mianders

mianders RN

ER, Infusion therapy, Oncology

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All Content by mianders

  1. Lavage and the GI bleed

    mianders replied to olddog1's topic in Emergency

    I have not been in the ER in 2 years , but when I left we were still doing "lavage until clear". Then they were usually put on a sandostatin drip. I could not tell you if that has

  2. venting

    mianders replied to XXl-cool's topic in General Nursing

    Sometimes it is not easy to leave it at work. The best thing I have found is talking with people who understand what I'm going through such as co-workers and of course this site. The people here do...

  3. RN vs. PA

    mianders replied to TraumaNurseRN's topic in Emergency

    I have never met a PA or NP that would take a patient off a bedpan, and frankly, I would never consider asking one. They are considered one step below a physician and I would never ask a physician to...

  4. SURVEY: What degree did you get for nursing and other questions

    mianders replied to ThePretender's topic in General Nursing

    I hope this

  5. Doing away with 12 hour shifts?

    mianders replied to nckdl's topic in General Nursing

    In our area 8 hour shifts are few and far between. I changed specialties because I could no longer do the 12 hour shifts in the ER. I now do IV therapy and work M-F, 8 hour shifts, and I love it. If...

  6. Which unit would prepare me best for nursing school?

    mianders replied to CNAinNeb's topic in General Nursing

    I worked in the ER a long time and none of the hospitals in our area, including the level 1 trauma centers allowed techs to start IV's or put in foleys. From a learning prospective the only advantage...

  7. iv therapy

    mianders replied to Alana211's topic in Patient Safety Issues

    At our facility LVN' can administer everything except blood and certain high risk medications. I does sound like the problem is with a particular nurse and not LVN's in general. I know some LVN's that...

  8. Administration of blood products

    mianders replied to NativeSundance's topic in Emergency

    According to the Infusion Nurses Society and "Core Curriculum for Infusion Nursing" PRBC's may infused over 1-2 hours but must be infused within 4 hours. FFP should be administered at 200 mL/hr or...

  9. Do you let ambulances drop off in triage?

    mianders replied to Anagray's topic in Emergency

    We send ambulance patients to triage all the time. If there are beds open and no one waiting it is a different story. If you have a patient that comes in by EMS that could have walked in, or gone to...

  10. Am I too old to be going to school for BSN?

    mianders replied to ladyloca45's topic in General Nursing

    I have seen many nurses start their careers late in life. You are never to old to do something you really

  11. Ok to take care of family as a patient?

    mianders replied to trmr's topic in General Nursing

    I take care of a lot of oncology patients and do their chemo. When my mother was diagnosed for the 2nd time with cancer she refused to take her chemo unless I gave it to her. I discussed it with the...

  12. Pt 'fall', unit changing, other staff, ect

    mianders replied to hollyberry678's topic in General Nursing

    I think the RN that is talking to families about the problems the unit is having is setting herself and the hospital up for all kinds of problems. Always fill out an incedent report when anything out...

  13. OMG...32 pts!

    mianders replied to jessiern's topic in General Nursing

    Are you really serious? If you are taking more patients than this 1/10.5 ratio than your hospital is setting you and your patients up for a bad situation. I think I would be looking at other

  14. IV Protonix

    mianders replied to TigerGalLE's topic in General Nursing

    We give it IVP. I also have never heard of a dedicated line for

  15. I Dont Know What To Do

    mianders replied to jes6681's topic in Louisiana Nursing

    I guess I don't understand. If you are already in the 3rd year of a nursing program why you have not been doing clinicals, and what your GPA has to do with it. In all the nursing programs I know of...

  16. Dr Jarvik investigated as drug pitchman

    mianders replied to NRSKarenRN's topic in Activism, Healthcare

    He said nothing that was not true in the advertisement. He did pioneer the artificial heart, and knows more about cardiology than most cardiologist. I do not think he is "portraying himself as...

  17. How does Lone Worker Protection operate in the US healthcare system?

    mianders replied to ukresearcher's topic in General Nursing

    As far as I know there is no system available for healthcare workers specifically. The 911 sysytem is available to everyone. It goes through a dispatcher that sends the request to whichever emergency...

  18. Do I have the right to be a little miffed about this?

    mianders replied to labcat01's topic in General Nursing

    Trying to be optomistic here. Maybe they decided since you were due at any time they would wait until the baby was born to due your interview. I would keep trying to reach someone in HR. I hope it all...

  19. Is it a HIPPA violation?

    mianders replied to DixieNurse2244's topic in HIPAA Challenges

    Did she say she wanted to talk to you about your accident? You said "supposedly". Maybe it is about something unrelatd, if not she is definately overstepping her

  20. "Weekends aren't a shift!"

    mianders replied to bethin's topic in General Nursing

    Our cafeteria is open on weekends and holidays, but only until 2p and they have a very limited selection. On Mon-Fri it is open 7a-7:30p. We fought with administration for a long time just to get...

  21. Did Hillary really say nurses are glorified sitters ?..... No fact to support

    mianders replied to time4meRN's topic in Activism, Healthcare

    How do you know it is a "ridiculous smear campaign" if you do not bother to research it? Just because she was endorsed by the American Nurses' Association does not mean that she did not make the...

  22. Why do hospitals still have day/night rotations?

    mianders replied to edogs334's topic in General Nursing

    The hospitals in our area do not rotate shifts. You usually work 7a-7p or 7p-7a. There are a few places that still do 8 hour shifts but that is more the exception than the norm. I am suprised that...

  23. Is this a common trait in a charge nurse?

    mianders replied to General E. Speaking, RN's topic in General Nursing

    In the ER it was to make patient assignments, control the flow of the unit (triage, minor care, medical and trauma), handle any staff/pt/physician issues, help other staff as needed, and if staffing...

  24. Feeling overwhelmed!!!

    mianders replied to lilbug's topic in NICU, Neonatal

    I do not know of any nurses, in any specialty, that did not feel overwhelmed in the beginning. Nursing school does not prepare you enough for the realities of nursing. They just teach you the basics....

  25. Is this a common trait in a charge nurse?

    mianders replied to General E. Speaking, RN's topic in General Nursing

    I worked as a charge nurse for a long time in the ER and also trained other charge nurses. There are many responsibilities that go along with the job, and it can be very stressful, especially on a...