working-ot

anonymous asked:

Worked 4 to midnight on McChristmas. McBurgerPlace closed at 11, but due to our McManager not scheduling enough people, we ended up not getting all the closing procedures done until 2am. And we got a call from our boss saying all 8 of us will be getting work violations for unauthorised OT. Merry Christmas from your friends at McFuck!

Today I woke up feeling like I had a hangover. I’m starting my 4 day break from the ICU, after working 6 of the last 8 days. I drug myself down the stairs and starting cleaning house as I normally do on my days off. I glanced at myself in the mirror at the bottom of my stair case. Horror. My face blatantly shows the pure exhaustion that I feel, and my hair looks a complete mess. “Thank god I’m off work today and my patients won’t have to see this worn out version of myself” is my first thought.

People who aren’t nurses always tell me, “You only work three days a week? Wow! That must be great. I wish I had your schedule!” ..Only three days a week? ONLY!? I wake up at 4:30AM, shake off my fatigue, drive an hour to work, and then begin my scheduled 12 hour shift. 12 often turns into 13 hours or even more depending on the patient load and if I were able to keep up with my charting. When I’m done and finally clock out, I drive home arriving around 8PM, where I strip out of my scrubs and collapse onto the couch where I snuggle my cats and tell my husband about my day until I pass out from exhaustion. I slip upstairs to bed, to the disbelief of my husband that I could possibly be so tired, and I set my alarm and prepare for my next shift.

ONLY 36 hours a week. But does anyone who’s not a nurse know what those 36 hours consist of? Juggling all my nursing tasks for each individual patient while also trying to communicate with the doctors, pharmacists, respiratory therapists, PT, OT, social work, our aides, the patients themselves, and their families?! Yes, that’s right, I communicate with all of these people on a daily basis. I am personal coordinator for my patients. I am their voice, their advocate. I must be aware of my patients needs at all times. Room 101 is going up stairs to cath lab at 0900. 102 wants their pain medicine at 0915. 103 needs to be turned at 0930. Got it. My mental check list is a never ending dynamic that I must prioritize and rearrange constantly.

My job is scary. Always thinking, always analyzing, ALWAYS aware of my actions. I could cause a patient to lose their life if I am not critically thinking about everything that I do and every medication that I give. Is this dosage appropriate, does this patient need this medication? It is all my responsibility to keep the patient safe.

Even when I am doing everything that I can it isn’t always enough. I’ve had family members displeased that I took a little longer to answer a call light. I’m sorry that I couldn’t get you a coke right away, I was busy titrating a lifesaving medication in the room right next to yours. I have been asked by a family member if I were qualified to even be a nurse, surely I was too young for that. I have been told that I am too weak to help lift a patient when in reality I can lift more weight that I weigh. Nursing is hard. I take all these comments and offer a kind response to remain professional even though it can make me feel really small at times. Not feeling appreciated is hard when all I am trying to do is help.

I have been there when a patient said their lasts words before being intubated and never being able to come off of the vent. I have been there as a patient has taken their last breaths on the earth. I have been there when a patient has decided that their body can no longer fight, and they would like to receive comfort care. I have provided comfort care as family members are silent, with tears streaming down their faces, as I turn the lifeless body of their once resilient family member. I have been there when a doctor has told a healthy, active patient in front of their spouse that they have stage 4 cancer, and will not survive. I have stood and held my tears to remain strong for family members who have had their hearts shattered by the news that their loved ones will not be coming home again. I have sobbed on my way home from work because my heart is shattered too. I am so sorry that you have to go through these things. I am so sorry that your loved one has cancer. I am so sorry that myself and the doctors couldn’t get your loved one to wake back up after being sedated on the ventilator. Nursing is hard. I am human. I care about my patients. How could I not? My heart breaks along with my patients and their family members. Then I go home and try to pretend that I have not been broken during my shift. I don’t want to burden my husband with my sadness, and I need to pull it together so I can go back to work in the morning and do it again.

