oh oh you put out new prompts! May I humbly suggest “Come here, let me hold you.” for Javey (specifically livesies)?
"Come here, let me hold you." || the prompts
sorry for the late response! i was super busy this week </3
cw: violence & blood!
"Mama's gonna kill me." David said and looked down at his shaking hands. "She's gonna kill me. Pa's gonna kill me. Sarah's gonna be so upset. I was supposed to protect him, Jack. I'm supposed to keep him safe."
"Dave, ya did keep him safe-"
He looked at the stains on his shirt and looked up at Jack with wide eyes. His hands continued to shake violently as he helplessly wiped at his undershirt. "I got- I got blood on my shirt. It's gonna stain, Mama isn't gonna know how to get a blood stain out of my shirt-"
"Dave. It'll wash right off. Stop worrying about stupid stuff. Are you-"
"I could've killed him, Jack. He was sputtering underneath me and I thought he was gonna die, and I didn't stop. I would've killed him," David's voice was caught in his throat. "I think I might throw up."
Jack sighed and sat across from the boy. "You ain't gonna throw up, Davey. It's gonna be alright. You know we wouldn't let you kill anyone. Ya family need's ya too much for us to let you get locked up."
David held his shaking, raw, bloody fists up to his chest. "I was supposed to keep him safe."
"Les is okay, David. He was downstairs playing pirates with the other boys just a couple of minutes ago. You did good, Dave. Ya kept him safe," Jack said.
"It wouldn't have happened if I had just sold with him like he had asked me too."
Jack sighed again, deeply. He waved the other boy over. "Come here, let me hold you." David got up, his entire body continued to shake as he fell into Jack's arms.
"Look," Jack said as he took David's hands into his own. "Ya hand's all dirty, all bloody." He spit into his shirt—which made David wince—and wiped at the other boy's knuckles. The blood came off and stained his white shirt. "But underneath it's still all nice and clean. Ya know why? Cuz ya ain't dirty, or mean, or cruel. You've got good intentions. Any one of us woulda reacted the same way if we had gotten to the guy first."
David took a deep, shaky, breath and nodded his head. "Can you walk us home? You can stay the night, so you don't have to walk back so late."
"I'd walk anywhere for ya, Dave. Ya know that."
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Cold Love/Hot Blood
Miguel O’Hara x female reader
Summary: “Between teeth on a broken jaw/following a bloodtrail, frothing at the maw”
Miguel is struck with something that he’s never experienced before
Tags/warnings: smut (18+), oneshot, dubcon by way of pheromones, fingering, overstimulation, squirting, rough sex, unprotected sex, breeding kink, size kink, feral Miguel, biting, marking, blood drinking, paralytic venom
Wordcount: 3k
Ao3 link here
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You opened your eyes, blinking at the soft light from the bleary haze. Wincing, you raised your hand to your head. It didn't necessarily hurt, but it definitely felt wrong. What had happened? You were on a mission. That's right. And it had been going so well, until… until the anomaly villain threw something at you and Miguel. What was it? It had such an awful smell to it. And, where was Miguel?
You traversed the rubble of the abandoned building you were in. You couldn't see him. You shouted out for him.
"Here, I'm here," you heard him from the distance. Following his voice, you found him under some pieces of sheetrock from a collapsed wall. He was pinching the bridge of his nose through his mask.
"Geez, Miguel, are you alright?"
"Been better." His voice sounded strained. "Got a transmission from Jess that she's got hands on the anomaly. We'll meet her back at HQ. You go on ahead of me."
"What? No, we have to-" you started grabbing at the rubble to pull it off of him. He caught your arm before you could keep lifting.
"Please," he said, trying to meet your eyes from behind his mask. "Just go."
"What the hell is going on, Miguel? You're not… you're not acting right. We have to get you out of here."
He brought his hands up, holding his head in frustration. "Please, just do it. Don't make me beg."
"LYLA, please check him," you said, the avatar popping up and saluting you.
"No, don't-!" He tried to catch her in the air but she evaded him.
"His heart rate is really elevated but he seems okay otherwise. I think he's being dramatic. I don't detect any major injuries," she reported. You thanked her and she disappeared.
You crouched down to where he was. "What's going on, Miguel?" Your tone was serious.
He tried to hold your gaze for a moment until he swore and looked away. "That bomb that the anomaly threw… it affected me in a way that it clearly didn't affect anyone else, alright? Are you happy now?"
You furrowed your brow. "I don't understand."
