mcneillmama3 BSN, RN

mcneillmama3 has 14 years experience as a BSN, RN and specializes in Geriatrics, Community Care Nursing, CCM.

Latest Activity

1. Teaching CNA-1 classes & Std Precautions

   mcneillmama3 replied to mcneillmama3's topic in Safety

   I'm in NC and the entire process is just ludicrous. It does nothing to help ease the nursing shortage either! I had to complete EMT hands on skills testing at a state testing site back in the late 1990s and it was nothing compared to this new CNA t...

2. Teaching CNA-1 classes & Std Precautions

   mcneillmama3 replied to mcneillmama3's topic in Safety

   That's what I told my students. They are the ones that will be standing in front of the examiner. The CNA text is inconsistent as well. Three skills state gloves "if indicated", then when it comes to washing somebody's hands and face, it tells them...

3. Teaching CNA-1 classes & Std Precautions

   mcneillmama3 replied to mcneillmama3's topic in Safety

   I agree with GDiFiore. Gloves don't prevent the spread of infections, handwashing does. I told my CNAs, if you walk into a patient's room and it is wreaking with feces or urine, that's an indication that you should glove up as soon as you walk in t...

4. Teaching CNA-1 classes & Std Precautions

   mcneillmama3 replied to mcneillmama3's topic in Safety

   I found the answer to my question and I was right after 15 years of nursing. This is from the WHO website, the watchdog for infectious outbreaks, so I trust this information. If you'll look at page 3, there is a very useful pyramid that delineates ...

5. Great link for ce for case management!

   mcneillmama3 replied to Rasberry0708's topic in Case Management

   I worked in long term care insurance case management and care planning. I have applied at several big name insurers like United Health, Aetna, and Blue Cross Blue Shield and AARP, for geriatric case management and disease management, but to no avail...

6. Great link for ce for case management!

   mcneillmama3 replied to Rasberry0708's topic in Case Management

   I took the ANCC Case management exam back in Dec 2011 and passed it on the first try. The ANCC study guide was very helpful. However, even with certification and 8 years experience in Geriatric Case management, I still have not been able to find a ...

7. Teaching CNA-1 classes & Std Precautions

   mcneillmama3 posted a topic in Safety

   I've been a nurse for 15 years in all kinds of settings-long term care, acute care, home health, geriatric case management. I recently went back to teaching CNA-1 classes and I'm confused about how the books are teaching certain skills such as bathi...

8. Wear gloves to take oral temp?

   mcneillmama3 replied to dslpninla's topic in Excelsior

   I'm confused too. I've got a CNA-1 manual out and it states to wear gloves if measuring an oral temp with a glass thermometer, but to use gloves if likely to come in to contact with secretion when using the digital thermometer. Why would you need t...

9. Abolishing the Pinning Ceremony

   mcneillmama3 replied to drem7116's topic in General Nursing

   When I went to ADN school we had a very big to do- separate nursing graduation ceremony and pinning= very moving. When I entered an RN to BSN program at the University, the pinning ceremony was elective. Probably most people didn't go because with ...

10. I was yelled at by my nurse yesterday

    mcneillmama3 replied to EllieBean13's topic in General Students

    Yes the only dumb question is the question not asked that kills a patient. There is a right way and wrong way to speak to a coworker or nursing students and that nurse's behavior was uncalled for and unprofessional. My motto is praise in public and...

11. Nursing Documentation

    mcneillmama3 replied to jktb's topic in Student Assist

    You can also expand on the SOAP format by making it a SOAPIER note. subjective, objective, assessment, plan, intervention, evaluation, reeval if needed. And DAR-data, action, response keeps you organized. I've always preferred soapier notes.

12. Any tips about memorizing drugs for Pharm?

    mcneillmama3 replied to SarahIN's topic in Student Assist

    We used to make puzzles or anagrams (?) out of the words. For Example Lomotil: Loose stools, observe bowel function, monitor electrolytes, oral drug, toilet, intestinal distress, little analgesic activity Ativan: anxiety, terminate gradually, IV/IM...

13. New Student Nurse Advice

    mcneillmama3 replied to FutureNurse112's topic in General Students

    I would recommend you get a good care planning book, such as Doenges or Mosby's and a book I used a lot was Saunders Pocket Reference for Nurses ( 0-7216-4459-7). I also use quite frequently on my job Mosbys PDQ for RN (978-0-323-05189-7) and a great...

14. What is keeping New Grads/less experienced Nurses from being hired and solutions?

    mcneillmama3 replied to ceebeeRN's topic in Activism

    We nurses get paid more because we paid more, e.g. took out more students loans and gave up 4 years of our lives to get that BSN. It wasn't a cheap education. Who would graduate a BSN program, $20000+ in debt and expect to be paid what we were bein...

15. What is keeping New Grads/less experienced Nurses from being hired and solutions?

    mcneillmama3 replied to ceebeeRN's topic in Activism

    It's not just nursing-I heard the dental hygiene programs at community colleges were really hurting. They have started accepting less students and even those students are not being placed in jobs. When the economy starts floundering like now, the f...