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Kathryn Ivey

@kathryniveyy

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Joined January 2012
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@kathryniveyy
Kathryn Ivey
4 years
Why is "the chosen one" always a teenager? We're really gonna put the fate of the universe on someone with an undeveloped prefrontal cortex? Give me a story with a chosen one who is a 42 year old mom that has already seen some shit and is totally out of fucks to give
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@kathryniveyy
Kathryn Ivey
3 years
One more day until I get the vaccine.
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@kathryniveyy
Kathryn Ivey
4 years
After I was raped, the OBGYN I saw was a man. I'd never been to an OBGYN before because I wasn't sexually active or on birth control and had no reason to. Doctor T was my mom's doctor too, and she told him was the situation was because I couldn't. I just couldn't. (1/N)
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@kathryniveyy
Kathryn Ivey
3 years
I became an ICU nurse at the end of July in 2020, during one of the first peaks of covid when it was all still so new. I learned how to be a nurse behind a respirator and a yellow gown, amidst the constant beeping and hissing of ventilators that couldn't support failing lungs.
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@kathryniveyy
Kathryn Ivey
3 years
I really wish yall non healthcare folk understood the straight up apocalyptic vibe in hospitals right now.
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@kathryniveyy
Kathryn Ivey
3 years
"This is not the update wanted to give you. Your husband died about fifteen minutes ago. I'm so sorry." The rest of it is harder to say. He wasn't alone. The respiratory therapist and I stayed with him until the end, squeezing his hands, telling him it was okay to go.
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@kathryniveyy
Kathryn Ivey
3 years
I love being a nurse. Didn't exactly expect to be a new nurse in the middle of a highly politicized pandemic but life comes at you fast and even in a pandemic, there's nothing else I want to do. Caring for the sickest of the sick is an honor and I treasure my patients.
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@kathryniveyy
Kathryn Ivey
3 years
I'm having a difficult time controlling my temper when visitors in the hospital roll their eyes when I ask them to put on a mask or explain that covid is limiting visitation again. They get the luxury of ignoring reality while we are drowning.
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@kathryniveyy
Kathryn Ivey
3 years
It didn't have to be like this.
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@kathryniveyy
Kathryn Ivey
3 years
Covid is a brutal disease and I wouldn't wish the worst of it on my worst enemy. Please understand that you aren't just protecting yourself, you are protecting the people around you.
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@kathryniveyy
Kathryn Ivey
3 years
It is devastating to watch people die when those deaths were avoidable and it's even more devastating when you watch them die the same way, time after time after time. It's devastating that basic common sense and decency has been politicized.
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@kathryniveyy
Kathryn Ivey
3 years
I'm tired of being scared of what level of hell I'm walking into before every shift. I'm tired of wondering how many codes the night will hold. I'm tired of watching people die.
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@kathryniveyy
Kathryn Ivey
3 years
They buried the lede on this. He's a cop.
@NBCNews
NBC News
3 years
Alabama authorities took his gun away after a violent domestic incident. 9 months later they gave it back, and he used it to shoot and kill his wife.
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@kathryniveyy
Kathryn Ivey
3 years
I really can't tell you how much it sucks to watch your friends and coworkers developing PTSD in real time.
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@kathryniveyy
Kathryn Ivey
3 years
It is so much worse, this time. We all have so much less to give. We are still bearing the fresh and heavy grief of the last year and trying to find somewhere to put all this anger. But the patients don't stop coming. And the anger doesn't stop coming.
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@kathryniveyy
Kathryn Ivey
3 years
With a three am phone call to your family, held by hands still trembling from the rounds of CPR, voice shaking, knowing that I am about to shatter someone's world. You learn the hard way and I see it through. I carry the weight of your choices and the pain they cause.
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@kathryniveyy
Kathryn Ivey
3 years
So much love with nowhere to go. Sometimes I think it will crack the world in two. They deserve better.
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@kathryniveyy
Kathryn Ivey
3 years
I don't know what to say that will make people listen. I wish I could snap so many people out of their selfish stupor but I can't, so I get to watch instead as people learn the hard way; with a tube down your throat. With a "code blue, code blue!" and the crack of a sternum.
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@kathryniveyy
Kathryn Ivey
3 years
Underneath that anger, I feel defeated. Nothing we do makes a difference. The world spins on, oblivious and belligerent, as we fight to save the tidal wave coming our way. With less staff, less resources, and a lot less of ourselves to give.
