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Riko Siempre, RN 🫶🩺 【IRIAM US】

@rikosiempre.vtubers.social

6.7K followers 14.3K following 2.3K posts

IRL RN. Vtuber RN Educator. Bard(?). @iriam-us.bsky.social Founding Streamer. Follow for education about healthcare!🎨 tag: #scrubsketches 🎨 Mom: @ranmaii.bsky.social Logo: @emibbuns.bsky.social

Posts Replies Media

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 18h

I'm thinking of converting some of my papers I've written for my grad program into scripts for YT videos. I've gotten some good remarks from my instructors, but I wonder if they would be layman friendly. I ALSO wonder if I would accidentally be plagirising myself if I did so...

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 23/10/2026

The Quest Lab application for lab ordering for our patients is down.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 22/10/2026

Good News: I get to go home early! Bad News: I got to cover one of my nurse's shifts, so I need to be in at 3:30am tomorrow morning for a 12hr shift. And I still need to work from home to make dosage adjustments. So yeah. Never a dull moment.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 21/10/2026

FREAKIN BIOWARE GRADUATED?! As a Mass Effect fan, it's a sad day.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 20/10/2026

If you want to know more about the difficulties of international performers obtaining a visa into the US, check out this NPR article: www.npr.org/2026/07/14/n...

Some international artists are skipping U.S. tours. Others may follow suit

The visa process for visiting artists has always been complicated and expensive. Under the current administration, it's gotten significantly worse.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 20/10/2026

I'm not an Uma fan, but I have friends who are. What could've been an amazing 2 nights in LA for fans who traveled around the US & the world has become a reminder that even if you don't f*** with politics, politics will surely f*** with you. www.eurogamer.net/umamusume-pr...

Despite exploring "every possible option", Umamusame: Pretty Derby's Los Angeles concert is cancelled and tickets refunded at the last minute thanks to US visa issues

Umamusume: Pretty Derby developers at Cygames have announced that the upcoming LA concert in the USA has been cancelled suddenly due to visa issues.

Reposted by Riko Siempre, RN 🫶🩺 【IRIAM US】

💖✨KiraHeart✨💖 {IRIAM} @kiraheartvt.bsky.social · 20/10/2026

Welp! It's that time again! IRIAM's down, ready to Launch! In the meantime, go ahead and give me a follow! #IRIAM #IRIAMFollowFest #IRIAMLaunch #IRIAMUS

IRIAM Follow Fest!

Reposted by Riko Siempre, RN 🫶🩺 【IRIAM US】

Ordinary Cherry 【IRIAM US】 @realordinarycherry.bsky.social · 20/10/2026

🔰 how do i make a follow fest post on this app can i join your live #IRIAMMaintFollowFest

Reposted by Riko Siempre, RN 🫶🩺 【IRIAM US】

Tactician K ✒️🍷 【IRIAM Pre-Debut】 @kthetactician.bsky.social · 20/10/2026

✒️Kept late for lectures, but I made it!🍷 Happy #IRIAMMaintfollowfest! I'm K, Battle Bard and Advisor on the way! Expect: - Co-work with teaching commentary - Con-crit art gushing - Voice-acting ...and more! See you in the halls! #IRIAMUS #IRIAMメンテ中のフォロー祭り

Reposted by Riko Siempre, RN 🫶🩺 【IRIAM US】

Cooky Usagida/兎田クッキー 🐰🧙‍♂️ HI! VTuber Expo | CUZN @cookyusagida.vtubers.social · 20/10/2026

YAHHO AGAIN! I'm participating in my 11th IRIAM maintenance follow fest! Feel free to check out my IRIAM maintenance follow fest post below! ⬇️ #IRIAMMaintFollowFest #IRIAMメンテ中のフォロー祭り

Reposted by Riko Siempre, RN 🫶🩺 【IRIAM US】

Moral 💙【IRIAM US】 @moral.anomaly.moe · 20/10/2026

October's IRIAM Maintenance Follow Fest is upon us! My name is Moral Truth the talking blue cat of the interwebs! I am also a Founding Streamer on IRIAM US! See you next stream after IRIAM US goes public on October 20th! #IRIAMMaintFollowFest #IRIAMメンテナンス中のフォロー祭り

