McGyverRN

McGyverRN

ACHPN

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About McGyverRN

McGyverRN has 18 years experience and specializes in ACHPN.


Palliative Medicine and Supportive Care

Latest Activity

  1. Some institutions have policies requiring employees to call of within a specified time period prior to the start of their shift in order to receive PTO. Given the circumstances of this call off, perhaps this is the reason the OP was denied PTO.
  2. Never enough-vent

    My favorite work song!
  3. GN nurse asking about Lasix

    Each facility will have a drug guide that will tell you how fast to push meds. At my facility, we give Lasix at a rate of 40mg/minute. Check your google reference again...perhaps that was an unusual circumstance. Lasix 40mg iv push is a very commo...
  4. Nursing Priority vs First nursing action

    Most agree that the O2 is the first action, priority, whatever you want to call it. The Lasix "that is ordered," is either an already scheduled med or a one time dose. If it is a one time dose, the nurse would have already notified the doctor for t...
  5. OH, My Aching Feet...

    I used to have foot pain so I changed shoes to Skechers. My feet never hurt! I use the regular and the shape-ups, and both are great. They are wider than other shoes, but the sizes run smaller. I normally wear an 8, but have to go up to an 8.5 ...
  6. How old were you when you finished nursing school?

    I was just shy of 30 when I graduated from a 1 year second degree program. I will be 42 when I finish my MSN.
  7. Are you a "Bonified" Nurse?

    Pat, I agree with you. I take care of an elderly population as well. We introduce ourselves, wear the "RN" nametag, and write our names on white boards in front of their beds. They still don't know who we are. At the end of a twelve hour shift, a...
  8. range order rationale

    JCAHO just surveyed my hospital and they absolutely demanded that we eliminate range order dosing. Perhaps the surveyors who came to your facility did not, but ours did. So yes, I do have a basis for what I believe.....experience.
  9. range order rationale

    Don't worry, range orders are becoming a thing of the past. JCAHO is cracking down on them. My hospital has completely eliminated them.
  10. Question about Magnesium Oxide

    Have you tried using warm water? Also, if this is an acute care pt, maybe the doc can change to IV. If it is LTC, maybe ask the doc to check labs and see if the pt truly needs it.
  11. Have you ever had the kind of day

    Just for fun, one day I took a sanipan in the bathroom with me just to see how much pee I was holding after 12 hrs of not going. It was 1200cc!
  12. It's not the nurse's job...but it is, because the pt/family will complain about it not being done and the nurse will do it just to appease them. It's much easier to do it than to page housekeeping...wait...tell them the trash needs empited...wait......
  13. Are you a "Bonified" Nurse?

    Bedside nursing is nothing like it used to be. Pts now a days have more wounds, tubes, lines and drains than they had generations ago. All of those things increase the risk for the nurse getting something on his/her scrubs. We have the option to wear...
  14. Are you a "Bonified" Nurse?

    I really like the idea of advertising which departments wear which colors. White is the most unrealistic color for anyone doing bedside nursing. In my facility, we all have designated colors to wear, but they are not advertised. I would like to kn...
  15. HCAP scores - I can live without them

    We have been doing hourly rounding for about 6 months. It is such a joke. One extra piece of paper to sign every hour. Half the time, I am too busy to sign them. Luckily it hasn't been an issue yet. Our pt satisfaction scores are so variable. ...