patient-care

Act. No Matter What.


We are just going to keep coming back stronger…


EVERY.


SINGLE.


TIME.


The Senate is on the verge of voting to demolish health care for millions and cut off Planned Parenthood patients from care. Let’s keep their phones ringing off the hook. Call your senators now and tell them to stop this bill.


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Exclusive art made for Planned Parenthood by Tumblr Creatr Gabby Sanchez

Reminder that high medical costs are mostly due to rich people making profits off of healthcare, not due to how much resources are needed for patient care.  Not that anyone should be deemed “too expensive” to live and to have access to a good life even if it were down to resources, just a reminder that somehow we are seen as “too expensive” for existing as disabled people instead of people looking at medical costs and acknowledging it’s the ruling class that is too expensive and a drain on society.  Stop giving more moral weight to their profits than to our lives.

Patient Care

This may well be a rant but something that I feel needs to be made very clear is that being a paramedic is more than skills and knowledge. Just because you are trained in pre-hospital emergency care does NOT make you exempt from being caring because you’re “not a nurse” (and oh how I hate that statement, but another time).

If you’re doing a transport right before your shift ends and your 80 something year old patient has their catheter removed and has blood running down their arm, clean it up. Respectfully. The extra two minutes it takes to take their watch off, wipe their arm and wrap them back up so they’re warm before you go outside is NOT a waste of your time. Talking to your patient while you do things is NOT “above your pay grade”. We are there to care for people.

The reality is that paramedicine is a community based role. If you want to excel as a clinician then you need to cover all aspects of your job, from assessment to treatment to patient interaction to cleaning up after yourself. Obviously there are times where it’s not appropriate or possible to do so (ie. emergencies, unsafe scenes) but choosing to leave your patient cold, uncomfortable, messy or distressed rather than try and alleviate where possible it is absolute crap. 

Be better than a robot. 

1st House - your Ascendant, your worldwide persona

Aries Ascendant - outspoken and very sensitive. They are called warriors of the zodiac and for a good reason. They always fight to the end for the cause they believe in and will do everything what it takes to win (literally). They are really smart and inventive. They like to instigate things and cause drama. They never take your advices. Honest and stubborn. They tend to take things to their heart (except advices) and they easily get offended. They crave romance and true love but they are way more shy about those things than people think. They really can get shy in love! But they want to be always considered strong so it is hard to see that side of them. They have a tendency to delete people from their life too fast, without giving it a second thought. Strong minded. Helpful. Sassy. They easily get jealous of others.

Taurus Ascendant - protective and sexy. Their presence is not that intense like Scorpio but still they are visible and hard to miss. Very sensual people. Their sexiness is more subtle and their beauty is very earthy like. They go back and forth with being economical and  impulsive with spending money (they might buy things they think they need when they really don’t). They are argumentative and tend to instigate things. They are really protective of their surrendings and people. Generous with their time and money unless you make them doubt your intentions. They can be very cold, calculative and emotionally detached when they need to be. 

Gemini Ascendant - funny and welcoming. They are very warm and always make people feel good with them. They will help you with opening up. They can be flighty and overly dramatic. Emotional people. They love diversity in every form. They love to learn new things and help other learn it too. Very helpful, they really want you to feel good around them. They do not want to negativity win over positivity. They can find hope and good in people everywhere. This does not mean that they are naive, no - they are very observant people and very smart. They need a lot of changes in their life. Freedom is their stability. They despise routine but they need it a little bit more in their life to keep their restlessness away from them.

Cancer Ascendant -  caring and proactive. They get things done. They are very emotionally and mentally strong. They really can get through a lot and stand still. Patient and caring, they treat their friends as their family members. They will always make sure that you will know how much they love you. They have good intuition and are people smart. They are creative and may appear more innocent that they really are. They will always encourage you to be better. They are very hard-working, they make sure to do things the best they can. Very goofy (when they feel comfortable with you). If you break their trust they will get very cold, logical and ruthless. They will call you out on the things you have done. They will never forget.

Leo Ascendant - generous and witty. Very loving and protective of their loved ones. The unique mix of softness and strength. The royal baby. They will rather die than let you win an argument. They tend to forget about their own worth and look for validation in the wrong places. They are very detail oriented about how they want to appear to the world (especially when it comes to their fashion choices). Creative, smart and devoted to their own art and style. They do not like changes and can be too much stubborn to admit that they need them. Very sensitive but they have amazing fighting spirit.