Reposted by Riko Siempre, RN 🫶🩺 【IRIAM US】

Browntul 🐢🌟【IRIAM US】 @browntulstar.com · 20/10/2026

It's maintenance time! Let's meet the people outside of the Turtle Pond and in the land of IRIAM! As the resident sports turtle, I hope to race around and get to know you all across the seas and stars! ℹ️https://browntulstar.com/iriam #IRIAMMaintFollowFest #IRIAMメンテ中のフォロー祭り

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 20/10/2026

Art by @/dreamplanes.bsky.social

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 20/10/2026

Wassup Scrubs! I'm Riko Siempre, RN. Vtuber RN Educator & Nurse IRL! I've been on the down-low lately cause of grad school & work. Still, I'm proud to be an IRIAM Founding Streamer! I'll be live again one day, I swear it!! #IRIAMMaintFollowFest #IRIAMメンテ中のフォロー祭り

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 19/10/2026

>TFW the new president of operations for the entirety of North America is local to you and is expecting to visit clinics close to him, including yours.

static.klipy.com

The Apothecary Diaries Jinshi

ALT: The Apothecary Diaries Jinshi

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 17/10/2026

I have a paper to write that's due tomorrow and I'm at work...

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 17/10/2026

Bro, shit is on fire here in SoCal. In the literal sense.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 15/10/2026

Today is one of those days when I inexplicably feel down. Is it: 1. The personal stress of not being able to spend time with friends due to a busy professional life? 2. The loss of several patients that I knew? 3. The general unaffordability of everything? 4. All of the above

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 12/10/2026

The fact that there is now an immunization tracking assessment for MEASLES at work frustrates me to no end. It was practically eliminated in the United States. And then we dropped the ball cause we let loud, irrational voices take control instead of the science. It's so tiring.

static.klipy.com

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 11/10/2026

5pm PST on Twitch Let's get some practice in!!

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 08/10/2026

The bedside software used to chart and sign off orders is down.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 07/10/2026

>TFW you only had 4hrs of sleep prior to work. Art by @spectralanomally.bsky.social

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 07/10/2026

Educational content has been on the back burner, unfortunately. Hate to say it, but I've been prioritizing my DNP program on top of my IRL job. That being said, I totes bought the IV practice kit and I hope I can stream it this Saturday!

static.klipy.com

Paul Dabs in Hospital

ALT: Paul Dabs in Hospital

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 05/10/2026

The fact that I got @annekesiempre.vtubers.social to get "My Blue Sky Home" stuck in her head is a testament to how FIRE the Ace Combat 8 OST is. The entire catalog has been on repeat while I'm at work, on my commute, or when I'm studying. It's that good. Keiki Kobayashi is THAT GOATED.

static.klipy.com

ALT: Fire Piano

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 03/10/2026

My wife & I paid essentially double the amount for 1Gbps & an unlimited data package when Spectrum only charges us $90 for 2Gbps, unlimited data included. Spectrum has issues but goddamn did Cox have a stranglehold being the only game in town in my neck of the woods.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 02/10/2026

To the lady who rear ended my little sister: I hope you're okay and not hurt. Lil sis is gonna be fine. But if I ever see you out and about, Imma chew you the FUCK out for putting her in danger.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 01/10/2026

Is a sit-stand desk worth it? I'm thinking of investing in one. I figured it'd be a good way to force myself to stand and have correct body posture whenever I sing or record a script. Otherwise, would there be any other use for one? Any owners out there that can chime in?

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 30/09/2026

I still got some tinkering to do on OBS tonight after I get home from work. Unfortunately, I had so many dropped frames (up to 70%) during my last stream. I'm still very happy to share my new stream standby art work for my AC8 playthrough! See y'all tonight @ 8pm PST on Twitch!

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 29/09/2026

<<IT'S TIME>> Let's Play Ace Combat 8: Wings of Theve!! Live now on twitch.tv/rikosiempre

Man looking at a fighter jet

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 28/09/2026

Mind if I get real? Ace Combat has always held a special place in my heart. I grew up with the PS2 trilogy, borrowed from my best friend. He's still my wingman today. When the pandemic left me grounded, AC7 gave me a sky to escape to. I can't be a pilot. But I learned to fly.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 27/09/2026

There is a NONZERO chance I will be blasting Macross music on stream while playing Ace Combat 8. (Maybe after my initial playthrough. I love Keiki Kobayashi's music & the AC OST). But DEFINITELY in AC Online. It's so close now. I can TASTE it. TOMORROW. AS SOON AS I'M HOME.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 26/09/2026

Any interest in handcam streams showing how to do nursing skills? I have an idea.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 26/09/2026

Art by @ranmaii.bsky.social

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 26/09/2026

I've been putting the upgraded rig through its paces offline. Now the true test will be tonight to see if it can handle Vtubing! In anticipation of the release of Ace Combat 8, let's fly unto Skies Unknown one last time before becoming the Wings of Theve!! 7:30pm PST on Twitch

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 24/09/2026

Power outage at the clinic yet again...

