Bumashes

Bumashes MSN, APRN, NP

Transgender Medicine

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All Content by Bumashes

  1. Hurricane coming: evacuate or stay and work?

    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...
  2. Warning Signs

    Ummm, some other signs to watch for would be anxiety and anxiousness. Change in level of consciousness. Maybe they start talking out of their heads or get disoriented easily all of a sudden. Change...
  3. medical mistakes

    That's how it's done at my hospital. We have an Omnicell, which holds all of the meds and keeps track of how many there are in each individual bin. You type in your username and password, select...
  4. What would make you say "I could never do that"

    Pediatric psych. When I was in school, I had one rotation through there. After listening to my eight year old patient tell the doc that he felt worthless and wished he would die, I knew I'd never be...
  5. Just one persons opinion

    OMG! What a nutbag! Without the experience of my coworkers to keep me afloat, I'd be drowning out there! I've only been an RN for 3 months, and I feel like I know nothing! If a patient was coding in...
  6. medical dosage problem

    I got 50ml/hr and 13gtt/min. The reason I got 13 and not 12.5 is because you can't, in reality, actually give a half of a gtt, so you have to round up. At least, that's what they say in school. I...
  7. Hourly rate for RN's, LPN's, CNA's in Your State

    On the coast of South Mississippi: Keep in mind this is the base pay for a new, inexperienced worker in acute care, and I'm leaving out shift differentials... RN: $20/hr LPN: $14/hr CNA:
  8. *Sigh* Can't wait to get past this...

    Thanks to all who have replied to my plight of emotions. I'm just so grateful that I have this message board to come to and gather experience from you all. It's one of the reasons I hang in there,...
  9. Okay, so I've been an RN for 2 months now. I work on a BUSY med-surg floor with 12 hr shifts on nights. Our hospital is too small for the community that has grown around it, so there are plans to...
  10. Grades don't matter!

    I think you should take pride in your grades for sure, but maybe be a little more cautionary in how adamantly you are stating that you don't want an "average" nurse to take care of you. Some people...
  11. Hey, I work a med-surg floor where we have a 4:1 - pt:nurse ratio. (Yay for us, right?) We work 12hr, 7-7 shifts. Anyway, the other night, the charge was having difficulties break out between some...
  12. Bye, Bye, LPN's

    My hospital phased them out by stopping hiring them. Now, my hospital has no LPNs, and my hospital's sister property has maybe 2 left. Once they quit or retire then that's it for LPNs at my...
  13. I agree that it's strange, but whatever, if it's what she wants. I think it's the same with ANY belief system. I, personally, don't like the idea of a Jehova's Witness refusing blood. However, I...
  14. Rotating shifts and a dog?

    Yeah, I have a doggy. Couldn't have made it through school without him! Instead of having a doggy-door that opens into the whole backyard, I have one that opens into a sectioned off piece of my...
  15. Creaking Fingers

    Thanks to all. I usually use whichever hand is at a better angle at the time I'm trying to listen, but both hands have creaks. I never listen through clothing. My instructors would practically beat...
  16. Creaking Fingers

    I've noticed throughout my "vast" experience of listening with a stethoscope that my fingers are VERY creaky. You know, they just make a lot of extra noises through the stethescope. I have used all...
  17. Verbal orders vs Telephone orders

    Ours has us write either VORB or TORB (Verbal Order Read Back or Telephone Order Read Back). Then we put the doctor's name slash our name, like this : TORB Dr. Martin / Jane Doe, RN. We take the...
  18. Med passing

    Hey, just thought I'd write in for you since no one else has yet. Since I don't know anything about your school or what level you're in, I'll just tell you what MY school allowed us to do. When I...
  19. DAVITA dialysis center

    I live in MS, and we have three or so Davita's nearby my location. The starting pay for a new grad RN in a hospital around here is about $20 per hour, and Davita starts you out at $26-$28/hour with...
  20. Missed orders!

    I love the way my hospital does things. We have a unit coordinator, and one of her many tasks is to enter new orders in the computer (we are responsible for going behind her to be sure she...
  21. Well, they aren't letting incompetents graduate at my school. Of the original 50 who began with me in level one, only 23 made it through and graduated. They really tried to kill us with logical and...
  22. Took my test this morning. Had 4 dosage cal, 10 SATA, about 10 pharm, and priority. There was a little bit of everything on there for sure. Can't wait till Friday to find
  23. The Great "Nursing Show" Discussion

    Oh man, I wish there was a show like this. I like another poster's comment on how it could be like "Cops." I don't really know how they'd get around HIPPA, but it would be awesome. I especially...
  24. Nursing Students and Report

    Yep, that's what they made us do, too. But, I found a way around it. Now, keep in mind the way I found was not kosher with the instructor, but she didn't have to know. We were told the same thing,...
  25. online mph programs

    Hmmmm, I'm wondering why you don't just go for a BSN since you already have a bachelor's? In case you're unaware, there are many colleges that have a fast-track BSN program for people who already...