Nursing patient report sheets

So recently a few weeks ago, I had gotten to a total collision. There was an uncontrolled four-way intersection with only two stop signs. hoping you can follow along with picture. ☹️. I am yellow ⚠️and the person who hit me Is light orange 🔸and the Good Samaritan is in green❎. Telling this in MY LANE POV. At this intersection, I have a stop sign and I am turning left so of course I have to yield to oncoming traffic, which is no problem. I’ve been through this intersection many times and it’s frightening because of how many accidents happen especially during busy hours which are traffic hours. It was a Friday and I was helping my friend move and have a housewarming party. We were on the way back to her old home from unloading her furniture to her new home just get the remaining things left for her housewarming party. Nothing major all the cars were emptied. I’m approaching this intersection and it’s so busy. The line where I was which was the yellow lane had barely moved and for good reason because the oncoming traffic (with no stop signs) would not let anybody(people who had the stop signs) in I was in that line since around 4-4:20pm. (For reference of time I got hit around 5:30-5:45pm) and it honestly took good Samaritans to actually let ppl in to move which is why it was moving so slow. I had no problem with this since I had AC and had nothing of urgency to do. It was my turn to be at the stop sign. I had waited there about five minutes at THE absolute least minimum. I kept looking both ways to see when it would be safe for me to cross. When left oncoming traffic going straight would let me in right outgoing traffic would not stop and then when right outgoing straight traffic would stop for me to let me in left oncoming traffic would not stop and this went on for what seemed like eternity. FINALLY Good Samaritan in left oncoming traffic stopped and was actually waiting for outgoing traffic lane to clear for me. On right outgoing traffic there finally were four cars(instead of a constant stream of vehicles) that were coming, 2 sped through and went straight and the other two were turning left. I kept looking to make sure that nobody was behind those two cars that were turning left, especially since since they could bc of the good Samaritan waiting . left oncoming was being patient to let me in to make sure I was safe to be able to make that turn since they had seen me sitting there for a long time. as a precaution I was looking both ways my last few head swipes to make sure I could start my turn and finally go, however it seems that the vehicle that hit me was coming up on the hilland was speeding by the time I was in the pretty much in the middle of the intersection about to make my FULL turn she collided and T-bone me head on. For reference she had nowhere to go because since she was going straight if she was moving to her left, she would’ve hit oncoming traffic”Good Samaritan”. If she moved to her right, she would hit the railings and the cars waiting at the stop sign. She had no choice, but to break or keep going straight. So she chooses to keep going andT-bones me in the middle to back of my vehicle spinning me and completing my turn for me. I had mutiple eye witness say she sped and came out of nowhere that it was clear when I was making my turn. In the police report it SEEMS I’m at fault the officer stated I ran the stop sign. Speed limit was 55 I was going “40”. It’s uncontrolled and many people speed through there all the time bc it’s a dirt backroad/highway. I’ve never had a speeding ticket or anything of this nature only ticket I’ve ever gotten was turning on my blinker late. Who is at fault or can someone explain what I should’ve done since oncoming traffic literally NEVER lets the people at the stop signs in, you just get lucky if one side stops to let you in and waits for the other side of oncoming traffic with no yield to clear for you. This is how it ALWAYS works especially during busy hours

My slimy niece (entitled, 40 year old brat) coerced my elderly father (diagnosed with Alzheimer’s disease) to sign a piece of paper declaring he wants her to have his car “upon his death, at his discretion or anytime he wants.” It was notarized by my father’s slimy companion’s daughter. I don’t believe he knew or understood what he was signing. He is upset and distraught and tells me repeatedly his car has been stolen and he doesn’t know where it is. I asked him point blank as I recorded him on my phone “Do you want Slimy Niece to have your car?” and I was given an emphatic NO. I’ve had POA for my father well before this document was signed. He lives in a nursing home. Slimy niece can’t get the car titled in her name, because the title has gone missing. I was advised by counsel to report the car stolen, but police say since she has this phony baloney “legal document”, it’s a civil matter. I’ll have to sue her. In the meantime, she continues to drive the car my father pays the insurance on. If she gets into an accident and kills a family, I suppose my father will be held responsible. A lawsuit is going to be incredibly expensive, and I’ll have to use the money that was set aside for my father’s care to resolve everything. Mediation is out, because she refuses to respond to my phone calls or texts.
I guess my question is… how does her notarized piece of paper trump my legally binding POA? Is there any other recourse? I need to sell my father’s car to help pay for his care, which is very expensive. We are in the southern US.

