iriska_meller

iriska_meller

Diabetes, Primary care

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All Content by iriska_meller

  1. Prescribing Medical Marijuana

    iriska_meller posted a topic in Advanced Practice

    I live in a state that has legalized medical marijuana. I can take a class for a few hundred $ and become licensed to prescribe it. I practice mostly inpatient, but have a part time gig in primary...

  2. Prescribing Medical Marijuana

    iriska_meller replied to iriska_meller's topic in Advanced Practice

    You are correct, no one can "prescribe" but in my state an MD/NP/PA can get certified to "recommend" it. Essentially you certify that patient has one of the "approved" conditions with "approved"...

  3. Nurses please try to look a little more polished at work

    iriska_meller replied to OnlybyHisgraceRN's topic in General Nursing

    When I went to nursing school, we had a rule of "hair off the shoulders". It still bothers me when I see nurses with hair in their face, hanging down, touching patients... Not only this doesn't look...

  4. Toileting Bariatric Patients

    iriska_meller replied to Toileting Help's topic in General Nursing

    The most recent... A very obese man, and he needed a urinal, but could not reach the area himself (abdomen in the way...). In addition, he either had a "peekaboo" member or it was hiding somewhere in...

  5. Things you'd LOVE to be able to tell patients, and get away with it.

    iriska_meller replied to AngelfireRN's topic in Patient, Colleague Relations

    To the family member #8 of the same patient, who comes to the nursing station for the umpteenth time with the same question: "Which doctor can I talk to about my mother's condition?" "The Medical...

  6. Who reads your charting?

    iriska_meller replied to Texas Tornado's topic in General Nursing

    Some of our docs don't even read other docs' notes. The last night I worked one of my patient nearly coded, went bradycardic to 20s, passed out, etc. He recovered, thankfully. the night resident left...

  7. PT rooms too small??

    iriska_meller replied to crosby's topic in General Nursing

    Oh this is a big pet peeve of mine. I just want to find the person (or team) who established the size of the rooms and doors... bring them to people's court and sentense them to 10 years of daily...

  8. How do you keep your hands in good shape?

    iriska_meller replied to LilyBlue's topic in General Nursing

    One "miracle thing" is Lanolin - goes by brand "Lansinoh". it is sold as a breastfeeding product, for cracked nipples, but it heals everything. It doesn't absorb fast though, so its best to use it...

  9. Kaplan Qbank - 50% to 60% ratings. What does it signify?

    iriska_meller replied to rex.jr_RN's topic in NCLEX Exam, Programs

    Kaplan is notorious for having the most difficult questions. When I was studying for my nclex I used Kaplan book and Saunders book. On saunders practice tests I usually got at least 85%, on Kaplan -...

  10. RNs caught lying

    iriska_meller replied to inland18mempire's topic in General Nursing

    But aren't there things that you don't have to directly assess if other things are there? for instance, if your patient just had a big BM independently, she probably does have bowel sounds. If a 35...

  11. Than who's fault is it?

    iriska_meller posted a topic in General Nursing

    So we've determined that we have nothing to do with it (sky-high cost of healthcare). Let's try to figure out who we should crucify. To start with, I'll give a couple of things that have been...

  12. How many patients are you expected to take report on?

    iriska_meller replied to AnnaMary's topic in Medical-Surgical

    I work night shift on a medicine/geri/neuro floor. we have 2 stepdowns (4 pts each) and 27 floor beds. Each stepdown gets one RN, and the floor gets 3 for the night and 4-5 for day. We also have 3-4...

  13. Arguments Disfavoring Hourly Rounding

    iriska_meller replied to CaLLaCoDe's topic in General Nursing

    I like the way we do rounds on night shift on our unit. Between the hours of 12 am and 6 am when at least some patients fall asleep and most of medications are administered, we assign each half-hourly...

  14. Patient Care Tech duties..replacing Nursing duties?

    iriska_meller replied to c5150b's topic in General Nursing

    That may be true if there are both a PCT and a CNA assigned to the same patient load. But we only have PCTs now. And me personally I don't mind wiping butts one bit. I do mind however when my IV meds,...

  15. Patient Care Tech duties..replacing Nursing duties?

    iriska_meller replied to c5150b's topic in General Nursing

    Our hospital in NY just started transitioning NAs into PCTs. As PCTs they can do 3 additional things: draw blood (not from a central line though), do EKGs and fingersticks. No IV insertion or foleys....

  16. May 2008 grads....how are things going?

    iriska_meller replied to marilynmom's topic in First Year After Licensure

    Graduated May 19th, took my boards on July 4th. Started working in a major university hospital on July 21st, on a medicine/neurology/oncology floor. One week left in orientation! I cannot imagine how...

  17. Accepted Columbia ETP applicants (and current students: some advice). get-together?

    iriska_meller posted a topic in Post Graduate Students

    :welcome: Hi everyone! I thought it might be a good idea to get our own separate thread for those accepted to Columbia ETP! Sure we have a lot to discuss! I would also like to invite current students...

  18. NCLEX-RN Pearson take 48hours?

    iriska_meller replied to 2bnursemeow1's topic in NCLEX Exam, Programs

    I took NCLEX with pearson on Wednesday, Just got my result 10 minutes ago - so its true about 48 hours. But I'm not on NYS BON list yet. I don't care, because I...

  19. Need help getting an interview/job-in NYC

    iriska_meller replied to anyia's topic in New York Nursing

    Welcome to the club :). Looking for a job isvery discouraging for me... I just graduated and am looking for a job myself. So far I hadn't had much success, but couple of places called me and said: get...

  20. My mother is embarassed that I'm going to be a nurse...

    iriska_meller posted a topic in General Nursing

    Imagine that... For her that is a sign of underachievement, that her beloved daughter is going to be carrying out someone else's orders and emptying bedpans. She is actually very supportive of my...

  21. They make me feel like a failure

    iriska_meller posted a topic in Post Graduate Students

    Hi everyone... This thread is totally non-practical, just to vent and get some moral support... The story is this. I am graduating from a very good college (not Ivy, but still very good), with BA in...

  22. Accepted Columbia ETP applicants (and current students: some advice). get-together?

    iriska_meller replied to iriska_meller's topic in Post Graduate Students

    I will probably have THE LONGEST commute, I'm coming from MAnhattan Beach, that is the south end of Brooklyn. I am still not sure what I'm going to do, because B only starts running at 6.30, and A...

  23. Accepted Columbia ETP applicants (and current students: some advice). get-together?

    iriska_meller replied to iriska_meller's topic in Post Graduate Students

    Look what I've found in Columbia FAQs!!! When do I pay tuition for the first semester? For the Summer Term, there is no pre-payment. You will receive a bill with the summer charges with a payment due...

  24. Accepted Columbia ETP applicants (and current students: some advice). get-together?

    iriska_meller replied to iriska_meller's topic in Post Graduate Students

    Ok, this post is for my future c lassmates who, like me, worry about the MONEY!!! I just got a letter from SallieMae that my loan has been approved, and the first disbursement is on May 21st. SO, if...

  25. Accepted Columbia ETP applicants (and current students: some advice). get-together?

    iriska_meller replied to iriska_meller's topic in Post Graduate Students

    Hi meagain, nice to see you here again! About shoes. Since I know absolutely nothing about shoes, here's what I plan to do (as soon as the school money arrive, he-he): I am going to walk into Foor...