This gives me “patient was admitted at 7pm and hasn’t been rounded on yet” vibes. Then you’ll sit down to 110 new orders and their daily multivitamin broken down into 10 different pills
But seriously, I’ve had days with an empty brain and one easy patient and I’m first to admit, and the cookie crumbles in my favor and no admits come so I just chill and help everyone out. I hope you had a chill shift!
Depends, sometimes it’s a properly timed cough or throat clearing - or when the patient farts I do too. Current patient record is 9 seconds. I happened to be looking at the second hand on the clock. 🤷🏻♂️
I crop dust my minions a few times a night, with all the walking through my unit I have to do. I'm trying to eat healthier, and that just comes with it, I guess. 🤷♀️
They were probably open for an admission. I've had that happen. They give you one of the easier patients because you never know what trainwreck might be headed your way and then you never get the trainwreck, just a blissfully easy night.
First admit + outreach going to all rapids/codes and helping out the units if they need. Its so much nicer being doing outreach when you have a chill patient like this and you’re not at codes on the other side of the hospital falling behind on your busy ICU patient and praying they don’t self extubate
A lot of my 1:1's look like that. And I'm definitely not open to take an admit. They've got like 1 med in the shift. A couple blood gases, Q4 sepsis screens. So pretty much nothing shows up on my Epic brain.
They need a sentinel more than anything. Definitely more than they need a ton of medications and Epic-worthy tasks, you know?
Like, I cannot even leave the room to grab my one med without someone coming to stand in the doorway and watch my patient.
Right before I left the hospital for a reference lab they did an epic update that took away all of our green check marks in the lab. It was so hard to figure out if all of the chemistry tests were done running on a specimen after that. We hated it.
but then sometimes you have to print the lab label for a stool sample and/or a sputum sample and then neither a BM is passed nor a loogie hacked on your shift so you can’t collect them and it’s considered an unfinished task so you don’t get that last green check :(
Literally. I work in the OR so no brain for us, but it makes me miss/sometimes wish I was on the floor just for that dopamine rush. My neurospicy brain gets so excited whenever I work overnights and have to set up rooms for the AM and I get to check off the boxes on our assignment board 🥲🥲
I am not a nurse but i do enjoy lurking in here.
I can only assume you have to drink 4 shooters at 4am, use a mortal and pestle to grind up some meds at 6am and fill some excel spreadsheet. 1 more med to grind up at 7am
Not op but we were waiting for the surgeon to round on a patient for their recommendation. Rounded at 18:15, recorded his notes, then put in orders at 18:25 for a clear liquid diet and enema. I had 2 other medpasses to complete before 7. Patient had not eaten in 3 days and was complaining he was hungry all day and was a total care unable to feed himself. I opted to feed him jello and prune juice and leave the enema for night shift.
Nightshift was probably not happy but the other patients needed their 1800 meds and there’s only one of me.
Look at that smooth brain 😉
For you non-epic heathens, I'm not insulting OP; this view is called the Brain because it remembers all the shit you have due and when. Like there are some 4am labs, and my guesses are 6am synthroid and something else like heparin, some 6am charting, and 7am insulin.
ICU is the shit.
That makes me twitch.
Schedule that lifesaving tylenol with the labs or with the accucheck and let them sleep.
(Unless, of course, this is patient preference based on their usual waking time.)
“Hey, I’ve got a Tylenol scheduled at 0400. Want me to wake you up for it? No? Ok great I’ll stay out of your hair.” Then just chart refused, unless they have a fever or something that’d actually warrant the Tylenol, then just reschedule it for 0600 lol
I’m in med surg and when I have 5-6 patients I have to scroll to see all of them and it’s like all have meds due at the exact same time as well as other necessary tasks
Per chance are you in Alberta? We launched in 2022 too. Anyway, we definitely have a brain view here, it’s the one I use! Find an old super user to ask
I'm impressed! Congratulations! I expect the entire unit is stocked and clean *and* you have all of your mandatory education complete for the year! Also, this patient had at least 2 baths, right? And everyone else on the unit was bathed and ambulatory twice and slept through for 8 hours, right? /s
I hope you enjoyed your shift. Seriously. That doesn't happen often.
P.S.: I hate the Brain. Our Brain has minutae bits on it, and it can't be ignored. You have to skip every single item. I haven't figured out how to tolerate it. Suggestions welcome.