Virgo Ascendant - competent and charming. They are very sophisticated. Naturally smart, patient and observant. They have a lot of hidden charisma. They know how to act in social situations and keep their image clean. Creative. They are emotionally self-sufficent and they keep people at distance but they know how to appear friendly and welcoming. Other people may often come to them for their knowledge which they like to share. They usually have god complex and dislike when people act like they really know them. They like competent people. Meticulous and can be mean. They want to show the best of them to the world. 

Libra Ascendant - thoughtful and intuitive. They care about justice and balance and they can easily sense when something is “off”. They are really good at finding solutions. Impartial, they look at two sides before judging. They are people smart and helpful. Emotionally strong but when things go wrong they rely more on logic than emotions. They can get cold and distant when they feel they cannot trust someone. Trust is really important for them. If you break your word to them they may forigve you but will never truly forget. They are stylish, aesthetically pleasing and easily make people like them. They can become the ultimate queen b. They get things done and they do not like to sit and wait for things to escalate. 

Scorpio Ascendant - passionate and watchful. The infamous “mysterious and intense” ones. They definetely bring a lot to the table. They do not care much about others opinions but others tend to care about theirs. Beside the obvious sexiness, strong aura and intensity they have a lot of sensivity and thirst of knowledge inside of them. They like to discover secrets of the world and they are really good at it. They are careful and like to plan things. They observe people and rely on their instincts when judging them. They like to laugh with others and be more laid-back and goofy but only with those who gained their trust. They have strong convictions that they know how to defend. They are really caring and generous, they have this softness inside of them which they always choose not to show to the world. They are true fighters; they will not back down and run away from a fight but they really not aim to create everything into the battlefield. Ambitious, smart and really adventurous people.

Sagittarius Ascendant - jovial and intense. They have strong, warm aura that that attracts others to them. They are extra about every aspect of their life. Bold, independent and sometimes a little bit intimidating. They make a conscious effort to be funny (they prefer things be kept this way) but they can get serious very fast and when they do they become scary. They have short temper and sharp tongue. They will not tolerate any baloney. They will scream about it to the world if they have to. They will make a fuss about something but five seconds later they will act like nothing happened. They prefer to look at the bigger picture but still will check every little detail. They really do not know how to deal with sadness inside of them so they choose to ignore it and keep themselves busy on something “more interesting” than negative feelings.

Capricorn Ascendant - bold and confrontational. They do not back down from a challenge an actually are more drama prone that they will admit. They are passionate and very emotional but they do not show it easily to the world. They are diligent and prefer to keep the image of  professionalists. Independent, sassy, curious and smart, they know how to handle things. They despise incompetence but they are more forgiving if this incompetence come from other people and not themselves. They like affection and compliments especially about achievements, less looks. They are constantly misunderstood and people try to simplify them to being heartless workaholics but they are way more complex. They tend to be more confident when they got older, they need some time to asset themselves in the world but when they do they become ultimate bosses.

Aquarius Ascendant - serious but charming. They are a unique blend of a social butterfly and strong individualist. They like people and spending time with them but they also need a lot of solitude. They often feel outcasted because of their contrasted personality and are considered weird. They are not weird - they are just unapologetic about who they are and you have to deal with it, whether you like what you see or not. Aquarius will not change anything about themselves to make things easier (even when they crave to be understood they will stand still with who they are)They are very curious and have many interests. They need some time to really open up but when they do you can see their passionate, vulnerable and caring side. They really like and need affection. They are smart and blunt. They appreciate unconventional forms of romance. 

Pisces Ascendant - smart and incomparable. People see them as this weird, sad guys, who do not comprehend a normal human language. This is not true - they are complex and have many sides to them to show to the world. They easily get inspired by everything around them. They think they know how to blend in but the truth is that somehow they always stand out. They are intelligent, have unique sense of humour and way of looking at the world. They are brave, can get very argumentative when someone is talking about things they are passionate about. They can be both very logical and emotional, serious and goofy, loud and quiet. They are never one thing, they could never choose to be one. 

Tododeku relationship evolution

Please can we talk about how Todoroki and Midoriya’s relationship evolved during all these chapters? They become so close and have such amazing bond, but do you remember how all this started and how was changing? 