ADVICE/QUESTIONS/CRITISM WANTED AND ENCOURAGED
I apologize for the bad writing and spelling errors in advance. I'm trying to write this quickly. Even if I have come to terms with it, I don't want to think about it for too long.
I, 22F, was not the best person in high school. In my sophomore and freshman year, I had a more refined 'sub-group' of friends. They were never my first choice, but I was their first choice. I didn't feel bad, however I now do. I would constantly choose my 'better' group of friends over them. However, I was still well-liked in the group. Spending time with them was fun, and I was relatively nice. Except to this one girl, who I will call 'Emma'.
Emma wasn't exactly conventionally attractive. She had decent features, but it didn't come together well at all. Her hair looked bad, and her style wasn't the prettiest. So, she was subject to getting made fun of. We all made fun of each other in the group, but even I could admit we were a bit ruthless when it came to Emma. Here is a list of some of the things we did:
Dump out her backpack when she did homework
Make fun of her love life
Poke her in the stomach
Take really bad pictures of her and post them online
Pretend the ground was shaking when she would walk by
Laugh at her when she ate
Push her when she was walking next to one of us (so another one of us could sit there)
Take her things (snacks, pens, homework assignments)
I know, it is bad. We did other things, but not things I am particularly proud of or want to share. Now, she would generally laugh along. However, towards late freshman and early sophmore year, she didn't laugh as much at our jokes. She would chuckle, but not like she laughed earlier. One friend in the group noticed she stopped bringing food to school, which could also be because of us. However, this didn't make us stop. If anything, it made it worse. Once, I had made the decision to host a hang-out at the skating rink. However, I decided not to invite Emma. I don't really even have a reason. But, sometime before the event, she found out. She said she didn't care, and that she didn't have any roller skates anyways. Looking back, she most likely did care.
In the last semester of sophomore year, Emma stopped doing almost anything. She wouldn't eat, barely drank, stopped doing schoolwork, stopped talking, and eventually stopped going to class. When we asked her about it, she just told us she was tired with the newfound stress the year gave her. We bought it. I remember exactly what I did after. It feels like I will never forget it, because it set off a spiral. About ten minutes after our conversation, the topic turned to Emma again. She had her head down, but started listening a few minutes after we started talking about her. I got up (we were sitting in the library, so we were all on the ground) and walked over to her. She smiled and started to say something, and before she could finish her sentence I bent down, lifted up her shirt slightly, and jiggled her stomach in front of everyone. We weren't the only ones in the room, mind you. Somewhere near ten or twenty people laughed. I dropped her shirt and pinched her cheeks. I told her something about eating a salad, and she shot me one of the most dejected glances I have ever seen. She muttered something about actually really liking salads, and I made yet another joke about how that couldn't possibly be true. I then told her, word for word, 'Next time you think about eating another chocolate bar, maybe try chewing some gum.' I remember being a bit upset that not as many people laughed, only a few people in our friend group. Emma nodded and went back to whatever she was doing.
Everything I described earlier, the not eating, drinking, etc., got much worse after that. She would go days without saying a word unless prompted, and yet we continued to make fun of her. No one was nearly as bad as me, though. A few weeks after this continuous behavior, we were once again in the library. We were passing a bag of chips along the library and had skipped over her. One person, 'Jess', the person who was probably the nicest to her, offered her some, but she said no. She closed her book and told us something about closing her eyes. She had been dozing on and off recently, so no one really minded. However, after an hour (and the bell had rung), Jess went to wake her up.
We were all waiting with our stuff for Jess to come back, but it took much longer than usual. After about five minutes, I decided to go check. My mind was already turning with jokes. (Was she sleeping a huge meal off? Was she hibernating?) But when I went over, Jess was just bent over examining her. I came over and shook her, but she did nothing. Jess told me she had already tried that, and that she wouldn't wake up no matter what she did. I shook Emma harder and poured some water on her (I'm not exactly sure which came first.) She still wouldn't wake up. After a few minutes of us both trying things (And other people who had came over from the group), we decided to give up and take her to the nurse, and she could deal with her. We were already late to our next class. One of the girls in our group and I picked her up, and she was honestly much lighter than I expected. Jess went ahead to the nurse to tell her we were coming since we would be a bit behind. We dropped her off and went back to our respective classes, and Jess stayed with Emma. From what Jess had told me, she had passed out from lack of food of some sorts. This is the action where I felt the worst (not even the stomach part): I continued to make jokes and make fun of her. (Of course SHE of all people passed out from hunger. Finally she's not eating for once. How can she be hungry, look at her!)
She wasn't even overweight. She was probably only a few pounds more than me, at least before she started practically starving herself. After she had come back to school (probably 2-4 weeks after the nurse thing), she couldn't even look at us. Any time someone talked to her, she would start to tear up (except for Jess, of course). I mostly ignored it until the end of the year. Of course, I felt bad, but I didn't think there was any point in trying to talk to her. And most of the group followed in my shoes. At the end of the year, Emma handed me a folded up sheet of paper. I made another stupid joke, once again (What, is this your McDonalds order? Or a confession letter?) She dodged the joke and told me to read it whenever I could, as long as it was after school, and to spread the message. I laughed and called it cliche, and then continued on with my day. But the letter was painful to read, and I didn't even accept it or really comprehend it until later on. This is a slightly paraphrased version, as it is in my room at my parents' house:
"Hey, Mia (me). I just want to talk to you about what happened this year. I don't blame you that much, but I don't want what you did to be repeated. Ever since last year you've been incredibly rude. I get that it was jokes, but I felt completely targetted. I was the only one in the group to be made fun of my physical appearance. I get it, I didn't look the best, so it kind of makes sense. But did it have to be a daily (if not hourly) thing? Sometime last year, it really got to me. I tried to ignore it, to joke along. But it really hit me hard. I'm made fun of a bit at home already, and I really liked school up until these years. It felt like a safe space, and it was ruined a bit by your constant bullying. I tried everything. I dieted, I worked out, I did it all. Eventually (and by your suggestion) I just slowly stopped eating. You probably noticed since you took my food all the time. I've been working on my self-confidence recently, and I noticed something. I'm average. I have average weight, average looks, an average life. Why should I be made fun of for that? The highest I've weighed is 130 pounds, early this year. I get it. It was a lot. But as I lost weight, why was I still made fun of? Left out? Honestly, my biggest hope is that you just don't ever repeat this. I don't want anyone else to go through this. I don't expect an apology either, because I won't be coming back to the school next year. Just please, don't do this again.
Your 'best friend',
Emma."
That letter changed my life. I changed everything. I changed who I hung out with, what I said and did, and apologized to the people in that friend group. I never showed them that letter, mostly because I was embarrassed. Me, the cause of all of it, was embarrassed. I want to talk to her and fully apologize, but I don't have any contact with her. I am planning on contacting Jess soon, probably this weekend. I feel as though I have fully come to sense with my actions. And I think Jess would be proud to hear that. Personally, I hope Emma is glad to hear that I've gained weight since then. I want her to feel some sort of relief, even if she didn't directly cause it.
Edit: You can ask questions if you want. I am willing to answer anything. However, I wanted to clarify: I know it was mentioned a few times she wasn't as chubby as we made her out to be. So why make fun of her for her weight? She wasn't exactly blessed in the facial fat and stomach fat department, and we saw that as some sort of reason to laugh at her.

