Bumashes

Bumashes MSN, APRN, NP

Transgender Medicine

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All Content by Bumashes

  1. First level telephone triage nursing

    Bumashes replied to Bella RN's topic in Telephone Triage

    Geez! Sounds awesome. What company is

  2. Call me crazy! Anyone know where I can work for free / volunteer / learn?

    Bumashes replied to MissBrittanyRN's topic in Maryland Nursing

    Red Cross, Free Clinics, and your local doctor's office might let you volunteer for free if you know them. Mine offered to let me volunteer there if I didn't get a job right out of school, but I...

  3. No one wants to hire me as a new grad. how do i get the experience!

    Bumashes replied to lulu997RN's topic in Job Search, Interview, Resume

    I know this isn't what you want to hear, but... Are you good buddies with your primary physician? Or any physician really. Ask if you can volunteer in their office to do things like blood draws,...

  4. Can you mix KCl and calcium gluconate with NS

    Bumashes replied to Sara5229's topic in General Students

    I've had to give both before, but our pharmacy sends them up IVPB in separate baggies. Depending on how low the pt's level is, I'd give the one needed most first and then the other. Or if both are...

  5. How often do you draw Troponins at your hospital?

    Bumashes replied to RNcDreams's topic in Cardiac

    I'm on a med-surg floor. We typically see Q8hrs, but it can vary depending on why the test is being

  6. What all do nurse recruiters do??

    Bumashes replied to Epona's topic in General Nursing

    My nurse recruiter is also the employee health nurse. She keeps track of all our immunizations, updates them, administers them, etc. And she helps out with PR for the hospital, such as going to help...

  7. William Carey

    Bumashes replied to Cmunst45636's topic in General Nursing

    A friend of mine is doing their RN-BSN program right now. She says she likes it better than what USA and USM had to offer. I'm going to do the RN-BSN at USM this

  8. Things that leave you stunned.

    Bumashes replied to Pepper The Cat's topic in General Nursing

    In addition to the other's responses, I just did a CEU about bladder management and read something interesting. They instructed to only let out between 750-1000cc at a time because of the pressure...

  9. Med Surg Staffing Ratios

    Bumashes replied to diane227's topic in Washington Nursing

    I live in Ocean Springs, Mississippi and work at Ocean Springs Hospital. We do 12 hour shifts, 7a-7p and 7p-7a. On both shifts, the ratio is supposed to be 1 nurse to 4 pts. We have 29 beds on my...

  10. Have a stupid stupid stupid question

    Bumashes replied to Blackbuttafly's topic in First Year After Licensure

    Um, maybe I'm just being an idiot, but, don't you just add them all together? I mean, 1ml = 1cc. So, just add them: 150ml + 200cc + 60ml = 410cc or 410 ml. Depends on whether you want to express...

  11. Nurse Salary vs. Teacher Salary?

    Bumashes replied to Angela.RN2B's topic in General Nursing

    Here in po-dunk Mississippi, our teachers aren't paid diddly. A new grad teacher with a Bachelor's makes $18500-$23500 depending on the school they get a job at. Whereas, as an ADN nursing graduate...

  12. Southern Care Hospice

    Bumashes replied to Bumashes's topic in Hospice, Palliative

    UPDATE For those who're bored and want to know: After being hired, I worked there for 7 weeks. Now, I don't work there any more. I quit, and I quit quickly. If I ever have to give a reference for...

  13. This Is Crazy!!!

    Bumashes replied to WoofyMutt80's topic in General Nursing

  14. Why is my pt's blood glucose so high?

    Bumashes posted a topic in General Nursing

    Hey everybody, Just want to throw a question out and see if I can get an answer before I leave for work tomorrow morning. I do hospice nursing, and I have a pt who just recently had a stroke about 10...

  15. Why is my pt's blood glucose so high?

    Bumashes replied to Bumashes's topic in General Nursing

    Don't worry, it's not that I wasn't trying to act on the BG immediately, the family didn't want it. Hard to explain really. It's a can-o-worms. The primary dr is a total idiot. Won't call you...

  16. Why is my pt's blood glucose so high?

    Bumashes replied to Bumashes's topic in General Nursing

    Alrighty, for those of you who want to know what happened today: It didn't turn out quite how I wanted, but I guess I'm still in the "hospital nurse" mindset. I want to fix people still. But, I'm in...

  17. Why is my pt's blood glucose so high?

    Bumashes replied to Bumashes's topic in General Nursing

    Thanks to all who responded. Now I have something to work with. I gotta run off to work now, though. Thanks again! I'll let you know what we

  18. Why is my pt's blood glucose so high?

    Bumashes replied to Bumashes's topic in General Nursing

    It's considered a comfort measure not to let them suffer from the effects of hyper or hypo glycemia. Plus, it's not part of his hospice dx, which is CAD, so we treat

  19. Why is my pt's blood glucose so high?

    Bumashes replied to Bumashes's topic in General Nursing

    His lungs are actually souding pretty good for a bedridden person. A little diminished, but nothing

  20. Why is my pt's blood glucose so high?

    Bumashes replied to Bumashes's topic in General Nursing

    That's what I'm hoping for this am. I want a CBC and BMP at least. And a u/a. But since he's a hospice pt, sometimes they aren't too keen on ordering this stuff. It sucks. I'm still getting used...

  21. Why is my pt's blood glucose so high?

    Bumashes replied to Bumashes's topic in General Nursing

    The meds he takes aren't the kind that effect BG. And yes, he was slightly more active before the stroke. Then, he could at least moves his arms a little, now he's totally bedridden and only...

  22. Spinal stroke injury question

    Bumashes replied to Nellie167's topic in General Nursing

    Lovehospital: Yeah, my husband gets AD real bad from just about anything. It can be VERY annoying trying to figure out exactly what is causing it. Gotta run through a whole list of stuff before we...

  23. Spinal stroke injury question

    Bumashes replied to Nellie167's topic in General Nursing

    Just a shot in the dark here but... My husband is a C4-C5 quadriplegic, and when something is wrong with him (infection, pressure spot, impaction, etc.) he sweats, his temp goes crazy, he gets wicked...

  24. Vid: Army Nurse Killed In Combat Laid To Rest

    Bumashes replied to Valerie Salva's topic in General Nursing

    *Tears*

  25. Is it legal to write a order 4 months after you took it?

    Bumashes replied to BigSurKay's topic in General Nursing

    Not sure. I think my facility would have you write an order clarification instead and state within it that the med was began on such-and-such date originally. Then, of course, document your bootay...