mi_dreamin

mi_dreamin BSN

L&D, Cardiac/Renal, Palliative Care

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All Content by mi_dreamin

  1. Nurses and other staff refusing to Treat COVID patients

    mi_dreamin replied to Mena2015's topic in Disaster Preparation

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

  2. Nurses and other staff refusing to Treat COVID patients

    mi_dreamin replied to Mena2015's topic in Disaster Preparation

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

  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...

  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...

  6. 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...

  7. 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...

  8. 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...

  9. 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...

  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...

  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...

  12. Adult med-surg to peds? Advice...

    mi_dreamin posted a topic in Pediatric

    So I just graduated in May and am currently in an internship that required a two-year contract where I will be working on some type of adult med-surg floor (I'm thinking probably GI or renal). I have...

  13. 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...

  14. 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,...

  15. 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,...

  16. I'm better at dying

    mi_dreamin replied to mi_dreamin's topic in General Nursing

    Oh my! I wouldn't want that! ?

  17. I'm better at dying

    mi_dreamin posted a topic in General Nursing

    I've posted a few times before, not often, but it's apparent from my posts that part of my job includes inpatient hospice. I am really good at this part of my job. The palliative care providers like...

  18. I'm better at dying

    mi_dreamin replied to mi_dreamin's topic in General Nursing

    I certainly didn't see your post that way, regardless of which title they were referring to. Also, I realized recently that I am very good at disassociating with death until I find myself crying over...

  19. 2 full-time jobs?

    mi_dreamin replied to anna225's topic in General Nursing

    My entire 4-year degree was just under $30k for an in-state university. Have you considered going back to your home state and getting your adn? Even with having to retake courses you've previously...

  20. I'm better at dying

    mi_dreamin replied to mi_dreamin's topic in General Nursing

    Thanks for the feedback. In daylight with sleep, food, and rational thought onboard I

  21. I'm better at dying

    mi_dreamin replied to mi_dreamin's topic in General Nursing

    I should have clarified - this wasn't a hospice patient and she did have a sitter. We do palliative care in addition to tele/renal/dialysis on our floor (some ICU stepdown as well). Honestly it...

  22. I'm better at dying

    mi_dreamin replied to mi_dreamin's topic in General Nursing

    Exactly!

  23. I'm better at dying

    mi_dreamin replied to mi_dreamin's topic in General Nursing

    Thanks @Davey Do. And to clarify, I wasn't angry, or really even upset by any of this, I simply didn't feel I had the skill set to manage it. I knew I was not strong enough to hold her down myself...

  24. Things Patients Have Taught Me NOT To Do

    mi_dreamin replied to Trixxy's topic in Nursing Humor

    If you are going to procure someone else's urine for a UDS 1.) Ensure it is not so cold it will not register on the themometer 2.) Ensure it is not positive for meth 3.) If you fail to do both of...

  25. Anyone every work 24 hours a week? (2 12s) is it doable?

    mi_dreamin replied to Jaellys's topic in General Nursing

    I work 3, sometimes 4 12s/week. One of the nurses I work with will sometimes do 5 or 6 12s in a row. 2 is definitely doable