White frmale age 29. No smoker. Take cymbalta for anxiety. During this I was taking cymbalta, prenatal, baby aspirin, omeprazole and hydroxyzine. Preexisting— anxiety, endometriosis (confirmed via lap x2) and delivering my first son at 35 weeks. No issues during pregnancy. My water just broke and I had him BUT developed PreE with severe features and had to be on mag.
Long story short— at my new OB appt my hgb was 13. When I went for my gestational diabetes test at 26 weeks, they apparently did a CBC as well and I didn’t realize it because in my patient portal they simply posted “your labs are WNL” and there were no numbers, but I didn’t think to question it. My hgb was 7.2 and hct of 24. This was not reported to me. I felt absolutely horrible but attributed it to pregnancy. My next appt was scheduled for the second week of February. The day of my appointment, i had an excruciating pain that doubled me over (placental abruption) and my water broke. I got to the hospital and there was no heartbeat. I was almost 31 weeks. The doctor on call stated I was anemic in my Jan labs and I told her I was unaware of this. I then passed out. My hgb was 6 and my platelets were non-existent. I ended up getting ten bags of blood products, delivering my dead baby in the ICU, and going into renal failure. I was in DIC. A 3 pound blood clot was pulled out of my uterus after my son was born. My question— is this worth pursuing lawyer wise?

Wanted to ask this question because I was unsure of what to do in the moment. I spoke to a patient’s home health nurse on the phone to let her know we received test results. She then proceeds to ask me if there was WBC present. I declined to say anything because the ordering provider hasn’t even reviewed or interpreted the results. The only reason I updated HH was because we were getting multiple calls a day. Then she gets defensive saying to me “No, it’s HIPAA law from provider to provider”. I know it’s a fine line because she was asking for the results without interpretation, but I wanted to protect my behind. What would you do?

How common are small mistakes? I have been a new for 3 years but only 4 months into an acute care setting.
For example, I have personally discovered 3 med errors by other nurses. 2 have been when I checked the bag that was infusing and both were wrong doses. One was a IV antibiotic that was hung and never spiked. All different nurses. All very experienced.
There have been a couple times where I have not unclamped the secondary. Both of these were realized shortly after. I also forgot to change the TPN bag within the 24-hour window. Done a couple other things not up to "policy".
However, I made my first true med error last week, have a PRN pain med at the 5-hour mark. It was supposed to be Q6hrs. My first incident report on myself.
Another time I walked in on my patient at shift change who was tied, yes TIED, to a chair with 2 gaitbelts. This patient was nonverbal and had limited mobility. The night nurse said she did this so the patient wouldn't fall out of the chair. The manager also saw. I'm not sure if anything came of it.
On day when I was feeling bad about my mistakes, my manager told me she forgot to lock a bed when she was transferring a patient and they hit the floor and broke bones and had other injuries. She said everyone makes them.
I haven't received discipline for my mistakes. I talk to my manager a if I feel like I couldve done something differently or could improve, which is a lot. I feel like a new nurse all over again switching to acute care. I feel like one day I'm gonna walk in and get fired. I compare myself to my co-workers, I didn't drop a patient or tie someone to a chair so I think I'll be okay. Those nurses still work there.