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@kathryniveyy
Kathryn Ivey
3 years
We went from 3 covid ICUs to 2, then 1. I started to see what it was like to be a nurse in pre-covid time and realized how many people normally survive. The things I did mattered, my actions actually saved lives - no longer was death my constant, silent companion.
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@kathryniveyy
Kathryn Ivey
3 years
This should not have happened. These deaths didn't have to happen. I keep saying this like I will find meaning in it but the truth is as simple as it is hard to swallow: they died because we failed them. We placed our petty conveniences on a pedestal, clung tight to ignorance -
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@kathryniveyy
Kathryn Ivey
3 years
If you are pregnant I am begging you to get the covid vaccine. The only young, healthy women in our ICU have all been pregnant. Every single one. They crash harder and faster and with worse outcomes than any other patient group I've seen. Please get the vaccine.
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@kathryniveyy
Kathryn Ivey
3 years
Because I was so new, I had no baseline for what normal nursing looked like; I just had a vague sense that it couldn't look like this. The unit was bleak and everything we did felt futile, and I realized at some point I felt more like a ferryman to death than anything else.
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@kathryniveyy
Kathryn Ivey
3 years
Do you know what happens when the hospital only has one ventilator left and two patients are rapidly decompensating? Who gets the ventilator? This is not hypothetical. This is happening.
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@kathryniveyy
Kathryn Ivey
3 years
We told him he fought well, had been so brave for so long, and he could rest. We wiped his brow and watched as he slipped away, out of his body and the devastation of the illness and into a bright light or a calming dark that wraps around you like a prayer. Souls linger.
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@kathryniveyy
Kathryn Ivey
3 years
Hello darkness my old friend
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@kathryniveyy
Kathryn Ivey
3 years
I would watch, feeling helpless, as they would go from a nasal cannula to a Vapotherm to a Bipap, and then when their chests started heaving and they started sweating I knew with heavy dread that soon they would be intubated. There are places we can't call you back from.
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@kathryniveyy
Kathryn Ivey
3 years
Hope.
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@kathryniveyy
Kathryn Ivey
3 years
The more time I spent out of the covid unit, the more I realized exactly how bad it was; all the vents, the CRRT, the relentless march towards death that we could hold off for a time but never stop. Walking through the much smaller covid unit was like walking through a graveyard.
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@kathryniveyy
Kathryn Ivey
3 years
I got used to the death. I walled it off, pushed it down, and did my job. I advocated for death with dignity, with as much kindness and comfort as we can muster, and accepted very early on that we can't save everyone. And then numbers started going down.
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@kathryniveyy
Kathryn Ivey
3 years
Some people lived, if they never got to the point they needed Bipap. Most didn't. By the time they came to us they were too sick, their lungs too shredded, kidneys already failing and blood already clotting and so often beyond the power we had to heal.
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@kathryniveyy
Kathryn Ivey
3 years
@JJcolemanMD @terminalyill3st Yes. It's a constant slap in the face. I am fine with working hard, being sweaty and tired and doing hard things. I'm not fine with so many people refusing to acknowledge the situation that has been created through inaction and obstinancy. All these people didn't have to die
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@kathryniveyy
Kathryn Ivey
3 years
Another has a two year old son. One just married. One finally out of an abusive, decades long relationship. Many of them are pregnant. They are more than numbers. They all leave behind people who will never be okay again. They take something with them when they go.
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@kathryniveyy
Kathryn Ivey
3 years
Some longer than others. Mostly just a few seconds, counted by the sudden tingle deep in my spine, a shifting awareness that there is more in the world than I can see. A few seconds where the veil opens and the naked truth of the world is almost revealed before it closes again.
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@kathryniveyy
Kathryn Ivey
3 years
And made our neighbors a sacrifice. Each life a brilliant light, lush and shining and gone forever; each leaving something dark and cold in the world where they used to be. Each leaving others to carry the love that now has nowhere to go. He had young daughters.
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@kathryniveyy
Kathryn Ivey
3 years
Where do we put all this grief? Where do we put all this rage?
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@kathryniveyy
Kathryn Ivey
3 years
I'm glad we could spare him this last torment, that amidst the wreckage covid leaves in its wake there are still moments of mercy and peace, bitter and hard won though they may be. And under it all a deep sense of something misplaced, like part of the world tilted away.
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@kathryniveyy
Kathryn Ivey
3 years
He was gone before his heart completely stopped beating. There were no compressions, no hasty administration of hail-mary medications that would only postpone the inevitable. Just him and the two of us, murmuring to him in the darkened room.
