Blee O'Myacin

Blee O'Myacin BSN, RN

ED, ICU, Heme/Onc

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All Content by Blee O'Myacin

  1. Post-op amputation dressing changes *LONG!*

    That soon after surgery, I would have checked cap refill, given pain meds as ordered and paged surgery to come and assess the patient. What did the primary nurse think about this situation, out of...
  2. Mistakes

    No harm came to a patient. You realized you pulled two accidentally. They were both in the return drawer. You emailed your manager and explained the circumstances. I don't think you will hear about...
  3. How to thank an ED RN?

    Sending a copy of the letter to the nurse manager of the ED would be great too- though he or she will most likely get a copy of it from Administration. It's nice to hear when we do something right -...
  4. Get used to it... nursing is only going to get worse!!

    I'm sorry that you are having a rough time on your unit and are upset with your manager about how the unit is being run. The perfect opportunity to discuss the valid reasons you and your fellow...
  5. Lesbian L and D nurse

    A prospective employer can not ask questions about gender, sexual orientation, marital status, children or desire to have or not have children, religious or cultural background. I hope that answers...
  6. MD ordered placebo for pain PRN~would you give it?

    I would not give it either as there are many non-narcotic avenues for pain management. If it were my patient, I'd be addressing it with the doc AND kicking it up the nursing chain of
  7. need help asap

    All HR can do is confirm your dates of hire. If you apply outside your hospital, check off that "do not call my current manager" box and state that you do not want anyone at your current place of...
  8. Opinion Please...problem at work

    I don't understand why the patient's father continued to vomit on the floor. I don't think I would have been too charitable about it after the first incident. He would have gotten some towels and a...
  9. Why can't my wife find a job?

    :) There are 57 job listings for an RN in Indianapolis on Monster.com. Good luck!
  10. Just a little night shift venting about day shift...

    That's terrible. Our dayshifters are expected to clock in no later than 0645, ready to accept report. It's usually chaos at 7p, so unfortunately our night shifters sometimes have to wait for us to...
  11. furosemide (Lasix)

    I have no scientific data to support this, but a doc I knew once said that Lasix was the trade name because it lasts for six hours. Even if its not true, I thought it was pretty clever and her reason...
  12. Preventing Needle sticks

    I wear Dansko Professionals because I like my heels covered as well. I'm more concerned about things like stretchers, IV poles and long boards crashing into my feet. My next shoes are going to be...
  13. Accessing Mediports

    My oncologist's office accessed my port with sterile technique - always & I had my portacath inserted in 1995. Per facility policy everywhere I've worked, it's a sterile procedure including the...
  14. Vicodin and Percocet

    How about having the order changed to vicuprophen? But they are both short acting pain meds. If the patient needs long term pain managment, how about a oxycodone ER with a perc or an oxy IR rescue...
  15. Not to thread jack, but nice work. That's a rough patient for a seasoned nurse to have. To the OP, I've found that freaking out does very little good to anyone. Just pretend at first to not freak...
  16. Preceptor

    I agree with the others, go with critical care/ICU. The patient ratio is lower so you will be able to concentrate on the one patient, get to know them from head to toe, down to the last cc of urine...
  17. IV starts help!

    I rarely use a bp cuff, but it does work for a lot of people. My advice is to hold firmly onto the patient's arm to steady yourself and keep the patient from pulling away. It doesn't do anyone any...
  18. sick call

    Call in sick. Bring a doctor's note when you are better - especially since you are on orientation. Feel better
  19. Admit orders

    It really depends. If there is a delay (usually is) - I'll see what I can start. We also have admission nurses who stick primarily to the ER to do the admission databases. That has been a huge help...
  20. Full Code Not Carried Out

    Was he found unresponsive, or dead? (Meaning - no pulse, no respirations, already cool?) I would think that even a full code who was found dead for quite some time would not be coded whereas a...
  21. Can an employer penalize you for calling-in due to illness?

    Make sure you give your manager a doctor's note. What does the verbal warning mean? Did you have to sign anything? Do you think you will have to sign something next time? If so, and you are a...
  22. your hospital union and "scare tactics"

    Check the union handbook to see exactly what you are buying with the extra dues and what you are entitled to without the extra
  23. CVA questions

    Discharge planning should begin on admission. Check with the nurse on Monday if there is a social worker or case manager that can answer your questions regarding rehab and her plan of care. I hope...
  24. lesson of a new nurse

    All of our admission orders that are written by the ER docs state "call primary doc to confirm orders". It's not a bad idea to make this policy. At least the patient had what she needed, even if she...
  25. Does your hospital allow you to say "Merry Christmas"??

    As a non-christian, I do not celebrate Christmas (it's a Christian holiday, not an American one), however, that doesn't mean that I expect other people to censor their good cheer around me. I don't...