Long story short— at my new OB appt my hgb was 13. When I went for my gestational diabetes test at 26 weeks, they apparently did a CBC as well and I didn’t realize it because in my patient portal they simply posted “your labs are WNL” and there were no numbers, but I didn’t think to question it. My hgb was 7.2 and hct of 24. This was not reported to me. I felt absolutely horrible but attributed it to pregnancy. My next appt was scheduled for the second week of February. The day of my appointment, i had an excruciating pain that doubled me over (placental abruption) and my water broke. I got to the hospital and there was no heartbeat. I was almost 31 weeks. The doctor on call stated I was anemic in my Jan labs and I told her I was unaware of this. I then passed out. My hgb was 6 and my platelets were non-existent. I ended up getting ten bags of blood products, delivering my dead baby in the ICU, and going into renal failure. I was in DIC. A 3 pound blood clot was pulled out of my uterus after my son was born. My question— is this worth pursuing lawyer wise?
I’m an RN but I work in pediatrics so I’m not very familiar with OB.

Long story short— at my new OB appt my hgb was 13. When I went for my gestational diabetes test at 26 weeks, they apparently did a CBC as well and I didn’t realize it because in my patient portal they simply posted “your labs are WNL” and there were no numbers, but I didn’t think to question it. My hgb was 7.2 and hct of 24. This was not reported to me. I felt absolutely horrible but attributed it to pregnancy. My next appt was scheduled for the second week of February. The day of my appointment, i had an excruciating pain that doubled me over (placental abruption) and my water broke. I got to the hospital and there was no heartbeat. I was almost 31 weeks. The doctor on call stated I was anemic in my Jan labs and I told her I was unaware of this. I then passed out. My hgb was 6 and my platelets were non-existent. I ended up getting ten bags of blood products, delivering my dead baby in the ICU, and going into renal failure. I was in DIC. A 3 pound blood clot was pulled out of my uterus after my son was born. My question— is this worth pursuing lawyer wise?
I’m an RN, but I’m a peds nurse so I do not know much about this other than what I learned when I was dying.

I've been going to an acupuncturist now for a few months. Im seeing a lot of positive results from it. But I'm really annoyed by my acupuncturist because he usually has the room cold, and he knows I have issues with being cold all the time. He has heat lamps, but those don't help much if the air conditioner is on. I asked him why he doesn't have those metallic sheets, the ones that are disposable, that I've had other acupuncturists use. Those things really kept me warm during treatments. Today at his office, I was never able to relax and sleep. I just laid there cold and pissed off the whole time. When I asked him why he doesn't use those metallic sheets, he doesn't seem to know what I'm talking about. He told me I'm too sensitive, which made me lose faith in him as a provider.
Anyway, I'm thinking of dropping him and finding someone else because of this. But I wanted to weigh in with this forum. Am I being too hasty in wanting to find someone else? How do most acupuncturists keep their patients warm? Do most use those metallic sheets?

Female, in my late 30's here. At my yearly skin cancer full body exam, 9am appointment. I am taking back into exam room, asked to fully undress and to put a gown on. Half way through undressing, there is a knock at the door.
The nurse peaks her head in and asks what car did I drive; so I stated my cars model. "ohhh okay, are you naked already..." I state yes, "okay never mind, the doctor wanted the parking stall your parked in...". Mind you there are no "reserved for dstaff" signs in the parking lot (and the lot is close to empty). I reply, I did not see any reserved signs. "Ohh no, there isn't one...never mind he will park somewhere else", and she closed the door.
A few moments later, as I am completely nude w/ the gown sitting and waiting, another frantic knock. This time an unfamiliar nurse whips in aggressively, "you need to get dressed and move your car". As this is the only skin cancer dr in my area; I felt strongarmed like I had to oblige. So I get redressed (socks, shoes, pants, bra, top, belt, glasses) and exit the office, walk downstairs to my car. At this point its 9:15.
I notice a man in a Tesla waiting, as I move my car one stall over (mind you the lot had just me and one other car in it). The man was my doctor, and he pulls into the spot I was in and wont look in my direction. I walk back upstairs to the office. Go back into the exam room and undress again.
A moment later the doctor walked in "Ohh I just bought a new car and am kinda paranoid about it and wanted it to be parked in that particular stall you were in". I replied you should put a reserved for doctor sign if you NEED that particular stall.
Is it acceptable or professional practice to treat your patients like that? How Do I Respond? The office wanted me to schedule my next scan for next year; need help on response. Thank you!
PS. Both Funny Sarcastic and/also Serious Responses Appreciated

