Blee O'Myacin

Blee O'Myacin BSN, RN

ED, ICU, Heme/Onc

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All Content by Blee O'Myacin

  1. Refusing the On-Call doctor

    She had a valid reason and another doctor. I see nothing wrong with this other than the fact that I'm sure you have six other balls in the air at the time. (I work ED also.) But what it comes down...
  2. Pregnant and Nursing.....

    Remember that everyone is different. I'm sure there are people out there who were able to do their job without pause until 37 weeks, and others who were put out on light duty at 4 months. Listen to...
  3. I'm confused. How did you have anything else attached to the blood tubing? From what you wrote, it sounds like you were infusing blood via IV pump through a peripheral IV line, right? And you did...
  4. lumber fusion or steriod injection post op care

    Always follow facility policy and procedure. You will have an orientation and will learn what is expected of you. If you want to be extra prepared, brush up on neuro assesments. Good luck with the...
  5. As a new grad, expect to stay late?

    Ideally, your preceptor should be teaching you how to plan your day so that you can give report to the oncoming shift and leave shortly thereafter. Of course, days rarely go according to "plan", but...
  6. Scrubs: All solid, or mix and match/prints?

    I have one set of black scrubs and the only day that I wore them as a set, I did feel like I should have the matching eye mask, or a sword. But I felt more like the Dread Pirate Roberts than a ninja....
  7. Transfusing febrile pt.'s

    Our facility policy is that we hold a transfusion pending MD order if the temp spikes 2 degrees F over baseline. I would be comfortable with hanging the blood on a febrile patient, but would document...
  8. Open visitation in ICU

    Even though there is open visitation, you can still step in when the patient has had too much stimulation during the day and needs rest. "Your mom has had visitors since 9am and it is now midnight....
  9. Over reacted

    Just adding my voice to the chorus here. You did nothing wrong. As a fellow parent of a child with allergies, I would have done the same exact thing as you did. And I think that I would have felt...
  10. NJ board nightmare, any advice?

    I applied by endorsement and it took at least 8 weeks to get everything to come through. NJ takes forever. I agree with the first poster to your question. It can't hurt to call Mr. Herbert's office....
  11. BACK PAIN & going to the ED

    follow the discharge and follow-up instructions that you were given in the ed. back pain is debilitating - i had disc surgery two weeks ago. the ed is only there as a quick fix - you may get some...
  12. Can a nursing student use the word "code"?

    If you are seriously in danger of being failed for this, I'd try my best to track down the primary RN for this patient or the charge nurse or NM that day to speak on your behalf. FWIW, I generally...
  13. this is why i like orem's theory. her theory deals with helping a patient attain self care in all of their needs, no matter if they are physical or spiritual. it is our role to get the patient to...
  14. bone marrow test??

    Some docs get the stem cells peripherally - the donor takes leukine and neupogen injections for a week or so, then has a pheresis catheter put in place and the stem cells are collected through the...
  15. bone marrow test??

    I agree with you - it does hurt more than childbirth. In the hospital, we pre-medicate for it, but I had mine done at the oncologist's office. To the OP, I hope that you find answers soon, but rather...
  16. I wouldn't give my visiting child (my youngest is 8) a sandwich at the nurses station or anything else to eat anywhere other than the cafeteria. The few times they've been in the hospital to visit me...
  17. I know this might sound ridiculous, but

    When it is not your family, it's different. You can still be an empathetic caregiver, but you are better off if you don't have a familial attachment to each and every patient. If you realize that...
  18. Is DNR (do not resuscitate) a good idea?

    What do you think? I think you've gotten a fairly reasonable amount of responses here. Do you think it's a "good idea"? Or is it technology going above and beyond what's humane or natural? Do you...
  19. Sepsis Sleuth

    Does your hospital have quantitative guidelines for upgrading a patient to the unit with sepsis? Standard of care for sepsis usually involves pressors for the hypotension, and there comes a point...
  20. ER departments too full for safe care.

    I wonder if her doctor was "waiting" for real, or if the doctor told the parents to call 911 and the parents, like most patients, assume their personal doctor is waiting at the ambulance bay. Unless...
  21. patient romance?

    Are you worried about a geriatric nursing home patient becomming pregnant? Not that age matters with regards to romantic relationships, but are these adults capable of consenting? If so, then...
  22. "I need you to pack my butt"

    How about talking his wife through the change? (preferably from the doorway, or over the phone) I think that your neighbors are taking advantage of your kindheartedness. Besides, what if he gets an...
  23. Conflicts with pt's family due to religious views?

    As long as families are forthcoming with the staff about any specific practices and rituals, the facilities I've worked at have accomodated them to the best of their ability. When communication...
  24. Dress Codes for the ER

    You bring up a good point. But urine and activated charcoal stain all uniform colors. And I wouldn't want to wear something that's been pee'd on no matter what color it is! One person "rebelling" is...
  25. Interested in becoming a nurse after having cancer

    As a cancer survivor who went on to become a nurse, I think that you need to address the cancer survivor issue first, then deal with the wanting to be a nurse. You can't bring your own stuff to the...