Please be careful it will have many spoilers from manga. And also will be suuuuuper long. >/////////< (tho there will be many pics ;)) so sorry in advance. :D

- The first important event between them was when Todoroki said he sees Midoriya as his rival and want to beat him, even if he thought he is stronger than him… 

- Midoriya was aware of this that Todoroki is stronger than him but recognized all his motifs and respected him as his rival and promised to not disappoint him as rival and go with all his might. 

- What interesting Todoroki even stayed  that he is not here to make friends and all… 

but look how far from there they come, like even on the same day that he said this to Midoriya, he confessed him very deep and hard secrets about his family life…

About his problems with father, his tragic past, truth about mother and all reasons why he is not using his fire powers… And it was really deep scars of Todoroki yet he decide to say this to Midoriya, who for now was just his classmate, someone he still didn’t know too much, yet he trusted him to say all this… Like he felt he is someone who he can trust.

- Midoriya was listening this carefully and really felt much for Todoroki, that much he even opposed Todorki’s father. And it is even more meaningful taking the fact Midoriya was  a little scared of Endeavor. He can be intimidating  but even this didn’t stop Midoriya to try to protect Todoroki. 

- And then we have Todoroki and Midoriya’s battle on school festival which is like turinng point for Todoroki’s life and in their relationship. 

-Midoriya noticed immediately something is off and no matter how big cost it had for him… he wanted to help Todoroki. In a way losing or winning wasn’t that important… What was important: making Todoroki free from demons of his past.

Midoriya really was doing all his best and was so so so so determined and also super observant for Todoroki’s behavior and feelings. 

- What’s the most important he said words that changed for good Todoroki’s thinking and give him new path and also break from past demons….

It was such simple words… Yet such important ones. Todoroki was waiting for them all his life… Words that show him he can be himself. Words that gave him new strength and freedom… “They are your powers…”

It was Midoriya who gave Todoroki power to be finally able to move forward…

- Todoroki was finally able to accept himself and his own powers… and Midoriya was fascinated by this too. 

- In the end it was Todoroki who won and Midoriya who lost this battle but it wasn’t the most important and Todoroki knew this, he was grateful to Midoriya and even said this… 

HE was aware of how important to his evolution was Midoriya and felt that something very important is happening. 

- There was still kind of long road before Todoroki to deal with but it was Midoriya who helped him to start this and become crucial factor for his change. 

- Thanks to Midoriya, Todoroki was brave enough to meet his mother after all these years and after all this pain that was between them.. 

In a way, thanks to Midoriya he really was able to start his life anew… 

- Midoriya wanted to help him no matter what… even if the cost was big…

He wanted to use this festival after all as occasion to become known in world… but as he was painfully aware of this he didn’t do this…

He gave his all to help Todoroki instead, even All Might noticed this..

Midoriya knew how much Todoroki’s suffering so he really did all what he could to free him, from his demons… 

Midoriya has after this crucial battle scars on his hands… which seems so symbolic, shows how much he did to save his friend. He really was in such bad shape after all this fight….

- Midoriya is really a hero

Todoroki’s hero :)

for who he was waiting all his life…

- Even look how this sunshine cutie was supporting Todoroki, just after his own defeat. 

- After this fight these two really fast became very close, which is not that surprising seeing how intense and emotional, life-changing moment it was for both of them…

And remember how Todoroki said not long ago he didn’t come here to make friends… see, he changed his opinion very fast hahaha. ;)

He called Midoriya his friend, and knowing how reserved Todorki can be it really means a lot… Especially in what situation he did this. It was not long ago after events of school festival when Midoriya was in danger… And of course Todoroki rushed to his rescue. :D 

It also very significant how he knew Midoriya’s in danger. Thanks to phone message. And haha it gives such cute information they shared their phone numbers and maybe even send each other from time to time some cute messages. ;) . But what is more important it is that Midoriya’s send this message to all his contacts, but it was Todoroki who came to his rescue first, and also it was him who understand what such empty message means. He knows him so much he was able to say he is in pinch and rushed as fats as he could to help him. :D such protective boyfriend. Awww. :D 

- What also prove their great bond is how great partners  and powerful duo they can be. They really understand each other a lot. Being on the same time so different. 

They trust each other so much and also support themselves.

- from funny note Midoriya also became some kind of calming waifu for Todoroki. ;) Look how he tries to calm him down when he gets annoyed by others. ;)  

- They are really such cute friends, Midoriya even always remember to invite Todoroki when he and his other friends go to some funny places. 