Hi, I'm posting here hoping to get some help after my fiance fell and hurt his leg. He fell last Friday and broke his tibial plateau as well as tearing his ACL and meniscus. He is going to need surgery and will be out of work at least 8 weeks. He doesn't have insurance or short term disability, and this isn't a workman's comp injury, so we will have to cover the medical bills and regular bills without help.
Unfortunately he is our main breadwinner. We have two kids with disabilities at home and I can only work part time because of their needs. My youngest daughter is 10 and she needs medical care around the clock. With the nursing shortage, I have been filling in 20+ hours a week caring for her as well as working, and now I'm caring for my fiance too. His mobility is extremely limited and he's in a lot of pain, so on top of needing my help, he can't help out with her care either.
We are already drowning, as the rent itself is $1900, and he's been seen in the ER, plus the orthopedic doctor, plus xrays, CAT scans, and an MRI. Surgery is going to be expensive and he will probably need physical therapy afterwards.
Anything you can do to help is greatly appreciated, even sharing the fundraising link to family and friends on social would be an immense help.
https://www.gofundme.com/f/support-awols-recovery-and-medical-bills?attribution_id=sl:51e3e740-dc5c-4ce8-8667-c85df35afa70&utm_campaign=p_lico+share-sheet-task&utm_medium=social&utm_source=facebook
Oh, and this is an alt account. I didn't want to out my main account.

I can help you streamline your business operations and achieve your goals without worrying about time-consuming administrative work.
My Experience
I have worked with various companies in different industries and have gained expertise in a wide range of skills, including:
VA to CEO in an IoT Agency

• Manage all admin tasks, reporting
• Create reports and consolidate summaries
• Manage emails and respond to inquiries
• Recruit developers

VA to Marketing Manager

• Lead generation
• Data scraping and mining
• Cold emailing

Technical Recruiter

• End-to-end outsourcing process
• Job posting, screening, initial interviews, and recommendations

VA to HR Manager

• Hubstaff management (check hours and activity of each employee)
• Recruit for different roles

Communication Tools
I am proficient in various communication tools, including:

• Gmail
• Slack
• Outlook
• Discord
• Zoom
• Meet

Office Tools
I am also experienced in using different office tools, including:

• Google Workspace (Drive, Calendar)
• Microsoft Excel and Docs
• Google Docs
• Google Sheets (including basic formulas)
• Microsoft PowerPoint (Mac/Windows)

Hiiiiiiiiii nurses
I’m an infusion nurse and am wondering what everyone was taught as far as max rate through lines- whether it be a PIV, port, PICC, etc.
I was taught no more than 999 through ANY line, when adding up all the channels on the pump
I often walk around work and see more than 999 through. Example: a bag of chemo running at 676ml/hr but patient also needs a liter so that goes at 999ml/hr = 1675ml/hr pushing through the line.
input please considering that I work in an outpatient infusion center and not an ICU/ED (my patients are stable, for the most part) —- We have a patient who gets an infusion through a central line and their doctor “wrote an order” to say that we can concurrently run 2 liters of fluid together so they finish in 90 minutes. Wondering if you would feel comfortable with that with the knowledge and practice experience that you have?
Being groomed to never infuse >999 I personally don’t know how comfortable I feel with that.
Also any literature regarding max rates through lines whether from manufacturers website or anywhere else would be lovely!!

I am a nurse that graduated last year and had been having difficulties finding a job since. After almost a year of sending applications and being rejected non-stop, I had a job offer the same day of my interview (which only asked “about myself” and nothing more lol). Right there I felt a red flag for being offered a job automatically without discussing much, and since they were going to start orientation that same week, they wanted an answer. So, I, without thinking much about it (besides the fact that I had a bad feeling) I accepted it because it was the first offer I ever had. The same week I had orientation, I experienced certain situations that I didn’t felt comfortable with. There was 20-25 patients that needed supervision and care, some were independent, some needed more supervision and special needs than others. I guess that is not necessary to say that I felt like I was drowning in tasks and responsibilities that this nurse-patient-ratio had. I don’t know how experienced nurses may look at this, but I really don’t understand why Nurses have to tolerate the verbal and physical abuse from patients, and the worst part of it, it’s that is so normalized among nurses. Whether it’s from alert and oriented patients that are just frustrated from their situation, or patients with a psychiatric disorder that makes them agitated and aggressive, how can a nurse tolerate that on a daily basis? It was my first week at this place, and I was already feeling insecure from verbal and physical aggression threats from patients and when I complained I was told “X and Y are always like that, just be careful” and we had a fast talk on how to try to de-escalate a situation that happened (which, yes, we tried our best, but sometimes it doesn’t work that easy).
So, yes, I decided to quit after my first week (which didn’t surprise my supervisors because they had a high turnover rate, they even show me all the resignation letters they had from employees lol should’ve known). Although it was not an easy decision to make considering my situation and the lack of job offers, I just thought for my wellbeing. I thought that it was not worth it if I felt threatened, insecure, and overwhelmed, but I wonder, was it the best decision? I am barely starting my career, I am young, yet I felt like time is running out and I haven’t achieved anything. I sometimes feel like I made the wrong decision of quitting and that I should have just “tolerate it and deal with it” despite the risks. Although I still continue to send applications to other places and hoping for the best, I feel so lost and I keep going back to this question: was I wrong for quitting?

