rnmi2004

rnmi2004 has 10+ years experience and specializes in private duty/home health, med/surg.

Latest Activity

1. What is it like in your hospital right now?

   rnmi2004 replied to FloatFNP-C's topic in COVID

   Very tense atmosphere at the moment. It feels like the calm before the storm.

2. Public Making Masks

   rnmi2004 replied to LovingLife123's topic in COVID

   My hospital has put out a plea to the public to make fabric masks for our staff. ? Anyone else working at an acute care facility with this situation? Also would like to throw this out there https://bmjopen.bmj.com/content/5/4/e006577

3. Hospital staff/no weekends/holidays

   rnmi2004 replied to finallyRN7's topic in General Nursing

   Nurse managers, case managers, WOCN nurses in my hospital are all weekdays only with no weekends, no holidays. NM do have to be available for any crisis on the unit 24/7 but they can usually manage whatever's going on over the phone. None of these ar...

4. GN to NP in <1yr

   rnmi2004 replied to OhioCCRN's topic in General Nursing

   This. An inexperienced RN or NP doesn't even know what they don't know. I don't want an NP with no job experience or residency taking care of me or my family, period. I also don't feel I should have to grill each NP that I see as to what their exper...

5. Has anyone ever look down on you because you are a nurse

   rnmi2004 replied to dulcet's topic in Relations

   I've never run across that in real life. People who make comments like that are obviously ignorant of what nurses really do. Try to educate them; if they're receptive -- great. If they want to wallow in their ignorance, not your problem.

6. Continuous Bladder irrigation

   rnmi2004 replied to mindlor's topic in General Nursing

   If the patient doesn't clot off with the bag going in at only 50ml/hr, they don't need a CBI. Your boss is clueless and should be ashamed to spout off nonsense like that. If that is indeed your policy, whoever came up with that rate is also clueless....

7. conscious pt terminal wean

   rnmi2004 replied to taylynnfree's topic in MICU

   Many nurses have already made beautiful comments about end-of-life care. I'd like to address the OP's perception of how the nurse handled this situation. I can't imagine the emotions this poor nurse was dealing with -- it sounds like this woman had b...

8. Bedside shift report w/ emergency department

   rnmi2004 replied to bsnursing's topic in Med-Surg

   I can see how it would be feasible in a small hospital. Many hospitals have inpatient floors too far away from ER to make this work. And what happens if the floor nurse decides the patient isn't appropriate for transfer?

9. Evidence-Based Practice...your thoughts

   rnmi2004 replied to ThePrincessBride's topic in General Nursing

   I agree with other posters -- it's nothing new. However, in my relatively short time as a nurse, I've seen some practices come and go that turned out to be based on shaky evidence. Remember beta-blockers for all perioperative patients? How about uber...

10. JP Drains and blood exposure

    rnmi2004 replied to Katniss88's topic in General Nursing

    Practice will help! I agree, turn the spout away from you to empty, and don't squeeze the bulb until you're done emptying. Styrofoam then a 30cc cup sounds a little more time consuming than it needs to be. We don't charge individually for the urine s...

11. Random thoughts after a loved ones admission

    rnmi2004 replied to Pepper The Cat's topic in Relations

    Sorry to hear about your father. I hope he's better soon. Thank you for the reminders. I try to acknowledge patients that are hospitalized around the holidays & birthdays -- I want them to know I realize that this is may be an extra difficult tim...

12. ER nurses bringing pts to the floor soiled

    rnmi2004 replied to garn12's topic in Relations

    The AC in the IV doesn't bother me-- there are many reasons for it as was previously mentioned. In addition to the ease of access in a dehydrated patient, plenty of admitting dx carry the possibility of a CT with contrast. Abd pain, anyone? If you're...

13. No more phlebotomist in the hospital?!

    rnmi2004 replied to squatmunkie_RN's topic in General Nursing

    Wow, I work med/surg with a lower ratio (1:4/5) WITH aides & I can't even imagine being on a tele floor with no aides AND having to do your own lab draws. Many cardiac tele patients are admitted with orders for Q8/6 hr enzymes. The time you're sp...

14. Call light abuse. What to do???

    rnmi2004 replied to IBleedGreen's topic in Relations

    Do you have a patient relations department that you can call? We have had more than a few patients that have had a behavior contract drawn up & enforced.

15. Medication shortages?

    rnmi2004 replied to Tarabara's topic in General Nursing

    God forbid there's a shortage of all forms of IV Dilaudid... I think our patient population would suddenly drop!