Blee O'Myacin

Blee O'Myacin BSN, RN

ED, ICU, Heme/Onc

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All Content by Blee O'Myacin

  1. BEST trauma shears?

    Hmm.. the free ones from the drug reps always worked for me, and I've never been sad when they fall into the toilet when I forget that I've jammed them into the back waistband of my pants... Maybe...
  2. Intubation Preparation

    {{Please}} push your sedative first. Find out which one is the sedative (we use etomodate, versed, or rarely ketamine in our ED), and make sure it's given and the patient is down before giving the...
  3. Cardiac Arrest - ALONE

    Why weren't the residents doing the CPR? Or the trauma surgeon? Did you ask them to do compressions since you were busy with the meds and the crash cart? I hope you documented your behind off, made...
  4. Is this even medically accurate?

    Didn't Victor die years ago? And Caroline Brady's husband who raised Bo as his own - I thought he was killed off too! But then again, if they can pass off a story about demonic possession of a main...
  5. Back Pain

    My ortho says that my F cups are not the reason why I have two herniated discs (L4 &L5), but I still have my consult appointment with the plastic surgeon set up and I go for physical therapy and...
  6. I get where you are coming from, but the fact is that when children need their parent at home due to illness, more call outs will occur. Which is why management should be providing agency and/or per...
  7. seizures due to hypoglycemia? situation

    If they are conscious and able to handle secretions, why not? But giving rectal glucose to a stranger who has a hypoglycemic seizure in the supermarket really stretches the boundaries of the "Good...
  8. Wait Times

    I can add that when patients are not discharged from the floors until the MDs write the orders - usually after a full day of seeing patients in the office or inpatient, we have all our beds filled...
  9. How can I improve my med/tele unit?

    Hmmm... improving morale.... I guess my biggest issue is having to work short. Not just RN's - it's the days where we have no ancillary personnel that are particularly rough. On super busy days...
  10. Moral Dilemmas

    honestly, when you get your patient assignment and accept report, you are legally bound to give that patient compentent care to the best of your ability in accordance with the policy and procedures of...
  11. anxiety or just crazy?

    I don't think you are crazy, and you are not alone with these kind of feelings. Personally, I find that a low dose of xanax helps immensely on those nights where my brain just won't turn off. I do...
  12. good or bad (orientation)

    The cynical side of me says that your orientation will end when they are a nurse short and don't want to pay an agency or per diem nurse to come in, so with no warning, you will be off orientation......
  13. Orientation/Overtime

    In my hospital, orientees aren't eligible for OT, since they aren't counted as a nurse in matters of staffing. So why would the hospital pay an orientee OT? When I pick up an OT shift, the new grad...
  14. panic every time...

    I do much better when it's someone I don't know. I dread seeing a familiar name on the board or a friend plunk themselves down in the triage chair and I'm halfway through my, "So... why did you come...
  15. Code status and end of life should be nursing decisions.

    When I worked the ICU and even now when we have critical patients, I'd go through all the equipment and drips and describe what each one does. "This is the ET tube. Your mother is not able to talk...
  16. Working while sick- what do you think?

    Are there any administrators reading this thread? Do they know that we aren't slacking off and going to the mall when calling out? Why make the abitrary rules? Ie - "I can only be sick 5 times in a...
  17. Ok to take care of family as a patient?

    I'd have called the house supe - immediately. It's not a matter of being a "bad" coworker. Why couldn't you have taken that other pediatric patient and had your coworker take your cousin's child?...
  18. I would also file a grievance against the amount of time you had to wait to be screened. We *never* make an employee with an exposure issue wait - even if means that they sometimes have to sit in a...
  19. Is this a "no-no"?

    I'm never put out by helping a child in pain. Now if you didn't give that kid tylenol or motrin so that we could "really see the pain", then I'd see a need to educate the parents, but not be...
  20. I am a male RN, now bow down.

    Nah - you are getting "preferential" treatment because you come across as a competent professional. You were hired on your merits and what you could potentially contribute to the unit. Try not to...
  21. bedside report/end of shift report role play ideas

    Or when they dictate your case into the phone in front of you, that's weird as well.
  22. bedside report/end of shift report role play ideas

    The issue I have with bedside report is if the patient is AAO in the slightest, they may feel like we are discussing the patient as if they weren't there. Not a good feeling to have at all. And I...
  23. how am i ever going to do this

    In nursing school they tried to teach us the difference between empathy and sympathy. Empathy allows you to compassionately care for people who are going through horrible situations without you...
  24. puching out 'no break'

    Take your break. The full break allotted to you by facility policy and procedure. Your facility should not get labor from you that they are not paying for, so don't give it to them. Since you are...
  25. Intubation & Chest Tube skills

    In the ER environment, knowing the mechanism of action for the drugs your facility uses for RSI and the dosages are the priority. You are responsible for pushing meds, watching the patient and the...