Shownotes Transcript
Hey, babe, I pulled up the McAllister's Deli app. What are you thinking? Good call. McAllister's Club might hit the spot. Oh, yeah. Chicken tortilla soup. Forgot about that. Oh, Savannah chopped salad. Well, now I'm stuck. What are we going to do? How about we just do choose two? Mix and match our favorite items. I do like the sound of that.
Absolutely.
First, hands deep changing a patient's leaking ostomy. Doctor comes in and say your patient in the other room wants ice chips. The patient I was in the middle of helping said to the doctor, you got arms and legs, don't you?
Hey besties, it's your favorite caffeinated, medicated, and never hydrated nurse, Nurse John. And welcome back to your one and only nursing podcast, I Beg Your Pardon. Besties, I miss you guys so much. Another week, another sleigh, another chat, another break room, gossips, period. Period.
How are you guys doing, Bessie? I hope you are doing well wherever you are listening right now. At home, at work, driving, doing grocery shopping, doing laundry, finishing up anything or just lying down in bed and taking your time because you deserve every single chance for you to relax and get that rest because you are a hardworking bad bitch and I want you to remember that every single time.
And before we start with this whole podcast, Bestie, make sure that you download this episode and you follow us on Spotify and Apple Podcasts. Leave us a five-star review and make sure that you share your favorite episode of the podcast to all your friends. No matter what, if they're in healthcare or not, they need some therapy and this is the kind of free therapy you all deserve.
And also, Bessie, if you didn't know, I am currently on my short staff tour. And if you haven't gotten your tickets and I'm coming near your city or in your city, you better get your tickets now and bring your friends, family, colleagues, and everybody else who just needs some
♪♪♪
relatability and everything that is shitty in the healthcare system, you will feel so much better. And also bring your husbands because we're going to clock them one by one, besties. Anyways, also bestie, if you're wondering what kind of scrubs I wear to work and on my skits, it's the one and only Gardmalad, G-A-R-D-E-M-A-L-A-D-E.com.
They're the only scrubs I wear because they are comfortable. They're eco-friendly. They're sustainable. They are made not in China because, you know, everything looks like they've been making them in China. This one they made in...
In Canada and mainly in the United States, and they are all made with love and real people, not AI and not China. Okay, so go get your Gardmalat scrubs now at Gardmalat.com. You can use my discount code at NurseJohnGM, N-U-R-S-E-J-O-H-N-G-M. That again is N-U-R-S-E-J-O-H-N-G-M.
And also, Bestie, lastly, if you did not know, I have my own skincare product that I launched two months ago, and it's doing so well. And if you haven't heard about it, it's Philly Skin. Our first ever product is an under eye serum that targets your wrinkles, your dark circles, and hydrates your under eyes.
eye because baby those long hour shifts of day shift night shift mid shift wherever shift you are it's always going to be chaotic and it's always going to bring you some dark circles so bestie if you haven't tried my first ever skincare under eye serum this is your chance now to get your philly under eye serum go visit www.phillyskin.com
And now, Bestie, I am so happy to be here with you guys today and for this week. And let's just take a moment.
And do some self-love and self-affirmation with me because you deserve to affirm yourself because whatever you tell yourself is what happens to you. Whatever you attract is what you get. So self-affirmation is something so important that I started doing. I am actually back on therapy. And it's been a while that I haven't been on therapy, but I am back on therapy now just because I need some...
Help because you deserve to get some help because sometimes you cannot help yourself or the people around you cannot help you and sometimes you just need to invest on helping yourself and therapy is one source of them. And therapy doesn't mean you're mentally ill, doesn't mean you're fucked up, doesn't mean you're crazy, doesn't
Therapy just means that you need another person to clear your mind, to make you understand more of things. Because a lot of times we are overwhelmed with so many things. Sometimes our plate is so full we cannot handle every single thing. And honestly, therapy has taught me that sometimes even the same exact things that I tell myself, even positive or negative...
if it's coming from someone who's a stranger to my life, who is, um, out of my life, it works so much better. And I guess that's what therapy does to you. I'm also working on some of my traumas, trauma from childhood, trauma from teenage. And I'm currently going through this process. It's called an EMDR. It's, um, let me just search it up. Uh,
EMDR if you've ever heard of EMDR it's an eye movement therapy that basically processes trauma because usually if you have a traumatic experience in life that trauma stays in one part of your brain and it doesn't get fully um
not developed, but scattered throughout of your brain. So that's why whenever you get triggers or you get... You remember some of the stuff, the trauma comes back and it becomes active. And this EMDR...
just helps you process those traumas so it doesn't become a trauma and it becomes just one part of your memory. EMDR is called eye movement desensitization and reprocessing, a structured form of psychotherapy used to help process and resolve distressing memories associated with trauma.
It involves recalling the traumatic experience while engaging in bilateral stimulation like eye movements or hand tapping to facilitate the processing integration of the memory. That's what currently I'm on. I am on the first phase of it. There's eight phases of it.
And I cannot tell you guys what exactly that trauma is because that trauma is something that I still am processing when I'm ready and I feel so much better about myself. And the trauma is process. I will share it to you guys. But yes, let's start with self-affirmation. I am worthy. I am loved. I am enough. I deserve to be loved. I deserve to take up space. I matter.
My opinion and my voice matters. I am not just a nurse. I am a nurse. I am a social worker. I'm an LPN. I'm a CNA, RPN. You're everything. Please.
don't ever forget those things. Do those self-affirmation when you wake up in the morning. The first thing you should do is not take your phone. It's stand up, look in the mirror and tell those kind things to yourself. Because if you can be kind to others, you can also be kind to yourself. Remember that self-care is self-love. If you love yourself enough, you can show and give those stuff to others, right?
