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:
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-outhere”
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?”
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
“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!
If you obsess over whether you are making the right decision, you are basically assuming that the universe will reward you for one thing and punish you for another. The universe has no fixed agenda. Once you make any decision, it works around that decision. There is no right or wrong, only a series of possibilities that shift with each thought, feeling, and action that you experience. If this sounds too mystical, refer again to the body. Every significant vital sign- body temperature, heart rate, oxygen consumption, hormone level, brain activity, and so on- alters the moment you decide to do anything… decisions are signals telling your body, mind, and environment to move in a certain direction
Deepak Chopra, The Book of Secrets: Unlocking the Hidden Dimensions of Your Life
So this morning at like 0200, our care partner comes out and tells me one of my pt’s blood pressures is 75/36. That’s considered “critically” low, especially considering she’s been running in the 150′s prior to this. I’m expecting sh*t to start going down. She’s gotta be bleeding, or severely dehydrated (she was fresh post-op), or developing an arrhythmia or something.
So I go in her room and start talking to her and she’s mentating fine. A+Ox3, no change in mental status from my last assessment. All her other vitals are perfect- HR 83, RR 14, temp 98.8 (I would have been expecting a higher HR and RR to be compensating).
Additionally, there’s no sign of bleeding or dehydration or fever (all of which occasionally cause low BP but usually with higher HR to compensate). She’s only taken her normal doses of her normal blood pressure medications today. I haven’t given anything for pain (which can also sometimes lower BP). Denies blurred vision, chest pain, nausea, dizziness (all symptoms of low blood pressure). Urine output is adequate (so somehow there’s blood getting to her kidneys) and she has a strong, regular pulse at both radial and carotid (I would have expected her to have lost the radial pulse). Just prior to getting her vitals taken, she had walked to the bathroom without direct assistance without any problem (by some miricle she hadn’t fallen over).
I take her BP manually. Still that low. Take it on the other arm. Still that low. I call the doctor, tell him everything, he comes up and checks her out, asks her questions, shrugs, puts in his note. No new orders.
And you think there’s gonna be a punchline to this but there isn’t. She hangs out like this for a few hours and is just totally stable this whole time, then comes up to the 80′s, then 90′s by shift change. We never figured it out.
Here is a Voltron Lance Whump Fic for @taylor-tut for her prompt:
What if Pidge modifies the suits to monitor vital signs and send an alert if someone’s is out of a certain range? So like they’re walking and Lance is quiet and snippy, and all of a sudden they all get this alert that someone’s vitals are way off and that someone is burning up with a fever? And Lance is so out of it he doesn’t even know it’s him?
I hope you enjoy
Lance had muttered under his breath but Keith still heard it. He spun to look at the blue paladin who had
been walking behind him, “What did you just say?”
“Nothing.” Lance glared at him as he shoved past Keith,
bumping him in the shoulder on the way past.
“What is up with you today?
You have been more of an ass than normal. When you aren’t muttering
under your breath, you are glaring at everyone and just being annoying!” Keith
exclaimed, throwing his arms up in the air in frustration.
“Maybe I am just sick of all your crap Keith!” Lance
“Well maybe you should have stayed back on the Castle if you
are so sick of me!”
“Maybe I should’ve!”
“ENOUGH!” Shiro shouted, tired of the two boys
bickering. Both Lance and Keith had the
decency to duck their heads in shame of being told off for fighting again. “If you can’t be professional enough to leave
your petty squabbles on the ship then maybe I should send you both back right
Hunk moved over to where Lance stood and put his hand on the
shaking paladin’s shoulder, “Come on man lets walk together.”
Lance shook him off, “Just leave me alone Hunk!”
“Keith come on. Just
ignore him,” Pidge said as she moved to grab Keith’s arm.
But Keith wasn’t about to let Hunk, who had been so patient
with the douchebag, get treated like that, “OI!
Don’t talk to Hunk like that!”
“Stay out of it mullet!”
“That’s it! Both of
you are heading back to the castle now!” Shiro ordered, “You will stay there
until I get back from this mission and then we are going to have a very long
talk on how to treat your teammates and family!”
“Move,” he growled when they stood still in shock.
“Whatever,” Lance mumbled before stalking off in the
direction of the ship. Keith followed
after him a few feet behind, glancing at Shiro on the way past with a sheepish
look of regret.
“Sorry Shiro,” he tried but bit back the rest of his apology
when Shiro glared at him with the look he knew well from back in his Garrison
days when he was busted for fighting. ‘Well
this will be a fun lecture to look forward to,’ he thought grimly as he
Keith could hear Lance grumbling under his breath as they
walked, stupid idiot didn’t even remember that his coms were still on! The noise was starting to get to the point
that Keith was about to say something when he noticed that Lance was not
walking in a straight line, in fact it looked like he was drunk with the amount
of stumbling he was doing.