So how do I do it? How do all nurses do it? How do we manage ONLY 36 hours a week? Because nursing is beautiful. I have been there as a scared patient on a ventilator has woken up so I held her hand and told her that everything would be okay. She could not speak as she had a lifesaving breathing tube down her throat. Somehow she managed to grasp a pen with her weak hands and wrote “I love you guys.” My heart exploded with joy. I have provided comfort to someone when they were far from comfortable. I have been there when a patient has come off of a ventilator after being on it for a week, and watched as they cried and said they were so happy to be alive. I helped bring that person relief. I have bought lip gloss for an elderly patient whose son forgot to bring in her lipstick. The smile on her done up face was priceless as she put on the lip gloss to complete her look. I have made a patient genuinely happy even though she is sick and in the critical care unit. I have been there providing comfort care to a dying loved one and family members have hugged me and thanked me for being the angel that their family member needs. Nursing is beautiful. Life is beautiful. I watch lives change, I watched lives end, and I watch lives get a second chance because of the care and medicine that I have provided.

Nursing is hard. Nursing is stressful. Nursing is exhausting. It drains me both physically and mentally. I come home tired, sweaty, and defeated. Not all days are good days. Nursing is not all sunshine and rainbows. But nursing is my life. I dedicate my life to saving the lives of others. Those break through moments when a patient miraculously recovers, when a patient holds your hand and tells you how thankful that they are for you, and the moments when myself and a patient can share in a good laugh. The feeling of pride I feel when my patient came in on a ventilator but walks out at discharge, makes it all worth it. All the wonderful, precious moments are why I love nursing. The great moments are what get myself and my coworkers through the long, difficult 12 hour shifts. Thank god for fantastic coworkers. My coworkers are like my family. I know that they understand the mental turmoil that I go through after a hard day. Only nurses understand truly what nurses go through.

So the next time that you want to tell a nurse that it must be great to work ONLY 36 hours a week, please be mindful of what those 36 hours are like. Give a nurse a hug today, and be thankful that we continue to do what we do, and don’t judge us when we drink a little extra wine. If it were easy, everyone would do it.

Sincerely,
the exhausted,
but still smiling ICU nurse.

—  Kelsey Van Fleet, via Facebook

anonymous asked:

do you know if george knew how he wanted the prequel to the OT to go or did he write it much later and fit things in? like im curious to know if george knew if he wanted obi wan to act like he didnt know anything about r2 or not, or is that something we as fans figured out cause we got the prequels and subtext

From what I’ve heard a lot of plot points were already in his mind when he was working on the OT. He always knew stuff like how Palpatine became emperor and how the Jedi Order was destroyed. I think only details were added later. Things about the prequels George Lucas already knew about back in the 70/80s include:

  • Palpatine controlling the senate through bureaucracy and legislation.
  • The rebellion was born in the senate
  • Anakin built C3P0
  • The clone army
  • midi-chlorians = “It is said that certain creatures are born with a higher awareness of the Force than humans. “Their brains are different; they have more midi-chlorians in their cells.” George Lucas in 1977.

I don’t know about the Obi-wan/R2 thing. I mean, he did change some things like Leia remembering their mother and Padmé dying. Some explain that as Obi-wan not caring enough about droids to strongly react to the them (which makes sense, because in canon he didn’t care too deeply about any droid, not even R2).

RADIX LAS VEGAS RESULTS 2017/18

@amazingdancetalent they ended up being slow so I got them :)

Teen Solos:

