Kymmi

Kymmi has 20 years experience and specializes in CVICU-ICU.

Latest Activity

1. Tube Feeding Question

   Kymmi replied to CoastMedRN's topic in General Nursing

   Very good question and the reason most nurses say to do it is the usual "thats what I was taught" however there really is no rationale that makes sense to me anyway. I will explain my reasoning and I would be interested if someone could explain why ...

2. HIPAA Compliance- posting patient names on assignment board

   Kymmi replied to ivorybunny's topic in HIPAA

   Nurse156---first off I apoligize if I offended about the AA analogy..that wasnt my intention...I was just trying to come up with a way to express that someone might not know someone else is in the hospital but they see the name as they walk past the ...

3. HIPAA Compliance- posting patient names on assignment board

   Kymmi replied to ivorybunny's topic in HIPAA

   I understand why you'd think the way you do about anyone being able to call and ask if so and so is in the hospital but think about this situation. Mr X is here to visit Mrs X and as he is walking past the nurses desk and he notices the board says M...

4. Question regarding Humalog insulin

   Kymmi replied to Blondie24's topic in Student Assist

   My first comment is 555 is NOT normal for anyone. I understand that you are saying that 555 is what this patient usually runs but its apparent that her current insulin coverage isnt working. I would give the entire 6 units that is ordered before lu...

5. Vent about work

   Kymmi replied to JB2007's topic in General Nursing

   Its been years and years since I've worked LTC so Im sure it has gotten alot worse since then but I do remember that there is a OMSBUDSMAN ?(spelling) number that you can call or anyone can call including family members to report unsafe or inadequate...

6. Being Tired at work - How do you cope?

   Kymmi replied to abbaking's topic in General Nursing

   If you are truly that exhausted all the time I'd be careful about chalking it all up to nightshift work. How are you on your days off? I know that for the past 2 years I've noticed I've been more and more tired even on my days off. There have been...

7. Yelled at a patient

   Kymmi replied to KalipsoRed's topic in General Nursing

   SWS RN and Paul (I believe) I have to say dont worry about who's sitting there saying ***whatever about your witty remarks/comebacks to each other because I for one found comic relief in them and we can all use that. I must say Paul I did the same a...

8. Yelled at a patient

   Kymmi replied to KalipsoRed's topic in General Nursing

   Ok Im agreeing along the same lines as SWS RN. Ive been in nursing for a long time so I would not have even done as much for this woman as you did. I would have explained to her once that the MD would be in to see her and at that time the MD would ...

9. Impossible patients/pt. family members

   Kymmi replied to juliaann's topic in General Nursing

   I know you probably dont even know how much a EKG costs and it is not your place to tell her whats in the chart but why did you refuse to tell her what doctor ordered the EKG? I would have told her the doctor that ordered it and then told her you do...

10. high bun/creatinine

    Kymmi replied to jagquarRN's topic in Geriatric

    RN-Cardic.....the uuuummmmm really? response was to the OP question and not my response right??

11. What happened to make him die?

    Kymmi replied to massrn116's topic in General Nursing

    Are you saying his PCO2 was 93 and his PO2 was 72? Doesnt really matter actually even if I have the numbers reversed with a PCO2 that high patient was bound to not last long. He might have been aspirating the pudding into his lungs which would have...

12. high bun/creatinine

    Kymmi replied to jagquarRN's topic in Geriatric

    Sounds like one to me. This OP's nick is CCUnurse but I ponder that because any CCU nurse would surely know the answer to all of the above questions. For that matter any nurse should know all the answers to the above questions.

13. Question on background check

    Kymmi replied to CrispyCritters22's topic in Career Support

    If that would hurt peoples chances of getting a job there'd be alot more people without a job. Seriously though they do do credit checks at some places but they are looking for more than a outstanding paid off debt thru collections of 100 some dol...

14. Doctor's orders drama

    Kymmi replied to ricaryx's topic in New Nurse

    Ok...I do not work LTC so I dont know if that makes a difference but my thought is I would have done what you did....why make double work for yourself by faxing one set of orders and then another set of orders. You faxed orders and the physician sig...

15. They must think we are stupid...

    Kymmi replied to HDNurse's topic in Urology

    Pamilia Im pretty certain that the OP did not tell the patient to save time and put a gun to her head and get it over with however I disagree with your thoughts for the most part. Patients need to be held accountable for their actions and health issu...