Beautiful. Now, for this episode of the podcast, we will be... Give me a second. This is going to be... I'm pretty sure it's going to trigger a lot. Just trigger warning, okay? In this episode of the podcast, we will talk about...
The most unhinged things a doctor has ever said or done to you as a nurse. And we are not talking about refusing to go to bedside. We are talking about some of the most absolutely jaw-dropping, jaw-dropping, jaw... Oh my God, my brain is not working. Jaw-dropping things.
and event and experiences you've ever experienced from a doctor. And let me just start this off by saying that not every single doctor is a bad doctor, but every single nurses, just like every single, not every single nurses are good nurses, but also every single nurses have experienced a
stuff or interaction or events or experiences from doctors. Because for some reason, there are a lot of doctors out there who thinks that they are above any other people in the healthcare system because they did more studying. And that makes them smarter. That gives them status. And that gives them the ability to think that we are
work for them but a lot of these doctors forget that we don't work for you we're working together you are my co-worker and the respect that you should be giving me is equal to the respect i'm giving you because again i don't work for you you don't pay me you are not my boss
And a lot of doctors, I'm not understanding this.
feels that way and becomes that way it turns out that way and again i just do not make it like super negative i have met so many amazing doctors who are actually empathetic who are actually care caring to not just their patient but the people they work with and you know those doctors proves to me that they exist too that doctors are not just assholes because honestly you
The problem that we are having right now as nurses is that we get most of the beating up from patient and the public because we are the one who's actually there with the patient 24-7. And the public and the patient don't understand that not only them who are beating us up, but even the people that we work with beats us up. So...
Let's take a ride, take a deep breath, get caffeinated, take your medication. And for all the other doctors, medical students, or anyone who is listening to this right now, if this story makes you angry and you start comparing things and saying like, well, how about the nurses who are mean to reflect back to yourself? It looks, you know,
If this is triggering you, if this is making you mad, maybe you've done something of the same exact thing. You know what I mean? So just listen. Being mindful, being empathetic, listening is what some of these doctors and medical students and juniors and seniors and surgeons and whatever the fuck that is needs to do. Because again, we listen.
are not working for you. Let's get into this, besties. First, hands deep changing a patient's leaking ostomy. Doctor comes in and say, your patient in the other room wants ice chips. The patient I was in the middle of helping said to the doctor, you got arms and legs, don't you? Honestly, there are patients out there that I'm just like, yes, ma'am. Thank you for clocking them for us. Because what?
There are doctors out. You know, one thing that aches me a lot from some of the doctors is like when they come in in the morning, they open my patient's diaper. They open my patient's wounds dressing and they never put it the fuck back. If you've seen it attached properly, sealed, perfectly done in place,
And you open it up, put it the fuck back. And don't you ever tell me that's your job because it is also your job at the same time. Don't tell me you're busy. Don't tell me, oh, but I got a lot of patient. We also got a lot of patient. So don't start with us. Put it the fuck back. And that's what happens.
to doctors who think that they can just ask us like a servant thank you so much for the patient who said like you got arms and legs don't you because you could have done that yourself and like there's so many people out there not just doctors but like by finding that nurse or by finding that co-workers that you want to do something that is so fucking simple you could have done that yourself
And lose yourselves. Like, keep yourself some energy, some time. And, like, you could have probably rested instead of, like, complaining. Like, some people are just lazy as hell. And I'm sorry I'm mad, but, like, it's true. Next.
Surprise, surprise. Surprise, surprise. And listen to this, okay?
There's also our units out there who would side with a doctor, which actually, for my experience, that has happened. That...
My management, my team, always have sided with the doctors and said like, oh, but we spoke to him. We've discussed with him. But every single nurses in that goddamn unit has had the most disrespectful interaction with that surgeon. And I'm pretty sure you guys know the people that I work with whose surgeon I'm talking about has had a disrespectful interaction
interaction with that surgeon because that surgeon has anger management problem okay patient's problem and even though you know the one one of the things that i hate about it is that when i said about the interaction i've had with this surgeon they're like oh but he's so kind with his patient i don't fucking care
He should be kind to me because I'm the one taking care of his patient. So you're telling me he's kind to his patient for shows and then try to fucking make us feel bad about ourselves? The nurses who is working 24-7, who's fulfilling the orders as he's been putting on? Exactly. And they're like, oh, but we talked to him. Oh, we said no. No.
You guys did not talk to him. You did not address it enough that this man knows his boundaries. Because half of the freaking nurses in that unit has complained about his attitude, his way of conversating, and his way of treatment of nurses. And he cannot just pick and choose who he wants to treat better.
No. New grad, senior, middle nurse, no matter where the fuck age that nurse is, he should treat them properly with respect. Equally. But unfortunately, they sided with that doctor and the doctor is still there and the doctor still is being shitty. Even the fucking residents that that doctor works with knows exactly that he has anger problems.
Because I don't fucking know why this goddamn doctor has so much anger problems. If you guys got problems, fix it. You're a fucking doctor. You can diagnose yourself. But unfortunately, that's kind of like something that's so blurry. They cannot fucking see it for themselves. I'm sorry for all the cussing, y'all. But I'm just pissed. Anyways.
This is so funny, but because it's true. Like, don't get a disagreement with nurses. One thing about us nurses is, like, if we have concerns, may it be dumb, may it be basic, may it be something, that's because we care for our patient. We care deeply for these people, that we want to make sure that whatever we're doing is safe and is going to make sure that our patient is going to be fine, right?