1st Easton Magliarditi - THE ROCK OTE

2nd Kai Scanlan - TAP ATTACK OTE

3rd Jemoni Powe - ACADEMY OF NEVADA BALLET OTE

4th Jessica Phan - THE ROCK

4th Priscilla Tom - NOR CAL OTE

4th Sydney Centeno - NOR CAL OTE

4th River Sadlon - TEMECULA DANCE COMPANY OTE

4th Sam McWilliams - MVP DANCE ELITE OTE

5th Rylee Clark - TEMECULA DANCE COMPANY OTE

6th Sophie Woodburne - ROYAL DANCE WORKS OTE

6th Madison Alvarado - THE ROCK OTE

6th Julia Stumpf - THE ROCK OTE

7th Makenna Taylor - CLUB DANCE OTE

7th Mia Spilotro - THE DANCE FACTOR OTE

7th Cayla Bennish - THE ROCK OTE

7th Hailee Smith - ACADEMY OF NEVADA BALLET OTE

8th Lexi Ledford - THE ROCK

8th Aubrey Feuerstein - CLUB DANCE

8th  Ciara Flores - EVOLVE DANCE PROJECT

9th Josephine Zarzosa - SO CAL DANCE

10th Tayte Kamoku - MATHER DANCE COMPANY

10th Rylee Kiel - ROYAL DANCE WORKS

What is occupational therapy? (Part 2)

So, as we talked about last time, occupational therapy is a therapy focused on the specific aspects of what makes you, you—and we call those your “occupations”, the things you find important and spend your time doing.

When you come into occupational therapy with an impairment of some sort, OTs will take that and come up with a two-pronged approach to therapy:

First, we get an immediate, short-term solution to the problem. This is a modification, an adaptation. Second, we start figuring out how the patient can work, learn, or exercise in different ways to strengthen, stretch, or otherwise adapt their body to be able to do the thing they want to do long-term.

When one of my professors (an OT) was very young, she decided she wanted to be a physical therapist. Her mom wanted to encourage her, so she set her up with a volunteering gig at a local therapy place. Her job as a volunteer was to wheel elderly people in from the waiting room to their therapy, then wheel them back out. As she wheeled in one particular lady, who was recovering from a stroke, the physical therapist asked, “How are you doing today, Mrs. Smith?” Mrs. Smith admitted she was not doing very well. The PT responded something like “Well, no pain, no gain, right?” and continued on about therapy as usual. (Most PTs aren’t like that, hopefully!)

After the PT session was over, the volunteer was supposed to wheel her to OT which was just down the hall. When the occupational therapist asked, “How are you?” Mrs. Smith responded the same way. The OT stopped and pressed her for more information. Eventually Mrs. Smith reluctantly disclosed that she had been unable to put her bra on in order to leave the house, and she was embarrassed and upset at having to ask her husband for help with such a simple thing. The OT immediately reformulated the structure of her entire therapy session. First, they re-fitted her bra with Velcro in the front and adjusted it and practiced until Mrs. Smith could put it on herself. Then they began to address the issues of her limited shoulder mobility. There was a lot of work yet to do, but Mrs. Smith was wheeled out of the office with a smile because they had addressed what was specifically important to her.

So what do you do if the patient’s preferred occupation—their own personal goal, the thing they want to spend time doing—doesn’t have direct therapeutic value for addressing their impairment? That’s where artistic media can sometimes be brought in, like I mentioned briefly in part 1.

Let’s imagine an elderly woman who more or less goes around chatting with people at her assisted living facility all day long—all she wants to do is chat. But, since she’s having difficulty using her fingers for fine movements (like dressing herself, brushing her teeth, feeding herself), we want to do occupational therapy for strengthening her fingers. Sure, we could force her to do a boring activity that she doesn’t connect with: squeeze on a stress ball for 10 reps, practice picking up small items over and over again…or, we could incorporate an activity here. Have her make a pot out of clay that she has to pinch and shape. Have her make a mosaic by pressing tiles into air-dry clay. And while she’s doing that activity, she can chat, and when the project is done, she has something to tell other people about and show off!

Creative media are so useful when it comes to getting people engaged. Mr. Jones is a grumpy retired veteran who tends to be labeled noncompliant: you’ll get so much better results if you teach him how to make a leather wallet than if you try to force him to pick marbles out of some putty. Bobby is a little boy with Down syndrome who has a single mom and multiple siblings: get him interested in a therapeutic game on his iPad, and he’ll be much more likely to do therapy in his free time than if you prescribed an intervention that required hours of uninterrupted one-on-one time with his mom. Mrs. Miller has high anxiety about regaining full use of her arm: show her a soothing, repetitive craft like knitting or crocheting that will strengthen her hand and also help calm her down. Seriously, the possibilities are endless.

