Blee O'Myacin

Blee O'Myacin BSN, RN

ED, ICU, Heme/Onc

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All Content by Blee O'Myacin

  1. Nursing preceptor says no to certain abbreviations

    Blee O'Myacin replied to cozzy66's topic in General Nursing

    The patient's chart is a legal document. Anything you write in the chart is discoverable. Which is why you would write a note about a patient being found on floor, your assessment and any action...

  2. Oh No! A port infection!

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

    I don't think your actions caused this infection - especially given the patient's history, preexisting fever and TPN administration. Don't throw yourself under the bus over this, especially if the...

  3. Do I have to be a MATH WIZARD?

    Blee O'Myacin replied to nessa414141's topic in General Nursing

    Just adding my voice to the chorus - but with an opposite spin. I'm a math nerd. Huge one. Chess team & everything. But word problems were never my forte, so it was pretty much like starting...

  4. vents and cpr

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

    I took PALS last winter and we were not pausing compressions unless we were checking a rhythm. And we were not pausing compressions for ventilation unless it was one person CPR. In the few pedi...

  5. Morphine doses while dying?

    Blee O'Myacin replied to Medsurg Mama's topic in General Nursing

    I never had a dosage order with comfort care. It was always "titrate for patient's comfort"., not ours. People take their own time when being born and when dying. I'd rather err on the higher...

  6. Has anybody taken a PBDS before? (Performance Based Development System)

    Blee O'Myacin replied to Kurious RN's topic in General Nursing

    Every RN hired, new grad or seasoned nurse, has to take this test at my facility. It wasn't hard. No one expects new grads to know what to do perfectly, but having the PBDS results early on does...

  7. how do i accept failure? how do i be calm in an overstressing environment?

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

    There are a few things going on here that you need to take care of. You come first, your relationships with loved ones and friends are the key to life. If you are so stressed out that you can't...

  8. Did something to my neck,...

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

    IMHO, you need an attorney that specializes in WC cases. If you already have an incident report and tried to go through the normal WC channels, your regular health insurance won't cover it. You...

  9. pt with mastoctomy

    Blee O'Myacin replied to Nursing-Student's topic in General Nursing

    I agree with the other posters about the problems, but realize that most patients who have mastectomies are released from the hospital the next day, often with drains in place. Providing information...

  10. Pt signed out AMA then died! what do you think?

    Blee O'Myacin replied to jenrn6282's topic in General Nursing

    I think that he signed the papers, was Ox3. It's hospital, not prison. We can't hold patients against their will, even if it was in their best interest. FWIW, we always list "death" on the possible...

  11. ED staff not checking blood sugars

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

    We fingerstick. In triage and every few hours while a patient is waiting for a bed. If the house doc does the admission and the patient is being held, then they have to be the ones the write the...

  12. Patient Died from Med Allergy

    Blee O'Myacin replied to NewRN08's topic in General Nursing

    The OP states that she was "told to give it" - I wonder if it was despite a stated allergy - ie, the doc didn't believe it was a true allergy?? So my question, if I were a risk management type would...

  13. got deleted on another site

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

    It is a shame that your comment got deleted, but please don't think that your comment was unsupportive simply because the moderators didn't agree with you. IMHO, you were appropriately forthright,...

  14. Patient Died from Med Allergy

    Blee O'Myacin replied to NewRN08's topic in General Nursing

    Do not accept sole responsiblity. If you are a religious person, do what the others have suggested. I'd call my union rep and lawyer up (unions will also provide legal representation that is...

  15. orientation troubles

    Blee O'Myacin replied to 2008BSNGRAD's topic in General Nursing

    When I have an orientee, I have him/her follow me for a day, then slowly take over the assignment (if a new grad) - if an experienced nurse, I let them take charge and tell me what I need to do for...

  16. Sub-anesthesia ketamine infusions

    Blee O'Myacin replied to InfusionNurse08's topic in General Nursing

    Are you talking about ketamine treatments for RSD? My only experience has been through a family member receiving one, but she was on bedside tele with hourly BP and constant SPO2 monitoring. I'd...

  17. I couldn't believe this

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

    So I'm confused. Are your ET tubes kept in the crash cart along with the RSI drugs or do you have a separate intubation box? Sometimes with swelling that goes along with mucousitis in the throat,...

  18. Made a scapegoat by administrator?

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

    My thoughts on this are mixed. On one hand, the mother is upset and was concerned about the welfare of her child. But I think that the anger was misplaced. It was a group home, not a LTC facility...

  19. Ratios? Do you have them in ER, or are they just for the floors?

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

    On a "perfect day" we have a 4:1, but if someone gets a critical hit, we all pitch in, even if it means giving meds or otherwise caring for the other patients in that nurses' assignment until he or...

  20. RNs...how did you handle your first death ?

    Blee O'Myacin replied to KdnRN2B's topic in General Nursing

    Not at all. Just because you don't get emotional at the time doesn't mean that it's "nothing". Each patient is a person, and if they die, I don't cry, but I do respect their humanity and the pain...

  21. reportable cases in the ER

    Blee O'Myacin replied to b eyes's topic in Emergency

    At least in my state, the responsibility is with the participants of the accident to report it to the police (Officer O'Myacin gave me this tidbit), and that anyone else is not obligated to report it....

  22. Anyone else feel like they don't know basic first aid?

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

    That's an interesting comparison. My husband has never had to shoot a person or attacking dog during his 14 years on the force, but they have to "qualify" twice a year so they know what to do if the...

  23. Anyone else feel like they don't know basic first aid?

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

    Well, I think that with your position, you are using first aid and just aren't realizing it. What about all the wound care that needs to be done for a patient on IV methotrexate s/p MUD transplant...

  24. New mom looking for suggestions

    Blee O'Myacin replied to Can't Wait's topic in General Nursing

    How about OR/PACU? The larger hospitals will have a rotation of on-call, but an ambulatory surgical centers are open during "normal" business hours. Or you can do a really casual per diem. Some...

  25. Organization?

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

    Hi and welcome to the ER! I use bits of paper, alcohol wipe wrappers and my hand or even the bedsheet if it's "big and bad" to make my notes. Otherwise, I just pull up the chart, read the triage...