Riko Siempre, RN 🫶🩺【IRIAM US】🔜 AWA2025
@rikosiempre.vtubers.social
IRL RN & Vtuber RN Educator (Self-Proclaimed) Bard. #IRIAM US Founding Streamer. Follow me for education about nursing & healthcare!
🎨 tag: #scrubsketches
🎨 Mom: @ranmaii.bsky.social
Logo by @emibbuns.bsky.social
🔗s @ linktr.ee/rikosiempre
🎨 tag: #scrubsketches
🎨 Mom: @ranmaii.bsky.social
Logo by @emibbuns.bsky.social
🔗s @ linktr.ee/rikosiempre
Pinned
OKAY, WE'RE WORKING ON IT.
This won't be a typical survey. We'd like to actually get this published in an established healthcare journal.
We're still trying to establish the best way to go about it & what standardized questionnaires to include.
Let's get it off the ground!
This won't be a typical survey. We'd like to actually get this published in an established healthcare journal.
We're still trying to establish the best way to go about it & what standardized questionnaires to include.
Let's get it off the ground!
Another day, another RN call out I gotta cover and wake up before dawn.
At least the parking lot looks brighter with the holiday lights on.
At least the parking lot looks brighter with the holiday lights on.
December 5, 2025 at 7:01 PM
Another day, another RN call out I gotta cover and wake up before dawn.
At least the parking lot looks brighter with the holiday lights on.
At least the parking lot looks brighter with the holiday lights on.
Whoever wrote this question in @spectralanomally.bsky.social's review.
I hate you. So much. How dare you gaslight my cousin like this.
I hate you. So much. How dare you gaslight my cousin like this.
December 4, 2025 at 8:41 PM
Whoever wrote this question in @spectralanomally.bsky.social's review.
I hate you. So much. How dare you gaslight my cousin like this.
I hate you. So much. How dare you gaslight my cousin like this.
Rage against the machine.
Rage against the systems that seek to tear you down.
Rage isn’t noise. It’s refutation. A refusal to be optimized, exploited, silenced.
Rage against the machine.
Not to burn the world down, but to take your humanity back.
Rage because you care.
Rage against the systems that seek to tear you down.
Rage isn’t noise. It’s refutation. A refusal to be optimized, exploited, silenced.
Rage against the machine.
Not to burn the world down, but to take your humanity back.
Rage because you care.
December 4, 2025 at 6:22 PM
Rage against the machine.
Rage against the systems that seek to tear you down.
Rage isn’t noise. It’s refutation. A refusal to be optimized, exploited, silenced.
Rage against the machine.
Not to burn the world down, but to take your humanity back.
Rage because you care.
Rage against the systems that seek to tear you down.
Rage isn’t noise. It’s refutation. A refusal to be optimized, exploited, silenced.
Rage against the machine.
Not to burn the world down, but to take your humanity back.
Rage because you care.
“Pt engaged in unsafe behavior, increasing the likelihood of adverse outcomes.”
If you ever see that charted, it means a Pt is refusing care/treatment AMA, despite education. Pts have a right to refuse care. However, they have own up to the fallout.
It's our way of saying FAFO.
#nursesky #medsky
If you ever see that charted, it means a Pt is refusing care/treatment AMA, despite education. Pts have a right to refuse care. However, they have own up to the fallout.
It's our way of saying FAFO.
#nursesky #medsky
a man and a woman are standing next to each other in a hospital corridor .
ALT: a man and a woman are standing next to each other in a hospital corridor .
media.tenor.com
December 3, 2025 at 7:09 PM
Everyone posting their stream recap stats.
Lemme see your music recaps.
Here's mine!
Lemme see your music recaps.
Here's mine!
December 3, 2025 at 1:00 AM
Everyone posting their stream recap stats.
Lemme see your music recaps.
Here's mine!
Lemme see your music recaps.
Here's mine!
Heading to @awacon.bsky.social? Wanna learn how #Vtubers can teach in our community?
Join @puppysensei.bsky.social, @aejis.bsky.social, & me on 12/19 @ 11am EST for our panel on how it's like being educators in the Vtubing sphere, the challenges we face, & opportunities that come with it! #awacon
Join @puppysensei.bsky.social, @aejis.bsky.social, & me on 12/19 @ 11am EST for our panel on how it's like being educators in the Vtubing sphere, the challenges we face, & opportunities that come with it! #awacon
December 2, 2025 at 7:54 PM
Heading to @awacon.bsky.social? Wanna learn how #Vtubers can teach in our community?