He sighed, his breath shaking ever so slightly. "Itwasapheromonebomb." He said it so quickly and quietly.
"...What?"
"It was a pheromone bomb. Just leave me here so I can wait it out. This is so shocking humiliating- I," he sighed again. "Don't make me explain any further."
You blushed, not sure what to say. But you couldn't leave him like that, half-buried and vulnerable. "Can I at least help you up…? I promise I won't make fun of you. I just can't leave you defenseless like this."
He seethed for a moment, considering your offer. "...Fine. Grab this stupid sheetrock."
You did so, lifting it off of him with some effort. He did his best to stand up quickly. Despite his best, though, you could see the source of his embarrassment. He had a rock hard erection, and a particularly desperate one, by the looks of it. It laid upward, reaching towards his abdomen and pushing up against the tight fabric of his suit, straining. The size of him was nothing short of impressive.
You turned your gaze pointedly towards the ground as he moved away from the pile of rubble. Don't react don't react don't react. Could you pretend like you didn't notice? Even though not noticing was impossible, even from a single glance? You swallowed a lump in your throat, your head swimming with unprofessional thoughts.
Miguel turned from you, crouching down, hissing out a slow breath. "Fuck, it's getting worse," he whispered to himself, his body starting to tremble.
You took a step closer, reaching a hand out to his shoulder.
"Your proximity isn't… isn't helping." He admitted without turning around.
You stopped, silently moving your hand away from him. Touching him would surely make things harder.
"Miguel, I don't think waiting it out is an option for you. You just said it was getting worse."
He swore under his breath to himself. "I didn't mean for you to hear that. This is- shock it- this is completely foreign to me. Never been hit by anything like this before, it's s-so intense."
You winced at that, you'd never heard his voice so pained. But, what was the other option? You shivered just to think about it, your body reacting in ways that surprised you. How could you possibly propose helping him without making him think less of you? Would he even want help from you? Across from you, he was in turmoil, on his hands and knees trying desperately to control his breathing.
“Miguel… how can I help you?” It was a foolish question, a loaded question.
“You know the answer,” he replied from over his shoulder, his tone cold. He cried out again. “I- I can’t- can’t do that to you.”
“What if I’m offering?” You asked, a little too quickly, pushing down your fear and embarrassment for even thinking such things.
He turned further to meet your eyes, though you still couldn’t see his from behind the mask. You didn’t even need to see his eyes, his body language was communicating perfectly on their behalf. His muscles were pent up and quivering. Every breath rocked his massive shoulders. “Why?”
You didn’t think he’d ask that question. You searched your brain for an answer. “Because it isn’t your fault. And I respect you enough that this won’t change my mind.”
His thoughts seemed to be diverting to his baser instincts, his voice becoming a growl. “Need you… to be sure. Don’t know if I’ll be able to stop.”
“I’m sure,” you said.
In no time at all, he pounced, bringing you to the ground. He was on top of you, his taloned fingers caging in your wrists against the cracked concrete of the floor, your arms above your head. You landed with your legs apart and with him between them, his hips desperately close to yours. Your eyes widened at his feral energy, your chest rising and falling as you tried to catch your breath. He brought his face into the crook of your neck, inhaling. His exhale was shaky. “You smell so good… always smelled so good.”
Your body grew hot upon hearing that. Always? Had he thought about you in that way before? You smiled to yourself as he nuzzled the nose of his masked face into your neck, his hot breath coming through and ghosting over your skin. You could feel his huge frame shaking around you. He brought his hips down to your pelvis, seemingly being as cautious as possible as he began to grind his hardened length against you. His breath quickened at the contact, and he met you again with fervor, stimulating himself on you. His cock was unbelievably hard and hot, the temperature of him coming through both of your suits to meet your skin and overwhelm you. The feeling of him against you was sending shivers down your spine, the pleasant pressure made even sweeter by the promise of more to come. He positioned himself on top of you in such a way that each rhythmic, grinding rock found your clit and teased it with clothed contact.
You moaned lightly, the sound of it causing him to growl into your neck. You lifted your hips up, meeting him with the same tempo so he could grind into you more thoroughly, your bodies now writhing in tandem. His heavy breathing became panting. "Need to… need to touch you." He picked up his head and released your wrists, one hand steadying himself on the concrete, the other reaching down eagerly.
