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
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.
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...
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.
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!
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
I'm feeling a SMIDGE better today over yesterday, but holy shit, depression got hands.
November 17, 2025 at 8:52 PM
I'm feeling a SMIDGE better today over yesterday, but holy shit, depression got hands.
I'll be participating in #TwitchTogetherforGood to raise awareness & donations for the Immune Deficiency Foundation!
It'll be my first time trying to stream after work daily, but it's for a good cause! Just gonna need a little more coffee to get through my days
Donate here: tilt.fyi/LkcAjLj19B
It'll be my first time trying to stream after work daily, but it's for a good cause! Just gonna need a little more coffee to get through my days
Donate here: tilt.fyi/LkcAjLj19B
November 17, 2025 at 2:02 AM
I'll be participating in #TwitchTogetherforGood to raise awareness & donations for the Immune Deficiency Foundation!
It'll be my first time trying to stream after work daily, but it's for a good cause! Just gonna need a little more coffee to get through my days
Donate here: tilt.fyi/LkcAjLj19B
It'll be my first time trying to stream after work daily, but it's for a good cause! Just gonna need a little more coffee to get through my days
Donate here: tilt.fyi/LkcAjLj19B
HEYY!
Our First Year Festival is happening right now on @celesaurion.bsky.social's Twitch channel!
So many of your favorite IRIAM talents are performing! Over 90+ talents performing all throughout the day!
🔗in the comments to see it!
You might see your favorite nurse/ (self-proclaimed) bard...
Our First Year Festival is happening right now on @celesaurion.bsky.social's Twitch channel!
So many of your favorite IRIAM talents are performing! Over 90+ talents performing all throughout the day!
🔗in the comments to see it!
You might see your favorite nurse/ (self-proclaimed) bard...
November 15, 2025 at 5:18 PM
HEYY!
Our First Year Festival is happening right now on @celesaurion.bsky.social's Twitch channel!
So many of your favorite IRIAM talents are performing! Over 90+ talents performing all throughout the day!
🔗in the comments to see it!
You might see your favorite nurse/ (self-proclaimed) bard...
Our First Year Festival is happening right now on @celesaurion.bsky.social's Twitch channel!
So many of your favorite IRIAM talents are performing! Over 90+ talents performing all throughout the day!
🔗in the comments to see it!
You might see your favorite nurse/ (self-proclaimed) bard...
Quick reminder for anyone out there seeing those Medicare Advantage plan commercials.
Medicare Advantage plans offer no substantial cost savings and, possibly, worst health outcomes, over traditional Medicare (Joszt, 2024).
Please consider the cost-benefit analysis when looking
Medicare Advantage plans offer no substantial cost savings and, possibly, worst health outcomes, over traditional Medicare (Joszt, 2024).
Please consider the cost-benefit analysis when looking
November 14, 2025 at 7:12 PM
Quick reminder for anyone out there seeing those Medicare Advantage plan commercials.
Medicare Advantage plans offer no substantial cost savings and, possibly, worst health outcomes, over traditional Medicare (Joszt, 2024).
Please consider the cost-benefit analysis when looking
Medicare Advantage plans offer no substantial cost savings and, possibly, worst health outcomes, over traditional Medicare (Joszt, 2024).
Please consider the cost-benefit analysis when looking
Mama Siempre is traveling to the Philippines this weekend. It's unfortunate, but she needs to go for some important family matters despite the encroaching typhoon.
She's supposed to be back next week, but I worry immensely.
All I can do is pray for her safety.
She's supposed to be back next week, but I worry immensely.
All I can do is pray for her safety.
November 7, 2025 at 5:46 PM
Mama Siempre is traveling to the Philippines this weekend. It's unfortunate, but she needs to go for some important family matters despite the encroaching typhoon.
She's supposed to be back next week, but I worry immensely.
All I can do is pray for her safety.
She's supposed to be back next week, but I worry immensely.
All I can do is pray for her safety.
Covering at another clinic for a few hours cause of upper management shenanigans.
They usually wouldn't have me cover at another location unless they are that desperate. Especially considering how expensive I can get.
At least I get travel differential for my trouble.
They usually wouldn't have me cover at another location unless they are that desperate. Especially considering how expensive I can get.
At least I get travel differential for my trouble.
November 6, 2025 at 7:24 PM
Covering at another clinic for a few hours cause of upper management shenanigans.
They usually wouldn't have me cover at another location unless they are that desperate. Especially considering how expensive I can get.
At least I get travel differential for my trouble.
They usually wouldn't have me cover at another location unless they are that desperate. Especially considering how expensive I can get.