Join @puppysensei.bsky.social, @aejis.bsky.social, & me on 12/19 @ 11am EST for our panel on how it's like being educators in the Vtubing sphere, the challenges we face, & opportunities that come with it! #awacon
Join @puppysensei.bsky.social, @aejis.bsky.social, & me on 12/19 @ 11am EST for our panel on how it's like being educators in the Vtubing sphere, the challenges we face, & opportunities that come with it! #awacon
I want to thank everyone who supported my efforts for #TwitchTogetherForGood. I went ahead & matched the donations raised to benefit the Immune Deficiency Foundation. It ain't the biggest amount of money raised. But every cent counts.
It's the small efforts that change the world
It's the small efforts that change the world
December 1, 2025 at 7:52 PM
I want to thank everyone who supported my efforts for #TwitchTogetherForGood. I went ahead & matched the donations raised to benefit the Immune Deficiency Foundation. It ain't the biggest amount of money raised. But every cent counts.
It's the small efforts that change the world
It's the small efforts that change the world
#Vtubers like to joke about NNN, but too often we forget about #NoShaveNovember.
This month is dedicated to the millions of men & women affected by colorectal cancer. I don't spend too much on shaving, but whatever I would've spent on it went to support people living with it.
Dare to Care.
This month is dedicated to the millions of men & women affected by colorectal cancer. I don't spend too much on shaving, but whatever I would've spent on it went to support people living with it.
Dare to Care.
November 30, 2025 at 10:27 PM
#Vtubers like to joke about NNN, but too often we forget about #NoShaveNovember.
This month is dedicated to the millions of men & women affected by colorectal cancer. I don't spend too much on shaving, but whatever I would've spent on it went to support people living with it.
Dare to Care.
This month is dedicated to the millions of men & women affected by colorectal cancer. I don't spend too much on shaving, but whatever I would've spent on it went to support people living with it.
Dare to Care.
Bruh, I just wanted to sleep in today...
November 28, 2025 at 2:37 PM
Bruh, I just wanted to sleep in today...
Happy Thanksgiving, my scrubs.
I'm grateful for today, but mindful of the truth behind it. Thanksgiving carries joy for many of us, but deep pain for Indigenous peoples. Honor their resilience, courage, & ongoing fight for sovereignty.
Practice gratitude with accountability.
I'm grateful for today, but mindful of the truth behind it. Thanksgiving carries joy for many of us, but deep pain for Indigenous peoples. Honor their resilience, courage, & ongoing fight for sovereignty.
Practice gratitude with accountability.
November 27, 2025 at 5:07 PM
Happy Thanksgiving, my scrubs.
I'm grateful for today, but mindful of the truth behind it. Thanksgiving carries joy for many of us, but deep pain for Indigenous peoples. Honor their resilience, courage, & ongoing fight for sovereignty.
Practice gratitude with accountability.
I'm grateful for today, but mindful of the truth behind it. Thanksgiving carries joy for many of us, but deep pain for Indigenous peoples. Honor their resilience, courage, & ongoing fight for sovereignty.
Practice gratitude with accountability.
Bruh, the authorization/referral back & forth I have with health insurance companies, the limited number of contracted providers, the lack of communication, & obfuscation gives me a migraine whenever I'm forced to engage in it.
Healthcare is complicated as is. This makes it harder than it needs to.
Healthcare is complicated as is. This makes it harder than it needs to.
November 25, 2025 at 11:09 PM
Bruh, the authorization/referral back & forth I have with health insurance companies, the limited number of contracted providers, the lack of communication, & obfuscation gives me a migraine whenever I'm forced to engage in it.
Healthcare is complicated as is. This makes it harder than it needs to.
Healthcare is complicated as is. This makes it harder than it needs to.
MY PATIENTS BROUGHT TAMALES FOR STAFF!!
TODAY'S A GOOD DAY
TODAY'S A GOOD DAY
November 25, 2025 at 7:13 PM
MY PATIENTS BROUGHT TAMALES FOR STAFF!!
TODAY'S A GOOD DAY
TODAY'S A GOOD DAY
CPR. Clean, Pretty, & Reliable it is not. A lot of people know ABOUT it, but don't know the what or why behind it.
Tonight @ 8pm PST on IRIAM & Twitch. I'll be discussing the misconceptions & myths behind CPR & answering your questions.
(Note, this is NOT for AHA CPR Certification!!)
Tonight @ 8pm PST on IRIAM & Twitch. I'll be discussing the misconceptions & myths behind CPR & answering your questions.
(Note, this is NOT for AHA CPR Certification!!)
