Riko Siempre, RN 🫶🩺【IRIAM US】

Bro, the wait for the grad nursing program to get back to me about my app is killing me.

"Departments generally review applications after the program application deadline, & make decisions within 4 to 6 weeks after the deadline date."

DUDE, IT'S WEEK 7. WHY THEY GOTTA BE LIKE THAT?!

#nursesky

Adverse effects of health plan prior authorization on clinical effectiveness and patient outcomes: A systematic review Prior authorization requirements by health insurance plans have become a barrier to healthcare delivery in the United States in terms of clinical efficiency, patient and provider experience. Surveyed ...

Prior auths harms patients.

Murphy et al.'s (2025) systematic review found prior authorization delays are linked to worsened symptoms, delayed treatment, preventable hospitalizations, & poorer outcomes, raising concerns about its impact on care.

www.amjmed.com/article/S000...

#nursesky #medsky

Dude. The power went out in the block where I work. Patient treatments have been interrupted & we're all scrambling to get them rescheduled at different times or different clinics.

Bruh, this sucks.

Brand new #scrubsketches by @dreamplanes.bsky.social!

Perfectly reflects my despair🫠

#vtubers

Countering health misinformation: 5 lessons from an expert research psychologist | Resources | Harvard T.H. Chan School of Public Health Learn how to counter health misinformation and disinformation from an expert research psychologist.

Excellent question!

A lot of it comes from engaging a person in critical thinking and having them consider the sources of their information, while simultaneously acknowledging their own fears, feelings, and biases. Talk WITH them, not AT them. Read more here!

hsph.harvard.edu/research/hea...

PFFT

Misinformation is something I have to fight against on the daily.

Part of the reason I wanted to be an educational Vtuber is meet people where they're at and guide them to better understanding & critical thinking.

Especially in health, both personal & public.

#vtubers #nursesky #medsky

Compromised: Life Without Immunity [full film] YouTube video by Immune Deficiency Foundation

"Compromised:Life Without Immunity" is finally available to watch on YouTube! I've had the privilege to stream the film 2x already on Twitch with permission from @immunedeficiency.bsky.social & run discussion about immune deficiency & plasma donation afterwards!

Pls watch!

youtu.be/J6RWTA-H508?...

Excerpt from my presentation yesterday:

"The future of science is not cold. The future of science is human-centered. The future of engineering must account for lived experience. The future of technology must serve people, not just systems. Nurses have been doing that all along."

#nursesky #medsky

...this is what brings me back to Overwatch, huh. It's been 7 years.

How dare Blizzard manipulate my love of Nier.

What do you mean a new Pokémon was announced while I was at work?!

What do you mean it's gonna be based on Southeast Asia?! (PHILIPPINES LESSGO!!)

WHAT DO YOU MEAN THERE'S A POMERANIAN?!

#PokemonWindsWaves

Tom Nook.

Cause Capitalism always wins in the end, unfortunately.

Is Nursing a STEM discipline?

This argument has become a point of contention in academic circles, labor, & policy creation. Why is this recognition important?

Let's talk this Saturday, 2/28 with @dr-ekelus.bsky.social' 2026 Science Vtuber Symposium! Event starts at 6pm EST. See you there!

#vtuber

Vtuber (& IRL) Nurse Explains Blood Transfusions!! YouTube video by Riko Siempre, RN Ch.

New short lecture video is out!! I talk about how nurses perform blood transfusions, why we give blood transfusions, & the importance of regular blood donation.

#nursesky #medsky #vtubers

youtu.be/7MqVgoKLLFY?...

a man singing into a microphone with the words what we don 't know keeps the contacts movin ALT: a man singing into a microphone with the words what we don 't know keeps the contacts movin

Went to bed listening to Rage Against the Machine in my headphones. You'd figure with all the rocking that they do, it'd keep me up.

Slept pretty soundly actually. Wonder what that says about me.

This is your reminder:

Take allergies seriously. Double-check your chart. Ask again. Advocate loudly. Small oversights in healthcare can have life-changing consequences.

Dissappointed to learn what happened after reading a discharge report today.

It's heartbreaking.

#nursesky #medsky

She did it everyone.

Over two years of hard work, tears, and seemingly endless nights studying paid off.

@annekesiempre.vtubers.social, you'll be an amazing nurse to all of those under your care. I know it.

I love you so much!

#nursesky #medsky #vtubers

Think I'll see Bad Bunny here? Just missing some piraguas! Maybe I can find some here!

Remember: The Only Thing More Powerful Than Hate, is Love!!

#badbunny #villastacos

Pretty sure the 3D Mocap system Giri has shown off is making it's rounds. I'm all for innovation, but I do sincerely hope that developments for 3D tracking in Vtubing have been made for disabled folks who use mobility aids as well.

Vtubing deserves to be accessible.

#vtuber #disability

Art by @ranmaii.bsky.social

Everybody! Please wish my wife, @annekesiempre.vtubers.social, the most amount of luck today!

She's going to be taking her RN license exam today! All the (literal) blood, sweat, & tears juggling nursing school & work have culminated to this day!

I LOVE YOU SWEETIE! YOU GOT THIS!

#nursesky #medsky

Bruh, the struggle is real.

Despite being rasied in a Filipino household, my parents took the worst advice ever from my preschool teacher:

"Just stick with English"

Unfortunately, that advice stuck growing up & severely kneecapped my ability to understand Tagalog.

Let's start fixing that. Tonight 8pm PST.
#vtubers #envtuber

Art by @nicoplasmanico.bsky.social!!

Biggest of Happy Birthdays to my lovely potato wife, @annekesiempre.vtubers.social!!

You're the light of my life, the cool side of my pillow, and the most amazing partner! Waking up next to you everyday of my life will always mean it's a good day, even on the bad days.

I'm happy you're here!!

Daniel Hale Williams and the First Successful Heart Surgery “A people who don’t make provision for their own sick and suffering are not worthy of civilization.” –Daniel Hale Williams

Reference: columbiasurgery.org/news/daniel-...

Black History Month spotlight: Dr. Daniel Hale Williams

He founded the first non-segregated U.S. hospital & was a pioneering Black surgeon. In 1893, he performed the first successful open heart surgery. He advocated for equality for black professionals & patients in healthcare.

#nursesky #medsky

a girl with blonde hair and purple eyes sits in a classroom with the words " the myriad colors production committee " on the bottom ALT: a girl with blonde hair and purple eyes sits in a classroom with the words " the myriad colors production committee " on the bottom

I was supposed to come into the clinic today @ 10am. So I figured, "hey, let's enjoy the new Helldivers 2 update!" Didn't go to bed until about 2am.

Wake up from a call from my Admin that the opening RN got in a traffic collision.

So guess who opened the clinic @ 4am with only 90mins of sleep? 🫠

The education and medical practice of Dr. James McCune Smith (1813-1865), first black American to hold a medical degree James McCune Smith (1813-1865)--first black American to obtain a medical degree, prominent abolitionist and suffragist, compassionate physician, prolific writer, and public intellectual--has been relatively neglected by historians of medicine. No ...

Reference: pmc.ncbi.nlm.nih.gov/articles/PMC...

Black History Month spotlight: Dr. James McCune Smith

Dr. Smith was a 19th-century American physician, abolitionist & author. He was the first black person to earn a MD & run a pharmacy in the US. He challenged racist ideas & fought for abolition alongside Frederick Douglass.

#nursesky #medsky

Kizzmekia S Corbett-Helaire | Harvard T.H. Chan School of Public Health

Reference: hsph.harvard.edu/profile/kizz...