Blee O'Myacin

Blee O'Myacin BSN, RN

ED, ICU, Heme/Onc

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All Content by Blee O'Myacin

  1. new paramedic... another question for the nurses.

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

    I wouldn't have scolded you. I would have grabbed a towel and covered the guy's parts myself. Sheesh. I think that perhaps the nurses got flack from the supervisors who flock to codes like moths to...

  2. Telling it how it is.

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

    So you blame yourself for appropriate patient teaching? Did they even have heparin protocols after surgery 12 years ago? The way I see it is that you have to forgive yourself for doing your job and...

  3. administration of sodium bicarb

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

    We routinely hang mag riders in the ER, and will give it IVP during a code if the patient is in torsades. We also give bicarb IVP as a matter of routine too. I prefer a central line when giving...

  4. is this correct? this is my ncp for CVA bleed patient (unconscious)

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

    You mentioned before that this is an ER patient, right? When I have an acute bleeder, I watch for the airway and keep an eye on the LOC and vital signs, and get them out to a facility that has...

  5. Sentinel event

    Blee O'Myacin replied to littlebit1's topic in Geriatric, LTC

    http://www.jointcommission.org/SentinelEvents/ According to the joint commission definition, the sentinel event occurs when there is permanent loss of life or function whether physical or...

  6. Comments from the peanut gallery....

    Blee O'Myacin replied to emtb2rn's topic in Emergency

    It's possible to be a competent, professional nurse without loving all our patients - or even respecting the choices they've made for themselves. Michigan and others come here to vent because it's...

  7. I quit my job and am seriously considering quitting nursing

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

    I reread what I wrote yesterday realize that I wasn't as clear as I would have liked to have been. My orientees receive guidance, tough love and at least at first, I try act as a buffer from the...

  8. What procedures are you curious about?

    Blee O'Myacin replied to blondy2061h's topic in General Nursing

    A bone marrow biopsy is more painful than childbirth. Think of the worst imaginable pain and then some. Not to mention the fact that you are scared to death that you are going to die. Empathy is...

  9. Chemo

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

    The OP never states she was a nurse. I had to re-read the original post b/c I assumed so as well. This begs a bigger question, who consented the chemo if the patient is unable/unwilling to tolerate...

  10. potential and actual diagnosis for pt. with CVA bleed

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

    A lot of really supportive people posted in your previous thread about this. Look at the links they gave you. Think about the information that you were given. You can do this. But the idea is that...

  11. I quit my job and am seriously considering quitting nursing

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

    Not every place is like this. In fact, I'd venture to say that it's in the minority. As a preceptor who takes my role as a mentor and a support person to a new grad nurse, I take offense at your...

  12. PLEASE HELP ME make an NCP on a CVA bleed patient

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

    Sounds like a patient I cared for this week. Frankly, I didn't have time for any nursing diagnosises. I was worried that he was going to herniate in front of me and despite everything, he did. In...

  13. worried about back pain.. what to do :(

    Blee O'Myacin replied to penny77's topic in General Nursing

    See a back specialist. Don't let it go to the point that I did - where I worked until I couldn't get out of bed one morning. It was 8 months of disability and back surgery, with loads of physical...

  14. Stress in ER nursing

    Blee O'Myacin replied to sapphireprincess's topic in Nursing Student Assistance

    Nevermind.

  15. Nurse manager says you can't refuse iv

    Blee O'Myacin replied to paintedbison's topic in Ob/Gyn

    I think that in an L&D situation, I'd call the patient's doc if she was refusing an IV. No IV means no epidural...etc. As long as the doc goes along and is informed, then I see no reason to push...

  16. Who else sometimes just feels like a bad nurse?

    Blee O'Myacin replied to blondy2061h's topic in General Nursing

    I'd be willing to bet that for every "bad" thing you did, there were 30 "good" things. It's in some of our natures to second guess and feel badly after the fact - -even if you were professional and...

  17. Allergic to tegaderm?

    Blee O'Myacin replied to stunner127's topic in Patient Medications

    I've had a tegaderm give me some skin irritation - I was only supposed to change it q24h, but not on a temporary IV site. We just used tape before tegaderms. I suppose a telfa would have been OK to...

  18. Nursing, parenting and guilt

    Blee O'Myacin replied to Jen2002's topic in General Nursing

    No choice necessary. Either the children stay home with a trusted adult (your husband or partner are their parent too) - or you call out. Period. You didn't accept report, *you* aren't jamming your...

  19. How do you assess this video of fainting public official?

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

    He could have just had a vasovagal episode. That was my impression. Or he could have had a partial seizure. Also, none of our business if he doesn't want to

  20. On-call at home and police wake you up?

    Blee O'Myacin replied to Conejita's topic in Ob/Gyn

    The cops here will "check the status of" - anyone who has a concerned friend, family member or coworker call. Nurses & Docs aren't given any special treatment - at least around here.

  21. Frustrated CNA - for (some) nurses

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

    I've been a nurse for only four years, and never worked in healthcare before that. That being said, I've also never been in a situation where a CNA or a MST has been anything other than helpful. As...

  22. Is green card needed for job as nurse's aide??

    Blee O'Myacin replied to mousepotato66's topic in General Nursing

    I'd contact your local immigration office to be sure. I can't imagine that you could work in the US without a work permit. But your immigration office would be the best place to start.

  23. Elevated K+--insulin?

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

    I'm surprised they didn't start dialysis ASAP on this patient - even if she was A&O. And figures that you had to beg for that central line, doesn't

  24. A Day W/O A Nurse

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

    Why not? Our union is non-intrusive, and we have a clear set of guidelines so that one unit manager has to follow the same rules as the others with regards to staffing, pay rates, vacation time,...

  25. A Day W/O A Nurse

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

    Why not a "million nurse" march? I'm not on board with the idea of nurses walking off the job midshift, and if there was a day that no one showed up, night shift would have no one to report to and...