You got the memo, quickly slipping the pants of your suit down and throwing them aside so he wouldn't rip them off for you. You had at least enough hindsight to know you couldn't go back to HQ looking so disheveled. He dismissed the gloves of his suit and retracted his talons as his fingers found you immediately, honing in on the wet heat of your sex. Two plunged inside as he loomed above you, his muscles shaking again as he wet his fingers with your arousal. You shook right alongside him, your reaction bodily, as your back arched and your legs closed instinctively to hold his hand in place and not let him go. His fingers hooked inside of you, already relentless.
"Soaked," he whispered, almost to himself. The word resonated with a deep, animalistic hunger. Without removing his fingers from your warmth, he sat back on his knees and used his free hand to pry your legs open. "Need to see," he said. He watched the length of his fingers disappear over and over. The large hand that kept your legs wide was squeezing the soft flesh of your inner thigh, and he seemed fixated on the way it was yielding to his rough touches. Nearly everyone was small compared to Miguel, but you… you were different. He had his hands on you, inside of you, the comparison was tangible. You were small, soft, and his. His mind swam with how he would take you, how he would sheath himself inside of you until he bottomed out, how he would desperately fill you with his hot cum and hold your hips up to keep any precious drops from leaking out. It took everything in him to not reach down and start rubbing his impatient cock through his suit, but his fevered brain convinced him to keep his free hand on your leg so he could watch you fall apart from his fingers alone.
He was delirious as your walls started to spasm around his fingers, white hot pleasure pooling in your core, threatening to overflow as he kept up his efforts. The constriction of your muscles bolstered him, and he began to go faster and harder, starting to overstimulate you. You threw your head back, hands wildly trying to grasp at something on the concrete floor but coming up short. He removed his hand from your throbbing sex to start teasing your clit with abandon, and you moaned as your body lifted up off the floor.
"H-holy shit, Miguel," you gasped out. "It's- it's so much."
His hand moved so fast against your swollen clit that you could hardly think. The feeling was electric, and your orgasm was dangerously close. Your legs started to shake and tried to close around him again, but he kept them forced open as he intently watched, his chest rising and falling with quick breaths. You came and it utterly racked you, your body shuddering as you cried out, hot liquid spewing from you and drenching Miguel's hand and forearm. You squirted on him, because of him. You thought you should be embarrassed, but he gave you no opportunity.
As your head just started to clear, he recalled his mask into the neck of his suit. You quietly gasped at unexpectedly seeing his face. So strong, angular, and handsome. His red eyes looked wild, his mouth was open, his fangs fully extended. He studied his hand, turning it over so the mess you made could catch the light. As it started to dry down on him, he brought the two fingers that had been inside of you up to his mouth, and he licked them both clean. You gaped at him, almost fully unable to process what was happening.
When he was finished, he turned his gaze from his fingers and back onto you, as you sat up on your elbows to watch him. You saw that his cock was still as hard as ever, still pushing to break free. As if reading your mind, he recalled that part of his suit too as he grabbed your legs and yanked you toward him. He rested his cock over your abdomen, once again reveling in just how much bigger than you he was. The hot weight of his manhood on your skin set you ablaze once more and you eagerly awaited him. He thrusted but without penetrating you, sliding himself over you and wetting his cock on your cum. His exhales quaked with anticipation until he could wait no longer. Even on his knees, he towered over you, and so he needed to tilt your hips up further so your entrance could meet the head of his leaking cock. He shifted his grip to your waist, holding firm as you steadied yourself on your elbows and looked to him with bated breath.
He slowly pushed his hips into you, his cock sinking deep into your pussy. The steady penetration had you reeling. You needed to feel him, all of him. Every inch, all at once. It felt like it took ages for him to finally reach the hilt, but when he did, he waited inside of you for a brief, merciful moment. You basked in the feeling of being so full, so complete. He began to pull himself out of you, leaving you cold and empty for a split second until he slammed his entire length back into you, repeating and repeating at an unwavering pace.
Each powerful thrust reached so deep inside of you that it was nearly painful. Immediately, the head of his cock found your cervix and was hitting it with each hard pump that Miguel delivered. Your eyelids grew heavy as your eyes began to roll back towards your skull. His onslaught was so thorough, every smack of his hips against your pelvis reverberating through every inch of your body. The overstimulation of when he fingerfucked you had carried over, and you were already close to losing control all over again. He felt it too, as he growled in response to your pulsating walls.
"This cunt…." He snarled through his fangs. "This cunt is mine."
"Yours," you moaned, meeting his words a little too quickly.
"Going to mark you… so everyone knows."
