mtmkjr BSN

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All Content by mtmkjr

  1. mtmkjr

    Accused of Falsifying Vital Signs

    mtmkjr replied to Plumrose15153's topic in General Nursing

    Because they ALWAYS document 17. On every patient ? Amusing because the only way you can get to 17 is counting for a full
  2. mtmkjr

    Accused of Falsifying Vital Signs

    mtmkjr replied to Plumrose15153's topic in General Nursing

    Certain nurses are known to document 17 that always amuses me.
  3. mtmkjr

    Reinstated to Nursing school letter

    mtmkjr replied to Mamilipana's topic in General Nursing

    My thoughts are the same. I would not include details of your personal circumstances, it will come across as making excuses and everybody has one. (I'm sorry though for what you went through) I...
  4. mtmkjr

    Does being addressed as "Nurse" annoy anyone?

    mtmkjr replied to DoubleblessedRN's topic in General Nursing

    That doesn't bother me. What does bother me is when people use "nurses training" instead of nursing school. Or so and so is "training" to be a nurse instead of studying to be a nurse....
  5. mtmkjr

    Can Managers Override Policy and Drs Orders?!?

    mtmkjr replied to Aloe_sky's topic in General Nursing

    So when the manager says you can't, what happens
  6. mtmkjr

    Can Managers Override Policy and Drs Orders?!?

    mtmkjr replied to Aloe_sky's topic in General Nursing

    Okay well then he is out of bounds. Hopefully no one in upper management supports
  7. mtmkjr

    Can Managers Override Policy and Drs Orders?!?

    mtmkjr replied to Aloe_sky's topic in General Nursing

    There's a reason why C&S are limited. You don't want to get them on every UTI because then there is unnecessary treatment/overuse of antibiotics. You certainly don't get one just because you're...
  8. mtmkjr

    Can Managers Override Policy and Drs Orders?!?

    mtmkjr replied to Aloe_sky's topic in General Nursing

    Yes, it's not really clear what's going on No disagreement here. Straight caths aren't the only answer to cauti
  9. mtmkjr

    Can Managers Override Policy and Drs Orders?!?

    mtmkjr replied to Aloe_sky's topic in General Nursing

    It doesn't change your obligation to the patient. The manager is observing a unacceptable rate of CAUTIs and wants to reduce the number of Foleys. Assuming the best about this manager, which I usually...
  10. mtmkjr

    How much I pick up affects my yearly evaluation?

    mtmkjr replied to Loly23's topic in General Nursing

    You're talking different levels of management. In my facility, it is administration that makes the decisions about hiring, pay, use of travel nurses, etc. As part of the management team I can...
  11. mtmkjr

    Can Managers Override Policy and Drs Orders?!?

    mtmkjr replied to Aloe_sky's topic in General Nursing

    I wonder if there's something missing here? Maybe the manager just wants to know of any patient who is being considered for a Foley so they can speak to the MD to change the order to a straight...
  12. mtmkjr

    Going from 3 12s to M-F 5 8s

    mtmkjr replied to TryingtoThriveRN's topic in General Nursing

    I do 4x10 as well. No weekends or holidays. I pick my day off and I can be a little flexible. I can even do 5x8 off I want. Although I love my job, I gave up a sweet 3x12 no weekend set schedule....
  13. mtmkjr

    "Discrepancies" In Epic Documentation

    mtmkjr replied to Faithx14's topic in General Nursing

    It has happened several times to me in the past. I don't recall the specifics, but it was not a controlled substance. In the end I had to continue with the administration connected to the med I...
  14. mtmkjr

    Should you be required to give sensitive health information to your employer?

    mtmkjr replied to Kitiger's topic in General Nursing

    The issue I think is with terminology. I would be opposed to a "penalty" for non-participation. I would not be opposed to an offer of a "discount" if you participate in the wellness...
  15. mtmkjr

    IV flush rate? SO confused, help!

    mtmkjr replied to michgru8226's topic in General Nursing

    Flush runs at the same rate as the antibiotic (or whatever is the secondary) Think about it - you're not giving the patient NS you're continuing the medication that's in the tubing. The...
  16. mtmkjr

    Addendums

    mtmkjr replied to 0121Mednurse's topic in General Nursing

    Maybe it's simply "Let's not create a problem where there isn't a
  17. mtmkjr

    Addendums

    mtmkjr replied to 0121Mednurse's topic in General Nursing

    I copied words from your post but it was from within a quote from OP. So it came through as quote from you and I can't
  18. mtmkjr

    No CNAs

    mtmkjr replied to PureNurse's topic in General Nursing

    I work inpatient rehab. Our ratio is 6: 1 paired with a CNA with similar assignments. Yes we are short frequently, but we nearly always manage to scrape together the staff we need, either by...
  19. mtmkjr

    Addendums

    mtmkjr replied to 0121Mednurse's topic in General Nursing

    It seems OP altered the wording of the original progress note by substituting "personal" for "intimate". "Intimate" is key because It appears the manager was trying to create a more...
  20. mtmkjr

    Is this a Violation?

    mtmkjr replied to Taylors33's topic in HIPAA Challenges

    Not HIPAA. However there are other violations of privacy to be considered. What if you found out that the person's home was in a bad section of town/wealthy area and (subconsciously even) made...
  21. mtmkjr

    Challenge of Diaper Change Timeliness

    mtmkjr replied to George Acenas's topic in General Nursing

    The underlying assumption is that the staff is immediately responsive to every need as much as is physically possible. In my experience I do not find that to be consistently true. It is for some CNAs...
  22. mtmkjr

    Intermittent Catheterization

    mtmkjr replied to Ferniato's topic in General Nursing

    What Muno said. If the area was cleaned well, the first sterile catheter didn't contaminate it. Should have recleaned however, just for the fact that you walked away. Don't take someone else's word...
  23. mtmkjr

    VA Hospital Med-Surg vs Private Hospital Telemetry?

    mtmkjr replied to future_rn11's topic in General Nursing

    A 60-70 minute commute for 12 hour shifts would be the biggest negative for me. I would not do that to myself. For one thing I get sleepy driving especially after a night shift that would be unsafe....
  24. mtmkjr

    Shift Nurses Post-Pandemic

    mtmkjr replied to Aaron Smith's topic in General Nursing

    "shift
  25. mtmkjr

    Should Male Nurse Work In L&D?

    mtmkjr replied to Apotheosis's topic in General Nursing

    Perhaps you could apply for some positions and discuss these things in an interview? I would think the manager of the unit would know the challenges of having male nurses on staff. I can imagine...