Outlook Therapeutics® Reports Financial Results for Second Quarter Fiscal Year 2024 and Provides Corporate Update
· Positive opinion received from Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) for ONS-5010/LYTENAVA™ (bevacizumab gamma)
· United Kingdom (UK) Marketing Authorization Application (MAA) submitted
· NORSE EIGHT fully underway in the US; Topline readout expected in Q4 CY2024
· Resubmission of the ONS-5010 Biologics License Application (BLA) planned by the end of CY2024
· Company to host inaugural quarterly update conference call and webcast on Thursday,
May 16 th at 8:30 AM ET ISELIN, N.J., May 15, 2024 — Outlook Therapeutics, Inc. (Nasdaq: OTLK), a biopharmaceutical company working to achieve regulatory approval for the first authorized use of an ophthalmic formulation of bevacizumab for the treatment of retinal diseases, today announced financial results for the second quarter of fiscal year 2024 and provided a corporate update.
As previously announced, the Company will host its inaugural quarterly conference call and live audio webcast, on Thursday, May 16, 2024, at 8:30 AM ET (details below).
“We are extremely pleased with our corporate, clinical, and regulatory progress.
On the regulatory front, we continue to drive toward anticipated marketing authorization of ONS-5010 in the EU and have also submitted our marketing application for authorization in the UK.
In the US, we are executing on our NORSE EIGHT clinical trial and advancing toward a topline data readout expected in the fourth quarter of calendar year 2024.
On the financial front, assuming full exercise of the warrants issued in our recent private placement transactions, we believe we now have access to sufficient capital to take ONS5010 through potential FDA approval and funding of the commercial launch,” commented Russell Trenary, President and Chief Executive Officer of Outlook Therapeutics.
“We remain steadfast in our mission to enhance the standard of care in the retinal anti-VEGF space.
On behalf of the entire team, I would like to thank all our partners and stakeholders for their continued support and look forward to what we believe will be an exciting remainder of the year for Outlook Therapeutics.”
Lawrence Kenyon, Chief Financial Officer of Outlook Therapeutics, added, “Our adjusted financial results for the quarter met our expectations as we initiated the NORSE EIGHT clinical trial and began enrolling patients.
We believe we are well positioned financially to continue executing on NORSE EIGHT enrollment, resubmission of the ONS-5010 BLA by the end of calendar 2024, and launch of ONS 5010 in 2025, if approved.”
SOURCE:
https://ir.outlooktherapeutics.com/static-files/e3b2f7eb-cfd1-4c1b-979e-338bd3c77ccf

I work outpatient right now 8:30-5ish and it is amazing! But sometimes I miss the excitement and the knowledge from when I was a med surg nurse. Any advise? I don’t think I can ever go back to inpatient especially right now as I was having 6-7 patients DURING DAY SHIFT - insanity btw! But I dont know if I’ll find time to get back to inpatient. Lmk if anyone has good advise pls

Hello, so my mom has been a RN for around 17 years now. What I have learned from her experiences is that it is an incredibly toxic environment, especially between coworkers. My mom has been getting harassed by her coworkers, one time they even threw Holy Water on her workspace to "cleanse" it from evil spirits. She has reported it, but it's really hurting her emotionally. It really hurts me to see her like this because she is an incredible nurse and just wants to do her job, but they come after her even though she doesn't do anything
I was thinking about visiting her work and treating her while also getting an assessment on her coworkers and seeing if I can get them to stop in anyway. I was also wondering if hospitals accept gifts to give to specific nurses. What do you guys think I should do?

