[–] 6 points 3 hours ago

Right like bring up an accommodation when it's something you do not have that you need. Bringing up something you were already doing successfully is just doing too much. Save your goodwill points for stuff you need help from the manager to gain access to.

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  • [–] 8 points 1 day ago (2 children)

    Yeah this is legit a thing cheaters do apparently. I just don't want patients finding my favorite cafe in my likes ok 😭 honestly sometimes my husband pisses me tf off but at least I'm not rummaging in the mystery grab bag anymore.

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  • [–] 3 points 2 days ago*

    It's the backend stuff I wanna figure out so it can convert plain language requests and notes into personal assistant tasks while being flavorfully bitchy about all of it. Apparently RAG and agent tools have something to do with it.

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  • [–] [S] 1 point 2 days ago* (last edited 2 days ago)

    Well obvs RWS. Thoth would not translate nearly as well into rage comics. The history of the rider Waite deck also meshes so uniquely into novelty images mass produced by the major communication media of their era. I feel like I gotta go bold on the imagery though she didn't make those coins and cups comically large for the depth and subtlety of the message.

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  • [–] 23 points 2 days ago* (last edited 2 days ago) (1 child)

    They told us that for nursing school then it was all middle school level ratio and proportion (admittedly with multiple ratio steps like when you've ratioed the right volume of the dose but then you need to convert that to the gtt of your drip kit). The only real equations needed were three (maybe I'm forgetting one) that you could just memorize for the week then forget again until next semester. Two were °F to °C / °C to °F with one inverted ratio +/- the constant. The other one was BSA with two variables but you don't have to solve for one or the other they're both just measurements you get from the patient and plug in.

    ...but then you realize that the only acceptable score on that test is a 100% (some programs will drop you if you get anything less than a 100% on the drug dose test after two tries) and that what nursing school is actually looking for is both accuracy and precision. You're doing a relatively basic but fundamentally logical, and more importantly highly repetitive puzzle 25 times in a row in an hour and if you make even one error you fail. I had to create a whole specific mental technique to beat my ADHD into submission enough to 100% that test (honestly half of what nursing school taught me was ultimately ADHD / attention management techniques, which it turns out is actually also most of being a nurse). Like the EMR does basically all of the math these days but being aware of where my attention is and why and how to nudge it where it needs to be has been suuuper useful.

    Edit: BMI! That was the equation I was forgetting about. Weirdly it's mostly useful in population health but also if you're under a certain BMI on admission the EMR starts suggesting a diet consult every time I open that chart until I either document a reason to permanently override it or just put in the consult so that the dietician can immediately decide whether or not to start loading them full of protein shakes. Really important for the seniors if they go into the hospital with 0 chub they're probably not coming back out alive.

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  •  

    I’m designing a meme tarot deck: majors are memes, courts are wojaks, and pentacles are (probably) bitcoin. What other internet culture objects / symbols could stand in for the other suits?

    • Wands: (staves / clubs) Fire; energy, ambition, creation
    • Cups: (chalices / hearts) Water; emotion, connection, intuition
    • Swords: (knives / spades) Air; thought, conflict, communication
     

    cross-posted from: https://sh.itjust.works/post/67815568

    Storytime: a patient came into my unit with a controlled medication (I don’t remember what maybe oxy? Ativan?). Per policy, I was waiting for the pharmacy tech to come up, verify my count, and take it down to their safe. It might take a minute, so I got my count done and left the medication in its destined serial-numbered bag, visible on camera on the counter in the med room.

    When I count pills, I fold a clean sheet of printer paper into a tray, with the sides folded up into lips. The four corners make little diagonal ears. I sort the pills into piles of five with a clean spoon to make them easier to count, then use one of those diagonal ears to funnel them back into the bottle. I got somewhere in the 50–100 range.

    The pharmacy tech comes up. She has a specialized tray (they usually look something like this) with a cylindrical, prescription-bottle-sized funnel that snaps down over one side, and some other carefully designed features to facilitate this exact task. The equipment itself was interesting but not the really cool bit.

    She pours the bottle out onto this specialized tray, but she doesn’t need to group the pills. She literally just eyeballs the 50–100 random splatter of pills that falls out onto her flat tray and immediately calls out my exact, carefully tallied count (which I had not yet told her).

    She then, in one fluid motion, tips the tray just enough to slide them all down into the funnel side, slaps the funnel closed over them, and tips whole tray up and down so the contents of the funnel fall down into the bottle. We complete the sign-off and seal the bottle in its security envelope.

    I’m frequently reminded that nurses are kind of the Swiss Army knives of the healthcare system. I can do 90% of the ancillary staff’s jobs in a pinch, but it’s WILD to watch the fluidity with which each of those tasks is done by someone who does that one specific task all day long.

    What’s a super-specialized skill or talent you’ve seen that completely impressed you?

     

    Storytime: a patient came into my unit with a controlled medication (I don’t remember what maybe oxy? Ativan?). Per policy, I was waiting for the pharmacy tech to come up, verify my count, and take it down to their safe. It might take a minute, so I got my count done and left the medication in its destined serial-numbered bag, visible on camera on the counter in the med room.

    When I count pills, I fold a clean sheet of printer paper into a tray, with the sides folded up into lips. The four corners make little diagonal ears. I sort the pills into piles of five with a clean spoon to make them easier to count, then use one of those diagonal ears to funnel them back into the bottle. I got somewhere in the 50–100 range.

    The pharmacy tech comes up. She has a specialized tray (they usually look something like this) with a cylindrical, prescription-bottle-sized funnel that snaps down over one side, and some other carefully designed features to facilitate this exact task. The equipment itself was interesting but not the really cool bit.

    She pours the bottle out onto this specialized tray, but she doesn’t need to group the pills. She literally just eyeballs the 50–100 random splatter of pills that falls out onto her flat tray and immediately calls out my exact, carefully tallied count (which I had not yet told her).

    She then, in one fluid motion, tips the tray just enough to slide them all down into the funnel side, slaps the funnel closed over them, and tips whole tray up and down so the contents of the funnel fall down into the bottle. We complete the sign-off and seal the bottle in its security envelope.

    I’m frequently reminded that nurses are kind of the Swiss Army knives of the healthcare system. I can do 90% of the ancillary staff’s jobs in a pinch, but it’s WILD to watch the fluidity with which each of those tasks is done by someone who does that one specific task all day long.

    What’s a super-specialized skill or talent you’ve seen that completely impressed you?

    submitted 6 days ago* (last edited 6 days ago) by [M] to c/gnostic@sh.itjust.works
     

    You know what animal kills the most humans (other than other humans)?

    Mosquitos by way of malaria.

    You know what animals kill mosquitos?

    Bats, lizards, frogs, toads, and spiders.

    Roaches, fleas, bedbugs, termites, and ants are other common household infestations that those spiders in your walls would love to (help) keep under control for you (when it comes to ticks we gotta talk about chickens but that's a whole different post).

    Understanding the material world you've been subjected to means understanding which organisms in this simulation are actually on your side.

    This has been a public service announcement.

    cross-posted from: https://lemmy.world/post/52665422

     

    Working healthcare, I tell all other healthcare / first responders "I hope you have a boring shift" (every once in a while a younger person objects, but they are almost immediately hushed / corrected by their senior coworker).

    But it occurs to me that many office / sedentary workers might not find this to be a blessing. What would I say to a desk worker that might be equivalent?

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