"Mark me, Miguel." You agreed, not quite realizing what he meant. He started to lay you down onto the ground without removing himself from you, continuing to fuck you in missionary as he brought his face down to the crook of your neck. Your pulse quickened with excitement. He opened his mouth, his breath making your skin somehow even warmer. You wished that you could've seen the flash of his fangs before what came next.
He bit down on you, hard, and you could feel the course of his venom like molten lava through your veins. When the searing heat reached its crest, a soothing wash of warmth followed in its wake, leaving your muscles loosened and relaxed. Blood started to drip down your shoulder, the wet trickle quickly cooling as it made contact with the atmosphere. Miguel stayed latched to you as his tongue met your skin, lapping at the red stream, determined to consume it all.
You submitted to him fully, allowing him to position you how he saw fit so he could fulfill his feral need. His strong hands snaked around your torso to your back, lifting you up with him as he rocked back onto his knees. He helped you to swing your legs around his slim waist and to drape your arms over his huge shoulders. You let your face settle against his neck, the clean musky smell of him overwhelming your senses. His hands found your hips and he effortlessly lifted you up and down on his cock, fucking himself with your pussy like you weighed nothing at all. You moaned into him as you clenched around his cock, your limp body succumbing to the overpowering feeling of him. You started to shudder as your orgasm claimed you with a white-knuckled grip. You whined into Miguel's neck as it hit you with shock after shock, your vision going spotty while your cunt tightened around him.
He couldn't hold it any longer, and his cock jerked inside of you as he came. You were still getting hit with aftershocks of your own climax, your muscles bearing down to milk every drop of cum that he filled you with. He held you closer and he thrusted himself as far into you as he possibly could, instinctively trying to make sure as little seed would have the chance to leak out of you as possible.
Your muscle control started to slowly come back to you as you and Miguel were chest-to-chest, both of you sweating and heaving. You weakly raised your arms so your hands could tangle with the hair at the nape of his neck. You lingered there for a bit, his strong arms holding you in the place as you played with soft locks of chocolate hair. You finally leaned back to see clarity slowly returning to Miguel's expression, and he looked utterly mortified. He held your gaze as he turned red, removing one hand from your body so he could cover his face.
"Oh my God," he whispered. "What the shock came over me?"
You were struck with sudden fear. "Do you… not remember?" The fact that he was still buried inside you should've been a dead giveaway.
"No, I do," he said, nervously. "I remember getting hit with that stupid bomb, and you helping me, then me wanting to split you in half."
You couldn't help but giggle at that.
"I tried to make sure I wasn't too rough with you. I was still in there, the whole time," he said, taking his hand away from his face to smooth your hair. He stopped when he reached your neck, seeing the bite marks he left. "Guess I didn't do all that well, did I?"
"It's fine. I can take it."
"Clearly," he said, raising his eyebrows, mildly impressed. "Thank you. I… don't know what I would have gone through if you hadn't been so… generous. But… for God’s sake, let’s not go around telling people what happened. We have reputations.”
You agreed, the secret safe between the two of you, the puncture wounds on your neck a silent souvenir.
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Toman groupchat
Warnings: swearing, suggestive, mentions of poop, mentions of homophobia (joke), mentions of men getting pregnant
Desc: here the boys discuss whether men can get pregnant or not and other shenanigans. this also very fucking stupid
Mikey: i just took the biggest shit
Mikey: you guys will not believe the sheer size of this thing like it's as big as my forearm
Mikey: makes me wonder how women give birth
Kazutora: ?
Draken: keep this shit to yourself what the hell is wrong with you
Mikey: how can i keep this shit to myself when i've already flushed it down the toilet🤣🤣🤣🤣🤣🤣🤣
Mitsuya: what does you shitting have to do with women giving birth?
Mitsuya: never mind shouldn't have asked
Mikey: well the poop tore my butt up so imagine what babies do to vaginas
Baji: this is why i'm never giving birth. looks too hard
Draken: ...you're not a candidate to do so? you're male?
Baji: what does my gender have to do with giving birth
Draken: it has everything to do with it??? what are you talking about
Baji: wow didn't know you guys were so sexist
Chifuyu: Baji-san, gender and sex are two different things...
Baji: ?
Chifuyu: sex is your chromosomes and basically what you were born with and gender is what you identify as. so since you're male, you don't have the reproductive organs to get pregnant and have a child. only female bodied people can.
Smiley: bro you're 17 how the fuck do you not know this
Baji: never been good at biology
Smiley: you don't have to be good at it to know you can't get pregnant💀
Baji: so men can't get pregnant?