Remote surgery showcased in Abu Dhabi could be future of healthcare, experts say
Pioneering procedure could offer a lifeline against the rising tide of people suffering from strokes
Shireena Al Nowais
May 15, 2024
A glimpse into the future of health care was offered on Wednesday when a doctor in Abu Dhabi remotely simulated surgery on a stroke victim in Korea.
The procedure to remove a blood clot from the brain using a remote-controlled robotic system was demonstrated at Abu Dhabi Global Healthcare Week.
An audience watched the procedure on a big screen as Dr Vitor Mendes Pereira controlled robotic wires to simulate surgery 7,000km away, replicating the procedure to treat stroke victims.
Dr Pereira, director of Endovascular Research and Innovation at St Michael’s Hospital in Toronto, Canada, said: “While it may be a few years until such technology is introduced, the potential is monumental and could save thousands of lives.
“This is a concept that we hope will become a reality soon. I confirmed that I can control a robotic arm 7,000km away.”
There were times, he said, during the procedure that he forgot he was so far away from the patient.
The procedure has the potential to revolutionise how stroke victims are treated, he added.
Growing number of stroke victims
Each year, 15 million people globally suffer a stroke, with five million of those dying as a result and a similar figure left permanently disabled, according to the most recent report from the World Health Organisation (WHO).
The number of stroke victims is only likely to increase due to the world's ageing population, the report warned.
Most stroke victims need urgent specialist treatment that is only available in certain hospitals, added Dr Pereira.
“If we can deploy the robotic arms into the hospitals that are close to where the patients are and save their transportation time, lives will be saved,” he said.
“When a patient has a stroke, every minute counts.”
The simulated surgery was completed in a matter of minutes on Wednesday, with Dr Pereira using a microcatheter to re-enact the procedure to remove a clot from a blood vessel in the brain.
The procedure to remove the clot is known as mechanical thrombectomy, a treatment that is not widely available.
“The majority of humanity does not have access to this treatment,” said Eduardo Fonseca, chief executive of XCath, the firm behind the technology.
“And even those that do, do not get there in time and the procedure is incredibly time-sensitive. So this brings together a problem that can be solved by endovascular telerobotics. ”
Worldwide household income losses due to premature death or disability from strokes is $576 billion, according to the most recent figures available from the World Stroke Organisation (WSO).
The same report said the number of people having strokes had increased by 70 per cent in the past three decades, while the number of people living with strokes worldwide has shot up by 85 per cent.
A person living in a low-income country was likely to have their first stroke when they were 15 years younger than their wealthier counterparts, the same study said.
Another expert said the procedure demonstrated on Wednesday is a vital step towards reducing the number of lives affected by strokes.
“This pioneering achievement is not just a first, but a crucial stepping stone towards regulatory and industry support, ultimately leading to widespread acceptance and adoption,” said Dr Fred Moll, founder of Intuitive Surgical, a company specialising in robotic surgery.
"In the field of endovascular care, particularly in stroke treatment where every minute counts, this technology holds transformative potential."
The use of advanced technology was the theme of this week's healthcare conference in Abu Dhabi.
An AI-powered chest X-ray for tuberculosis (TB) was showcased by M42, a tech health firm based in the emirate.
The technology, which was tested at screening centres for visas in the emirate, was said to reduce radiologists' workloads by up to 80 per cent while not missing any cases of TB.
https://www.thenationalnews.com/news/uae/2024/05/15/remote-surgery-showcased-in-abu-dhabi-could-be-future-of-healthcare-experts-say/
Doctor in UAE, treatment 7,000km away in Korea: World's first public telerobotic surgery trial performed for stroke
The first clinical case can be expected to be performed next year following the regulatory approvals
by Ashwani Kumar
Published: Wed 15 May 2024
Giving a sneak peek into what the future of healthcare holds, a live telerobotic surgery trial for emergency stroke treatment was successfully performed by a doctor in Abu Dhabi on a model about 7,000km away in Seoul, South Korea.
The groundbreaking achievement was demonstrated by XCath – an early-stage medical device company dedicated to expanding endovascular treatment robotic systems and owned in part by Sharjah-based Crescent Enterprises.
During the last day of Abu Dhabi Global Healthcare Week (ADGHW), hosted by the Abu Dhabi Department of Health (DoH), Dr Vitor Mendes Pereira, an experienced neurosurgeon performed a mechanical thrombectomy procedure – a timely removal of blood clots from the brain after a stroke, on a simulated patient. During the public presentation, Dr Pereira, in a matter of few minutes, went through the arteries of the ‘patient’ and pulled out a blood clot that would cause the stroke.
Stay up to date with the latest news. Follow KT on WhatsApp Channels.
“We performed the world’s first telerobotic mechanical thrombectomy trial, where we simulated a model of a patient, not a real patient, with our neuro-endovascular robot based in South Korea, 7,000km away from the surgeon’s console here in Abu Dhabi,” Eduardo Fonseca, CEO of XCath, told Khaleej Times after the demonstration.
“Dr Vitor Pereira, the neurosurgeon who performed the world’s first neurovascular robotic procedure (in 2019), controlled and performed a successful removal of a clot using solely telerobotic means,” Fonseca said about Dr Pereira, who is the director of Endovascular Research and Innovation at St Michael’s Hospital, University of Toronto, Canada.
Cutting-edge robotic surgery
Dr Pereira performed the robotic operation using a robotic controller, while the silicone model and the bedside unit were situated in Seoul. The neurovascular devices used were Stryker AXS Infinity LS, Trevo Trakb21, and Trevo NXT. Communication between the robotic controller and the bedside unit used the standard conference Ethernet connection with the possibility of 5G redundancy, rather than dedicated lines. The latency experienced during the procedure ranged from 153 milliseconds to 170 milliseconds, with an average latency of 160 milliseconds.
“This treatment is time-sensitive. Every minute that a patient does not get this treatment equates to almost 2 million brain cells lost,” Fonseca said and noted how only a small percentage of patients from the developed world have access to treatment like mechanical thrombectomy. However, the use of robotics will bring medical care closer to patients in even underdeveloped and remote places of the world.
“Our vision is for this technology to be able to democratise care to this new miraculous treatment, and be able to save patients' lives by allowing care to be closer to them,” Fonseca said and underlined that strokes are the leading cause of death and disability in the world with 15 million patients, 6.6 million deaths, and 50 per cent of stroke survivors left chronically disabled.
"It’s an immense burden on healthcare systems worldwide. To put that into perspective, 0.6 per cent of the world’s GDP, at $721 billion a year, is spent on dealing with stroke survivors."
Fonseca revealed that the first clinical case can be expected to be performed next year following the regulatory approvals, but it will be a long process.
“We’re aware that every day that this technology is not available and democratised around the world, is potentially 1,000s of lives that could be saved. We are working incredibly hard to make this clinical reality,” Fonseca noted.
https://www.khaleejtimes.com/lifestyle/health/doctor-in-uae-treatment-7000km-away-in-korea-worlds-first-public-telerobotic-surgery-trial-perfo