- Todoroki became also very observant towards Midoriya…

being able to notice his worries and trying to help him. 

When Midoriya was worried about Kouta, Todorki calmly and with patience listened him and gave long and the best advice he could. He didn’t brush him over, it was important for Midoriya so for him too. 

They talked so long that in a way they really werelike in their own world, that much they forgot to world matters and forgot they should prepare the meal. ;) 

It is very meaningful how patient and caring Todoroki became towards Midoriya. He really has such soft side towards him (which is not surprising after all Midoriya is such cutie pie :D). And it is kind of interesting how clam and soft he became towards him when not long ago he had kind of harsher way of speaking him like he was calling him “brat” and was saying he is “Spouting garbage”.:D Hahaha Todoroki you became such softie. :D awww. :D 

- Like really he has such soft spot towards Midoriya now,… like he worries so much about him

and checking if he is o.k :D 

- The same for Midoriya, he is very attentive for Todoroki and his feelings and very caring. 

Like he always notice if Todoroki suffer when someone will bring up his past demons and will try to calm this. 

- Midoriya with time became also the voice of reason for Todoroki, and always brings him back to his senses. :D He has such amazing healing power towards him, isn’t he? :D 

- As we know Todoroki is super strong and all, and few time he saved Midoriya, but also Midoriya was saving him from others too. :D 

Todoroki knows this perfectly and is very aware of how big impact for his life has always this little sunshine hero boy. :D 

-When Todoroki failed the exam Midoriya was much more concerned about him that about himself, he was sooo worried. 

- And when he heard Todoroki will be able to make this exam again he finally smiled and felt very relived. :D Such carrying sweet boyfriend aw. ;)

Thank you so much for reading! :D

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“Maybe he’s really patient and caring, even though it must be hard for him to have to be the adult for a bunch of super powered children!”

- Connie, The New Crystal Gems

 Is anyone else relieved that someone finally said it? And the fact that it came from Connie makes it 6862 times better.

CHARLOTTESVILLE REPORTBACK

From a comrade who was at Charlottesville:

Took me a couple days but it’s time.
To anyone who watched Cville from a far, I want to remind you of something.
What that coward did plowing into a crowd of people from the safety of his car and then retreating to safety was not only an act of cowardice but an act of desperation. With 95% of news reports focusing on the attack, there has been very little coverage of how the rest of the day went for the Nazis, so consider this a PSA.

Make no mistake, Charlottesville was an unconditional defeat for the Nazis and the Fash. The day started out with hundreds of Nazis occupying Emancipation Park fully outfitted in makeshift riot gear and surrounded by a contingent of right wing militia in full battle rattle. It ended with 700+ antifascist protestors marching on the final 70 Nazis that were stupid enough to not leave the city. Antifascist demonstrators, outnumbered close to 4 to 1, literally fought an uphill battle through a single choke point against an army of assholes with shields, clubs, and a seemingly endless supply of OC spray with little more than our fists and our flags. The Nazis said they were going to hold Emancipation park and we choked them with their words. Within an hour, the park belonged to Charlottesville again, and the Fash were on the run in all directions. On multiple occasions I saw groups of maybe 5 or 6 protestors chasing off groups of Nazis five to eight times their size.

Festivities began at probably around 930 or 10 and by 1130, the entirety of downtown Cville belonged to Charlottesville, thanks to all of the various groups and individuals that came out to defend it. Once victory in the park was assured and the Nazis completed their general retreat, packed into their church vans and got the fuck out of dodge, all of the Cville defenders regrouped, rehydrated, and answered a call to defend a small group of protestors from approximately 70 Fash that were harassing them. We stepped off by the hundreds and marched with impunity through downtown with cheering from the sidewalks and the cars. About a block away from where the attack occurred, the bloc with which I was a part of converged with another contingent of antifascist protestors, bringing our total number to AT LEAST 700 (I honestly wouldn’t be surprised if it were closer to 1,000).

That’s when the Nazis pulled out their Trump card to try to win the day. This cowardly piece of shit who’s name doesn’t even deserve being written couldn’t cope with the fact that his little group of friends had fucking lost. They came out expecting Berkeley 2 and left in bandages and shame. When the left suffers a defeat, we sit with it, accept it, and learn from it, but these assholes can’t accept that their shitty ‘master race’ is one of utter inferiority and resort to attacking innocent people from the safety of 4,000 pounds of metal.

