mamiekay

mamiekay

Med/Surg GI/GU/GYN

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All Content by mamiekay

  1. SHOES... glorious shoes

    mamiekay replied to FLmed's topic in Medical-Surgical

    At the hospital I switched between my Danskos, which I really like but do not love, and a good pair of either stability or motion control running shoes. I wore the Danskos when I was on the floor and...

  2. Nursing care for diverticulitis

    mamiekay replied to FORTHELOVEOF!!!!'s topic in Gastroenterology

    What is your role? Will you be providing long term care or short term, hospital stay care? Long term, every one of her co-morbidities will affect her outcomes. However, you can't bombard her with too...

  3. Not hired...because of post intervie thank you note..yes, really

    mamiekay replied to Gratefulprn's topic in Job Search, Interview, Resume

    Perhaps the person you knew on the panel has reasons for not wanting the others to know where he worked previously??? You never know. I'm sorry it didn't work out for

  4. Looking for Advice-New Grad, 8 patients?

    mamiekay replied to RNRapunzel1029's topic in Medical-Surgical

    I am curious about where RN's work that they have to take so many patients! I've got a little over 3 1/2 years' experience, I work 12's and I usually have 6 patients at night. Our day RN's never have...

  5. Time in Nurse Handover??

    mamiekay replied to summerscoopy26's topic in Medical-Surgical

    Our shifts overlap by 30 minutes so there's time for report, e.g. night shift ends at 7:30 am, day shift starts at 7:00 am. We do written sign-outs online and then do a verbal hand-over when the next...

  6. Meperidine vs Morphine for Pain, Acute pancreatitis

    mamiekay replied to JP Salting's topic in Medical-Surgical

    We use either morphine or hydromorphone for acute pancreatitis. In our facility, meperidine is rarely used on a med/surg unit. The following article explains why meperidine is not the drug of choice....

  7. Patient refuses discharge what to do? long...

    mamiekay replied to chapsticknurse's topic in Medical-Surgical

    The patient was "just a bit difficult to handle"?!?! She was in a hospital, not a hotel! When I have patients like that, first I explain to them that the hospital treats hundreds of people every day...

  8. Do you consider 0-1 void overnight decreased urine output?

    mamiekay replied to cokeforbreakfast's topic in Medical-Surgical

    I work on a GI/GU/GYN floor and I, personally, don't consider 0-1 voids overnight decreased urine output...generally. If my patient has been voiding WNL during the day, I'm ok with that. Many people...

  9. Where do you put your stethoscope?

    mamiekay replied to newbiepnp's topic in General Students

    Around my neck with a roll of tape on one side...unless I'm going into an iso room. I tend to take mine off & lay it on my desk when I'm charting, then forget to pick it up before going into a...

  10. Electrolyte and Mineral Replacement

    mamiekay replied to kayakmary's topic in Medical-Surgical

    Our hospital's protocols take into account the patient's lab values. For instance, or potassium protocol checks not only the K+ level, but also the creatinine & whether the patient is on...

  11. Checking "residuals" q4hr-capped NG

    mamiekay replied to theLostRN's topic in Medical-Surgical

    If you place a NG due to bowel obstruction or ileus, the gastric contents are not moving through the gut. The body is continuing to produce fluids that are building up in the stomach, causing nausea,...

  12. Checking "residuals" q4hr-capped NG

    mamiekay replied to theLostRN's topic in Medical-Surgical

    As always, FIRST check your facility's policy. In our hospital, when checking residuals through a NG on someone who's been hooked up to suction, we don't return the residuals. The reason behind it is...

  13. White Toe Syndrome

    mamiekay replied to NurseHotFlash's topic in Medical-Surgical

    Obviously we can't diagnose here but it sounds like your toes are a) scrunching up against the ends of your shoes and b) your feet are sweating & toes are staying moist for long periods of time....

  14. Calling any Moms in Nursing School

    mamiekay replied to ATLbubbles's topic in Georgia Nursing

    I have a few things to add that saved my sanity. I had three kids--22 mos., 4 1/2 & 10--when I started school. I started at Square 1 because I had dropped out of college many years ago, so it took...

  15. Stop TPN when drawing blood from PICC?

    mamiekay replied to Tinabelle's topic in Medical-Surgical

    Sorry, my computer's acting up this morning. My last message posted before I was finished. Anyway, here's my routine: turn off fluids, lay out on the bedside tray all of the supplies I've gathered,...

  16. Stop TPN when drawing blood from PICC?

    mamiekay replied to Tinabelle's topic in Medical-Surgical

    We were taught to stop everything before drawing from a PICC, or any line. Stop whatever's running, then flush the lumen you're going to draw. If I'm just drawing a blood count, I flush once. Any time...

  17. Pain Meds

    mamiekay replied to eflr's topic in Medical-Surgical

    This site has a very good chart. As you work, you'll learn what works best for the types of patients you have on your floor. You'll also learn that sometimes what works best for one person doesn't...

  18. Doing Preceptorship on MedSurg/Tele Floor

    mamiekay replied to goodstudentnowRN's topic in Medical-Surgical

    When I interned and did my final preceptorship before graduating, I had brand new preceptors. They precepted by choice, but I was their first student. On my first day, we were out of the count so we...

  19. Has anyone figured out how to be in 6 places at the same time?

    mamiekay replied to Kittyfeet's topic in Medical-Surgical

    mcknis is right. I've been at my job for 1 year, 7 months. I remember sitting in my NM's office at the end of my orientation in tears because she, my preceptors and my educator all felt I was ready...

  20. Does it break your heart?

    mamiekay replied to IMABSNRN's topic in Ob/Gyn

    The trick is not to "keep from getting so emotional", but to allow yourself to experience the emotions. I presume you were not in a patient's room when you were viewing these videos, so feeling sad...

  21. transforming our staff report: need input

    mamiekay replied to moodwaffle's topic in Medical-Surgical

    We do written reports, in our computerized charts, in our hospital. Then each RN gets report on his/her own patients. When a podmate or work buddy goes on break, the RN taking over gets a short report...

  22. Tele class right after orientation...Too much?

    mamiekay replied to Leonurus's topic in Medical-Surgical

    I know this is a tough job market and there may not be any other positions available, but maybe you could find an open position on another unit. I applaud your concern for your patients' safety, but...

  23. Help! I should've wasted a medication & didn't!

    mamiekay replied to lizzieborden's topic in Patient Medications

    When I first started, I took a few things home, the worst of which was a nicotine patch. Thankfully no narcs, but that was dumb luck. :imbar As a result, I started making it a habit to empty my...

  24. 8 hr shifts vs. 12 hr shift

    mamiekay replied to luv2shopp85's topic in Medical-Surgical

    I guess what everyone's really saying is that only you can decide if you can work 12's. I started on 8's, night shift. I always felt like I was struggling to keep up and rarely got out on time in the...

  25. Is Trauma a type of Med/Surg?

    mamiekay replied to Lovelymo79's topic in Medical-Surgical

    I know someone with more experience and knowledge than I have will answer this, but the short answer to your question is, No, trauma nursing is not med/surg. It's more closely related to emergency and...