missmiamoore

missmiamoore

Med-Surg

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About missmiamoore

missmiamoore has 6 years experience and specializes in Med-Surg.


6 years experience as a medical surgical nurse with 2 years travel nursing in between.

Latest Activity

  1. Combative/Violent Confused Patients

    Very sad. This is why I am hesitant to post on all nurses.com. It is full of bitter people who seem to enjoy being rude and cold to other nurses. This is pathetic and I would never respond to a comment by disregarding it. I am done posting on thi...
  2. Combative/Violent Confused Patients

    I am going in on modified duties, meaning I won't have a patient assignment for two shifts. It really upsets me hearing fellow nurses not supporting others because they themselves have had bad experiences. This is what I call lateral violence. My m...
  3. Combative/Violent Confused Patients

    I am feeling traumatized and numb at the moment. Maybe it is because I am 6.5 weeks pregnant and my hormones are out of control. There was an "incident" at work tonight that threw me right off and has left me feeling disturbed. I am sure it is not...
  4. Need maternal-newborn theory and practicum.

    Thank you Elkpark. This is reassuring to find out :)
  5. Hi nurses: I am a Canadian RN that graduated in 2008, from McMaster University Bachelor of Science in Nursing Program. I worked for a couple years in acute care in Ontario. Now, I am trying to gain licensure by way of examination in California. The ...
  6. University of Phoenix MSN-FNP Fall 2011

    I didn't know that UOP offerend nurse practitioner programs. I am in the Lake County area and am interested.
  7. Who do you think you are!

    Med aide is such a STRANGE concept to me. I get all territorial and panicky just thinking of someone else pouring and passing my patients their meds. What type of training do these aides have? Do they know how to do the proper assessments and unde...
  8. Mistakes

    Oh yes, of course we all do that. It's called reflection. The key is not to drive yourself crazy over these things. What I find helps is I try to think of a positive for everything I have missed. For example, I will think, I should of left a note...
  9. What PRN meds do you give a lot?

    Morphine, Gravol, acetaminophen, Atasol 30, Percocet, oxycodone, Dilaudid, Zofran, Stemetil, Maxeran, Bendadryl, Imovane, and Ativan. I work on a post-surgical floor (majority ortho and GI). We always have to call for abnormal labs (potassium, hemo...
  10. Documentation on Total hip replacement

    Hi there.. At our institution we follow hip and knee care paths. On day 1-2, we would be assessing for pain and symptom control, hemodynamic status (hemoglobin and potassium levels), urine output, ambulation (should be 2 assists to sob or chair), bo...
  11. Yes, I also feel as if this line would be questionable for harsh agents such as chemo etc. However, drawing blood is also an issue, as we all know that doing so from a peripheral line can potentially collapse the vein and would ultimately damage the...
  12. Would you get treated at the hospital where you work?

    No way in hell...Would not want any of my co-workers catheterizing me, toileting me, seeing me vulnerable. I don't even like to socialize with these people. I like to keep my work life very professional and that includes not being a patient on my u...
  13. Orbital skin tear

    Thank you for your thoughtful replies. Shedding some light on this situation. I personally think this patient is "on his way out" he does not look good and I get that gut feeling, but he has not been deemed a terminal patient. As far as TPN, I am ...
  14. Orbital skin tear

    This patient did not eat anything all day. Just kept drinking juice and water. We finally got a Boost into him but only at the end of the day. How do we maximize nutritional status when they don't want to eat anything?
  15. Orbital skin tear

    So a scary/strange thing happened today at work. A patient of mine who has chronic edema and very sensitive skin recieved a nasty skin tear under his eye when I was wiping morning mucous out of the corner of his eyes. I didn't put unusual pressure ...