sming

sming has 28 years experience and specializes in critical care.

Latest Activity

1. Swan Ganz for dummies?

   sming replied to MelRN13's topic in CCU

   I could e-mail you a copy of a project I did. It is a cd from very basic to advanced, and i am not sure if i could e-mail it to you from the site

2. medical marijuana

   sming replied to blueberrybon's topic in General Nursing

   I hear you!

3. Nursing Student in need of a Nurse Mentor asap....please

   sming replied to nurse2be8128's topic in General Nursing

   Hang in there, know your drugs inside and out, know the proceedures and what you are expected to do. Don't take it personal, like sombody else said it is not forever. We all have had an instructor from hell, but you know after about 10, 15 years if y...

4. medical marijuana

   sming replied to blueberrybon's topic in General Nursing

   As for second had smoke, the science for second had smoke from any source is poor science to begin with. There are far to many variables to be able to make a decisive interpretation. At best one can only say that it may be a contributing cause. There...

5. How do you stop bad habits?

   sming replied to loriannlpn's topic in General Nursing

   I smoke, and I am not embarassed, I do a lot of other healthy things, and if I do quite smoking it will be more for finacial reasons rather than health. Shame is only going to make you feel bad, if you smoke, smoke, and enjoy it, don't ride yourself...

6. Do you document errors?

   sming replied to nur2007sing's topic in General Nursing

   yes, write up the incident report in a non punaitive way. What are the contributing causes, in most cases nothing is going to happen. If you get shy about doing this, somthing tragic could happen out of fear or apprehension. I had a patient that h...

7. new charge nurse discovering bad practice on the unit

   sming replied to nursindaz's topic in General Nursing

   I have given meds early, but it depends on the situation, and what the meds are. I work in a busy CCU unit, and if I have a heart rate that is much higher than it should be in a fresh MI, I would give the oral beta blockers and let the MD know, and ...

8. Have you performed CPR?

   sming replied to TemperStripe's topic in General Nursing

   I could not tell you the number of codes I have been involved in. I work in a CCU and at the begining of my career we seemed to have them much more often than now. I work with people who have never been in a code, myself I have had on two occations...

9. HELP! I'm Burned out!!!

   sming replied to barbara1's topic in General Nursing

   I am 50 nursing since 1976 LPN at first then an RN and the got my degree in 2000. I have feelings of burn out that come and go. I still love being a nurse. I get a lot of personal cards from former patients, which are wonderful to get. I love mak...

10. Learning Assessment Techniques

    sming replied to RAASN's topic in General Nursing

    Hi, I can understand your feelings. In my LPN classes years ago we did our assessments on one another. It was a old instructor who got upset with one of us two guys, doing an assessment with one of our female counterparts. It was not upsetting to ...

11. Just got my 1st job--Cardiac unit

    sming replied to jlrose's topic in Cardiac

    I have 17 years experience in the Coronary Care Unit at St. Michael's hospital in Toronto. I have also joined a critical care respose team, will be starting my third week of orientation this Monday Dec. 11th. Am learning so many new things and a hu...