So hopefully you understand a little more about how OT is unique. It fits into every practice setting: there’s OT for acute care, home health, nursing homes, outpatient clinics, schools, pediatrics, geriatrics, and everything in between. I personally want to be a pediatric OT and work with children with special needs, which looks like gaining as much independence as possible for that child’s particular challenges: can they learn to feed themselves? Dress themselves? Communicate with an iPad? Maybe they can learn to walk with a walker; maybe they can learn to walk independently; maybe they can learn to use a wheelchair, maybe they can control the wheelchair with the movement of their eyes. How independent can this child possibly be? How empowered can we possibly get him/her?

It’s a fantastic profession, despite being little-known. If you’re interested in a medical profession, but you have no idea which one, consider occupational therapy when you’re making your decision! If you’re a medical provider already, hopefully this may give you some ideas of the use of prescribing OT for people. In many places, it’s considered an “emerging practice” and we’re trying to spread the word about how important OT can be, so keep an eye out at wherever you work or see how you can help drum up support for including OT in your profession!

Anticipation

Ego lets get em lady


You’ve been on my mind all week

It’s been about a week’s time since we shared sheets

Exchanged body heat

Your lips I can’t wait to meet

Our antics have only fed the growing beast

That selfie you cupping that pretty titty

I love how you so raunchy yet prissy

Had my dick sliding all along my thigh

Sending me sexy shit while we at work… you so sly

You know I was in a meeting

That never stopped you from teasing

We even faced timed and you touched you while I touched me

That barely scratched the surface of the desire within me

When my flight lands it’s on

I highly doubt we even make it home

I can see my hands sliding up your skirt

No shower I wanna taste you right after a day’s work

Stop playing you cry

Oh no baby my anticipation is at an all-time high

~Y. Black

These text messages don’t do no justice

I want you in the worst way or did you not notice

Sitting at this desk, you make it hard for me to
focus

All this teasin… got this pussy explosive

Yeah I mean it… get all of this devotion

Them waves you create… don’t play with this ocean

It’s cool cause for now that distance saves you

But off the clock I got some things to do

Yeah still putting in work… OT for sure boo

When you land you know its game time

Fair exchange we goin’ in at the same time

Time stopped ain no more need for waiting

No longer one sided… assist me while I’m masturbating

I’ve been patient now let’s skip this further anticipation                                  

~Ego

@caliego
Tutorial Time!!!

Greetings I am back for another tutorial for that tf2 game!

I will be showing you all how to Style hair for Miss Pauling!

(Everyone knows the struggle of that awkward bun thing)

So first: Start with a semi-long wig

(Mine goes down to about there)

Second: Slap that thing on a wig head and take two equally thin strands from the front of the wig and pull them out for later

Third: MAKE SURE YOUR WIG IS NICE AND COMBED SO ITS EASY OT WORK WITH

Now put it in a pony tail; This is where it gets tricky. 

Wrpa the hair band around the pony tail until its almost as tight as it can go, then pull the hair through once more so its nearly through all the way, but not quite, forming a messy bun looking thing.

Like so!

Next: Take a tON OF BOBBY PINS, IT TOOK ME A LOT

Hook them onto the open sides of the bun you made and attach them to the rest of the wig so the bun fans out nicely

TADA!!! And this last step is if you want to hide that pesky hair tie :P

Take the two strands of hair you left out in the beginning and wrap them around the bun

Style up those bangs and presto! You are finished with the hair! :D

Happy cosplaying! (ღ˘⌣˘ღ) ♫・*:.。. .。.:*・

2

So far my day has consisted of working OT in urgent care. Got into a massive fight with my roommate/ex. Drove back out to WI to the boyfriend’s house. Got asked if I wanted to move in 🙈 and used all my pent up stress and frustration with life in general to beast my way through an insane 5 mile run at 6.7 mph 💪🏼 highlight of the day though…. having two elderly ladies stop me during my ab workout to tell me they are proud of me and in awe of how well I run and fast?! I may have blushed just a bit 😂