If we have concern, answer the concern. No matter what. There is this culture in the nursing world that you get scared when you just start your career to call the doctors.
Because you fear that they will think you're dumb for asking question. But that's not the case. Asking question doesn't make you dumb. Asking question makes you smart because you know your boundaries, you know your limits, and you know what you actually only know. And what you don't know, you ask questions about it. How is that so hard?
But this culture in the healthcare system, in the hospital, makes you think like calling doctor is so scary and so nerve-wracking. No. These are just regular human beings too. Once they're out of the hospital, they're still, and they're walking in the public area, they're just a human being until they tell you they're doctors. Okay? Next.
Thank you. See? One thing about us is we will have each other's back. Okay?
Okay. And again, a lot of this disrespectful people and disrespectful, you know, doctors are men. And guess who they are disrespectful at? Women. Oh, that tracks. Period. So, you know, clean this shit up. Who the fuck do you think I am? Your maid? I ain't cleaning that shit up. You will help me clean that shit up.
And you heard that right. You will help me. I never said you will do it. You know why? Because this is a team collaboration work. Okay? You're a doctor. Okay? You make more money, sure. But you ain't better than me. That's all I can tell you. And this is to all the nurses. I just want to make you aware that I'm boosting your fucking self-confidence. So the next time a doctor treats you shit, you should know.
your worth period thank you to the cna we love you cnas cnas are our best friends okay and listen we've all had problems with a nurse we've all had problems with a cna a doctor whatever like that but again at the end of the day what matters is if you have a good team you stick with that good team if the team is not good leave that job and find another job right clock it next
Do I need to come hold your hand? Doctor. Said to me when I advocate for further interventions, a patient with severe abdominal distension, constipation, who's hemodynamically unstable, patient later perforated and coated. Wow.
And my favorite thing about this is that they will refuse to listen to you. These doctors will refuse to listen to you because they think you're a new grad, you're new, you don't know what you're doing. And they're like, oh, my God, how did this not come up to it? It did.
But you did not listen to the nurse. You know why? Because you guys have such an egoistic thinking that because somebody is new, they don't know what the fuck they're doing. And guess what? Sometimes the newer the person, the better the knowledge. Okay? And again, doctors and nurses might not have the same amount of studying, but we have the same.
We have the most amount of caring, compassionate, love, and everything else for a patient. So even though sometimes our concerns are super small, like, oh my God, my patient is running a fever. The answer is, so what the fuck do you want me to do with that?
Reassure your nurses. Tell them, okay, is there any other symptoms? Is this something that is new? Ask them. We like to be reassured that when we come to you guys for help, that we are getting help. Not scolded, not make us feel dumb, not make us feel like we just made the most bad decision ever. Like that's stupid to even feel like. Next, and I'm so sorry about this.
And I hope that you charted every single thing that that doctor said, okay? So that the charting can prove that it was not your fault. And to the public, to the patients, I think this is the best episode that you guys should be listening to. Because if something ever goes wrong and you start blaming nurses, ask again.
Because a lot of times, we are actually the one who cares the most in the healthcare fucking system. Next. Doc said, you're just a nurse. Oh, God. Do as you're told. I beg your fucking pardon.
After I refused to give a TPA to a stroke alert without imaging plus history of hemorrhagic strokes, she did in fact have a hemorrhagic stroke with midline shift.
I looked at him and said, you can walk over there, figure out how to use a pixies, which they never fucking know, and murder her yourself. Period. But I will not. I will not. Guess who also never got an apology? Uh-huh. You know why? Because some of these doctors, when they get clocked for the bullshit and the mistakes they've done,
Their ego shrinks down and their balls go even smaller than it was already.
And they would never apology. And that is something, too, that happened in the unit that I used to work at is that we've never gotten an apology from that surgeon because that surgeon thinks of himself way too fucking high, that he thinks, like, an apology makes him lesser. An apology actually makes you better of a person, makes you better of a team, like, a team member, a team player, right?
But again, thank you so much for advocating for your patient. And thank you so much for refusing to do something. That again, if you're a doctor and you think you have more education, you are smarter to us. Why would you want to give a fucking medication that can cause a patient to even fucking bleed more? Oh, guess what? Maybe you're not that smart. Maybe listening to someone else's who has more experience when it comes to those things makes sense.
Period. Next. This is just an angry podcast, you guys. I got to take a deep breath because I'm getting frustrated. Because honestly, there are so many cases of nurses getting mistreated by doctor or doctors making nurses feel dumb. And again, I'm not taking away the fact that some of the doctors, if you start attacking us and be like, well...
How about ask the nurses who made us feel fucking – that's not the point, okay? The point is not this. If you are a good doctor, if you are a good medical student, if you are a – you would never feel attacked by this, okay? If you feel attacked by this, maybe it's coming from inside the house. Next. Next.
See, I love this kind of doctors. I would have cracked a laugh and I would not stop laughing. Like,
Sometimes, like even the most serious things, sometimes we just need to like break a laugh or make a funny joke because sometimes like, you know, the healthcare environment, the hospital environment is very negative. No matter what, if you're healing well or not, it still is a very negative place. Everyone is chaotic. Everyone is stressed. There's always something happening.
I think like loosening it up a bit and like professionalism exists. Okay. And the healthcare professionalism exists, but at the same time, you know, you're also a human being who feels, who, who, who have emotions, who have, you know,
Who can be sensitive at things? Who can feel the same exact thing of what patients are feeling? You can also enjoy your work. It's not all about keeping your face straight all the time and making sure that nobody sees you laughing because it's unprofessional. No.
