Bumashes

Bumashes MSN, APRN, NP

Transgender Medicine

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All Content by Bumashes

  1. Southern Care Hospice

    Bumashes replied to Bumashes's topic in Hospice, Palliative

    Eh? Hmmm...that's not sounding so hot. I'm hoping that since this office is a "country" office and is very small that it will be run differently than some of the PM's I've been sent about larger...

  2. Air in I.V. tubing

    Bumashes replied to hds51403's topic in General Nursing

    If you don't want to disconnect or use a syringe and all the other suggestions, then here's another: Depending on the tubing used, you can "twang" or slap the air up the tube and into the IVF bag. To...

  3. TKO IV question

    Bumashes replied to mzjennx's topic in Nursing Student Assistance

    At my hospital we call it KVO (keep vein open) and run at 20-25cc/hr. However, it does help to give a good strong flush every 8 hrs or so anyway cuz 20cc/hr won't keep crud from clogging the tube...

  4. Southern Care Hospice

    Bumashes replied to Bumashes's topic in Hospice, Palliative

    Thank you so much for your input. I've PM'd you another

  5. Southern Care Hospice info

    Bumashes posted a topic in General Nursing

    Hey everybody, I posted this in the hospice forum first, but no replies after a day thus far, so I figured I'd swing it over into this general forum. After all, you don't have to be a hospice nurse...

  6. Resignation Letter- please inspect

    Bumashes posted a topic in Nursing Professionalism

    Hi to all, I'm just looking for a critique on my letter of resignation that I will turn in to my manager next week. I'm really going for a nicey-nice exit. I want it as sweet as can be because I...

  7. Resignation Letter- please inspect

    Bumashes replied to Bumashes's topic in Nursing Professionalism

    LOL! Too true, too true. Looks like the advice of the majority so far is a more formal letter. I guess I may just go that route then. Thanks everyone.

  8. Resignation Letter- please inspect

    Bumashes replied to Bumashes's topic in Nursing Professionalism

    Oh yes, I definitely will be turning it in directly in person. I am toying with the idea of the more formal letter, too. Maybe I should bring both kinds, see how the discussion goes, and then hand...

  9. Time management: How do you do it?

    Bumashes replied to Michael_65's topic in General Nursing

    I have one of those little keychain voice recorders. How do I use it? Let's say I'm in the middle of 3-4 smaller tasks, and I suddenly get told that my new admit is here. Well, I just whip out my...

  10. RN jobs still available in MS-central?

    Bumashes replied to MissRN0520's topic in General Nursing

    Don't know too much about central MS, but I live on the coast, and there are plenty of opportunities still down

  11. Question about IV's

    Bumashes replied to busybird's topic in General Nursing

    Not exactly. When inserting the IV initially, the needle may go right on through the vein and out the other side on accident, which allows blood to flow out of the opening just created by the needle....

  12. Hourly Rounds

    Bumashes replied to SMK9's topic in General Nursing

    I agree with the above poster. It has it's place and works well if implemented correctly and with enough support staff. My facility has the RNs round on the even hours and the CNAs round on the odd...

  13. Hospitals cutting back??

    Bumashes replied to Abbi4155's topic in Medical-Surgical

    We've gotten the Medicaid cuts as well, but thankfully, Medicaid only makes up a small percentage of our hospital's income. Hard to believe from a county hospital isn't it? I had no idea either...

  14. Ha ha ha! Why gloves are my friends...

    Bumashes posted a topic in General Nursing

    Oh man. Too funny. Here's a little lesson that taught me the value of gloves: Went in my pt's room at 3am while she was sleeping to hang an antibiotic. She is a VERY deep sleeper and didn't wake up...

  15. Ha ha ha! Why gloves are my friends...

    Bumashes replied to Bumashes's topic in General Nursing

    To Ruby: Good lord! What an efficient team leader she must have been. Saving all her energy like that until it was needed... I'm sure the floors appreciated the extra shine they picked up too!...

  16. Question about taking BP in lower extremities and forearms

    Bumashes replied to Bumashes's topic in General Nursing

    No, they've just been taking the BP with the VS machines. Our manual cuffs only come in regular adult size, and we have to use the large/long size on her with the machines. And yes, she is tachy at...

  17. Question about taking BP in lower extremities and forearms

    Bumashes replied to Bumashes's topic in General Nursing

    No, we don't have one. Will mention to my manager,

  18. Question about taking BP in lower extremities and forearms

    Bumashes replied to Bumashes's topic in General Nursing

    Thanks for the replies. This BP is NOT the trend. She came in with pneumonia. Had 130's/80's. The third day, she began to have BP's in the 80's/50's. She is asymptomatic so far, though. No...

  19. Hospitals cutting back??

    Bumashes replied to Abbi4155's topic in Medical-Surgical

    Wow. I hate to hear this stuff in everyone's replies, let alone the original post. How sad that they treat you that way. I'm on the MS Gulf Coast working at a county-run not-for-profit hospital,...

  20. Day One in the Life of a Nursing Student

    Bumashes replied to MachoNurse's topic in General Nursing

    Oh man, I know what you were feeling. The first day is the worst, especially for those not accustomed to things like that. Cold water dunk! Always remember to just ask as many questions as...

  21. If you could study before A & P I, what would you have done to get ahead before it??

    Bumashes replied to vizzle's topic in Pre-Nursing Students

    I'd say to get a "quick review" chart of each of the body's main systems and at least learn the names and/or functions of it's main components. You know, like learning the names and locations of the...

  22. Becoming an RN just for the paycheck

    Bumashes replied to Nellie Nurse's topic in General Nursing

    Ah well, I just laugh. I believe we should be paid well for what we do. Certainly I thought that what I'm being paid now was a lot of money BEFORE I became a nurse. Now, I think the pay I get is...

  23. I'm sooo disappointed.

    Bumashes replied to alyx's topic in General Nursing

    I'd say on the average shift (12hrs on night shift), I spend about 1/2 of my shift with paperwork/charting/computers. And that's if I don't get an admission during my shift. A new admission takes a...

  24. Stool sample for Micro class?????

    Bumashes replied to RXtech's topic in General Students

    Yeah, I've heard of it. They do it at the school I went to. My teacher ran out of time at the end of the semester, so my class didn't have to, though. Lucky us! Sometimes they let you take pet...

  25. Hurricane coming: evacuate or stay and work?

    Bumashes replied to FroggyMama's topic in General Nursing

    I live in Ocean Springs, MS, which is right on the beach next to Biloxi. We have hurricane teams down here. At the beginning of the season, you are told if you're on the team this year. If you're...