And even in such a moment of horror, we came out on top. Faced with a situation that none of us expected, street medics and medically trained protestors responded in seconds by the dozens. The following hours long minutes were filled with the greatest acts of compassion for comrades that I have ever witnessed. Medics stayed cool, calm, and collected while providing life saving interventions and preparing accurate and complete patient assessments. By the time EMS arrived, early interventions were mostly complete, and prepared assessments were given allowing triage to be completed accurately but with haste, so that EMS could immediately begin evacing and transporting patients to higher care. It’s a devastating shame that our comrade and fellow worker Heather Heyer had to give the ultimate sacrifice for a cause in which they believed, but I have no doubt that if it weren’t for the actions of the first responders, there would have been several others that would suffer the same fate.

So with that, I would like to conclude this poorly thought out piece of writing with this: Consider the victims of Saturday’s attack. They weren’t a small isolated group of protestors, nor were they in the middle or rear ranks of the bloc marching to the final showdown of the day. They were in the very front. Our comrades were going to be the first to tell the final Nazis that their bullshit isn’t going to stand; not in Cville, not on the East Coast, not in America, and not on the entire fucking planet. Every single one of them is a hero of the highest degree, and don’t fucking forget that. From here on out, we each need to strive to be where they were, to be the tip of the spear against the rise of fascism in this country. So next time you here of a gathering of fascists, be it five or five-hundred, show up. Show up for yourself, show up for all victims of fascism past, present, and future, and show up for Heather Heyer and all our comrades at the front who risked life and limb for our cause and the greater good.

Prior to Saturday, prominent neonazi Richard Spencer said that Charlottesville was going to be a turning point; that “people are going to speak in terms of 'before Charlottesville’ and 'after Charlottesville’”. Let’s show him exactly what that means.

BTW: a group of crows is called a Black Floc

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!

What I wish I could tell other people about nursing

Nursing is messy.
Nursing is chaotic.
Nursing is twelve and half hours in a shift.
Nursing is never enough time to get everything accomplished.
Nursing is charting. Endless charting.
Nursing is waking up in a panic about something you did/said/didn’t chart.
Nursing is hard.
Nursing is breaking my body.
Nursing is glorious.
Nursing is beautiful.
Nursing is the awe-inspiring moments you get to witness.
Nursing is being present for the gut-wrenching moments you wish you could walk away from.
Nursing is fighting for your patient.
Nursing is a good bit of skill and a lot of luck.
Nursing is listening.
Nursing is educating.
Nursing is a profession.
Nursing is a gift.
Nursing is a curse.
Nursing is being afraid I’m going to get sued no matter what I do.
Nursing is lying awake at night wondering about patients you took care of and where they are.

Nursing is all of these things and more. Sometimes nursing is all of these things in the course of one day.

What the House Vote to Repeal Obamacare Means for Planned Parenthood

Congress Is a Step Closer to Repealing the Affordable Care Act and ‘Defunding’ Planned Parenthood. Here’s What the Bill Actually Does, and How to Fight Back.

On May 4, the U.S. House voted to pass the worst bill for women’s health in a generation: the American Health Care Act (AHCA). This bill not only seeks to repeal the Affordable Care Act (ACA), but also to “defund” Planned Parenthood by blocking Medicaid patients from care at its health centers. 

As the bill heads to the Senate, here’s what it actually does — and what it doesn’t do.

What Thursday’s Vote Did NOT Do

  • It didn’t become law.
    The ACA repeal bill passed the House by a narrow margin, and now it faces an uphill battle in the Senate. We can expect more changes to the bill that will impact women’s health.
  • It didn’t close Planned Parenthood.
    All Planned Parenthood health centers are open as usual, and staff are doing what they’ve always done: getting up in the morning; opening the health center doors; and providing high-quality, affordable health care to all people who need it. That includes patients who rely on Medicaid coverage.
  • It didn’t cancel your insurance.
    The benefits of the ACA are still here for you, even if you’re 26 or younger and on your parents’ plan. In fact, the majority of people can still purchase a plan for $75 or less. If you have health care coverage, it is still in effect until there is an actual change in the law, which takes time. So, make your medical appointments, and get the care you deserve and are entitled to under the law.

