mi_dreamin BSN

mi_dreamin has 6 years experience as a BSN and specializes in L&D, Cardiac/Renal, Palliative Care.

Latest Activity

1. Nurses and other staff refusing to Treat COVID patients

   mi_dreamin replied to Mena2015's topic in COVID

   I was addressing the sentiment that people who test positive somehow don't care about anyone or anything but themselves.

2. Nurses and other staff refusing to Treat COVID patients

   mi_dreamin replied to Mena2015's topic in COVID

   Most of the people I know who have tested positive did "all the right things" and still got it. You cannot stop a virus.

3. New protocol - No report from ER to floor...

   mi_dreamin replied to justjRN's topic in General Nursing

   When I worked the floor I usually looked at my pt's labs/admission note, and any test results once I knew they were coming. It took me 5 minutes and then I knew what questions to ask, e.g. I see ancef was ordered, was it given? I think that would be...

4. What is your "favorite" procedure?

   mi_dreamin replied to NewRN'16's topic in General Nursing

   Placing IVs and getting that first set of labs, cervical exams, especially when there is progress ?, placing Foley's (in females) so satisfying to see that urine in the tube ?

5. Surge Pay

   mi_dreamin replied to Icualltheway's topic in General Nursing

   As long as we have met our per diem (0.60, 0.90, etc.) we are offered CN1 (critical need 1) which is time and a half plus $10/hour or CN2 which is time and a half plus $20/hour. At our main campus they almost always offer CN2 versus CN1 and usually w...

6. Let me hear your perspective...

   mi_dreamin replied to mi_dreamin's topic in General Nursing

   I definitely appreciate all of your feedback. I guess the thing about it for me is that they weren't calling it anything, not a stroke, not encephalopathy, just, "her brain is fried." They provided no treatment beyond some fluids. I guess I just wan...

7. Let me hear your perspective...

   mi_dreamin replied to mi_dreamin's topic in General Nursing

   I'm not disagreeing with you, however, based on our protocol they should have at least done a stroke assessment and then modifieds Q4H. I do know for a fact that she had a decline in function. I'm not even saying she was a candidate for tpa at the t...

8. Let me hear your perspective...

   mi_dreamin replied to mi_dreamin's topic in General Nursing

   No MRI was ordered. We called MD to bedside immediately but no stroke alert was called d/t being outside tpa window. MD ordered aspirin supository and said she needed an MRI in the morning. We did the initial NIHSS as none had been done. Beyond that ...

9. Let me hear your perspective...

   mi_dreamin posted a topic in General Nursing

   I encountered a situation on the floor this week that made me angry but I don't want to form a judgement without a better understanding of why and how this happened. So with that being said, let me hear your perspective (especially ED nurses!) 38 yea...

10. L&D Orientation

    mi_dreamin replied to LawyerRN2b's topic in Ob/Gyn

    ^What she said. Also, their meeting doesn't necessarily mean your preceptor "threw you under the bus." What you are describing sounds like an error that requires an official report. Where I work an incident report goes to your manager who addresses t...

11. What is night shift actually like?

    mi_dreamin replied to MyAimIsTrue's topic in General Nursing

    Where I work nightshift can definitely be steady but tends to be much less busy and demanding. I am primarily dayshift but like to pick up nights because it is more money and less work ?‍♀️There are actually several open day shift positions on my uni...

12. Pain Relief in Hospice

    mi_dreamin replied to nursing_newbie's topic in General Nursing

    If not in a pain crisis pt can switch to SL meds, oxycodone and morphine are often given sublingually in patients who cannot swallow, unconscious patients included. The provider may also add a fentanyl patch for continuous release of pain medication...

13. Having Fun with Documentation

    mi_dreamin replied to Davey Do's topic in General Nursing

    Among my favorites: Pt grabbed scissors, held them up and loudly stated, " I want to see the son-of-a-***** who put those orders in!" Dr. Do-Nothing made aware. Pt pushed sitter and ran into hallway, stated loudly, "I'm not ashamed, do you wanna see...

14. RRT on Patient for Hospice

    mi_dreamin replied to Crocsing's topic in General Nursing

    In this specific circumstance I would have educated the family regarding the dying process and asked the provider for comfort meds; roxanol, oxycodone SL, atropine SL, scopalamine patch, ativan, haldol, etc. A rapid response is for patient's whose p...

15. I'm better at dying

    mi_dreamin replied to mi_dreamin's topic in General Nursing

    Oh my! I wouldn't want that! ? ?