You can have fun at work. You can enjoy work and feel good about going to work and working with the people that enjoys working with you. Okay? That is so funny. What flavor jelly bean? Like it's going to make a difference. That is the funniest thing ever. I love it. Next. In paper charting days, which still exists. I don't know. I know in America it's now all like electronic. But in Canada, we still paper chart.
Had a cranky surgeon throw away my nurse notes that documented all my calls and his quoted responses to me because it made him look bad. I dug it out of the garbage and taped it.
Fuckin' period queen. Two things. Two things. If you're a new grad, if you're a nursing student, if you're listening to this right now, you have low self-confidence, listen to this. Two things. One, she did the right thing. She charted every single thing that the doctor said to her because she's protecting herself. And look at what the doctor did. He threw away those nursing notes. Why? Why?
Because it made him look bad. Because he's actually a bad fucking person. A bad fucking professional. And guess what? He got so insecure about the shit he say, he doesn't want that to go in court. So the next time some of you all want to be rude as fuck, be careful. Because we will chart every single thing you tell us. Let me tell you that. And you cannot...
Throw that off. You cannot scratch that. That's illegal, baby. Jail. Okay? Next, I dug it out, the garbage, and taped it. You should have framed it, girl. And you should have put it in the hallways so they know exactly what that doctor has been doing to the patient so that this patient cannot keep putting the blame on the nurses. Period. Next,
Asked a doctor for an order through chat. He put it in. I typed, thank you. He aggressively responded, you don't need to waste any more of my time by sending thank you. What was my reply? Thank you again. I love my sassy nurses. Sassy apocalypse nurses. Era time. Period. Because what?
aggressively saying the like you don't have to waste my time saying thank you it's being grateful now if you don't like getting thank yous if you don't like positive like positive like feedbacks maybe you should check in with your therapist and maybe that's some childhood trauma you gotta fix before you try to infect us with that bullshit on the floor next patient keep having
Patient keeps having runs of non-sustained VT. Notified MD, they said, okay, DC tele. What? DC? For a non-sustained VTAC? DC?
This is why close feedback loop communication is so important in nursing, that you have to repeat like two, three times. Because what the fuck is that order? If someone is a non-sustained VT, you want to monitor that shit. What do you mean DC the telly? So that that patient fucking codes and we don't know why the fuck that patient code? Oh, God. But listen...
Sometimes it gets overwhelming for a lot of doctors because, you know, they work sometimes 24-7 and all this stuff. So, again, for us nurses, it is also our responsibility to keep them afloat or keep them...
okay because sometimes you know again it's a team collaboration work you have to make sure that your team is functioning well and sometimes they're not functioning well and it just makes sense because they're all working hard but if it happens like that that they try to dc something that is very important or try to say something just be like are you sure you want to do this on a patient that has this and this and this if they still persist on doing that that's the time you can question their
Yeah, reliability and intelligence. Because why? Next. A nurse anesthesiologist dropped off a fresh post-op intubated patient to me in the ICU. I don't know why she's so hypertensive. I gave her Vicaronium for sedation for the ride up. What? I beg your deepest pardon? What the fuck? Vicaronium?
Just for everyone who doesn't know what vicoronium is, a non-depolarizing agent that achieves skeletal muscle paralysis by competing with acetylcholine for cholinergic receptor sites and binding it with nicotinic cholinergic receptors at the postjunctional membrane of the motor end plate.
Oh my god. It is used during general anesthesia to aid in surgical relaxation and the tracheal intubation. An anesthesiologist administers a drug to control the level of paralysis throughout the procedure. Vicaronium bromide is also used in mechanical ventilation. It's sold under the brand name Norcuron. I don't know why she's so hyper. What the fuck? You guys. The amount of medical errors.
It's insane. But also what I'm realizing is the amount of medical error is happening because of the short staffing and the amount of burnt out nurses who are forced to work. So medical errors can be prevented if nurses are safe, staffed, and are able to function well, period.
I'm not justifying all the medical errors that happens in the healthcare system. A lot of them are bad, okay? But what I'm trying to say is how to prevent a medical error, take care of your nurses. Next. MD called me unprofessional in front of my patient's family member. Slap immediately because I didn't draw labs. Showed the doctor I have no order for lab and turns out she accidentally DC'd them.
wait a second they're the reason why you didn't have the labs so why don't you go back in that room girl and scold him too because what the fuck literally though this is literally exactly what happened to me is that i was advocating for an 89 year old italian grandma patient who cannot speak for herself because she has some kind of dementia she's she's confused and everything and
And I was and the doctors, that surgeon were rounding in that room with a bunch of medical students. And I was there and I was speaking for her because she told me when she was more conscious, when she was more alert and oriented that.
all the concerns she has. And as I, as I answered this question that the surgeon is asking the patient, which the patient cannot answer because the patient is like, she doesn't know how to answer. I answered for her.
This doctor, this surgeon, literally, well, he didn't do it in front of the patient, but he went out of that patient's room, came into the nursing station in the middle, and tell me the next time I'm talking, please don't talk for me or like next to me. I'm like, what the fuck do you mean? And I cannot say anything. And I just remember our assistant doctor
like head nurse was there and she did not even protect me she was just um scanning stuff and the only thing she asked for me is like when once that surgeon is left
Because everybody is apparently scared of that surgeon. Anyways, girl, good for you. And I hope that you charted this and make sure that the reason, first of all, exactly what this doctor told you in the front of the patient's family and actually get the family's reaction to that and chart that too. And say that the labs were not
The labs were ordered, but the same doctor who humiliates me in front of the family, DC them. We'll continue to fucking minor. That's what I thought. Like, I love when they get mad that something wasn't done yet when they never put the fucking orders. Baby.
