McGyverRN

McGyverRN

ACHPN

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About McGyverRN

McGyverRN has 18 years experience and specializes in ACHPN.


Palliative Medicine and Supportive Care

Latest Activity

  1. Never enough-vent

    My favorite work
  2. GN nurse asking about Lasix

    Each facility will have a drug guide that will tell you how fast to push meds. At my facility, we give Lasix at a rate of 40mg/minute. Check your google reference again...perhaps that was an unusual...
  3. Nursing Priority vs First nursing action

    Most agree that the O2 is the first action, priority, whatever you want to call it. The Lasix "that is ordered," is either an already scheduled med or a one time dose. If it is a one time dose, the...
  4. OH, My Aching Feet...

    I used to have foot pain so I changed shoes to Skechers. My feet never hurt! I use the regular and the shape-ups, and both are great. They are wider than other shoes, but the sizes run smaller....
  5. How old were you when you finished nursing school?

    I was just shy of 30 when I graduated from a 1 year second degree program. I will be 42 when I finish my
  6. range order rationale

    JCAHO just surveyed my hospital and they absolutely demanded that we eliminate range order dosing. Perhaps the surveyors who came to your facility did not, but ours did. So yes, I do have a basis...
  7. range order rationale

    Don't worry, range orders are becoming a thing of the past. JCAHO is cracking down on them. My hospital has completely eliminated
  8. Question about Magnesium Oxide

    Have you tried using warm water? Also, if this is an acute care pt, maybe the doc can change to IV. If it is LTC, maybe ask the doc to check labs and see if the pt truly needs
  9. Have you ever had the kind of day

    Just for fun, one day I took a sanipan in the bathroom with me just to see how much pee I was holding after 12 hrs of not going. It was
  10. HCAP scores - I can live without them

    We have been doing hourly rounding for about 6 months. It is such a joke. One extra piece of paper to sign every hour. Half the time, I am too busy to sign them. Luckily it hasn't been an issue...
  11. Fed up with the "rules"

    I would love to see the research on that. It is a ludicrous rule and I would love to see OSHA, JCAHO, the health department, and CEOs work a 12 hour shift without a drink...day in and day out. If they...
  12. Soul searching to further career APRN or MD?

    The university I attend is a state university that offers an online MSN program. I am not sure about other online only schools. I imagine that they must need credentialed by the NLN or some other...
  13. I hate what's happening to nursing...

    Yep....even if he leaves the floor to smoke, steals food from the kitchen, has sex with his girlfriend in the bathroom, and demands his 2mg IV dilaudid q 2hrs whether he needs it or not.....he's...
  14. Fluid Documentatio

    We document I & O at the end of each 8 hour shift, even if we work 12's. We also document IV intake when we down a bag. The IVAC volume infused is reset to zero when a new bag goes up, and at...
  15. Soul searching to further career APRN or MD?

    I go to Clarion University of PA (online), and yes there will be a grandfather clause, which is why I wanted to finish before