-^ In all my MM headcanons, art, and fanfics- I always use these girls. 

How their story works is that Unknown has 5 different girls to choose to send to the RFA, and whichever member he wants to manipulate determines which girl he chooses to be the party planner (and therefore determining what route the player is on.) All 5 of them were specifically chosen because Unknown knew they would have the most significant influence on their target RFA member.

If you want to know who they are and read more about them, just continue under the cut!

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Dean’s Doc

Originally posted by ellen-reincarnated1967

Summary: Reader has a new patient Dean who comes in handy when she least expects it…

Pairing: Dean x Therapist!reader

Word Count: 1,800ish

Warnings: language

A/N: Quote for this one was, “It’s a horror show up here,”…


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“Being a voluntary patient doesn’t mean you can leave whenever you want"

New ob patient. She had a miscarriage at 12 weeks a few months before this pregnancy and she is so scared. This baby is so badly wanted.

I put the ultrasound probe on her belly, my stomach in knots too. “Please be there, please be there.” I think to the universe.

And there, floating in her uterus, is a perfect little fetus. A fuzzy flutter in the middle of the chest, two tiny arms and legs. “See, that’s the heart. Those are the arms and legs. That’s the head, you can see the brain and eyes forming. They’re ok.” I tell her. We listen to the whoosh-whoosh-whoosh of a fantastic heartbeat. The tension in the room evaporates and she starts crying with relief, I tear up a little bit too. Hello, rainbow baby.

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Letchworth Village was a psychiatric hospital located in Rockland County, New York. It housed patients ranging from newborn to elderly. It opened in 1911 and was rife with reports of unfair treatment of the patients ranging from patients being unclothed and neglected to reports of rape. In 1996, the psychiatric hospital was closed down and has since fallen to disrepair. To add insult to injury, there are a number of numbered gravestones hidden among the woodland. These unnamed gravestones belong to those who never made it out of Letchworth. After a number of years, a bronze monument was erected at the entrance of the cemetery which lists around 900 names. However, these names are not linked to the plots in which patients were buried but they are believed to be buried in the cemetery somewhere. Some of these people are identified simply as “Baby Girl” or “Baby Boy.”

i don’t usually make things about ships on this blog, despite the fact gryles is the blood in my veins, but i decided since this blog isn’t actually a daily news blog, or an update blog for nick, it’s just a blog that is only all about nick so i can post what i want. so here’s forty-two (42) gryles fics you should read.


picked undone, and again by biggerthanthesun
words: 37,389 / side: daisy/harry

“I need you to know that I… I want you all the time. Me wanting you and us doing this,” Nick says. “We’ve been weirdly steady for two people who aren’t even dating and I still want you more than ever, you know? I’m not even tired of it, I’m not even tired of you. You’re like a constant thing for me, I’m afraid I’m a bit mad about you.”

The one where they’re not boyfriends. Where Nick’s mad for Harry. And Harry was mad for Nick. Until he wasn’t anymore. (Canon-compliant).

at the gates by ymorton
words: 33,707 / side: omc/omc

“I feel I already know you,” he says, laughing.

Harry looks at him, surprised. Nick feels it too?

(gryles, reincarnated)

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In January 2006 in New York, the patient of a well-known psychiatrist draws the face of a man that has been repeatedly appearing in her dreams. In more than one occasion that man has given her advice on her private life. The woman swears she has never met the man in her life.

That portrait lies forgotten on the psychiatrist’s desk for a few days until one day another patient recognizes that face and says that the man has often visited him in his dreams. He also claims he has never seen that man in his waking life.

The psychiatrist decides to send the portrait to some of his colleagues that have patients with recurrent dreams. Within a few months, four patients recognize the man as a frequent presence in their own dreams. All the patients refer to him as THIS MAN.

Mad Love, Darling.

Originally posted by visual-17

pairing: psycho!wonwoo x psychologist!fem reader
words: 4078
warnings: violence, smut
a/n: thanks for request wedomaatter! the ‘’scenario’’ is nearly a fic with the length (oops!) but here ya go! when i read it i thought of joker x harley?? so im sorry if its not what you since i didnt really know how to write push and pull… and somehow smut ended up in it uhm.. yea

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Heartbeat // Dong Sicheng

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the prompt: can i have a story where sicheng is hospitalized and you are his nurse and his cardiac monitor always goes into overdrive when you check up on him?

words: 2480

category: fluff

author note: you guys don’t understand Sicheng was my first nct bias from the moment he asked taeyong for ice cream i was in love and my heart is still so soft for him.

- destinee

Originally posted by jaehyu

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Physical Therapy

Characters: Dean Winchester, Reader (Y/N), Cara (OFC)

Pairing: Dean x Reader

Summary: Dean hurts himself and takes on physical therapy where he meets the Reader.

Warnings: AU, Fluff.