I am not doing an intervention or do anything if the order is not in place. If you did not write the orders, because a lot of these doctors too and medical students loves to give us verbal order. We do not take verbal order. Write it yourself. Ask one of your medical students. No, we are saving our professions and we are saving our license. Thank you.
Next, I called the doctor regarding a stroke patient. The doctor said, this could have been a message. Your call is an inconvenience. I charted exactly that and put it in quotation. Clock, clockety clock, as you should. An inconvenience? An inconvenience. The next time you come to the floor and you ask for something, anything, anything,
The response we will give you, that is an inconvenience for the already overloading amount of job we have here. Thank you. Next. A third year wrote me off for furling my eyebrows rudely and outwardly at him. It's furrowed. Just in case you've ever read this, Justin. I started Botox that week and now my face is frozen. Okay.
I feel like this is such a Gen Z nurse. As you can see, guys, if I read it again, rudely and outwardly at him, it's a man. No question asked. Next.
Just tonight, doctor told me he wasn't sure an IO was needed on a patient with no access because he was going to place a central line. The patient also had no pulse, was getting active CPR, and needed epi. I looked him dead in the eyes while I drilled the patient's leg without asking again and said, 55 mm IO in the left tibia, giving the epi and a flush.
She said, fuck them orders. Let me do it myself. Fuck this shit. I mean, girl, I mean, yeah. I mean, if the patient survived, that's good. Because honestly, sometimes, because listen to this. This medical TV shows lately,
Sorry, like I love them so much. They're nice. Some of them are becoming more like the realistic depiction of like what we actually go through in the hospital. But what I don't like about this show is it's heavily focused on doctors. It's heavily focused on doctors being on bedside, sitting down with a patient, walking in triage, conversating with patient in court. They don't do that.
Unfortunately and truthfully, they don't do that shit. They don't stand there fucking clean a patient wound. They don't. They just don't. If you have those kind of doctors in your practice, love them a lot. Okay? Because 99% of it, I can assure you, they don't do that. The things that they're showing in the medical TV show, they do not do that. The nurses do that.
The CNAs do that. The LPN, the RPN, they do that. Not the doctors. The doctors are part of the big team. Who's actually in the pit? Not the doctors. The nurses. Okay? Because I love the pit, okay? I love it so much. It's a very good depiction of what actually happens in the pit and the ER. But it's just that, guys...
Where the fuck are the nurses? The nurses are the backbone of the whole hospital. Yes. Yes. We're the one who's actually there on the trenches in the pit 24-7. So please, Lord, we need some good medical TV show who actually portray nurses in the pit. Because you've never seen a doctor get fucking rumbled and beaten up by a patient.
Or get kicked by a... For sure, there are situations like that. But guess. Guess who gets that beating the most. The abuse the most. In the pit. The nurses. Never the doctors. I don't want to say never, but not the doctors. Pissing me off. And good for you, girl. Okay? Sometimes...
You just got to have to have another opinion from another doctor. Maybe this doctor is just, you know, hardheaded and thinks that he's smarter than everyone else and thinks that whatever you're suggesting is stupid. But if it saved the patient, it saved the patient. That's all that matters. Moving on. Next. Active cold bleeding out. CCU is intubating. All hands on deck. NP student went to grab a chucks to absorb the blood.
Sorry. NP preceptor looks at her and say, no, no, no, we don't do that. The nurses do that. The who do that? The who do that? The nurses coming from a who? A nurse practitioner who was a nurse before being a practitioner? Sit down, Savannah. Sit down, Savannah.
And this is why, okay, I think a lot of problems stemming from this is that there's so many medical students, so many aspiring doctors, so many aspiring nurse practitioners, even nurses, who are so positive, who are so hopeful about this profession. But there are so many problematic senior individuals out there who teaches, who becomes the preceptor, who becomes like the leader, right?
And they infect this positive, outgoing, caring people with their bullshit. How the fuck would you stop an NP student for doing something? Sure, maybe a little bit out of their scope, but...
But you know why that NP student remember on doing that? Because that NP student was once a fucking nurse. The NBA 82 game grind is done. And now the real fun begins. The NBA playoffs are here.
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Clock it. I'm so... This is so... The nurses do that? Police. Police. Police. Spare me a fucking dollar. Resident told me... Next. I'm so pissed, you guys. This... All these things are just pissing me the hell off. Next.
resident told me I wasn't allowed to run blood through a PICC line, not MTP, of course, to which I clap back with, when was the last time you hung blood? When was the last time you hung blood? I did yesterday. Send the policy here away to, oh, oh, oh, resident, somebody got to read policy. Somebody got to take a few lecture on what PICC line does.
PICC line is literally the best access for blood fucking transfusion. Are you kidding me? Are you kidding me? And again, if you haven't administered blood or hung a blood before or done all of those things, you don't have a say to what the fuck we have been doing every single goddamn day unless you have a research evidence-based fucking research
that can prove that administering blood in the PICC line is dangerous or it shouldn't be done, then don't. Do not. Next. I'm not going to drive 30 minutes to the hospital to see that that patient is fine. Four-year-old post-tonsillectomy gargling and deciding. To the public, to the patients, to everyone who's not working in healthcare,
Whenever, you know, whenever something happens with your loved ones, don't blame the nurse. Guess who said that? I'm not going to drive 30 minutes to the hospital to see that patient is fine. It's a four-year-old post-tonsillectomy, gargling, and deciding. That didn't came from the nurse. That came from who? The doctor you trust so much. And guess who was advocating for your four-year-old? The nurse.