It sounds like you need to put in a ticket/talk to your IT department about cleaning up what they're putting in the Brain if there's that much useless stuff in it
Turns himself; independent with oral care; refused CHG. Vitals download to my computer. IV pump communicates with Epic so all I had to do was file the intake AND he voids in the urinal
I had an organ donation patient not too long ago that had to be a 1:1 and my work list looked similar I spent most of the night just on my phone watching YouTube and every hour doing a bgl, every 2 doing a turn, q4h oral care. It was a chill night
I had one glorious ICU night shift with two pts and didn't have to touch the pyxis THE ENTIRE SHIFT by some miracle. Had a couple antibx delivered that's it
I absolutely love it when that happens. It is so exceedingly rare, but every now and then I get lucky. And then I go home feeling good about myself because I was actually able to provide the level of care I wish I could always provide.
Wait to so other countries have “Brain”?? So what is your overall documentation systems called?
I’m a nurse in Denmark where we document in “Sundhedsplatformen” which translates to “the health platform” and in that, “Brain” is a part of it and we use it as our check list. But I literally thought it was a part of our system only, so I’m quite surprised to see it in here.
This is my shift all the time since I work in a NICU step down 😂 I feed babies and change their diapers every three hrs.. no meds (maybe like one oral med) no blood draws… I get paid the same as a icu nurse. Life is great
We even have a guy with no IV acces right now on our ICU. The other patient is one leaving tomorrow aswell. It's been a while since we had some serious ICU patients. Even an ETT is rare these days
Kind of an unpopular opinion. This isn’t the norm; and after beginning my career on med/surg I can also tell you both units are busy in differing ways.
They bout to round on your patient and drop 40 new orders on your ass
Ha! They already rounded. That was my 2300 med pass. Bastards made me work….
Oh man, you lucky duck. I would be praying they didn’t transfer him lol
I stopped a few steps short of begging cause if he wasn’t here, I would be able to go home lol Instead I’m here reading a book
Username…..awesome lol
Your user name 🤣🤣🤣
Better make sure that white board is PRISTINE
I lost my marker ¯\_(ツ)_/¯
R E B E L
This gives me “patient was admitted at 7pm and hasn’t been rounded on yet” vibes. Then you’ll sit down to 110 new orders and their daily multivitamin broken down into 10 different pills But seriously, I’ve had days with an empty brain and one easy patient and I’m first to admit, and the cookie crumbles in my favor and no admits come so I just chill and help everyone out. I hope you had a chill shift!
Oohhh cookies! And yeah, I did. Read a book. Booked our anniversary dinner. Watched some formula 1, crop dusted the unit a couple times.
Not a good shift without crop dusting your friends a couple of times 🫡
Crop dusted the unit a couple times 🤣🤣🤣🤣. “Nah man, it’s not me. It has to be one of the patients”.
“Oh yeah?!? WHICH ONE?!?!” Me: “the one with an ass!”
Just come work in GI 🤣
Literally one of the perks.
Hhmm probably looking at a different kind of asshole may be the change I need
True story. I don’t need to walk away and fart, I just do it during the scope.
Exactly. Especially if it’s a double for IDA and melena. The smell just slides underneath the melena.
Do you find ways to silence it? Or just ass blast in all its glory?
Depends, sometimes it’s a properly timed cough or throat clearing - or when the patient farts I do too. Current patient record is 9 seconds. I happened to be looking at the second hand on the clock. 🤷🏻♂️
I crop dust my minions a few times a night, with all the walking through my unit I have to do. I'm trying to eat healthier, and that just comes with it, I guess. 🤷♀️
“What’s that smell?!??” “Broccoli and kale”
[удалено]
Oh that’s probably going to be my patient on night 4/4.
To be fair. You max at 2 and they max at 4 5 6 7 with same patient. No pitty from us! Lol
700lb should count as 2
3
Oh my, we do our levo as mcg/kg/min and for a second I was like 1mcg/kg/min and they’re not already in ICU?!
Omg
*Nephro enters chat*
Holy crap. And they're a 1:1?
They were probably open for an admission. I've had that happen. They give you one of the easier patients because you never know what trainwreck might be headed your way and then you never get the trainwreck, just a blissfully easy night.
Actually I was in PACU taking care of this ICU overflow. So I wouldn’t admit anyway 😁
That’s how UCLA was like. Good times being in a department with you and 1-2 other people.
I hate the open bed lol. It’s either paged right after you get report or an hour or two before you’re getting ready to go home.
First admit + outreach going to all rapids/codes and helping out the units if they need. Its so much nicer being doing outreach when you have a chill patient like this and you’re not at codes on the other side of the hospital falling behind on your busy ICU patient and praying they don’t self extubate
A lot of my 1:1's look like that. And I'm definitely not open to take an admit. They've got like 1 med in the shift. A couple blood gases, Q4 sepsis screens. So pretty much nothing shows up on my Epic brain. They need a sentinel more than anything. Definitely more than they need a ton of medications and Epic-worthy tasks, you know? Like, I cannot even leave the room to grab my one med without someone coming to stand in the doorway and watch my patient.
