They are too busy with the laptop to have much attention left for patients.
I’m a nurse practitioner, and can confirm this: I spend at least half of my time tapping away at the computer, checking boxes, and completing often-redundant forms for insurance and regulatory compliance and whatnot. It’s really frustrating, and there’s a lot of room for improvement.
Yes, but to clarify: the time constraints are imposed by for-profit healthcare businesses trying to optimize billable time because insurance will only reimburse for so much time, rather than being imposed by the insurance companies directly. (It’s generally not quite as silly in the non-profit sector.) I work in healthcare in the US: we all hate how it works. The system sucks and it interferes with the quality of care that can be provided, leaving patients worse off just so that greedy can be fed. It’s just asinine that anyone who has no medical knowledge/training is making decisions about how patient care can be implemented, especially where there’s a profit motive involved. We really need to pivot to single-payer or national healthcare system, and abolish for-profit ownership of hospitals.
I’m a nurse. We usually recommend at least 350 calories, but ideally with a meal, but it also depends on the medication. For some, it’s to slow how quickly the medication is absorbed and/or reduce side effects, and isn’t necessary for the medication to work (e.g., stimulants, some antidepressants). For others, taking with food is necessary for the medication to be absorbed effectively so that it works (e.g., Latuda, used to treat mood and psychotic disorders).
Starsiege: Tribes (and Tribes 2)
Knights of the Old Republic (why not more mentions of this?!)
And Valheim or Minecraft. Both have offered countless hours of entertainment in the company of friends and family.
Thanks for sharing this, mildly surprised I hadn’t heard of it! I’m glad that someone has picked up the Starsiege/Tribes intellectual property, whatever form it’s taking.
There’s Midair 2 Community Edition, or something like that, which you can find on Steam. Join their Discord channel and you can probably get a playtest key. It looks like it’s just going to be little more than the LT mod with cosmetic micro transactions though, which are the opposite of anything I liked about Tribes… But jet packs and skiing are there, so I’ll play it at least a little.
Private browser mode in many browsers disables plugins by default, and also doesn’t do anything to stop trackers or data collection. All private mode does is keep your activity private from others who also have access to your device (e.g. family members, roommates), by not saving browser history/cookies/etc.
Also, VPN’s can be helpful, but there are ways to “fingerprint” individual users behind VPN’s by how they move their mouse and click speed and what websites they visit etc… I imagine plugins like AdNauseum could help with that. It’s a clever idea, I’ll have to check it out - thanks!
I contend that it’s chaotic good.
So, not exactly what you’re asking, but: I worked for 4 years as a psych tech before becoming a nurse, then switched to ED when I graduated. It took a solid 6 months in ED to start feeling like I had any idea what I was doing and not feel like I was in a panic every single day, then another 6 months before I started feeling actually somewhat comfortable. Part of this is because I was a new nurse, and part of it was because ED has a steep learning curve (the orientation period was 5 months iirc). I suspect it would have been an easier transition to ED if I had already had some experience as a nurse on something like a med-surg or cardiac unit. I switched back to psych as a RN and it really only took a few weeks before I was “standing on my feet” as it were, but I already had a good deal of psych experience from being a tech and I wasn’t a new-grad nurse anymore.
What do you mean by dedication? As in time/effort to acquire the necessary skills/knowledge, or emotional fortitude? Definitely oncology and hospice require a lot of the latter, as you and death will become familiar company. ED sees a fair amount of death and it tends to be constant demands, constant action, with days where you wont have a chance to catch your breath. Psych can be soul-sucking at times and tends to be at higher risk of violence from patients, but there’s also a lot less dying or cleaning up of blood and feces. How much dedication a specialty might take will depend in large part on what your strengths are and what you can tolerate or are willing to put up with. I hated ED because of the constant pressure and never knowing what will come through the door next, but I love psych despite often having to work with people with aggression problems and having been hit a few times.
Are you thinking of changing specialties? What’s your motivation? What do you want to do now, and do you have something particular in mind? I suspect the ease of transition will mostly depend on what experience you already have and how much skill/knowledge overlap there is with the new specialty.