I’m an ED RN in a small-ish community hospital that is affiliated with a much larger health system in the area. We do not take any trauma patients except to stabilize severe cases that need to fly out to a trauma center. In nursing school, I did my preceptorship at a Level 3 TC that served a large area in rural AL. I really loved working the traumas (of course I was mostly observing back then), and I want to try it again at some point in my career.
I’m anxious, though, since my 3 years of experience are in the smaller community ED, which does see high acuity, but hardly any trauma. I feel like I’d be starting from square one - like a new grad again.
Has anyone made this switch? Any advice or thoughts on the learning curve? Would I have to work in the general ED area for a while before learning to do trauma cases?

Need a little feedback/advice, maybe half a rant. Got the good news a few days ago that my transfer was successful! This was my first transfer. This is my first pregnancy (that I know of). I've had my first two blood draws and there has been good fed back on my numbers (HCG etc). I've been scheduled for my first scan. In scheduling me, the nurse said "we just need to rule out an ectopic pregnancy so you have to come in as soon as possible." (I had IVF, maybe I'm misinformed but I'm not sure how I'd have an ectopic pregnance after the embryo was placed in my uterus.) While speaking to the nurse she metioned that moving forward I'd be scheduled for weekly follow ups until 11 weeks.
I know, from friends and family that they usually did anywhere from 4-6 week appointments during the first trimester through the OBGYN. I'm assuming that the reason that I'm being asked to come in more frequently was because it's a fertility clinic. My questions is, has anyone appearing to be in good health, with a health pregnancy declined to go that often?
A little background. I've struggled with professionalism and communication of the fertility facility. I only met my actual doctor 1x via virutal visit, just found out that my provider actually left the clinic though she continues to be listed on my forms. Some of the nurses I've come in contact with are QUITE nice. Other providers, have consistently put their foot in their mouths, attempted to gossip about other patients, have continuously confused me with another patient (who I later met). I've been sent the wrong medications.
To give a few examples:
Upon meeting with a specific person, they attempted, I guess to make small talk. I'm choosing to have children as a single parent. I've continuously been asked "how does you husband feel," "do you want to ask your husband before making this choice," and even told "I've seen your charts, the fertility issue isn't with you it's with your husband, you'll easily get pregnant." I stopped correcting them after I corrected this same person and they replied "so you are doing this alone? you know that babies take a lot of work, you sure you can do that? I hope you have supports it's not easy."
Then this morning, when going for my 2nd blood draw a provider came out asked how I was doing and commented loudly in front of other patients how sick I was during transfer. The provider went on to congradulate me on my pregnancy. I confirmed "yes," I was excited (we were in the waiting room). She then says, (seemingly distracted by unknown nurses coming through the room) " do you even want to be pregnant." The individual didn't feel I was excited enough by the news of the pregnancy. It absolutely took me by surprise. I stated my hesitation as I haven't managed to be pregnant before but I have an extensive family history on my maternal side of it being very difficult to get pregnant and stay pregnant. I stated most of my female cousins have had multiple miscarriages with a number of them only able to conceive after use of IVF. They waved me off and said "your numbers are really good, you'll be fine, how are you feeling." I mentioned I had been feeling on and off nausea for the last week. The provider mumble "it's still too early." They then excused themselves and drifted away to speak to someone else.
So, has anyone "graduated" themselves to an obgyn before the recommended 11 weeks? Or if you stayed with the fertility clinic have you declined their weekly follow up requests and gone less frequently?

Is it legal to just go and do skilled nursing services for people who need them? Say that a patient needs to be cathed, wound dressed, meds sorted, etc but they can't get home health for whatever reason. Can a private duty nurse operate independently and if so, what are the legalities? Some of the local agencies charge an arm and a leg and I know some people really struggling although I'm not saying for free. Would love any input on the matter!

So I’ve been working at a hospital for a couple of months in the Med/Surg unit and what I once enjoyed, I now DREAD!!!!! From working with lazy nurses to unsettling patients. I decided that I had enough. I worked for a three letter company so as anyone who has also worked there knows…I’m very underpaid. The hospital I’m switching to is offering wayyyyy more an hour but I’m very scared because it’s float pool. Idk what I’m getting myself into but what could be worse than Med/Surg everyday??! If you are in float pool lmk about your experience please.