mmc51264 BSN, MSN, RN

mmc51264 has 12 years experience as a BSN, MSN, RN and specializes in orthopedic/trauma, Informatics, diabetes.

Latest Activity

1. 

   My patient doesn't want to work with me at all and it's hurtful

   mmc51264 replied to dsaprog's topic in General Nursing

   Agree with others. Pain is a big deal and its difficult when you are not in control of things. At shift change, it may take an hour or so for the next shift to get caught up to give him his meds. You are lucky you don't work inpt as we get pts ...
2. 

   Cotinine urine screening pre employment

   mmc51264 replied to CWS RN's topic in General Nursing

   I was a teacher before I was a nurse and right before I left teaching, they implemented some odd things related to health care that was provided by the stats for teachers. Smoking was not allowed and people could be tested. Also, people's BMIs were b...
3. 

   Mask During PICC line removal

   mmc51264 replied to Manjeet's topic in General Nursing

   We do not use a mask. With the CHG dressings, the insertion site can stay protected up until the last minute where I place a 2x2 gauze with Neosporin on it s I pull it out. I do have the pt breathe out with their head turned to the side away from the...
4. 

   Hardware removal post finger fracture

   mmc51264 replied to Sara Noble's topic in Orthopaedic

   We have a hand team where I am. Is it a K-wire or something bigger? They should be able to pull it out.
5. 

   Horror Odor - Removing

   mmc51264 replied to ICUBSNRN7's topic in Critical

   I have a friend that is very sensitive to smells. She will wear a mask with a little toothpaste rubbed on it. Never heard of this before but she swears by it. Some people will use peppermint oil to mask smells they don't like. Because of that use-I c...
6. 

   Direct Entry MSN - No interest in bedside

   mmc51264 replied to mgryffon's topic in NP Students

   becoming an advanced practice provider without any nursing experience is kind of disturbing to me. I just don't understand this mentality. Knew a nurse that went into a psych NP Program after being an RN for about a year. When she got out of school i...
7. 

   Direct Entry MSN - No interest in bedside

   mmc51264 replied to mgryffon's topic in NP Students

   Absolutely agree with your sentiment!!
8. 

   IV PUSH- if anyone can help please

   mmc51264 replied to futurenurse09's topic in General Nursing

   You're overthinking it. I am not sure if you are really "hep" locking. Best practices have moved away from using heparin. If I am giving an IV push med, I flush my IV with NS to make sure the IV is patent. then I give my medication over desired time ...
9. 

   Loan Repayment

   mmc51264 replied to GoldenGirls1719's topic in General Nursing

   You can look into "income driven repayment" to see if you can get a lower payment until you can catch up. I did the PSLF program as I had private loan from getting my teaching degree (did not survive budget cuts in 2008 and lost my teaching job...
10. 

    Pulmonary vs. Cardiac step down

    mmc51264 replied to Strugglebus101's topic in General Nursing

    As much as I hate pulm stuff, cards scares me more. I work on a trauma stepdown unit and we get trachs (not fresh) and chest tubes. I would not feel comfortable on a cardiac ICU, personally. (I literally never thought I would say this! LOL)
11. 

    Continuous bladder irrigation

    mmc51264 replied to Sue B's topic in General Nursing

    You should have a policy or protocol that addresses all those issues. I would think you would have some education/in-service plus support when you start getting these pts. It actually is not that difficult. 🙂
12. 

    RSV vaccines--necessary?

    mmc51264 replied to MarkMyWords's topic in General Nursing

    we have been seeing more and more older folks with RSV. I would get the vax; recommend my parents (if they were alive) get it and I will get it when it is time. I am a huge believer of vaccines. I have had all rec Covid vax, pneumonia, shingles, etc ...
13. 

    University of North Carolina Wilmington (UNCW) DNP 2024

    mmc51264 replied to Brina0522's topic in NP Students

    No too much to help, but I did my RN-BSN at UNCW and loved this school! I did my MSN at another school, non-clinical degree, but had clinical hours in informatics to complete, I worked my 3-12s. 4 nurses on my unit have finished their FNP/AGNP in th...
14. 

    The 3 12s, 5 8s Debate

    mmc51264 replied to CCC_nursing's topic in General Nursing

    This is why I like my weekends!! None of the "real" people are there LOL. Just us and an intern. case management is on call for our d/c needs. To me it splits the difference from weekdays, which I do not like, but have to work one, and nights, which ...
15. 

    Older Nurse no BSN needs advice

    mmc51264 replied to Jon C RN 2024's topic in General Nursing

    I work in the Raleigh-Durham area. The hospitals are hiring ADN and LPN nurses. You might be able to get a waiver for the BSN requirement if you are thinking of retiring 5-6 years. I know that we have veteran ADN RNs that do not have to do their BSNs...