Reminds me of Ancillary Justice / The Imperial Radch series. Every once in a while you get hints like “she could tell this person had a specific gender in this culture based on how she wore her facial hair, but she could never remember” because the main character (and most of the story) is in the context of a society where gender doesn’t exist and everyone is referred to with English feminine pronouns.

I’ve never seen an EMR that runs on Linux and if I did I’d have to find an employer willing to run it.

Most psych nurses will tell you we love our patients for the most part (we get worried when the little old dual schiz / dementia homeless ladies with no teeth stop threatening to murder us) but admin + families are hell.

Got stuck as the charge nurse of acute psych almost every single night I worked for over a year. “But no one else can handle it like you” (I’m aware–acute is what I do) but I needed a fucking break. I told them 1/3 days I wanted to either be a floor nurse on med-psych or be the BERRT / consult nurse to the medsurg nurses for behavioral codes. They humored me one day a month for like three months then shoved my head right back under.

Then the supervisor came in to critique my morning reports twice in one week and honestly I didn’t even snap I literally just said “OK understood can I finish report now” so she tried to corner me in a side room but I haven’t survived ten years in acute psych without major injury by not being able to clock aggressive body language so I just walked right back into the nurses station to let everybody see her yell at me then handed her my badge and keys and left. Had a new job lined up within the week.

Current boss started out with the same sort of compliments like “oh you’re so calm when people are threatening to murder you” etc like yeah, as I said, this is what I do, and once I was settled in, everybody got used to asking me for advice on the EMR, meds, they got me teaching the violence deescalation classes the supervisor was tired of, made myself indispensable etc, I straight up told her I’ll do all of this, you can even enjoy my fun side projects I get up to when I’m bored–but if you make me charge nurse or let the house supers get shitty with me I’m out as soon as my contract is up.

So far she hasn’t pushed it.