Word Count: 2K-ish

Author’s Note: Hey guys! This is my entry for @dancingalone21‘s challenge- “Lau’s AU Funny Quite Challenge”. My quote is bolded in the fic. I just want to say I am soooo damn sorry for being late on this. I’ve been having a hectic life lately. I’m sorry for the lateness of this fic. I hope you guys like it nonetheless. Feedback is greatly appreciated. Enjoy! *hides face*

**Special thanks to Ree @neversatisfiedgirl for taking the time to beta this for me. You really are a life saver, Ree. Thank you**



Physical Therapy

I didn’t think my life would get so interesting…so fast. I had woken up at approximately 4:30am, thanking the heavens above that it was Friday. It had been a long and stressful week and the weekend couldn’t get here fast enough.

But alas, I was here. And I couldn’t be happier.

The morning went as per usual. I got my Starbucks, drove to work an hour early, so I waited in the parking lot, sipping on my venti Double Chocolate Chip Frap. It was a peaceful morning…until a slightly harsh tap against my window stopped it abruptly.

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Miniature hedgehog!

This tiny little hedgehog arrived at Wildlife Aid recently after being found out in the day. A member of the public had seen her and was worried that she may have been injured.

She was taken in to see our vet team and was given a full checkup by our vet, Angela. Luckily, she wasn’t harmed and, due to her age, would most likely have been exploring out of the nest for the first time.

After a sign off from the vets, she was taken back to where she was found and successfully returned to her family

"We've known season 7 since before seasons 5 and 6" - the true story of what PLL is all about, is right around the corner.

I’m still here hoping that in the series finale they completely re-do Charlotte’s story from 610. I’m a firm believer that the writers were faced with a bloody monstrous task when writing 610: how do we give the fans a satisfying and logical Big A reveal, when we are going to INTENTIONALLY give them lies? I think that the finale will see the truth finally come out:

Charlotte pushed Marion off the roof, and blamed Bethany. Jessica, who was on the board of Radley, helped her niece get away with this.

Bethany escaped Radley that night to get revenge on Charlotte for blaming her for Marion’s death, and also revenge on Jessica for helping Charlotte get away with it.

Radley called Jessica to say Bethany has escaped. Jessica knew this meant that Bethany was coming after her and Charlotte.

To protect herself and her aunty who she loved, Charlotte thought she hit Bethany on the head with the rock. But she hit Ali.

Mona hits Bethany thinking it was Ali and then Melissa buries her, aiming to protect Spencer.

And, since Bethany was blamed for Marion’s murder, Charlotte’s story in 610 was exaggerated. Her out privileges were never taken from her. She did have a roommate, she did attend college, she did attend Rosewood High (hence the yearbook picture) and she did go to all of Eric Kahn’s parties. She left Radley far earlier than she lied about in 610; she was no longer a patient hence she needed a visitors pass to see Mona. How did CeCe even know to go visit Mona, if she wasn’t “sneaking into the room next-door for bedtime stories with the new patient?” Wren told us in 323 that Melissa called CeCe and told her about Mona having been admitted to Radley. That’s how CeCe knew to go visit her. This is why Wren is back. To reveal that he authorised these passes for CeCe who was no longer a patient.

Just because Charlotte was never blamed for Marion’s murder, her motive for being A isn’t reduced. She finally found something in life she could succeed at, and it did become her drug, after her transphobic father punished her for wanting to be herself.

I think that is the true story of Pretty Little Liars that they’ve been wanting to tell for years, and the fact that they managed to come up with something somewhat logical in 610 to hide this, is kind of genius. Unfortunately, the challenge of “giving intentional lies which must come across as the truth” was too hard, because we did have plot holes. Evidently, these plot holes can be fixed. But now the show is ending, and the true version of events, which had been planned longer than the fake version, will finally be revealed. I want to emphasise again that it’s pretty damn impressive that they came up with an entire fake story in parallel to the real story.

(I’ll add that it’s possible Bethany made it out alive from that night and then killed Charlotte, after failing that night. While Charlotte was A, she was everywhere yet she was nowhere. While she was in Welby, she was untouchable. Yet, when the time came for her to be released from Welby 5 years later, Bethany wanted her out so she can finish the job she failed that night. I’ve already theorised most of this on my blog before, specifically in my post dedicated to Bethany in my important posts tab. But the point of this post is to emphasise that I think there is one story which comes in two versions: the fake version from 610 and the real version from 720.)

In January 2006 in New York, the patient of a well-known psychiatrist draws the face of a man that has been repeatedly appearing in her dreams. In more than one occasion that man has given her advice on her private life. The woman swears she has never met the man in her life.

That portrait lies forgotten on the psychiatrist’s desk for a few days until one day another patient recognizes that face and says that the man has often visited him in his dreams. He also claims he has never seen that man in his waking life.

The psychiatrist decides to send the portrait to some of his colleagues that have patients with recurrent dreams. Within a few months, four patients recognize the man as a frequent presence in their own dreams. All the patients refer to him as THIS MAN.

You charge me up

Originally posted by looking-over-my-shoulder

Fandom: Marvel
Pairing: Pietro Maximoff x (nurse)reader
Genres: mild angst, romance, fluff
Words: 2.585
Summary: based on an imagine “Imagine being Pietro’s nurse and him falling in love with you” - requested by Anonymous

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