mmc51264 BSN, MSN, RN

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

Latest Activity

1. 

   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)
2. 

   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. 🙂
3. 

   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 ...
4. 

   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...
5. 

   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 ...
6. 

   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...
7. 

   The 3 12s, 5 8s Debate

   mmc51264 replied to CCC_nursing's topic in General Nursing

   I have been a weekend option nurse for 8+ years and love it! I work 3-12s and couldn't imagine working a 5 day week ever again! I am lucky that I still love bedside. I was an older new nurse (passed mt boards at 48, now 59) and it has been aw...
8. 

   Efficient assessment and med routine?

   mmc51264 replied to Sjcappello's topic in General Nursing

   I go in, say hi!, fix the white board and check on pain (ortho/trauma unit). I start with the pts that are awake and ready to start the day (we get some young people and they are not always early risers 🙂 ) Do med pass with pain assessment, che...
9. 

   Protonix IV push rate?

   mmc51264 replied to PrettyPeachyRN's topic in General Nursing

   If I am going to push protonix through an existing infusion, I just push it normal. The running fluids will dilute. If I am just pushing it, I do the 2 min. We have had issues with supply, so usually it comes in a pre-mixed bag. When we are out...
10. 

    Any nurses file their own taxes? Turbo? h&r block?

    mmc51264 replied to Happytimes's topic in General Nursing

    I have an accountant. For my student loans, the PSLF, and getting a lower monthly payment, I needed to file married, separate. We also have special needs kids that we are still supporting entirely (20 and 22) To me it is worth it to make it as e...
11. 

    HCA staRN nurse residency Regional Medical Center of San Jose Apr 2024

    mmc51264 replied to babynurs's topic in New Nurse

    No offense, but why would you want to work for them? There is a lot of information on this site itself about the horrible issues with this company.
12. 

    Vaccine error

    mmc51264 replied to mimi2930's topic in General Nursing

    as others have said, we all make mistakes and it was not solely your responsibility. I do have one question, when you gave it, do you not have to document manufacturer, lot # and exp date? We have to fill in that info for all vax we give.
13. 

    IVIG patient to nurse ratio

    mmc51264 replied to tansuki's topic in General Nursing

    Are you talking an adult getting it daily or continuous? We give a lot of IVIG but not as a cont gtt. A pt might get up to 5 days worth of it as a cycle. I work on an ortho/trauma SD unit and our ratios are 3-4 pts per nurse. If we have a pt receivin...
14. 

    Nurse Lunch Break Survey

    mmc51264 replied to esrun2015's topic in General Nursing

    I work as a staff nurse in an ortho/trauma SD unit at a teaching hosp. I don't usually take a 30 min uninterrupted lunch break-I tend to take a few 10 min or so breaks as needed. I have had weight loss surgery, so I cannot eat a lot at any one ...
15. 

    Best and Worst Patient Interaction

    mmc51264 replied to vintagegal's topic in General Nursing

    The best experience I have had, and it was many years ago. I had a pt that had AIDS. He said he normally went to a different hospital (we have 2 level 1 trauma centers within 10 mi of each other) but ended up with us. He was homeless, dirty, ha...