“Lance are you ok?” Keith sped up to try and catch up with
“I said go away! It’s
bad enough I have to listen to that dammed ringing noise all the time, I don’t
need to listen to your annoying voice as well!”
“Ringing? Lance what
are you talking about? There isn’t any
ringing.” Keith finally caught up with
Lance and the instant he saw his face he knew something was wrong.
Lance’s normally clear complexion, not that Keith would ever
actually admit to taking notice of it in the first place, was marred with a sickly
red tinge and he saw that Lance was sweating profusely which was another
warning sign that he wasn’t well. The
planet they were currently on was quite cool, in fact it was almost too cool
for Keith’s liking.
“Lance, are you sick?”
Keith grabbed Lance’s arm and pulled him to face him.
“No but I am sick of you.
Now piss off!” As he said that, Lance wrenched his arm away from Keith
and spun away on to stop abruptly. He
swayed on the spot for a moment before his legs gave way and he dropped to the
grass underneath them.
dropped to the ground and pulled Lance onto his lap, “Hey stay with me!”
Lance groaned but didn’t open his eyes. Keith tore off Lance’s helmet and could hear
a ringing sound coming from inside it but focused on the now shivering boy in
his arms. “Lance? Talk to me.
What is going on? Shiro! Pidge!
Hunk! Someone come in!”
“Keith? What is
wrong?” Shiro’s voice came through the coms.
“Lance just collapsed!
He isn’t responding!”
“What do you mean collapsed?
What happened?” Shiro demanded.
“I don’t know! He was
complaining about a ringing in his helmet and when I tried to talk to him he
just collapsed without a word!”
“Wait, did you say he could hear a ringing in his helmet?”
Pidge asked as she and Hunk both came on the channel.
“Yeah. I couldn’t
hear it until I took off his helmet. Do you
know what it is?”
“Give me a sec,” she said and it only took a moment for
Keith to hear a gasp on the other end of the com.
“What? Pidge? What is it?” Keith was starting to get
worried, Lance was starting to moan again and it sounded like he was in pain.
“Dammit! Keith, does
he feel hot? Like he has a fever?”
Keith looked down and touched Lance’s forehead and hissed at
the intense heat that was coming off his bare skin, “Yeah he does! How did you know that?”
“Remember when I mucked around with our armour a few weeks
ago? Well I upgraded them to help
monitor of vitals when we were on missions.
The beeping he was hearing was an alarm that his body temperature was
too high and that he needed to get help quickly.”
“How does that help him when he is already too sick to know
what the alarm means?” Keith snapped.
“We were all supposed to get the same alarm telling us that
Lance was in trouble but I think when we turned our coms off earlier during the
meeting it must have turned off the alarm as well!” Pidge explained. Keith could hear that she was upset about
what had happened but he didn’t have time to worry about her guilt, Lance
needed help and he needed help now!
“I’m going to carry him back to the castle. Can someone contact Coran and Allura and get
them to meet me as fast as they can. A
pod will be quicker than walking,” Keith said as he shifted Lance so that he
was able to carry him piggy back style.
“Done, we will wrap things up here and get back to the
castle as soon as we can.” Shiro said before he sighed, “Thank you for looking
out for him Keith.”
Keith stumbled a little at the unexpected words, “I, uh, I
am only doing what I should do. I mean
we are family after all.”
He swore he could hear Shiro smiling, “Yeah buddy we are.”
Keith smiled as he hefted Lance’s body to shift the dead
weight a little, “Come on Lance, let’s get you home.”
capricorns are so vital. the cardinal earth sign takes their ideals and realizes them in material ways. the element of earth focuses on pragmatism, the physical realm.. so while aries has all this energy and ambition, the element of fire can make aries act without thinking. cancer is the same, expressing irrationality and unfiltered emotion. libra is /almost/ at capricorn’s level, but air is a fickle and nebulous element, chasing after intangible things.
capricorn belongs to the highest echelon of the zodiac (sagittarius through pisces), and as such is part of the order of signs which establish universal order. capricorn responds to need. aiming to provide and build up. capricorns are stereotyped as stoic, boring workaholics, but it’s more fair to say that they are ambitious and can see their goals as concrete and attainable. without the influence of capricorn i doubt anything would ever get done lol.
Prompt: You seem so invincible. But just touch you and you’ll wince. You have secrets and trust no one. You’re the perfect example of betrayal. Because anyone you’ve ever trusted broke you. Thrust into a new world, will you be able to stay alone, or will Bellamy work his way in.