November 24, 2025 at 7:14 PM
CPR. Clean, Pretty, & Reliable it is not. A lot of people know ABOUT it, but don't know the what or why behind it.
Tonight @ 8pm PST on IRIAM & Twitch. I'll be discussing the misconceptions & myths behind CPR & answering your questions.
(Note, this is NOT for AHA CPR Certification!!)
Tonight @ 8pm PST on IRIAM & Twitch. I'll be discussing the misconceptions & myths behind CPR & answering your questions.
(Note, this is NOT for AHA CPR Certification!!)
I'm going to be pushing my CPR Misconceptions Lecture for tomorrow at 8pm PST. Unfortunately, my lecture slides aren't ready. I'll be playing Dispatch instead on Twitch for #TwitchTogetherForGood @ 6pm PST.
We're gonna be finishing the game tonight, So I hope to see you there!!
We're gonna be finishing the game tonight, So I hope to see you there!!
November 24, 2025 at 1:37 AM
I'm going to be pushing my CPR Misconceptions Lecture for tomorrow at 8pm PST. Unfortunately, my lecture slides aren't ready. I'll be playing Dispatch instead on Twitch for #TwitchTogetherForGood @ 6pm PST.
We're gonna be finishing the game tonight, So I hope to see you there!!
We're gonna be finishing the game tonight, So I hope to see you there!!
Today, I'll be screening @/immunedeficienC's film, "Compromised: Life Without Immunity" @ 5pm PST/8pm EST tonight on IRIAM & Twitch for #TwitchTogetherForGood. Take some time tonight to learn about Primary Immunodeficiency & what you can do to help people who live with it.
November 22, 2025 at 6:40 PM
Today, I'll be screening @/immunedeficienC's film, "Compromised: Life Without Immunity" @ 5pm PST/8pm EST tonight on IRIAM & Twitch for #TwitchTogetherForGood. Take some time tonight to learn about Primary Immunodeficiency & what you can do to help people who live with it.
Interdisciplinary Team meeting with a patient, their family, and the MD in 15mins. Quality Improvement meeting with upper management at 2pm.
I took my migraine meds ahead of time for this. Just gotta stay cool.
I took my migraine meds ahead of time for this. Just gotta stay cool.
a blurry picture of a person standing in front of a refrigerator and oven .
ALT: a blurry picture of a person standing in front of a refrigerator and oven .
media.tenor.com
November 21, 2025 at 7:37 PM
Interdisciplinary Team meeting with a patient, their family, and the MD in 15mins. Quality Improvement meeting with upper management at 2pm.
I took my migraine meds ahead of time for this. Just gotta stay cool.
I took my migraine meds ahead of time for this. Just gotta stay cool.
I'm so livid right now. This administration wants this country to crash and burn. We need more graduate level nurses.
Telling nurses or any other allied health professional as unworthy of any educational funding due to archaic definitions is disgusting.
#nursesky
www.newsweek.com/nursing-not-...
Telling nurses or any other allied health professional as unworthy of any educational funding due to archaic definitions is disgusting.
#nursesky
www.newsweek.com/nursing-not-...
Nursing is no longer counted as a 'professional degree' by Trump admin
The Department of Education has excluded nursing as a "professional degree" program as it implements various changes to student loans.
www.newsweek.com
November 20, 2025 at 9:53 PM
I'm so livid right now. This administration wants this country to crash and burn. We need more graduate level nurses.
Telling nurses or any other allied health professional as unworthy of any educational funding due to archaic definitions is disgusting.
#nursesky
www.newsweek.com/nursing-not-...
Telling nurses or any other allied health professional as unworthy of any educational funding due to archaic definitions is disgusting.
#nursesky
www.newsweek.com/nursing-not-...
Today is Transgender Day of Remembrance.
Honor the memory of trans people whose lives were snuffed out, simply for being who they are. Trans people are 5x more likely to be victims of violent crime than their heteronormative counterparts (Meyer & Flores, 2025)
Don't forget them.
Honor the memory of trans people whose lives were snuffed out, simply for being who they are. Trans people are 5x more likely to be victims of violent crime than their heteronormative counterparts (Meyer & Flores, 2025)
Don't forget them.
a transgender day of remembrance poster with three candles and a pink ribbon
ALT: a transgender day of remembrance poster with three candles and a pink ribbon
media.tenor.com
November 20, 2025 at 7:12 PM
Today is Transgender Day of Remembrance.
Honor the memory of trans people whose lives were snuffed out, simply for being who they are. Trans people are 5x more likely to be victims of violent crime than their heteronormative counterparts (Meyer & Flores, 2025)
Don't forget them.