The person in the pit. Next. I'm a nurse, but I went on my OB1 week and five days postpartum and told her I can't feel my uterus is growing and not shrinking. She told me I was insecure. I hemorrhaged two days later and I almost died. The saddest part about this is it was a woman who told you that you're insecure. Two, the saddest part about this is that
that doctor is probably still practicing because having a doctor who makes you feel bad about yourself or your concerns and this is why whenever i go to the doctor i would never tell them that i am a nurse because i don't want them to know how much skills and intelligence and knowledge i have about that the whole situation because you know
If someone tries to get me, I will get them back. I bite back like a fucking alligator. And I'm so sorry that you hemorrhage. And I'm sorry that she made you feel that way. That is the highest level of gaslighting ever. And I'm so sorry again. And I hope that you reported that.
Yeah, that OB, that doctor. And make sure that you tell your nurse so that your nurse can chart that. Please do. Thank you. Sue. Sue, Sue, Sue. Next. Third-year OB resident finally got enough courage to ask, why do you nurses question our orders so much? It's not like you have a license to protect. I beg your deepest pardon.
It's not like you have a license to protect. Are you fucking dumb? Are you dumb? License? How the fuck do you think are we practicing in the hospital without a license? And yes, we have a licensure exam, nursing boarding exam that you have to pass to get a license to practice.
Second, why do nurses ask so much questions? Because you guys don't provide no fucking answers. How about that? How about that? And guess why we're asking a lot of questions? Because our patients...
The people that we're taking care of deserves answers. And we deserve to clarify things as much as we want until we are comfortable enough so that we can provide the care that we should be doing because we are doing a job that we are getting paid for, not enough paid for. Send that fucking third-year medical student back to fucking kindergarten.
It's giving dumb as fuck. Next. Nurses can't identify VTAC as the dude slowly throws more and more runs. I'm just pissed. Are you guys pissed? You guys need to take a deep breath with me in here because all of these situations are just insane. Nurses can't identify VTAC? What the fuck do you think we are? Do you think we're working McDonald's? And this is not to say McDonald's people are not smart or anything.
But we studied this shit. We were trained for this shit. How do you think we cannot identify VTACs? We literally have trainings in the ER, in med surg, at school of reading fucking EKGs. So yes, we know. Dumbass. Had a patient who was withdrawing and becoming violent. Asked the MD to come to the bedside because she wouldn't give a shit.
her medication. Her response was, what am I supposed to do there? Karate? You know what you're supposed to do there? Get there and experience it for yourself so you can remember why giving medication to violent patient who aggressive patient works. Because once you get hit, punched, slapped, thrown feces, spit on, you will understand why. Another dumbass. Next.
I was told we don't snow patient for your convenience. I asked for a melatonin to help a patient sleep at night. Snow patient? What the fuck do you think are we? Drug dealers? Drug? What? That is insane to me. What in the whole wide world? Melatonin?
It's melatonin. That shit, you can get that shit in CVS right now. You can actually get that in 7-Eleven. Let me, let me sleep. What the fuck is wrong with these people? Don't call unless it starts to feel like an oh-ah shit problem. Patient had an open hip surgery wound and was swimming in their own blood on their bed. Paged them, oh shit. They said, we will wait till...
The morning, I called the rapid response team. Patient hemoglobin was 5.3 and the onco hospitalist goes, I'm going to kill that guy. Referring to the ortho onco who wouldn't come in. Thank you. And guess who is in the trenches? And guess who is in the pit of all of this? The nurse. So the pit, the fucking, I don't know, all these other shows, Pulse, right?
Why are the doctors the main characters in here? Please. Next fucking season. Nurses. And again, I love those medical TV shows. It just pisses me off because these exact stories, these are the doctors that is being glorified. And again, I'm not taking away the glorification of how amazing doctors are and what they do.
And honestly, doctors are amazing. Okay, I love them all. I love a lot of them so much. But it's just a glorification in the media of how doctors are this people. No, they're equal to nurses. They're equals to the LPNs, the RPNs, the CNAs, okay? We're a team. They're not the main character. They're not the one to open the fucking door and all the other people and all other people
professionals are following them no we are walking in the same exact line sorry about that and i hope you charted that too whatever that ortho guy responded okay don't call unless it starts to feel like an oh ah shit problem put that
A pediatrician once yelled at me for giving new parents formula that they requested because she was extremely pro-BF and the mom wanted to combo feed. New grad me said, then you come go take it from them. Period, queen.
Yes, this is why I love the Gen Z nurses. Shout out to the Gen Z nurses because you girls have no filters. Yes, kill it. They just be clocking people. They just be saying whatever the fuck their intrusive thoughts are and they don't care and they will lose that job and don't care. You know why? Because they can get another job. They realize that. I love Gen Z's because you guys have boundaries, boundaries that all the other generations don't have. And we love that. Okay. Thank you, Queens.
So you come get them. So you go get them from them. Oh, my God. Patient severely third spacing. Pressure's not working. Told me albumin is a waste of time. Eighth time I asked him to order it. Then the patient got better. He looked at another doctor and said, we did a good job on this one. I beg your deepest pardon. After he finally...
accepted to give albumin to this patient and the patient got better, he claimed that they did a good job on this one? Sit down. Sit down, not in the front, to the fucking back. You can claim shit that you've been refusing and act like this was all your goddamn motherfucking idea. Take it back to the pit, master. The nurses. Next.