A/N: So by far number one was leading in the polls, and i’m super excited as I always see these type of stories on the Bellamy Blake Imagine tag and have always wanted to do one. This will of course be a Bellamy x reader but will also follow all canon plots of the series. THIS WILL BE A LONG SERIES. SUPER LONG. Sometimes I might combine two episodes or skip one because that episode (in my opinion) wasn’t as important.
BUT BE WARNED, I will not continue this story if no one wants. Each chapter i’d like at least one or two people letting me know to continue on to the next. I don’t want to put all my effort into a story no one wants to continue to read when I could be putting it towards ones you’d guys like more. But if people want it, i’ll happily oblige to continue it. I am very excited for this story!
I will also try to upload the chapters every few days or once a week!
Based off of: The 100 01x01
Pairing: Bellamy x Reader
Your palms were sweaty, extremely sweaty though you paid no mind to the sweat that trickled down your skin as your head rattled against the head of your seat. Strapped in, nothing much could move except for the annoying shake of your head and the rumble of your own stomach.
Yells of panic could be heard around you but you paid no mind as you closed your eyes and tried to stay focused on keeping calm. Being thrust to the ground with only quite literally a moments notice was not exactly how you expected the day to go. No, you expected to be left in your cell for the day and to make no human contact whats so ever. Instead, you were roughly man-handled by the guards, knocked out and woke up to find yourself on a ship.
Apparently, you and the rest of the delinquents around you were the test subjects for the ‘good commoners’ up in space. You didn’t care. There was no one up there looking out for you or waiting for you, the only thing that annoyed you was that you were being used as a lab rat for some kind of ‘is earth in-habitual’ test.
Suddenly the rattling stopped and you heard a click as you felt your restraints loosen. Opening your eyes, you unlocked yourself, nearly being knocked over as a girl with blonde hair ran past you and crouched on the ground. “Finn, is he breathing?” You heard her frantically ask, and with curious eyes, you allowed yourself to walk over to her and the boy ‘Finn’, finding an unmoving body below them.
“The outer doors on the lower level.” A distant voice said and suddenly there was a mass of people rushing towards the doors. You faintly heard the same girl from before try to warn them that we couldn’t open the doors, at least not quite yet.
“Bellamy?” Turning your head, you watched as a brunet haired girl rushed over to one of the guards. Everyone fell quite as the two hugged and shared a sentimental moment, you turned your head at the sight, slightly uncomfortable. The same girl from before quickly interrupted the moment though; “hey why aren’t you wearing a bracelet?”
“Do you mind? I haven’t seen my brother in a year:”
Murmurs suddenly echoed as every one began naming the brunet girl. “No one has a brother.”
“That’s Octavia Blake.”
You saw her face contort in anger and with a sigh, you shoved your way forward. “Would you all shut up? What the hell does it matter.” You grumbled and with another sigh, you turned back to Bellamy and apparently Octavia. You’d heard the stories. The girl hidden under the floor, but honestly you didn’t understand what the big idea was. She was just like every other person.
You made eye contact with Bellamy as he regarded you with guarded eyes before smiling and turning to his sister. “Let’s give them something else to remember you by, huh? Maybe the first person to walk on earth in a hundred years.”
Your heart began to beat frantically again. Just outside those doors was earth. No space. No space station. No cell. Soon enough, you heard a creak and you had to squint your eyes as the brightness from the sun slightly burned. You were use to darkness and stars, not blue skies and a yellow sun.
There was silence as Octavia walked forward slowly, and she took the final jump down onto earth. You let a small smile slip as she cheered and everyone began running off the ship and onto the ground. You waited for the crowd to disperse before you yourself step off. The fresh air was something you never experienced before, and on the Ark it always felt constricted, here if felt as if you could breath perfectly fine.
You laughed, rejoicing in the way the wind moved your hair slightly back and you felt as if you could finally breathe. You rejoiced in the way you could hear cheers from around you, and looked over to see every other delinquent laughing. It made your heart feel warm and allowing your gaze to wash over, you let your curiosity take over as the same blonde girl from before walked off.
Walking off from the others, you followed behind her shortly reaching her. Stepping forward, you opened your mouth to speak before a voice cut you off; “why so serious princess?” The blonde girl turned, finally regarding the newcomer and you. You turned yourself finding ‘Finn’ or at least that’s what you remembered being his name, standing beside you. “It’s not like we died in a fiery explosion.”
She shook her head and look towards you, you shrugged; “he’s not wrong.”
“Try telling that to the two boys who followed you out of there seat.” She shot back to him and you stifled a laugh. Finn glared at you playfully and you shook your head,
“You don’t like being called princess, do you princess?”
The girl shook her head, “see that peak over there?”
“Yeah.” You replied, stepping up beside the two.