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@kathryniveyy
Kathryn Ivey
3 years
I'm good at words and this is truly beyond me to describe. The stress. The constant death. The overflow units that were never meant to house vented patients. Every bed full. One patient not on a ventilator. Nurses are pissed as hell that we're still doing this. Docs exhausted.
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Kathryn Ivey
4 years
He wasn't hurt by my fear because he knew that my fear had nothing to do with him and everything to do with what happened to me. Neither he nor the nurse pitied me, neither treated me like a wounded animal, they treated me like a woman who'd survived something horrible. (7/n)
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@kathryniveyy
Kathryn Ivey
4 years
That my doctor, having been an OBGYN for over 15 years and probably seeing far too many women just like me, he was able to anticipate my need for a female presence before I could. There is a profound humility to this. He wasn't offended. He didn't try to convince me. (6/n)
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@kathryniveyy
Kathryn Ivey
4 years
Thanks for reading. My point is just that there are reasons women typically feel safer with other women but that male providers can take action to make their female patients feel safe with them, and that trauma informed care has a powerful impact. (11/11)
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Kathryn Ivey
4 years
I've never forgotten that gentleness and as a student nurse, it's the atmosphere I try to create for all my patients. Good doctors and nurses leave a massive impression and we all have the potential to keep someone else from falling into the abyss ♥️
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@kathryniveyy
Kathryn Ivey
4 years
If more energy was focused on how to make female patients feel safe and less focused on indignation, it would make a huge difference for all female patients. I can just about guarantee that every OBGYN has had a patient that was raped and didn’t disclose it. (9/n)
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Kathryn Ivey
3 years
Doctors, drop a story under this thread of a time you fell asleep in your car or worked an insane number of hours and worried about the safety of yourself or your patients. Not enough people understand what yall go through.
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Kathryn Ivey
4 years
Trauma informed care is crucial. I didn’t know that term when I saw Dr T years ago, I only know that I came to the exam feeling sick to my stomach and left feeling safe. It can be as simple as having a female nurse in the room and asking before touching your patient. (10/n)
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@kathryniveyy
Kathryn Ivey
4 years
What I remember is that when Dr T came in, he had a female nurse with him, and he said that because I'd been raped the exam might be difficult. "You are in control," he told me. "Say stop, and we stop." There wasn't any pity in his face, just compassion and deep sadness. (3/n)
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@kathryniveyy
Kathryn Ivey
4 years
Some people are mad about this and I'm not saying that *none* of these stories should be about teens! Just that the desire for wonder and to be part of something greater doesn't end at 19.
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Kathryn Ivey
4 years
Ive seen a few posts lately about male OBGYNs and some women only wanting to be examined by another woman and it made me think of this. I typically also prefer women, but I don't think anyone could have handled that situation better than Dr T did. (8/n)
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@kathryniveyy
Kathryn Ivey
2 years
I no longer have the emotional bandwidth to engage in conversations about covid and vaccines with nuance. That does not mean these conversations don't deserve nuance, just that after two years of death I don't care anymore. Get the fucking vaccine. Wear a fucking mask.
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@kathryniveyy
Kathryn Ivey
3 years
@borodostone Are you under the impression that you're breaking some sort of news to me?
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@kathryniveyy
Kathryn Ivey
4 years
I'm going to get harassed for saying this but every woman should know how to summon the armies of mordor and lead them to battle for the dark lord. It's part of being an incredible nurturer and caregiver.
@FlorioGina
Gina Bontempo
4 years
I’m going to get harassed for saying this but every woman should know how to cook and bake for her loved ones. It’s part of being an incredible nurturer and caregiver.
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Kathryn Ivey
2 years
I am an ICU nurse and probably get liquid fentanyl on my bare skin at least once a week. Nothing happens. Literally nothing.
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Kathryn Ivey
4 years
I don't know why the nurse was there but I was glad she was. Doctor T was gay, which eased some of my anxiety, but he was still a man and at that point I couldn't be hugged by my own father. I didn't realize until later that the nurse was there for that exact reason, ((5/n)
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Kathryn Ivey
4 years
He and his nurse talked to me the whole time. He told me what he was going to do and why, and the nurse asked me about school and the book I was reading. There was a dark region gaping open inside me and they kept me from falling into it with gentle words, bringing me back (4/n)
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Kathryn Ivey
3 years
My best friend of fifteen+ years is an ER nurse, I'm an ICU nurse, and we just moved in together!! Hijinks to follow
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Kathryn Ivey
2 years
Healthcare workers have been asked to give more than anyone else since day one of the pandemic and we are continually made a sacrifice by these people who refuse to mandate anything else but our danger and our suffering. Won't mandate masks. Will mandate that we work sick.
