I say this to every coworker who asks why I have a car I rarely drive. It’s honestly just less stressful to commute that way. Idgaf about the weirdos at the bus stop for the most part. 90% of them are high or drunk af passed out cleanly. Every once in a while I have to nudge them out of the way to sit but that’s not usually an issue they just grunt and shift and they’re usually too shitfaced to move in their sleep once they’re out again. One is a lady who is always drunk af but awake and basically just uses the bus stop as a people watching spot and tells me neighborhood drama. There’s a pair of northerners who are polite in a northerner way. There were a brother and sister who were sleeping there for a month but last I heard she found a job and I wished them luck and haven’t seen them since. I’ve had a few really good philosophical conversations. One was a guy who had gotten his phone stolen and we chatted about the positive effects of increased mindfulness of the day to day and not being constantly observed and reachable by both your personal contacts and the faceless corporations. I got bothered by one guy but groundskeepers were hanging kinda close and the admins pass me on their way from their cars into the building I haven’t seen him since so either the facility took care of it or the other inhabitants did. Sometimes I talk, sometimes I just eat my Bacon and biscuit from the cafeteria and drink some tea. I’m trying to listen my way through the Bible just to know what’s in it. Right now I’m listening to the long long list of shit you’re not allowed to do while living in an aggressive war tribe in tents the desert like shitting too close to camp or having sex that doesn’t make more babies to keep fighting the other tribes. The cadence is weirdly chill almost seussian.

If it’s a 2 lane per side road the best way to get them to pass you is to not break check them but just take your foot off the gas until they get frustrated enough to just go around but this contextually sounds like a single lane sitch which you are correct is dangerous.

In Psych we only have limits on the what.

This is what it’s like being a psych nurse talking to an ICU nurse. It’s the difference between

You put what WHERE???

and

The patient put what WHERE???

I’m CN on this one but interestingly hubs reports this choice:

yummy yummy pseudomonas…

cancer. It’s literally cancer.

Legit have had paranoid patients making shivs or trying to start floods or fires and barricading their doors soap or lotion themselves up. The barricading isn’t usually an issue because most places I’ve worked have had swingstop doors but extracting them without getting them or us hurt always fucking sucks. Usually someone who’s spent time in the correctional system doing stuff like that with the soap or lotion but one dude was a combat veteran. That suuucked.

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Valerian root. It’s GABA active. Smells like either manure or freshly rained on soil though depending on your nose in a similar way to how cilantro taste varies between people. It’s what’s in sleepytime extra.

tbh most psych units I’ve worked don’t even do that kind of ED. We’ll do BED in a pinch but anorexia nervosa or bulimia with significant weight loss is either stable enough to be managed outpatient or unstable enough that it needs either medical hospitalization or a specialized unit. I’ve worked one psych unit that could handle telemetry and they wouldn’t have liked having to.

imma have to steal a cuff from peds to measure that bp

Guilty as minted.

I’ve noticed in codes I just have to step into the middle of the room put some bass out from my chest and point at people and give simple instructions (and these are psych codes so it’s usually “ALICE -> THAT ARM. BOB -> THE OTHER ARM. CAROL -> LEGS. DAVE -> GO GET THE RESTRAINTS.”

But then sometimes something very unexpected comes up like a very large patient dropping their weight into a weird position. So the important thing there is to hopefully come up with an idea quickly and give the simplest way possible to explain to everyone to move as a team. But sometimes someone else comes up with a good idea before me and then you go “CAROL’S RIGHT. ON THREE WE’RE GONNA ___.”

So. 0. Know what the fuck you’re doing enough that you’re respected as an authority figure.

1. Confidence in posture and voice.
2. Point and use simple instructions.
3. Confidence doesn’t mean ego. Recognize a good idea when you hear it and use it.

Probably not what you were asking but I hope it helps.

Every once in a while a guy will know something about women’s bodies that makes me go “ooooh OK that one’s actually really like kinsey 0 straight” instead of some other weird combination of interests that are approximately straight in a mostly possessive way. Sometimes I’ll hear “straight” guys talk about how gross vaginas are but then you hear a guy talking about pH balances and lactobacilli and it’s just really obvious which guy actually wants to be in one.

Fun fact: In addition to being willing to sit in a square outlined on the floor with tape, Cats will literally sit in the illusory suggestion of a square shape.

Psych patients actually do this a lot. Some places I’ve worked actually have protocols for it that include stuff like having the bathroom locked and only unlocked for supervised use, or having the water only be cut on when the contents of the toilet have been verified (also helpful to have water shutoffs for psychogenic polydipsia because they WILL drink their way into a hyponatremic seizure and they dgaf if it’s from a toilet) but also for the flushing usually they’re limited to one set of clothes and bed linens, one towel / washcloth, and have to ask for small quantities of toilet paper as needed. Then they yell at you about having to ask you use the bathroom like they didn’t flood the unit three nights in a row. One time we didn’t catch it fast enough and some poor bastard on medical got leaked on. Motivations vary but the most common is wanting to feel in control of something and it can be difficult to try to find safe things for that kind of person to be allowed control over.

My parents told me it’s a hit list for when the fascists take over …but then they voted for the fascists.

Oh I legit notice a spike in mania cases this time every single year. Idk if it’s making people manic as much though as it is that they would also be manic in February but they’re too busy having seasonal affective depression instead. So the sun wouldn’t be making them manic so much as it’s just keeping them from getting depressed (which they’re already sensitive to with an affective disorder of any kind) and that allows for more mania.

Just because their corpses are there doesn’t mean their shit isn’t!