Honor the memory of trans people whose lives were snuffed out, simply for being who they are. Trans people are 5x more likely to be victims of violent crime than their heteronormative counterparts (Meyer & Flores, 2025)
Don't forget them.
It's International Men's Day.
Some of y'all want to keep it lighthearted, which I get. But please remember this day is about the unique issues faced by folks who identify as men.
As a man who lives with depression & anxiety, men's issues are often overlooked & underrepresented.
Some of y'all want to keep it lighthearted, which I get. But please remember this day is about the unique issues faced by folks who identify as men.
As a man who lives with depression & anxiety, men's issues are often overlooked & underrepresented.
November 19, 2025 at 7:01 PM
It's International Men's Day.
Some of y'all want to keep it lighthearted, which I get. But please remember this day is about the unique issues faced by folks who identify as men.
As a man who lives with depression & anxiety, men's issues are often overlooked & underrepresented.
Some of y'all want to keep it lighthearted, which I get. But please remember this day is about the unique issues faced by folks who identify as men.
As a man who lives with depression & anxiety, men's issues are often overlooked & underrepresented.
What is Immune Deficiency? Why does it happen? Tonight @ 8pm PST on #IRIAM & Twitch for #TwitchTogetherForGood!
We'll be discussing how immune deficiency happens & what we can do to help others affected by it.
I hope to see y'all there!
Remember: Dare to Care!
We'll be discussing how immune deficiency happens & what we can do to help others affected by it.
I hope to see y'all there!
Remember: Dare to Care!
November 19, 2025 at 1:02 AM
What is Immune Deficiency? Why does it happen? Tonight @ 8pm PST on #IRIAM & Twitch for #TwitchTogetherForGood!
We'll be discussing how immune deficiency happens & what we can do to help others affected by it.
I hope to see y'all there!
Remember: Dare to Care!
We'll be discussing how immune deficiency happens & what we can do to help others affected by it.
I hope to see y'all there!
Remember: Dare to Care!
Got a reply from an Attending MD, saying that they don't care if a patient doesn't feel accepted or if a patient isn't following their low potassium diet. They care about unnecessary hospitalizations.
Bruh. I'm doing my job reporting to you. You’re SUPPOSED TO CARE.
#medsky #nursesky
Bruh. I'm doing my job reporting to you. You’re SUPPOSED TO CARE.
#medsky #nursesky
November 18, 2025 at 11:53 PM
Cause Kindness is Punk Rock
Cause I'm a Punkrocker, yes, I am
Cause I'm a Punkrocker, yes, I am
November 18, 2025 at 6:20 PM
Cause Kindness is Punk Rock
Cause I'm a Punkrocker, yes, I am
Cause I'm a Punkrocker, yes, I am
It's one of those nights where depression and anxiety like to keep me up.
Which sucks, cause I'd like to talk to my friends about how I'm feeling. But no one is awake in the middle of the night like this.
The depression-insomnia-anxiety trifecta is fucking rough.
Which sucks, cause I'd like to talk to my friends about how I'm feeling. But no one is awake in the middle of the night like this.
The depression-insomnia-anxiety trifecta is fucking rough.
November 18, 2025 at 7:52 AM
It's one of those nights where depression and anxiety like to keep me up.
Which sucks, cause I'd like to talk to my friends about how I'm feeling. But no one is awake in the middle of the night like this.
The depression-insomnia-anxiety trifecta is fucking rough.
Which sucks, cause I'd like to talk to my friends about how I'm feeling. But no one is awake in the middle of the night like this.
The depression-insomnia-anxiety trifecta is fucking rough.
Going live in about an hour @ 8pm PST on IRIAM & Twitch to play Dispatch for #TwitchTogetherforGood!
Please use the links or donation button during the stream to donate to the Immune Deficiency Foundation!!
Dare to Care! Cause Kindness is Punk Rock!!
Please use the links or donation button during the stream to donate to the Immune Deficiency Foundation!!
Dare to Care! Cause Kindness is Punk Rock!!
November 18, 2025 at 2:57 AM
Going live in about an hour @ 8pm PST on IRIAM & Twitch to play Dispatch for #TwitchTogetherforGood!
Please use the links or donation button during the stream to donate to the Immune Deficiency Foundation!!
Dare to Care! Cause Kindness is Punk Rock!!
Please use the links or donation button during the stream to donate to the Immune Deficiency Foundation!!
Dare to Care! Cause Kindness is Punk Rock!!