At least I get travel differential for my trouble.
Can't believe I haven't shared this yet!
During the whole debacle with VShojo & the fallout with the stolen funds, @akaririni.bsky.social was taking commissions in order to donate the proceeds to the Immune Deficiency Foundation. I was lucky to request a commission from her!
#scrubsketches
During the whole debacle with VShojo & the fallout with the stolen funds, @akaririni.bsky.social was taking commissions in order to donate the proceeds to the Immune Deficiency Foundation. I was lucky to request a commission from her!
#scrubsketches
November 5, 2025 at 10:00 PM
Can't believe I haven't shared this yet!
During the whole debacle with VShojo & the fallout with the stolen funds, @akaririni.bsky.social was taking commissions in order to donate the proceeds to the Immune Deficiency Foundation. I was lucky to request a commission from her!
#scrubsketches
During the whole debacle with VShojo & the fallout with the stolen funds, @akaririni.bsky.social was taking commissions in order to donate the proceeds to the Immune Deficiency Foundation. I was lucky to request a commission from her!
#scrubsketches
It's Oshi Day today!
I'm sure I'm no one's oshi, but I'd like to share who MY oshis are!
Ironmouse is my kami-oshi! She inspired me to become an educator in this space!
Athy is my o(wl)shi! She inspired me to take the plunge! If a fellow RN can become a Vtuber, then so can I!
I'm sure I'm no one's oshi, but I'd like to share who MY oshis are!
Ironmouse is my kami-oshi! She inspired me to become an educator in this space!
Athy is my o(wl)shi! She inspired me to take the plunge! If a fellow RN can become a Vtuber, then so can I!
November 4, 2025 at 9:17 PM
It's Oshi Day today!
I'm sure I'm no one's oshi, but I'd like to share who MY oshis are!
Ironmouse is my kami-oshi! She inspired me to become an educator in this space!
Athy is my o(wl)shi! She inspired me to take the plunge! If a fellow RN can become a Vtuber, then so can I!
I'm sure I'm no one's oshi, but I'd like to share who MY oshis are!
Ironmouse is my kami-oshi! She inspired me to become an educator in this space!
Athy is my o(wl)shi! She inspired me to take the plunge! If a fellow RN can become a Vtuber, then so can I!
Working on a community study about health & chronic illness in the Vtuber space!
This quick anonymous survey (written by @SCICRYP1) isn’t the main study (The Vtuber Health Census) that we're working on. It’s to help shape it!
#Vtubers & fans, your input means a lot!
forms.gle/GmLTMvgEQZex...
This quick anonymous survey (written by @SCICRYP1) isn’t the main study (The Vtuber Health Census) that we're working on. It’s to help shape it!
#Vtubers & fans, your input means a lot!
forms.gle/GmLTMvgEQZex...
November 2, 2025 at 12:28 AM
Working on a community study about health & chronic illness in the Vtuber space!
This quick anonymous survey (written by @SCICRYP1) isn’t the main study (The Vtuber Health Census) that we're working on. It’s to help shape it!
#Vtubers & fans, your input means a lot!
forms.gle/GmLTMvgEQZex...
This quick anonymous survey (written by @SCICRYP1) isn’t the main study (The Vtuber Health Census) that we're working on. It’s to help shape it!
#Vtubers & fans, your input means a lot!
forms.gle/GmLTMvgEQZex...
So...any of you who wore a nurse outfit for Halloween.
I'm expecting you on the floor. If you're gonna wear the uniform, you gotta do the work. IV placements. Blood draws. Deescalting aggressive patients & their family. Being given the run around by health insurance.
The works.
I'm expecting you on the floor. If you're gonna wear the uniform, you gotta do the work. IV placements. Blood draws. Deescalting aggressive patients & their family. Being given the run around by health insurance.
The works.
November 1, 2025 at 5:09 PM
So...any of you who wore a nurse outfit for Halloween.
I'm expecting you on the floor. If you're gonna wear the uniform, you gotta do the work. IV placements. Blood draws. Deescalting aggressive patients & their family. Being given the run around by health insurance.
The works.
I'm expecting you on the floor. If you're gonna wear the uniform, you gotta do the work. IV placements. Blood draws. Deescalting aggressive patients & their family. Being given the run around by health insurance.
The works.
The longer I'm in the Vtuber community, the more I realize that the venn diagram between Vtubers & people living with chronic disabilities/illness is essentially a circle.
October 30, 2025 at 4:52 PM
The longer I'm in the Vtuber community, the more I realize that the venn diagram between Vtubers & people living with chronic disabilities/illness is essentially a circle.