miko014

miko014

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All Content by miko014

  1. Improving patient satisfaction

    miko014 replied to cskjjk's topic in General Nursing

    I'm in the same boat, only I've been asked to lead a committee! I have no idea what to tell them - as long as I don't even have time to do the basic things like pass meds on time and go to the...

  2. Many RN's administer IV meds wrong.

    miko014 replied to Guest219794's topic in Patient Medications

    I agree, phenergan is nasty! No defense for not diluting properly - that's just asking to lose your license! I like the IVPB phenergan route - it might keep some of our seekers away. They do get...

  3. Patient with high tissue oxygenation but low lung function

    miko014 replied to Texan123's topic in General Nursing

    I'm not giving medical advice, but I will say this: Other posters have made good points...add these: First, if he has poor perfusion (ie the wave form on the SPO2 monitor is sucky) then the reading...

  4. Many RN's administer IV meds wrong.

    miko014 replied to Guest219794's topic in Patient Medications

    Which is why dilution is important. I ALWAYS dilute stuff I push through a HW/HL/SW/SL (whatever you call it at your particular institutuion). The lines you should really worry about are the ones...

  5. when the budget is more important than patient safety

    miko014 replied to icyounurse's topic in General Nursing

    I love the title of this thread. The answer is all the time. They will make you gown up for every patient in order to "prevent the spread of MRSA" on pts who are only colonized, but they won't pay...

  6. adults to peds career change question - need advice!

    miko014 posted a topic in General Nursing

    Hi guys! I have a question for those of you working with a mix of age ranges. I have a job opportunity that I have sort of pushed to the back burner, and I wonder if some of you could share your...

  7. adults to peds career change question - need advice!

    miko014 replied to miko014's topic in General Nursing

    My bad, it just seemed like you thought I didn't want to to education or something, which is basically the opposite of my view of nursing. I love education, which is why I would love to work with...

  8. adults to peds career change question - need advice!

    miko014 replied to miko014's topic in General Nursing

    You seem like you're upset with me, and I'm not sure why. All I said was that I don't like working with kids because I can't explain things the same way I do with an adult. Even though some 4 year...

  9. Decisions

    miko014 posted a topic in General Nursing

    I have a couple of different options available to me job wise. I've been looking for something new for a long time, but of course have had no luck with any of the jobs I have really been interested...

  10. Decisions

    miko014 replied to miko014's topic in General Nursing

    That's true, I know I just need to take a deep breath and do it. It would be easier if I didn't have this promotion hanging in front of me. I know that would look great on a resume too, though. So...

  11. Key challenges in cultural & family care (for class)

    miko014 replied to ghaleon128's topic in General Nursing

    First of all, thanks for telling us it's for class. I hate when people don't tell us that! What cultures specifically are you asking about? It really depends on your location as to who you're...

  12. crazy bereavement rules

    miko014 replied to oramar's topic in General Nursing

    We have a very similar system. I like it and I don't. You basically earn the equivalent of 1 two week pay period per year. You earn vacation time for each hour that you work, so if you work 80...

  13. pts who say "it's ok" and it's not!

    miko014 replied to RNsRWe's topic in General Nursing

    A little off topic, I guess, but...what gets me about the phone usage is people who don't get off when we are in the room trying to provide treatment! They don't think anything of answering and...

  14. *Weird* Patient Allergies

    miko014 replied to cherrybreeze's topic in General Nursing

    Had a lady tell me not long ago that she is allergic to rubbing alcohol. This after 4 or 5 days of being in the hospital and having it used on her about a million times. I was about to start a new...

  15. *Weird* Patient Allergies

    miko014 replied to cherrybreeze's topic in General Nursing

    Interesting...I wonder if he has a severe case of cholinergic urticaria. That kills me! I wonder if these people who are "allergic" to tap water read the labels, since most bottled water says...

  16. *Weird* Patient Allergies

    miko014 replied to cherrybreeze's topic in General Nursing

    I kid you not, pizza. Not me, a pt, lol. She had so many allergies she had about 10 allergy bands all danging off of one band on her arm, and among the 9,000 other things she had listed was

  17. Need Help w/ Charge Nurse Duties, Please

    miko014 replied to jennifer79RN's topic in General Nursing

    Wow, you got to orient? I didn't. I came in and my name was on the board as being in charge. They handed me the census and the pager, said good luck, and let me go. I am in charge fairly often now,...

  18. how many of you go to the grocery store after working with patients?

    miko014 replied to ilmbg's topic in General Nursing

    I agree - I would never go anywhere if I had something nasty on me, and I wash my hand thoroughly before I leave work. I also wash all of my produce and such very thoroughly before using it - whether...

  19. Experience

    miko014 posted a topic in General Nursing

    This is going to be a fairly mild vent, but I need to blow off a little steam. I have been trying to get a job working with outpts (that don't require too much use of gloves - no wound care...

  20. Experience

    miko014 replied to miko014's topic in General Nursing

    I know someone who does that, and it does sound good. But I don't want to do oncology anymore right now. Since I have to get a new job anyway, I want to try something else for awhile. That's a good...

  21. Experience

    miko014 replied to miko014's topic in General Nursing

    I've been to the derm, tried all the solutions. That's why the doc said what he said. The cotton liner is a good idea, but not really practical with all the isolation pts we have. In other words, I...

  22. Experience

    miko014 replied to miko014's topic in General Nursing

    That's a good idea. I should look into that. Thanks! I do have a BSN now and will probably go on for my masters at some point, it's just not feasable right now. I think they said somethig about...

  23. Experience

    miko014 replied to miko014's topic in General Nursing

    There are no gloves that make it go away completely (it's the irritation from my hands getting hot inside the gloves that causes the problem), but there are some that are better than others. The ones...

  24. Nurse abuse: managment just doesn't get it!!

    miko014 replied to iluvivt's topic in General Nursing

    Isn't it amazing that they can refuse to be discharged??? Talk about ridiculous. We recently had a pt who was supposed to go home but refused to leave for 3 days - and they just let her stay! She...

  25. Nurse abuse: managment just doesn't get it!!

    miko014 replied to iluvivt's topic in General Nursing

    Isn't it funny how that has flipped? It used to be that they needed us, and they showed a bit of respect. Now they are looking at it the other way - we need them. And we will do whatever it takes...