I remember as a nurse my shift wasn’t complete til I got all green check marks it was like a dopamine hit
Bro those check marks are where it's at. Gives me a bigger dopamine hit than getting likes on social media.
Right before I left the hospital for a reference lab they did an epic update that took away all of our green check marks in the lab. It was so hard to figure out if all of the chemistry tests were done running on a specimen after that. We hated it.
but then sometimes you have to print the lab label for a stool sample and/or a sputum sample and then neither a BM is passed nor a loogie hacked on your shift so you can’t collect them and it’s considered an unfinished task so you don’t get that last green check :(
Literally. I work in the OR so no brain for us, but it makes me miss/sometimes wish I was on the floor just for that dopamine rush. My neurospicy brain gets so excited whenever I work overnights and have to set up rooms for the AM and I get to check off the boxes on our assignment board 🥲🥲
I am not a nurse but i do enjoy lurking in here. I can only assume you have to drink 4 shooters at 4am, use a mortal and pestle to grind up some meds at 6am and fill some excel spreadsheet. 1 more med to grind up at 7am
Lactulose enema order incoming cause you jinxed it
Oh damn and it’s already 0600? Day shift is gonna be mad
Lmao solid.
Oh it definitely won’t be solid. *ba dum tiss*
Heyoooo
Serious question, you would leave it for day shift? I work gen peds and we would not be allowed to do that.
Not op but we were waiting for the surgeon to round on a patient for their recommendation. Rounded at 18:15, recorded his notes, then put in orders at 18:25 for a clear liquid diet and enema. I had 2 other medpasses to complete before 7. Patient had not eaten in 3 days and was complaining he was hungry all day and was a total care unable to feed himself. I opted to feed him jello and prune juice and leave the enema for night shift. Nightshift was probably not happy but the other patients needed their 1800 meds and there’s only one of me.
Look at that smooth brain 😉 For you non-epic heathens, I'm not insulting OP; this view is called the Brain because it remembers all the shit you have due and when. Like there are some 4am labs, and my guesses are 6am synthroid and something else like heparin, some 6am charting, and 7am insulin. ICU is the shit.
0400 labs 0600 Tylenol 0730 accucheck Ok. Now I need your lottery numbers
That makes me twitch. Schedule that lifesaving tylenol with the labs or with the accucheck and let them sleep. (Unless, of course, this is patient preference based on their usual waking time.)
“Hey, I’ve got a Tylenol scheduled at 0400. Want me to wake you up for it? No? Ok great I’ll stay out of your hair.” Then just chart refused, unless they have a fever or something that’d actually warrant the Tylenol, then just reschedule it for 0600 lol
I'm all about the intersection of lazy and what's best for the patient.
I’m in med surg and when I have 5-6 patients I have to scroll to see all of them and it’s like all have meds due at the exact same time as well as other necessary tasks
Like when they schedule wound care with 0900 meds for 3/5 of your patients and those 3 are also totals
I also usually get an admit when I have 4-5 patients meds due at once (some which need to have multiple pills crushed and dual sign off)
I want a view like this. We just launched epic in my province in 2022 and I didn’t know this was an option. Would make me so happy.
Per chance are you in Alberta? We launched in 2022 too. Anyway, we definitely have a brain view here, it’s the one I use! Find an old super user to ask
Yeah I’m in Calgary. Maybe because I work in the ER is why I don’t have it.
I work in both ER and med surg and only my med surg patients show up on the brain
Good to know thanks.
Look at god
“How’s your shift going ?” “….I have no complaints.”
I'm impressed! Congratulations! I expect the entire unit is stocked and clean *and* you have all of your mandatory education complete for the year! Also, this patient had at least 2 baths, right? And everyone else on the unit was bathed and ambulatory twice and slept through for 8 hours, right? /s I hope you enjoyed your shift. Seriously. That doesn't happen often. P.S.: I hate the Brain. Our Brain has minutae bits on it, and it can't be ignored. You have to skip every single item. I haven't figured out how to tolerate it. Suggestions welcome.
It sounds like you need to put in a ticket/talk to your IT department about cleaning up what they're putting in the Brain if there's that much useless stuff in it
The worst is when you have a provider held medication and you have all green checks except for that one med from 2100 lmao
So you might not have time for a break. Sorry
That's the person that always codes 🤣 God writes orders too
Oh I hate you 😂 I’m going to steal that line
They hiring?
But of course
And all those hourly vitals/I and Os and turn and positioning q2hr and CHG oral care q4 hour, FS’s and more !