There's no reason to give pain medication for intubation. The patient was a 26-year-old medic with reactive airway from pepper spray and alert. Asked her if she was in pain in front of the doctor and she nodded yes. Another thing too that like really pisses me off sometimes is like some medical professionals, some doctors, things that they can feel for other people. Baby, pain is subjective. Pain is what you feel about yourself inside of you, whatever the fuck that is.
pain is your own experience. You cannot tell me something like, oh, well, he's 25. He should be less in pain. No, bitch. If they are in pain, they are in pain. Give them the fucking medication they need it. And there is so many categories in here that considers that patient deserves to have a pain medication. Reactive airway from pepper spray. And the patient was alert. What the fuck?
Oh my God. Next. I had a surgeon snap at me in a patient's room. Two hours later, he called me and apologized for his unprofessional behavior and told me I was a good nurse and didn't deserve to be treated like that. Okay, queen. Accountability. But first of all, even then,
That wasn't a good behavior. It's not about the accountability. Okay, we'll recognize the accountability because a lot of them don't take accountability for this mistake and the shit they do. Okay? One, praise that doctor for taking accountability. But two, tell that doctor, if you also can, please go seek some anger management therapy.
Because I am not here to be your punching bag whenever you feel overwhelmed with things or like you are in a high emotional situation or distress. You chose to be a doctor. You chose to be in this chaotic environment. And the people around you don't deserve to be treated if you cannot control your own emotions or your own feelings and fucking anger. Thank you. You're welcome. Next.
surgical patient on a med search unit bp was 74 over 35 the map is in the 50s i was told she's fine to have a blood pressure like that as long as she's mentating from a resident i called a rapid response once he hang up that resident didn't even show up to the rapid i should also mention i don't know guys i don't know what else to say because this is extremely fucked up and annoying and they're probably gonna claim like oh well
Well, I wasn't giving enough information. Bitch, please, please. Raised some concerns that my nonverbal human was very much in pain. The attending told me developmentally delayed patients can tell you they're in pain. So he's not. Jail, jail, jail, jail.
What the fuck? Developmentally delayed patients can't tell you they're in pain? Have you all heard about the FLAC fucking assessment? The fucking smiley face? What the fuck are you talking about? Developmentally delayed patient cannot tell if they're in pain. Who the fuck are you to say that? Again, pain is subjective. Pain is something you feel.
Okay? It is not something that you can tell someone that they can feel. It is not for you to do that. Because I can hit you with a hammer right now, and I'm like, oh, he's fine. But you're crying and screaming and bleeding. Should people take my words of like, he's fine. He's probably like a 2 out of 10 pain. Or you, who's bleeding, screaming, and crying. Exactly. You. Not me. Because I am not in that position. Okay?
This is actually insane. Had a patient sustain a run of VTAC. And when I showed the cardiologist the strip, he said it was too uniform to be VTAC. And that the patient must have been brushing his teeth. Patient was quadriplegic. Dude, what the fuck is wrong with these doctors? Brushing his teeth? They did not even know the patient was quadriplegic?
And this is why listening to nurses who's actually in the pit, who have been seeing those patients almost 24 goddamn seven is the main sources of your information and trust because we are the one there. We are the one dealing with these people. What? Brushing the teeth of a quadruple? Please send this fucking motherfucker back to school.
To push rocoronium paralytic without sedation on a patient who was actively seizing so that they would stop moving long enough to get the art line in. I refused and reported him. He was fired. As he should be. Why would you paralyze? No. See, this is where we put boundaries here.
Pushing a paralytic to someone just so you can get an art line is fucking insane to me. Okay? And don't tell me, oh, we're trying to say, like, what? No. No. Ask the team. Deciding something just by yourself is something extremely dangerous, and it's giving those nurses who will never ask questions and think that they know everything. Please.
Doctor told me in front of a patient to go make myself useful and grab X, Y, Z. Me, your hand looks small, so I grab a 6.5 in Sarah gloves and a Snickers. Sister, thank you. Make yourself useful and grab X, Y, Z. You should have grabbed like the smallest catheter and be like, oh, I grab a catheter for your small ass dick. Thank you.
I could tell you purposely weren't compressing that hard. After I had done compression during CPR for 10 minutes, she lived, by the way. Thank you. So you was. Don't let that motherfucker tell you otherwise that you're not doing your job properly or you are not doing great. You did great. And guess what? The most important part, the patient lived. Next.
Patients BP dropping, no interventions working, called rapid, attending told rapid team we're only here because I don't know how to take proper BP. Turns out patient was internally bleeding and rushed to the OR. Maybe you just don't know how to properly assess and see symptoms and look at things for patient. Maybe you're the one who needs to go back to school because you don't deserve to be a doctor because you did not realize that patient was internally fucking bleeding and rushed to the OR.
Oh, BP. Oh, I rather refresh a BP course than refresh my whole fucking profession because I cannot identify shit properly. Critical shit. Next. I had a doctor who I had never met before come in wearing street clothes with no badge inside. Give me verbal order. I said, and you are? He got offended and showed his badge in my face.
Exactly. First of all, you're in street wear. Second, you don't have badge. Third, we don't take verbal order. None of that checks the list. So go scrub in, put your ID, take a pen, and write yourself because we will not do nothing. And thank you for saying, and you are who? Thank you. Next. Next.
Patient was bleeding out from their head. BP was 80 over 40. Called to ask for orders. He was on call. And he said, this number isn't open for calls. Don't call again. And hung up on me. Mass transfuse patient after. Said he had no idea this was happening when he came in the morning. Luckily, I charted.
