Blee O'Myacin

Blee O'Myacin BSN, RN

ED, ICU, Heme/Onc

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All Content by Blee O'Myacin

  1. IV insertion techniques!!

    Practice, practice, practice. The larger the gauge, the better... (that's the ER nurse in me...) Have all your supplies ready, take your time, and don't fish. As soon as you strike "gold" - advance...
  2. Open Visitation in the ICU -- Any Fans?

    When I worked on the unit, we had open visiting hours, but were limited to two visitors per patient at the bedside at a time. Otherwise, it was a safety issue. What if one of these 30 family members...
  3. We can't go on divert!

    We go on "divert"; but as soon as we do, our sister hospitals in the county automatically do as well. Sometimes, the entire county is on "divert" and it makes it rough for our pre-hospital...
  4. ER Doctor

    Easy there. No one was agreeing with the bedside manner. Canoehead was trying to give you some perspective. It sounds like you were treated competently, albeit insensitively, with your medical...
  5. Should I work in the ER?

    If you are a RN, you can't work as anything other than an RN. Even if you were a tech - which would be unlikely because no facility would hire an RN to do a tech's job - you would still have the...
  6. "Insulted" a family member.....sigh...

    Good for you for not being a doormat, and good for the supervisor for standing behind you. So tell me, did that patient's family member have both hands amputated, rendering him unable to work the...
  7. Professionalism in nursing!!!!

    It stinks for night shift in the ER too - they get four brand new patients in their beds that have been waiting for hours, are sick, grumpy, and seething with emnity for all of us trying to do our...
  8. arrest meds

    Look them up. Where I work, only those nurses who are ACLS certified can push certain meds in a code. Learn your facility policy and abide by that.
  9. ER Doctor

    You had all the necessary testing, you got fluids and pain meds. Rest up and get well soon. Perhaps that ER doc just got finished pronouncing a child, and your flu vs. contrast reaction wasn't...
  10. Administering IV meds

    I'm surprised that the PCA was Demerol. In recent years, it hasn't been used much due to many contraindications with other medications. I'd make sure that the toradol is safe to be given with the...
  11. Organization and Time Management

    Plan out your day, reassessing every few hours to see if the plan has changed. Don't forget to plan in time for eating and lavatory breaks! When I was new, I'd write sticky notes and place them on...
  12. Professionalism in nursing!!!!

    Just to build on what Tazzi and a few others have said. There is no excuse for you to have been yelled at - by anyone. We get a few patients per month from LTCs that need an emergent feeding tube...
  13. Males in nursing

    It has never been an issue where I work. In fact, I think the staff is just about 50/50. There was one day when I was the only woman in the unit (the other two female RNs were out in triage and...
  14. Migraines.. is this normal treatment?

    No. Migraines are not usually treated that way. All of you can do with some intervention and therapy. You need to stand up to your mother and stop calling ERs to ask for certain doctors. It's...
  15. How can a ICU RN switch to ER Nursing?

    Interview. Take a tour of a unit and see what the vibe is like. I have no regrets going from the ICU to the ER - I use my critical care skills all the time.
  16. Question for CCU or ICU nurses

    The patients that I've had that "woke up" did so slowly and almost always try to extubate themselves. You might want to add soft wrist restraints to the mix and have the patient fight the vent - the...
  17. Do you wear rings at work?

    I wear a plain gold wedding band. I wash my hands and ring before and after patient contact - and the band doesn't invite the intrusive comments regarding my marital status. I'd probably wear one at...
  18. DUI suspect gets $15,000 for forced catheterization

    hmm... the only time I cath a person is if they give consent (I can be awfully persuasive, especially with the LOLs who need lasix in the ED....), or if they are sedated and intubated. And I'm not...
  19. ever bring your dog to work?

    I don't think bringing pets in for animal therapy is unprofessional. A staff nurse bringing her dog (no matter how much of a "good citizen" this animal is) in to visit a patient during his or her off...
  20. do you go to work sick?

    Did the employee health doc put that in writing? Can you contact your union shop steward? I'd be filing a HUGE 'ol grievance over this one and I am not the type that abuses the grievance system. Or...
  21. ever bring your dog to work?

    I wouldn't. What if there was someone allergic to dogs? What if your dog suddenly broke free from the leash and licked someone in the face and the attention was unwanted. You are setting yourself...
  22. do you go to work sick?

    Do you want to share a phone and a computer with someone who is sick? Neither do I. Rest up, and feel better soon.
  23. Need advice from "seasoned" nurses!

    There are plenty of hospitals that have new grad intern programs that put new RNs right into specialty areas like ICU, ER and the OR. If the ICU at your hospital doesn't hire new grads, then perhaps...
  24. Tell me about one of those moments...

    I get an enormous amount of satisfaction when I get a sick, dirty, uncomfortable patient stabilized, comfortable and in clean sheets and gown. It's amazing what a clean bottom and a dry gown can do...
  25. Patient Falls

    Patients fall. As long as you did all that you said that you did, and charted it as such, what more can the family expect? If they want private duty, they have to arrange for it and pay. I really...