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 24/09/2026

My cousins taking another "L" cause of Phillipine government incompetence. I wanna say it's surprising. But it's not. www.dualshockers.com/philippines-...

dualshockers.com

Philippines Gamers Left in the Dark as Government Blocks Discord and Reddit

Here's everything you need to know about what's happening in the Philippines with Discord and Reddit.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 21/09/2026

Fun fact: 9/21 was supposed to be the due date for Maurice White’s son, Kahbran. Maurice founded, led, and co-sang for Earth, Wind & Fire. Kahbran arrived early on August 1. Sadly, “August 1st” just doesn’t have the same ring as "the 21st night of September."

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 19/09/2026

Guys, hear me out. I think I need to redecorate. It's only 30 miles out and $600...

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 18/09/2026

"Jeez Riko, why do you & @annekesiempre.vtubers.social get 2 nurse's weeks to celebrate?" Look, I don't make the rules. But if healthcare organizations want to celebrate nurses who specifically work with the kidneys, I'm not gonna complain. Happy Nephrology Nurse's Week!!

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 18/09/2026

On one hand: I want to play FE: Fortune's Weave after work (and maybe stream it!) On the other hand: I need to drive half an hour the opposite direction of home in order to pick up the Dagdan Collection from a GameStop that somehow wasn't pre-ordered ahead of time. Also homework.

static.klipy.com

Marth Ponders in Super Smash Bros. Melee

ALT: Marth Ponders in Super Smash Bros. Melee

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 16/09/2026

Bro, my router decided to burn out yesterday during my classes. I spent 2hrs trying to troubleshoot before I had to run out & grab a new router. I get it. It works nonstop. But of all days, why during the day when I needed it the most? Murphy's Law works in mysterious ways...

static.klipy.com

South Park's Kyle Plugs In Power

ALT: South Park's Kyle Plugs In Power

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 13/09/2026

Beach day with @annekesiempre.vtubers.social!!

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 11/09/2026

25yrs ago today, I was 10 when the optimism of the 90's was shattered. I didn't really understand then. Interconnected chains of human choices, environmental shifts, & cause/effect relationships led to the loss & trauma of countless lives over 25yrs. Choices that haunt us still to this day.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 10/09/2026

What do you mean there's a live-action prequel miniseries to Ace Combat 8 coming out in 5 days?! They kept this under the rug the entire time? SASUGA PROJECT ACES

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 10/09/2026

What do you mean Paramount hasn't released a musical by the South Park creators and mother******* KDOT?! It's like they're allergic to creativity and money.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 08/09/2026

My instructor's feedback: "My only suggestion is in the future consider replacing informal phrases such as 'a hot mess,' & 'corporate feudalism,' with more neutral language. Your argument is strong enough to remain persuasive without these expressions." LOOK. I HAD STUFF TO SAY.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 07/09/2026

You know the assignement with all those references I posted about yesterday? (11 references, FYI). We had to include a systems map as a part it. Considering @coffeecatvt.bsky.social thought my reflection was more manifesto, I wonder if the map will provide some levity for the instructor. #nursesky

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 06/09/2026

The assignment: "Using this week's readings, class activities, and at least ONE additional scholarly source, reflect on the current state of the U.S. healthcare system." The submissions: Ohh boi. I got some stuff to say... #nursesky #medsky

List of references for an assignment, formatted in APA style.

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 05/09/2026

I may be late posting, but it's never too late to care! Proud to announce that I'm part of the Founding 500 for Vtubers for Love! Big thanks to @gamesforloveorg.bsky.social for the opportunity to bring joy to kids in the hospitals! Can't wait to hold my charity event soon! #gamesforlove

Riko Siempre, RN 🫶🩺 【IRIAM US】 @rikosiempre.vtubers.social · 03/09/2026

Oh? You saw my Wildcard Application video? I'm flattered!