Thank you. See you guys. Charting is our best friend. Charting is our best. The charting is our savior. Because at the end of the day, when all these motherfuckers want to twist shit, your charting will prove them something else. Thank you.
resident was with my new admit that i just got cleaned up and settled into bed 10 minutes later come out and said they peed everywhere and needed cleaned up and i said there were there was a bed pan in there she said i don't know how to use one nor in is that my job thank you and walked away i
As she walked away, I said, call light would have been a great option as well. Mind you, the patient was continent, alert plus oriented times four, and wheelchair at baseline. Patient was crying when I walked in and said, I am so sorry. I told her I had to go. Guess who was fucking up your grandma or your loved ones? Not the nurse. Not the nurse. So the next time y'all want to blame nurses for something, check on the other people that's been working with us.
What the fuck? I don't know how to use one. So learn how to use one and do it. You were there. You were assessing the patient. Help us. It's called the helping hands. It's called helping. It's called fucking teamwork. And y'all want us to take a verbal order from you and do things for you? Who the fuck do you think you are? Thank you. Next.
I had crutches and knee mobilizer and literally was crying. And the doctor asked me if I had personal issues going on, making me emotional because I shouldn't be in this much pain. Again, another situation of someone thinking that they can subjectively think that they can decide for someone else's pain. Stupid. Next.
We are not cats that have nine lives. This is his sixth show. There's no bouncing back. That's why I love coming to Burlington with you, Abuela. Wow, thank you, Abuela. And you're the brand that I wanted.
Siempre encuentro lo que necesite en Burlington, mijos. Y con las ofertas que queremos. Burlington tiene todo lo que necesitas para tu familia. Ahorrarás hasta un 60% de descuento en los precios de otras tiendas todos los días. Burlington. Marcas, rebajas, wow. Los estilos y la selección varían por tienda.
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It brings people together in meaningful ways. Kunle and his team are building a Wi-Fi experience that connects one billion devices every year. Learn more about how Comcast is redefining the future of connectivity at comcastcorporation.com slash Wi-Fi. What the hell, Leontay? He said this is his sixth show, there's no bouncing back? What? Okay.
All right. That's jail for me. That is going to the jail for me. Mm-hmm. What the fuck? Oh, my God, you guys. That is a lot of crazy ass unhinged stories. It's not just them coming to, not coming to the bedside. It's literally the most horrific shit. And again, I just want to preface this. If you're a doctor right now, an NP, some...
Medical student listening to this right now, don't get triggered, okay? We are not mentioning you. If you are a good medical doctor, medical student, a doctor, a surgeon, an NP, you would not be hurt by this. You know why? Because if you didn't do anything like this to other people,
It would not offend you. But if it offends you and you start saying things like, how about the nurses? Well, the CNN. Well, but I had this. You've done something of the same exact thing. And you're going to have to check in with yourself.
But I want to recognize all the amazing doctors that I have worked with, the ones who cared, the ones who are empathetic, the ones who care to ask nurses how we are, the ones who care to have a conversation with us more than just medical stuff, the one who cares to come out with go out with us and have a drink and and
enjoy and live life because at the end of the day, we are all human beings. Thank you guys so much that you just don't care for your patient, but you care for the people that you work with because we nurses, we only care about you.
We only care about being able to provide the best possible care for our patients. And we can do that through a collaboration, right? It's not just I do this job alone and nobody else can tell me whatever because I am better than everyone else. If you think that way, you shouldn't be in the healthcare system. Healthcare system is a multidisciplinary team of people, of professional who works together to provide and have one exact goal.
To get the patient healthy, back to the community, and safe. Okay? And thank you for all these amazing stories. I mean, they're not horrible stories, actually. Horrible, horrible stories. But it just shows you guys how much...
and stuff that we have to go through as nurses, not just from the healthcare system, not just from the patient, even from our colleagues. And again, not every single nurses are nice or good, okay? But I'm just recognizing that a lot of us, 99%, 95% of us are going through a lot of bullshit everywhere. And it's hard and it's exhausting and we're not even paid enough for it. So please, the next time you see a nurse,
with, and I'm talking about nurse, LPN, RPN, CNAs, health aides, everyone, okay, in the nurse realm, please tell them how important they are, how loved they are, how much they matter, how their opinion matters, how much they deserve to be treated well with respect and love and care and empathy because we rarely get that. We rarely...
receive that from our coworkers, from our patients, even from our family. And that is something that would make us all happy. And that nursing week, nursing week and, you know, nursing month is around the corner again. And this is the only time that we get recognized because a lot of times we just are pushed aside and like,
It's your job. You choose this job. So you should... Why are you complaining? Why is there... Yeah. I chose this job. I love this job. But don't make me hate this job because you guys cannot respect me, love me, empathize with me, and care for me. How much... Just like how I care for every single one around me. Okay? Thank you so much, Vessi, for listening to this episode of the podcast. And I hope you guys had...
Honestly, just go out there, touch some grass, take a deep breath. This was such a heavy, crazy ass, I beg your pardon moment of...
it's crazy there's so many shit happening but thank you guys so much for listening to this episode of the podcast make sure that you share this with your friends and family and colleagues follow us on spotify and apple podcast leave us a five-star review please and share this episode to all your friends and family again and make sure that you get your tickets at www.nursejohn double and shows.com for the short staff comedy tour i want to see you
all on the road with your friends and best and we will talk about exactly the same exact things in there okay and get your philly skin now my first ever skincare brand philly skin f-i-l-i-s-k-i-n.com and tag me on instagram or whatever socials you have and i will see you guys again next week for another episode of your favorite podcast i beg your pardon i love you guys so much i'm
goodnight bye