“Mount Weather. There’s a radiation soaked-forest between us and our next meal.” With wide eyes, you turned towards the mountain and felt your heart sink. You shared a look with the two beside you as the girl grumbled; “they dropped us on the wrong damn mountain.
“We’re on the ground.” Looking up from your hands, you shot up at the group that had crowded around the blonde girl, who you learned was Clarke and Wells, who you’d recently met. Walking up to the crowd, you stopped beside Bellamy and Octavia.
“We need to find Mount Weather.” Wells explained. “You heard my fathers message, that has to be our first priority.”
“Screw your father.”
“I agree with Wells.” You said, stepping up. Octavia’s eyes fell on you and with a roll of her eyes, “who the hell are you anyway?”
“Y/N.” You replied, shaking your head. “Wells is right. Mount Weather is our only source of food. We need to get to Mount Weather. Not because his father said so but because the longer we wait, the hungrier we’ll get. How long do you think we’ll survive without supplies?” You asked, referring to the whole group.
Clarke stepped up beside you, placing her hand on your shoulder. “We’re looking at a twenty mile trek, okay? So if we want to get there before dark, we need to leave. Now.” Nodding your head silently, you agreed.
“I’ll go.” You volunteered, Clarke smiled at you and you nodded.
“I got a better idea. You three go. Let the privilege do the work for once.” Bellamy spoke up and you narrowed your eyes. Stepping forward you begin to say something before Wells spoke up; “you’re not listening. We all need to go.” Suddenly he was shoved forward, and flinching, you watched as a boy with longer hair smirked.
“Oh look everybody. Chancellor of earth.” He laughed.
“You think that’s funny?”
“Guys stop!” You tried but they ignored you as the boy shoved Wells, making him fall forward. Clark lurched forward but someone grabbed her. You grumbled at the sight of these immature idiots.
“No. But that was. All right.” The boy moved forward to push Wells again, you ran forward to grab the boy, pulling him back. He turned on you ready to fight before Finn jumped down from seemingly nowhere and smirked up at the boy. You immediately let go, knowing Finn had it and stepped slightly back.
“Kids got one leg. Why don’t you wait until it’s a fair fight.” He said, tilting his head to the side. He made eye contact with you, “and maybe don’t push around those smarter than you.”
“Hey Spacewalker.” You all snapped your head over to Octavia, who sauntered forward. “Save me next time.”
“Four of us. Can we go now?”
“Count five.” You smiled at the four, walking up. You hefted the bag over your shoulder, smiling sweetly up at them. Clarke smiled reassuringly up at you, and Finn winked.
“Sounds like a party for six, count me in.” Octavia clapped walking forward. Bellamy stepped forward; “hey. What the hell do you think you’re doing?”
“i think she’d going for a walk.” You teased, crossing your arms and smirking over at Bellamy who glared at you. You smirked, uncrossing your arms before Clarke’s attention on you pulled you away.
“Hey!” She called, shocking you as she grabbed your wrist forcefully. You gaped at her, trying to pull your hand back. “Were you trying to take this off?”
You shrugged, confused; “yeah so?”
She glared at you, just as equally shocked; “so this band transmits your vital signs to the ark. Take it off and they’ll think your dead.”
“Should I care?” You replied.
“Well I don’t know. Do you want the people you love to think you’re dead?” She asked, shaking your head you pulled your wrist from her grasp.
“I don’t have anybody anymore.” You replied shortly. “Nobodies gonna care if i’m dead or alive up there.” And with that you turned. “can we go now?” You asked, walking off in the direction.
Cheering, you watched with a wide grin as Jasper swung across the lake. “Jasper!” You yelled, clapping when he made it across unscathed. You smiled at him when he made eye contact with you and turned, holding up a sign before you that read ‘Mount Weather.’
You felt a breath leave you in relief as you turned and smiled at your companions. After a tricky but amazing journey you’d finally made it and you didn’t feel like you were gonna starve of food anymore. “Whoo!” You cheered along with him, smiling as Finn yelled his name.
You were about to step up to go across but froze when a spear sore through the sky and hit him directly in the chest. You felt your breath leave you and you go stiff as he fell back and smacked the rock with his back. There was a deafening silence as everyone looked around for who threw the arrow.
You opened your mouth, calling his name in pure shock, barely registering Finn telling you to get down. You didn’t move until Monty grabbed you around the waist and yanked you down against the rock they were hiding against. You tried to breathe calmly but all you could envision was Jasper with a spear through his chest and you could hear your own heart beat.
“We’re not alone.”
There will be more Bellamy in future episodes, but there isn’t much originally in the first episode. As well as, as much as I love Bellamy, he’s kind of a dick in the first few episodes and Bellamy and the readers relationship have to grow. It will all connect. I hope you all enjoyed!