Blee O'Myacin

Blee O'Myacin BSN, RN

ED, ICU, Heme/Onc

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All Content by Blee O'Myacin

  1. I think peri/rectal swabs are a humiliating 'welcome' to the hospital

    Blee O'Myacin replied to FireStarterRN's topic in General Nursing

    Couldn't a walkie/talkie or a patient that otherwise contributes to their own peri-care take care of obtaining the swab with the RN's instruction? If they ordinarily take care of that area, I'd be...

  2. Feeling patronized by "older" nurses

    Blee O'Myacin replied to Tortoiseshell's topic in General Nursing

    Bullies thrive on fear and back down right at the first push back. Assert yourself plainly and show no fear. Pretend that they are talking to someone else and you are sticking up for a friend if...

  3. would you do a home care shift in an unsafe area at night?

    Blee O'Myacin replied to smartnurse1982's topic in General Nursing

    An untrained person alone can easily be disarmed by a group. The risk of her weapon being used against her is astronomical and generally a bad idea. I think even a shoulder style holster would get...

  4. Home vent

    Blee O'Myacin replied to *Butterfly8*'s topic in General Nursing

    A tracheostomy is a hole in the throat into the trachea used as an alternative airway. I have never heard the two terms used interchangably, because the tracheostomy is the airway and the "home vent"...

  5. MOM vs. Suppository?

    Blee O'Myacin replied to nursealanarae's topic in General Nursing

    I would have done MOM first as well, and made sure the patient upped his fluid intake if he was not

  6. Pt.'s partner asked to have intercourse with a stoma !

    Blee O'Myacin replied to NurseLoveJoy88's topic in General Nursing

    So was there a point to her story other than shock value? When you think about it, it is a perfectly reasonable question that this person had. A non-medical person might think that a stoma has...

  7. O2 and chest pain

    Blee O'Myacin replied to redfoxLPN's topic in General Nursing

    If this person is AOx3, you can't force a treatment on him/her. That would be considered assault. Like the others have said, educate and document. In fact, I'd document each time I went into that...

  8. Nurses, Clients and Power

    Blee O'Myacin replied to Anxious Patient's topic in General Nursing

    Or the educating to promote self care

  9. Interested in ER nursing but have a concern...

    Blee O'Myacin replied to Delirious's topic in Emergency

    OT, but thank goodness for leukocyte reduction on blood products, considering that we healthcare workers are usually the first in line at the blood drive. Although I doubt that even leuk. reduction...

  10. Dangerous nurse?

    Blee O'Myacin replied to RoyalNurse's topic in General Nursing

    I agree with the others, you are being way too hard on yourself. You called the intensivist right away, and s/he had the option of coming and writing the order in person at first as opposed to...

  11. Interested in ER nursing but have a concern...

    Blee O'Myacin replied to Delirious's topic in Emergency

    It's always amusing when you bring a patient to a unit and the team meets you there in goggles, plastic gowns and gloves. Just this month I've been exposed to MRSA, Klebsiella, and bacterial...

  12. Does it bother you to address MDs by their title of Doctor?

    Blee O'Myacin replied to FireStarterRN's topic in General Nursing

    We are very informal in our ER - any moonlighter asking to be called "Doctor" by the rest of us, will be called "DOCTOR" by the rest of us. Including the other doc. That being said, in the room with...

  13. advice needed: preventing escalation with family members.

    Blee O'Myacin replied to gentle's topic in General Nursing

    I simply tell family members, friends, neighbors, second cousin's dog-walkers that call in that I am unable to give information about that patient, please call XXX. No, I can't give out that number,...

  14. What gauge IV to use?

    Blee O'Myacin replied to Hilinenursegrl's topic in Emergency

    A person with chest pain is going to get at least a 20g in the upper forearm or AC for a CTA. If they look like they are going to need blood, then an 18g or a 20g. I put large IVs in drunks and...

  15. How does the recession affect your job?

    Blee O'Myacin replied to fulzgold's topic in General Nursing

    We are bursting at the seams. There is no room to put admitted patients and still take ER patients. There are more patients, they are sicker and we just don't have adequate room or equipment. What's...

  16. I think I made a bad choice.

    Blee O'Myacin replied to rant's topic in General Nursing

    As a student, you should not be doing any of these things independently. I agree with FireStarter that your patient was probably too drowsy b/c the sats were too high @ 96%. But as a student, you...

  17. We really need to do a better job educating the public on our role.

    Blee O'Myacin replied to ShayRN's topic in General Nursing

    How many nuns are spit at, called foul names and are expected to take it with a

  18. What Was The Most Difficult Patient You Ever Had?

    Blee O'Myacin replied to AngelfireRN's topic in General Nursing

    These are the family members where I am certain to show them my badge, make sure that O'Myacin is spelled properly and I too am charting every single time I am in that patient's room. My record is a...

  19. What Was The Most Difficult Patient You Ever Had?

    Blee O'Myacin replied to AngelfireRN's topic in General Nursing

    Just in general, I've been encountering angrier patients where there is nothing in the world that can make up for the fact that they waited for upwards of four hours in the waiting room to be seen,...

  20. Knowledgeable vs. Caring Nurse

    Blee O'Myacin replied to maab's topic in General Nursing

    If you can't breathe, would you rather I fluffed your pillow and got you a sandwich, or suctioned the mucous plug out of your trach using sterile technique? Ditto to what LilyBlue

  21. What was the MOST ridiculous thing a patient came to the ER for?

    Blee O'Myacin replied to JUSTYSMOM's topic in Emergency

    I had a patient who asked me why I wasn't going to send menses stained underpants to pathology. There was no other complaint other than "heavy cycle", no gyn history or

  22. Dealing with Violent Children

    Blee O'Myacin replied to medgirlRN's topic in General Nursing

    When my son was in first grade, he was the victim of a violent act from a classmate. We had no idea that this other child was a potential threat. You know about this child. Move the earth to get...

  23. what is meant by experience?

    Blee O'Myacin replied to smartnurse1982's topic in General Nursing

    You are not a new grad and have 1 year experience in a subacute setting as an RN. Talk that up - especially since you are responsible for quite a bit in the LTC setting - and I'm sure your time...

  24. Assaulted by patient... VENT

    Blee O'Myacin replied to CeeKayRN's topic in Emergency

    I would also consider a civil

  25. Dear code blue/ rapid response team nurse's ?????

    Blee O'Myacin replied to cruisin_woodward's topic in General Nursing

    According to our hospital policy, and sudden change of a patient's condition for the worse warrants a RRT call. The whole point of a RRT is to keep the patient from coding. It's helpful to know the...