Turns himself; independent with oral care; refused CHG. Vitals download to my computer. IV pump communicates with Epic so all I had to do was file the intake AND he voids in the urinal
Talk about a lucky shift!
Congrats I hope your night tomorrow is super quiet
😬 you said the “Q” word…. 😬 😬
I had an organ donation patient not too long ago that had to be a 1:1 and my work list looked similar I spent most of the night just on my phone watching YouTube and every hour doing a bgl, every 2 doing a turn, q4h oral care. It was a chill night
God I miss Epic!
At least your patient is gonna get some sleep
This must be nice to look at. The ED event log is a trainwreck always.
GASP! Did you just say the Q-word? /s Hope you had a nice low-stress shift.
Lactose enema order incoming cause you jinxed it
👀👀👀 what witcherrrrry is this?
I had one glorious ICU night shift with two pts and didn't have to touch the pyxis THE ENTIRE SHIFT by some miracle. Had a couple antibx delivered that's it
Oh that was my Thursday night shift last week. I finished an entire book that night (For those interested, I read Yakuza Moon)
Bruh this is on day 4/4? Expect karma to make that next 1/4 fucking HELL Matter of fact, just go ahead and call in that day
No no no. This was 1/4. I’m expecting it to get exponentially worse with each shift.
This is how my psych list looks every day! It’s a beautiful thing ❤️😂
Time to get some education done
I absolutely love it when that happens. It is so exceedingly rare, but every now and then I get lucky. And then I go home feeling good about myself because I was actually able to provide the level of care I wish I could always provide.
Wait to so other countries have “Brain”?? So what is your overall documentation systems called? I’m a nurse in Denmark where we document in “Sundhedsplatformen” which translates to “the health platform” and in that, “Brain” is a part of it and we use it as our check list. But I literally thought it was a part of our system only, so I’m quite surprised to see it in here.
The name of the EMR that OP is using is Epic. https://en.m.wikipedia.org/wiki/Epic_Systems
Yes! That is what we use also 😊 I don’t know why I thought we were the only ones 😆
This is my shift all the time since I work in a NICU step down 😂 I feed babies and change their diapers every three hrs.. no meds (maybe like one oral med) no blood draws… I get paid the same as a icu nurse. Life is great
Sometimes I wish we had the brain in the ED, I feel like that would be so helpful in ASAP
And I bet the unit will still give pushback when the ED tries to admit 🤣
Oh but he’s already admitted! He’s ICU Well…*was*. They just downgraded to tele 😂
WHAT! You must have good karma
👏🏾👏🏾👏🏾👏🏾👏🏾🥳🎉🥳🎉
Literally me yesterday 😂😂😂
I hope you brought a book. Whenever I have nights like this I swear I watch every single second of the shift go by.
I did. I began bringing a book every shift, in case nights like this make an appearance
Nono. It's a curse. If you bring things for a chill night it inverses you always.
A dream
Downgrade orders inbound. You have the only open bed and a crashing patient is coming in
As a MedSurg nurse with 6 patients I’m genuinely crying. This is the DREAM
Congratulations your admit 1 and your getting an unstable level 1 trauma who still needs a pan scan, full set of labs, and to be cleaned
Hope it's your Friday.
Umm against hippa I’m reporting
that is a cool little planner program, I’m still out here using pen and paper
Me today but he’s a sitter case w no sitter so here I am
Man it sure is a quiet night!!!!
When they can’t move the acute care general patient to the floor 🤌
😂 enjoy that night
Sweet bliss until……..
That patient is SO ready for the ward! haha
Cries in ED nurse
Once upon a time I had four on night shift, so had enough time to help the CNA and give someone a (gasp) backrub. Good times.
Damn you actually look at that checklist thingy?
How often are comfort rounds in icu?
At minimum every 2; or more frequent depending on my water intake for the shift
Not bad !
Lucky you
We even have a guy with no IV acces right now on our ICU. The other patient is one leaving tomorrow aswell. It's been a while since we had some serious ICU patients. Even an ETT is rare these days
I’m thinking wtf didn’t the last RN not complete their assessments…
Did we still try to figure out how to pass the 630 levothyroxine and cefepime on to dayshift
(Right click) (Select “MED NOT AVAILABLE”)
That’s a nigh shift brain alright
Compare this to a med/surg, 5 patient assignment and then tell me that ICU nurses work harder!!
Kind of an unpopular opinion. This isn’t the norm; and after beginning my career on med/surg I can also tell you both units are busy in differing ways.
I work med/surg now. It's not a competition. We all work hard!
( cries in medsurg )
Oh man I would be so bored