What the AHCA Threatens to Do to Women’s Health

In particular, the AHCA would:

  • Take away health coverage for 24 million people

  • “Defund” Planned Parenthood by blocking people who rely on Medicaid from accessing preventive care at its health centers — including birth control, cancer screenings, and STD testing and treatment

  • Reduce access to no-cost preventive services, including birth control

  • End protections that keep insurers from charging people with pre-existing conditions unaffordable rates — allowing insurance companies to once again charge people tens of thousands of dollars a month because they had cancer

  • Impose a nationwide ban on private insurance coverage of abortion

  • Undermine Essential Health Benefits — including maternity coverage and prescription drugs, which disproportionately affect women.

  • Gut the Medicaid program, which approximately 1 in 4 women of reproductive age rely on to access no-cost, critical reproductive health care (such as birth control, lifesaving cancer screenings, and maternity care)

4 Ways to Fight Back Now

Infuriated? You’re not alone. Here are the top three ways to stand up for health care and stand with Planned Parenthood right now.

#1: Call Your Senators
This is the most important way to take action right now. Use our easy online form to call your U.S. senators. We’ll give you a script so you can tell them to protect health care and stand with Planned Parenthood.

#2: Tag Your Senators on Facebook
Do you notice when somebody tags you on Facebook? Chances are,  your answer is “yes” — and that goes for your senators, too. Our simple form automatically tags your senators and gives you time to edit the post.

#3: Tweet at Your Senators
If you have Twitter, take a moment to tweet at your senators. Our easy-to-use form automatically finds your senators’ handles. It also gives you a sample tweet if you don’t want to write your own.

#4: Tweet at Reps who Voted Against Women’s Health
Click on the link above and scroll own for our list of representatives who voted in favor of this dangerous bill. If you see your House member, tell them you will not forget that they stripped access to care — and will not forgive.


The 10th House (MC)

sun in 10th: determined to succeed, hard working, respected by others, born to lead, strong at heart, desires to influence others positively, conscious about public image, has difficulty following orders

moon in 10th: wants to be admired, unconsciously needs to fulfil ambitions, urge to contribute to social issues, nurturing, can be moody, intuitive, has a need for approval, sensitive to criticism, sympathetic to the less fortunate

jupiter in 10th: generous, mature approach towards career, highly respected by others, knowledgable, has inner strength, works hard to gain success, persevering, reliable, may find it hard to have fun/relax, tends to dismiss feedback, can be overbearing

mercury in 10th: sincere approach towards career, works best when given freedom, effective communicator, may have trouble working with others, authoritative, strong in beliefs, analytical, rational

venus in 10th: devoted, creative attributes, charming, can be materialistic, bound to be successful, has good team spirit, good people skills, wants to be honoured, values social image, confident, more logical than emotional

mars in 10th: has good management skills, political mind, serious, concerned about career and public image, driven by success, has trouble working in a group, meticulous, ambitious, may come off as cold, sarcastic humour, competitive

saturn in 10th: dominating personality, strong character, patient, feels pressured to excel, has high standards, wise, has humility, challenged by authority, fears failing, may be too controlling

uranus in 10th: has an independent nature, wants to create new things, hard working, gets bored easily, stubborn, conservative, restless in a career, needs some free will to succeed, strong willed

neptune in 10th: wants to inspire others, always searching for something more, idealistic, finds it hard to commit, sensitive to rejection, can feel lost, likes helping others, can lose confidence if efforts are not recognised

pluto in 10th: can come off as controlling, ambitious, strong, determined, perfectionist, fears the unknown, traditional, dislikes change, loves to be challenged, driven to succeed, can become consumed by career, wary of authority, secretive


aries in 10th: self image rooted in public roles, assertive, loses temper easily, authoritative, determined to be the best, can be impulsive, comfortable in the spotlight, ambitious, hard working

taurus in 10th: wants to be known for status or wealth, charming, may have trouble following orders, may be seen as materialistic, wants to reach physical/ sensual satisfaction

gemini in 10th: gets bored easily, works best in a fast paced/challenging career, ‘jack of all trades’, may be seen as childish, likes talking, may struggle to show true self to the public

cancer in 10th: cares deeply about success, wants to be looked up to, ambitious, helpful, can be too emotional, sensitive to the feelings of others, easily adapts to different situations, good planner, naturally creative, trustworthy