Chifuyu: well if someone born as a female transitions into a man, then gets pregnant, we can pretty much say that men can get pregnant
Baji: so men can get pregnant but not males?
Chifuyu: yeah i guess
Baji: interesting
Baji: i don't think anyone's tried hard enough
Baji: i'll get a male pregnant one day, watch
Mitsuya: wtf
Draken: is the biology lesson over?
Mikey: my ass still hurts i think i'll need ointment
Kazutora: why r u reporting this to us
Mikey: you guys are my friends
Mitsuya: no ones wants to know about your bowel movements
Baji: why do you always wanna sound smart Mitsuya. just say shit or shitting
Smiley: watch, next time he'll say defecation
Chifuyu: excretion
Mikey: excrement
Kazutora: fecal matter
Draken: guys what the fuck can we not talk about this? it's fucking gross
Baji: oho here comes the fucking poop police
Kazutora: instead of his siren going "wee woo wee woo" it probably goes "pee poo pee poo" lmao
Mikey: LMAO😭
Draken: what are you a bunch of 5 year olds??
Baji: we're 17
Draken: 😐
Mitsuya: can we change the subject? christ
Smiley: i did crack for the first time yesterday. shit was crazy
Mikey: YOU DO DRUGS???? BRO
Baji: yo Nahoya what the fuck
Draken: we're not supposed to do drugs
Smiley: who's we?? i'm doing them not you🤨??
Draken: and what's Angry gonna think?
Smiley: he doesn't need to know. and i did it to impress a girl so chill it's not a regular thing
Mikey: why would you try and impress a girl with doing crack?
Smiley: she's a drug addict
Smiley: but the sex was fire tho even though she tried to kill me halfway through
Mikey: YOU'RE HAVING SEX??
Kazutora: that's not fair☹️
Kazutora: where are you meeting women?
Smiley: outside
Kazutora: oh
Draken: why did she try to kill you?
Smiley: halfway through she started choking the shit outta me while she was on top and i almost died but also it was the best nut i've ever experienced so it's a win win
Mikey: that doesn't sound appealing at all😭
Draken: that sounds like assault actually
Smiley: idgaf a beautiful woman can do whatever she wants with me and if she wants to kill me then so be it (i'm a feminist)
Mitsuya: yeah but like, she should have asked
Smiley: we were both high off our rockers
Draken: yeah i feel like she should have asked you so you could have developed a healthy sex dynamic where you both share each other kinks before hand
Baji: oho here comes the fucking sex police
Kazutora: this time the siren would be men whimpering
Chifuyu: why men?
Kazutora: i don't think Draken would use women moaning cause of how the brothel might have traumatized him i think and he respects women too much
Kazutora: also he's gay
Draken: fuck off i'm not
Draken: and Baji say something else i dare you
Baji: what are you gonna do? have sex with me?
Smiley: you're all taking this way too seriously😁
Baji: with what Kazutora said, i'ma start blasting whimpering audios when i get a car
Mitsuya: i'm pretty sure that's illegal or something
Smiley: dawg no one wants to hear that
Baji: who wouldn't want to hear men whimpering?
Baji: especially the high pitched ones
Baji: cause you can associate them with twinks
Baji: with dual coloured hair, jingly earnings and large unsettling eyes
Baji: and maybe even a blonde with an undercut and big blue cow eyes
Kazutora: Baji what are you on about
Chifuyu: wait are you being serious or is this a joke Baji-san 😂😂😂😂
Draken: uhh
Smiley: i keep hoping you being gay is a joke but then you say shit like this
Baji: why
Smiley: i'm not fond of gay people
Baji: homophobia's got you missing out on some good head
Draken: we support and respect all identies, Smiley. don't make this a problem
Smiley: i'll ask again, WHO'S WE?
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Hey so your post about pain management as a bedside nurse is so important to my own nursing practice that I've considered printing it out so I can have it to hand all the time. So thanks for that. Also, how do you deal with assignments that are busy enough that pain management is harder than it should be? I'm coming up on two years as a nurse and I feel like I take it personally when I am too busy to adequately manage my patients pain. I'm also coming from a newly unionized hospital where the ratios are still horrendous (I do 1:10 on med surg) and I'm hoping once we can enforce our staffing grids it'll be better but idk I'm burning out and I love my job so much and I really respect your nursing philosophy? I guess. Sorry for the word vomit it's been a crazy shift.
