Bumashes

Bumashes MSN, APRN, NP

Transgender Medicine

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All Content by Bumashes

  1. NEED HELP regarding patient assignments in the ER

    I work in a 30+ bed ER and that kind of sounds like what we do. There are 3 main halls, and you are assigned to a specific hall with 1-2 other nurses (depending on day of the week and time of day.)...
  2. Just pick somewhere far away and say that's where you'll be. Or say you're moving out of state or something. Then, if in the future you bump into anyone from your current job, it really doesn't...
  3. IV Questions from a New Nurse

    If the pt states that it's burning/hurting when only saline or some other isotonic fluid is going in, then that is considered stage I phlebitis, and you should begin looking for a new site pretty...
  4. Just wondering if anyone works in the ER at Singing River Hospital in Pascagoula, MS. I work at the sister branch (Ocean Springs) and have applied to the ER just yesterday. Kind of hoping someone...
  5. Any RNs applying Dermabond out there?

    I'm not much help as I won't be starting in the ER for another couple weeks, but I do know that those RNs are using/applying it down there. So I guess I'll get to
  6. tired RN venting

    I've always tried to be accomodating to my coworkers. I realize that, for some reason, around 5:30 pm and am, that is when everyone in the freakin world needs to pee, get up, get pain meds, code,...
  7. Day Nurses Who Used to be Night Nurses

    Be sure you ask for a few days of orientation to dayshift. Just b/c it's the same floor doesn't mean it's technically an easy transition. Going from nights to days means that you'll have drs coming...
  8. Am I getting worse as my orientation goes on?

    Nights are a great way to start off b/c it allows you the less interruptions that you seem to need. There aren't as many visitors coming and going. There are hardly any drs making rounds, which is...
  9. medication time regulations

    Yeah, I'm in MS, and we're supposed to do 30 minutes before or after the scheduled time. This is only a priority with me if it's an important med, such as digoxin, coumadin, or an abx, etc. Stool...
  10. venting

    I feel ya. I'm going online for my BSN right now too, and they have me doing clinicals when I've got over 2 years nursing exp., and I'm currently working as an RN in a hospital. I thought it was...
  11. non-rebreather mask with brain air

    Hope somebody writes in, cuz I haven't a clue. Sounds interesting,
  12. We draw from PICCs all the time on my floor. Pull out blood to waste and then draw your blood. Flush and lock with saline, unless your type of PICC requires heparin, then flush with NS and lock with...
  13. They cut the checks on the 15th and 29th (or 30th?) of each month. And don't forget to fax in your teaching sheet that the pt signed b/c that's what they go by to pay you. Of course, if you send in...
  14. why is the pay so low?!?!

    Geez. That really stinks. Is that a hospital pay rate or a clinic? Hospital jobs are the way to go when pay rate is a priority. Around where I live in south MS, a new grad RN would get maybe...
  15. I've had ENOUGH (vent)

    Wow. That's horrible. They spend time and money doing your physical/testings and then just cast you off? Whatta bunch of nutjobs. Hope your luck turns for the better soon.
  16. zofran question

    We have zofran gtts on my floor often. It's usually got something like 24-32mg Zofran in 250cc NS and we run it somewhere around 9-15cc/hr. Sometimes it gets mixed with Reglan, too, depending on...
  17. NEVER say we are short staffed.

    We're told not to say that, too. But, I WILL NOT LIE to a pt about it. If they ask why it took so long, I will tell them the tasks that I was fulfilling before being able to get to them. If they...
  18. What do you call the Doc?

    Depends on how well I know them. The older docs I generally call dr so-and-so. The younger ones, not so much. In front of pts or whatnot, I will address them professionally as dr so-and-so, but in...
  19. Interview left me speechless

    RUN!!!!!!!!!
  20. Just did mine a couple days ago. Easy breezy. The lady didn't even want to use the rebiject device, she just wanted to inject with the
  21. Oh yeah, me
  22. Hey all, I just got a referral yesterday, 8/18/10, for the first time. Yay! Just wanted to let you
  23. They require you to have a certain amount of liability insurance to contract with them. I already happened to have insurance, so I didn't have to bother. Not that it mattered since they haven't...
  24. I would definitely say home care, whether it be hospice or home health. True, you may need drs orders for the things you do, but you basically go in and make judgement calls about what's needed and...
  25. Still nothing I'm sorry to say, but I believe Ruby has had more luck. Maybe she'll write in and update you on her experience thus far. I'm still without a single referral. But, it didn't hurt...