leo in 10th: wants to be praised, needs to shine in a career, self oriented; can be too dominating in a group, confident around others, leadership qualities, feels destined for greatness, generous, highly organised, may take criticism too personally

virgo in 10th: needs mental stimulation in a career, wants to express ideas freely, likes to write, talented at analysing, naturally critical, take commitments seriously, can see the big picture, can be blunt

libra in 10th: works best with a partner, charming, graceful, indecisive, world is centred around relationships, harmonious, conscious of social position, can make good connections, excels in a team, may become withdrawn

scorpio in 10th: dedicated to career, focused, comes across as powerful in public, can be aggressive, self motivated, excels when inspired, sympathetic, experience intense transitions; change may be hard

sagittarius in 10th: optimistic towards goals, hard working, often travels abroad for a career, may waste potential looking for a purpose, overthinks a lot, intuitive, likes to plan everything, conservative, can appear stubborn, needs independence in a career

capricorn in 10th: cautious, comes across as determined in public, takes career seriously, success comes through hard work, wants to care for others, patient, careful, not afraid of competition, needs a stable career

aquarius in 10th: innovative in a career, thinks long term, group oriented, eccentric, has the ability to find enlightenment, normally an outcast, loves learning, positive, must have freedom in a career

pisces in 10th: indecisive towards career, works well when helping others, artistic, sensitive to psychic energies, lacks practicality, introverted, struggles with change, susceptible to outside influences

vox.com
In these 105 counties, Planned Parenthood is the only full-service birth control clinic
HHS Secretary Tom Price wanted to see a list of counties where Planned Parenthood is the only option for women who need subsidized birth control. Here’s that list.
By Emily Crockett

Folks have started calling the falsehood that other clinics can fill the void if patients are blocked from care at Planned Parenthood an urban myth. Here’s all the counties that would have no other full service family planning provider:

California:

  • Imperial County
  • Madera County
  • Placer County
  • San Mateo County
  • Shasta County
  • Solano County
  • Sutter County

Colorado:

  • Chaffee County
  • Grand County
  • Montezuma County
  • Weld County

Connecticut:

  • Windham County

Illinois:

  • Champaign County
  • LaSalle County
  • McLean County
  • Peoria County
  • St. Clair County
  • Sangamon County

Indiana:

  • Bartholomew County

Iowa:

  • Black Hawk County
  • Des Moines County
  • Johnson County
  • Lee County
  • Pottawattamie County
  • Story County
  • Woodbury County

Maine:

  • Sagadahoc County
  • York County

Maryland:

  • Frederick County
  • Talbot County
  • Wicomico County

Michigan:

  • Berrien County
  • Jackson County
  • Livingston County
  • Macomb County
  • Marquette County

Minnesota:

  • Beltrami County
  • Benton County
  • Dakota County
  • Douglas County
  • Kandiyohi County
  • Olmsted County
  • Washington County

Missouri:

  • Greene County
  • Jasper County
  • St. Charles County

Montana:

  • Yellowstone County

New Hampshire:

  • Sullivan County

New Jersey:

  • Burlington County
  • Monmouth County
  • Passaic County
  • Union County

New York:

  • Dutchess County
  • Fulton County
  • Genesee County
  • Jefferson County
  • Lewis County
  • Madison County
  • Montgomery County
  • Oneida County
  • Orange County
  • Richmond County
  • Rockland County
  • St. Lawrence County
  • Schenectady County
  • Schoharie County
  • Schuyler County
  • Sullivan County
  • Warren County

Ohio:

  • Clark County
  • Delaware County
  • Lucas County
  • Mahoning County
  • Medina County
  • Portage County
  • Richland County
  • Wayne County

Pennsylvania:

  • Cambria County
  • Somerset County

Utah:

  • Wasatch County
  • Washington County
  • Weber County

Vermont:

  • Bennington County
  • Franklin County
  • Lamoille County
  • Orleans County
  • Washington County
  • Windham County
  • Windsor County

Virginia:

  • Albemarle County

Washington:

  • Chelan County
  • Clallam County
  • Kittitas County
  • Okanogan County
  • San Juan County
  • Skagit County
  • Whitman County

Wisconsin:

  • Columbia County
  • Manitowoc County
  • Outagamie County
  • Racine County
  • Sheboygan County
  • Walworth County
  • Washington County
  • Wood County