I've been trying to think of how to answer this since I got it. It's just such a horrendous ratio. With ten patients a shift, that's like six minutes an hour for each in a fantasy world where there's no charting and everything is exactly where you need it to be. I feel like I don't have great insight into this because the most med surg patients I've had assigned is five. Ten patients to one nurse is just a raw deal for everyone. Like christ no wonder you feel like you're burning out! I'll give you what thoughts I have and hopefully other people can chime in if they have suggestions. But that's such a hard patient load.
When I've been super swamped, I've found that's when being really explicit about your thinking with the patient helps. Like if I have to dash into a room and then dash back out, I'll make sure the board is updated with the next medication time and that the patient knows when the medication is going to kick in. I'll also provide call light parameters. I have a lot of success telling people, "the med should be doing something by 5:30. If I haven't checked in with you by then, and the pain is unchanged or barely changed, hit your call light and we'll try the next step. Also hit your call light if you feel any sudden change, like now you're nauseated or you have a headache or the type of pain changes or something just feels very wrong. Is there anything you need before I step out of the room?"
I like to be explicit about when to call me because I think there's two directions call light usage can go wrong: someone calls all the time, or someone never calls. With someone who calls all the time, I find that telling them when I'll be back and that I want them to call me if I'm not takes away some of that anxiety that can causes some people to call frequently. Often those patients are afraid that if they aren't on the call light, they're gonna get ignored.
For the other type of patient, the one that doesn't call, I want to make explicit that it's GOOD AND NORMAL TO CALL YOUR NURSE WHEN YOU HAVE SYMPTOMS. We've all had that patient at the end of shift who goes, "btw the gnawing pain in my leg is now a 10/10" and you're like "what gnawing pain sir?? you've literally never mentioned it before now?? I don't have any meds for that lemme page super quick????" These patients can get into pain crises easily because they don't ask for help until something is unbearable. In addition to pain crisis bad, it takes a lot more time to deal with something unbearable than it does to deal with something uncomfortable.
On that note, are you spending your very limited time efficiently? To me, that actually means spend more time talking with patients, at least up front. Manage expectations, make sure people know what to expect. Having conversations with patients that are like, "You just had surgery, it's not gonna happen that we get you completely painless. We want to get you to a manageable pain level that allows you to do whatever it is you most want to do this shift." (For me on nights, that's usually sleeping at least a little, but sometimes the realistic goal you make together is that you will feel at some point better than you feel right now.) "You have this medication scheduled, and you have this one available every X hours when your pain is severe. Is there anything you know that helps you deal with pain?"
Also establish if patients want to be woken up for certain prn medications or if they're sleeping, to let them sleep. With some patients, I will advise them to get woken up for pain medication because I know that they're going to need consistent control to avoid a crisis. (Crises take so much time!)
When I'm crunched for time, I'm fond of bringing in an ice pack and being like "if it works, great, if it doesn't, just take it off, either way here it is." Sometimes I'll do the same with a warm blanket. If I know my patient needs to take pills, I'll bring a cup of water with me into the room. If there's a basic prn like melatonin or tylenol that I think they might want, I'll pull them in advance. If the patient doesn't want them, I return them next time I'm in the med room. (Obviously, don't do this with controlled substances. It's super easy to forget to return them, and not returning opioids is one of those whoopsies people get fired over.)
Decision making takes time. Walking to go get stuff takes time. I want to save the time it takes to assess if the patient needs those things and then walk off to fetch them by just having the things already. If your tightest resource is time, be liberal with resources you can spare. If you're stuck with a patient, do you have anyone you can delegate a prn med pass to? Do you know how to do the absolute minimum charting you need to? Do you have flushes and alcohol wipes and whatever other most common things you need? And since you can't hoard time, if you've got some to spare, ask yourself if there is anything you can do now that will save you time later. If you have five free minutes now and an incontinent patient, getting them up to the bathroom now can save you from taking the time for incontinence care and a bed change later on when they've also sundowned and decide they hate everything but most of all you.
So much of this answer I realize is investing as much time upfront as you can, which I realize is so hard when you are so busy. It sucks immensely that prepping takes much less time than not being prepared does when you don't always have time to prep. Plus when you invest that time to pain plan with patients and do small preventative interventions, I think it also provides some psychological comfort that helps with pain. You're letting them know you're invested and you care and you have a plan, even if you don't have all the time you'd like. That can mean better pain control, which can mean needing to spend less time in that room overall, meaning you can save six whole minutes at some point and maybe even, if we're feeling crazy, get a chance to indulge in that greatest of indulgences: just a real leisurely on-shift piss.
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