mmurphy

mmurphy

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All Content by mmurphy

  1. Scope of RN license

    mmurphy replied to starbin's topic in Dialysis, Renal, Urology

    Dialysis is chronic care, not rocket science. Any unit should have basic protocols. Taking initiatives to draw CBC's clood cultures, basic metabolic panels etc., are within the skill of an...

  2. Is there REALLY a nursing shortage?

    mmurphy replied to ShimmaShimma0304's topic in General Nursing

    I agree. I agree. I agree. It is not a matter of racism or bigotry, it is a matter of exploiting us, the American Citizen

  3. Clamping Needles Sites

    mmurphy replied to Robbilin's topic in Dialysis, Renal, Urology

    I think that this clamp issues cnme from the "fistula first " program. The suggestion was to no use clamps on newly underdeveloped fistula for fear of clotting. Comparing a developed fistula with a...

  4. Did a dumb thing r/t dialysis port

    mmurphy replied to SoundofMusic's topic in Dialysis, Renal, Urology

    Many units use heparin 1000units/ per ml , and draw up the amount needed to fill the volume of the catheter. 2ml or under is the average amount needed for each port. some current evidence suggest...

  5. Incident Report-yes/no?

    mmurphy replied to ~'JesusRocks'~'s topic in General Nursing

    No, so not file an incident report. Report the error to the physician. Be honest. If no harm is done to the patient do not buy the "this is a learning experience, or this is a "process analysis to...

  6. My family can't believe nurses don't get breaks

    mmurphy replied to newtress's topic in General Nursing

    It is up to you to insist to management that you have regular scheduled breaks, not doing so makes you a

  7. Application of Lidocaine cream before dialysis

    mmurphy replied to night owl's topic in Dialysis, Renal, Urology

    This "pulse" is called a thrill. It is basic nursing 101. A patent graft or fistula will have a strong "thrill" when palpated. The thrill is from the anastomosed artery and vein, if you do not...

  8. My family can't believe nurses don't get breaks

    mmurphy replied to newtress's topic in General Nursing

    I have worked a a RN for 25 years. I have been a manager, a Charge Nurse and a staff nurse. Nurses are more productive when they take breaks. You are not serving your patients well, or doing...

  9. UF Profiling & Sodium Modelling

    mmurphy replied to nu2dialysis's topic in Dialysis, Renal, Urology

    Your role as a dialysis nurse is not to be a Nazi Guard. Try to understand sitting in a chair for 4 hours without food or drink. Try to understand that this treatment time is like "a job" for the...

  10. Anyone here feeling bored with their Job?

    mmurphy replied to bluefabian's topic in Dialysis, Renal, Urology

    It sounds like you only know some of the technical aspects of dialysis. that would be boring Learing the psych behnind chronic illness, the regulations for dialysis etc., I find the nurses that are...

  11. Davita is doing what?!?

    mmurphy replied to GeauxNursing's topic in Dialysis, Renal, Urology

    I have been a nurse for 25 years. I have worked in Florida, PA, and NJ. Recruiters have been calling Hospitals and Outpatient clinics in these states for a very very long time, I would say since the...

  12. Dialysis Staffing

    mmurphy replied to CocoaGirl's topic in Dialysis, Renal, Urology

    In New Jersey i nurse ot 3 patients is the standard. It is defined as the standard by the New Jersey Department of

  13. Davita is doing what?!?

    mmurphy replied to GeauxNursing's topic in Dialysis, Renal, Urology

    You must be a fairly new nurse. This has been common practice for many

  14. A nurse for 9 months and already offered a supervisor postion....scary!

    mmurphy replied to lizzieB05's topic in General Nursing

    I totally agree with you

  15. A horrible Day

    mmurphy replied to litbitblack's topic in General Nursing

    As long as you guys continue to put up with this the moneymakesrs (Administration and Docs) will keep you going at this pace and work you like

  16. Today I was "That" Aide

    mmurphy replied to VenaKavaRN's topic in General Nursing

    I agree. Why was the bath so importnat on such a busy day? Why was the Doc concerned about the bath? 30 years of nursing.. i have never seen a Doc worrying about a patient's bath. Give yourself a...

  17. RN Completion / ADN to BSN. How long? Who did it?

    mmurphy replied to a_damsel's topic in Diploma, ADN, BSN

    Why is the world would you think that you would neeto take the NCLEX exam after obtaining a BSN? Do the nurses with BSN's practice nursing differently than the ASN nurses? ave you been working a A...

  18. Drawing P.T./INR on Catheter patients

    mmurphy replied to sueinga's topic in Dialysis, Renal, Urology

    our units draw PT/INR's from cath patiens this way. We place the patient on the machine after aspirating 5-10ml of blood from each cath. lumen. We then flush the lumen with NSS and begin the...

  19. Smoking And Nurses

    mmurphy replied to ABC054's topic in General Nursing

    Surely you aren't serious. Poor eating habits are bad for your health. Perfumes/Hairsprays can cause symptoms in the allergy prone/asthmatic individual. I do not smoke, however, this is not...

  20. Most RN's first borns?

    mmurphy replied to lvs2nrs3535's topic in General Nursing

    The statistics that I am aware of bear out the opposite. First Borns are rarely RN's as nursing is a subservient role. First borns are usally Doctors, Lawyers and enter fields that are generally more...

  21. magnet hospitals?

    mmurphy replied to kats's topic in General Nursing

    I agree 100 percent. Magnet means nothing. It means the hospital can afford to have administration spend hours fluffing up deceitful paperwork to gain a bought

  22. Magnet?

    mmurphy replied to whitetiger74's topic in General Nursing

    I work per-diem for 3 different hospitals. One of theses hospitals is a "Magnet" Hospital. In my 25 years of nursing experience, the "Magnet" is bull. The Magnet hospital delivers the worst nursing...

  23. Whats to Enjoy about Nursing?

    mmurphy replied to sissyboo's topic in General Nursing

    There is absolutely nothing to enjoy about nursing. If a nurse is a manager, supervisor, educator, or administrator; in order to function he/she must be devoid of moral character. These jobs are...

  24. RN- Is This common practice in Dialysis Training?

    mmurphy replied to jen75RN's topic in Dialysis, Renal, Urology

    In some states it is mandated that any dialysisn training must be with the oversight/direction of a RN. This means that a RN must train both PCT's and RN's to dialysis. I would check your state...

  25. Most RN's first borns?

    mmurphy replied to lvs2nrs3535's topic in General Nursing

    I was told a long time ago that the complete opposite is true. First borns are rarely nurses, however a lot of physicians are first born children. The explanation was that this is due to the...