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@kathryniveyy
Kathryn Ivey
3 years
If a surgeon is so exhausted that they fall asleep in their car and miss a surgery, that is not an indictment of the surgeon but of the medical system that burns doctors down to the bone and then burns them some more. Let doctors sleep and this won't be an issue
@BostonGlobe
The Boston Globe
3 years
The longtime head of spine surgery at Boston Medical Center has been reprimanded by state regulators and fined $5,000 for leaving an operating room before the start of an emergency surgery to go eat in his car, where he fell asleep and missed the procedure.
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Kathryn Ivey
2 years
Time yet again for healthcare workers to be the canary in the coal mine for a country that doesn't want to listen. Two years of screaming until our throats were raw while up to our arms in the bodies of people we are accused of killing while doing everything to save them
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@kathryniveyy
Kathryn Ivey
3 years
It's actually very easy to not assault women you work with
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Kathryn Ivey
4 years
Those days are still a haze and I don't remember a lot of details. I wasn't pregnant. I had to get checked for STDs. It was only a few weeks after the rape and everything was very raw but very numb, at the same time. I felt completely other; a ghost trapped in a body. (2/n)
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@kathryniveyy
Kathryn Ivey
5 years
My dog's love language is aggressive licking
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@kathryniveyy
Kathryn Ivey
4 years
I don't understand why if you're arguing with someone and they find out you're in medicine they're like "dO yOu tAlK tO yOuR pAtIeNtS lIkE tHiS??" No Deborah and you aren't my facking patient you're a dingus on a Facebook thread who thinks masks cause respiratory failure
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@kathryniveyy
Kathryn Ivey
2 years
Got engaged to the love of my life yesterday
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Kathryn Ivey
2 years
Everyone begs for a miracle. I want to scream "you HAD a miracle! The vaccine was the miracle and you spat on it." We had a way out of this. We had a fucking way out and were too goddamn stupid to see it for what it was. I'm tired. Tired of the malicious ignorance.
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@kathryniveyy
Kathryn Ivey
1 year
Every time I do CPR on someone elderly with a CVS receipt of comorbidities, poor quality of life, and prolonged critical illness I feel like I am committing a war crime
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Kathryn Ivey
3 years
Second dose down, feel like I slid into home base with seconds to spare.
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Kathryn Ivey
4 years
Every now and then someone says something denigrating about how much nurses wipe asses and my response to that is, do you have any idea how challenging it can be to clean and bathe someone while preserving their dignity?
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Kathryn Ivey
1 year
The people now ending up in the ICU with covid are those who've had it before. Some were hospitalized before, others had a "mild" illness that damaged their lungs. People come in with non-covid issues and end up on the vent with a peep of 18 and a paralytic because of the damage.
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Kathryn Ivey
3 years
Tip for new nurses: if you see PTSD in a patient's chart, make it a part of your assessment to ask them (or a family member if they are unable to communicate) about their triggers.
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@kathryniveyy
Kathryn Ivey
4 years
It's always the tweets full of typos that get seen 😂 thank you all for your comments. There was more about this encounter that was special, but the details have blurred with time and what I remember most is the gentleness and support these two created for me.
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@kathryniveyy
Kathryn Ivey
5 years
I am very proud of my 18 year old brother. Last night some of his female friends, also 18, were at a house party and quite drunk. There was a bad situation that was about to become much, much worse. My brother stopped it from happening. He changed a girl's life last night.
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Kathryn Ivey
2 years
Tip for new ICU nurses: the sicker your patient is, the cleaner that room needs to be. Get your lines clearly labeled and fast. Figure out what your push line will be. If you're hanging bags of meds that look the same, put a brightly colored sticker on one to spot it quicker.
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Kathryn Ivey
3 years
If you see someone in scrubs crying in their car, blasting loud ass music while rubbing icy hot all over their neck, mind your business
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Kathryn Ivey
3 years
My boyfriend got spat on at work today by an anti-masker who got mad when my boyfriend wouldn't let him into the store without a mask. He wanted to buy a phone charger badly enough to assault my bf and endanger everyone in the store but not enough to wear a mask for 15 minutes.
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Kathryn Ivey
3 years
The thing about healthcare workers being called "the front line" is that it implies that there is backup waiting in the wings should we fall. But there's no backup. No cavalry. There is only us and we are tired, we are finite, and we are falling.
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Kathryn Ivey
7 months
Fun fact: nurses are 5x more likely than other workers to be assaulted at work. Almost always by a patient, former patient, or patient's family member. Documenting rude behavior, especially when repeated or extreme, is a basic safety measure.
@notcapnamerica
chris evans
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Emily deleted her account shortly after tweeting this.
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Kathryn Ivey
2 years
Nurses are constantly being asked to do more with less and when we inevitably fail, we make a convenient scapegoat while the systems that created the failure face little to no repercussions.
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Kathryn Ivey
3 years
Until the joint commission has as much to say about safe staffing as they do about ice packs and writing on the doors of covid rooms and nurses drinking water, they should just stop wasting everyone's time and stay out of the hospital
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Kathryn Ivey
3 years
I know it's cool for ICU nurses and ER nurses to have a little rivalry or whatever but ER nurses are hands down my favorite people in the hospital. You bitches eat chaos for breakfast and I fucking love it
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Kathryn Ivey
3 years
Your God hung on a cross out of love for humankind and you won't even wear a mask to protect your neighbor.
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Kathryn Ivey
3 years
Getting a pulse back is not always a good outcome
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Kathryn Ivey
3 years
One of the good things that 2020 did for me is basically eliminating feeling that I have to wear makeup. I used to feel naked if I left the house without it and now I feel fine just as I am.
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Kathryn Ivey
2 years
I've been a nurse almost two years and sometimes I wish I could do occasional shifts paired with a much more experienced nurse. My orientation was during the early covid peaks and I feel like I missed out on so much basic knowledge because it was wartime medicine.
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Kathryn Ivey
3 years
Who is this? She needs to be charged with assault.
@davenewworld_2
Fifty Shades of Whey
3 years
COVID-denier in Nebraska coughs on shoppers at a supermarket
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Kathryn Ivey
3 years
Potentially hot take: bedside nurses should make close to six figures at baseline. Techs/CNAs should make 60k at baseline.
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Kathryn Ivey
2 years
It's too late. When are we going to learn this? By the time the variant has a name it's too fucking late. We keep living this loop and acting as if it was a revelation when history repeats itself, over and over. This will keep happening and I'm tired and we're all tired.
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Kathryn Ivey
3 years
PTSD is being touted as an excuse already. I have PTSD. Know what I've never done? Killed a family in cold blood.
@cnnbrk
CNN Breaking News
3 years
A self-described "survivalist" outfitted in body armor fatally shot four people, including an infant in their mother's arms, outside Lakeland, Florida, early Sunday, authorities say
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Kathryn Ivey
2 years
When Radonda Vaught realized she'd given vecuronium instead of versed and told the providers in the code, their first words were, "I'm so sorry." Every nurse, every HCW, fears making this kind of mistake. Most of us know that it could be us, that we ALL have errors and mistakes.
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Kathryn Ivey
6 years
@JennMJack There are six people in my family and we get to theatres early. No one else has to plan to accommodate us.
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Kathryn Ivey
2 years
I'm jealous of the people who get to forget about covid in between surges.
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@kathryniveyy
Kathryn Ivey
3 years
Oh word I love goulash
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Kathryn Ivey
3 years
To clarify: The opening sentence is words said by me to the spouse of a recently deceased patient. I've said some version of these words more times than I care to count.
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Kathryn Ivey
3 years
I got vaccinated and my boyfriend said I looked nice. Coincidence? 🤔
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Kathryn Ivey
3 years
A scene I will never forget is a family sobbing and screaming as they put on PPE to go say goodbye while a lullaby plays on the overhead because a baby was just born
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Kathryn Ivey
2 years
I am ~*so tired~* of telling people that someone they love is going to die
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Kathryn Ivey
3 years
@catzenkid Seen those same eyes so many times the last few months. I hope you and your husband are both coping okay. This is hard to carry but we don't carry it alone ♥️
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@kathryniveyy
Kathryn Ivey
3 years
This is reality. Intubation after intubation, death after death, hardly time to breathe in between. Troll me all you want, it has absolutely no effect on me because anything and everything pales in comparison to what we are seeing in the units right now.
@LungDocDoug
Doug
3 years
I don’t have my COVID shot yet. So I am posting this picture of the stairwell where I retreated yesterday after the 6th death in less than 12 hours. Just needed a place to gather myself and try to rally my team of residents, nurses, RTs & Pulm/Critical care fellow...
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@kathryniveyy
Kathryn Ivey
3 years
"Nurses are control freaks" yes Kyle constantly making life and death decisions can have that effect on people
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@kathryniveyy
Kathryn Ivey
3 years
"Your hair looks like a fairytale!"- officially the coolest compliment I've gotten from a patient
Tweet media one
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