mianders

mianders RN

ER, Infusion therapy, Oncology

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All Content by mianders

  1. What it means to be a professional nurse?

    mianders replied to meme75's topic in General Nursing

    The dictionary defines a professional as "a person that conforms to the ethical or technical standards of a profession." In nursing I think a professional is someone who has strong ethics, a...

  2. I nned some advice very DOWN IN THE DUMPS

    mianders replied to heartlover07's topic in General Nursing

    I agree with weezyljm, hang in there and get the first year out of the way. You can start looking at what is available in your area and when your year is up make a change. I worked in the ER for a...

  3. What's the Best Way to Learn Medications

    mianders replied to athomemom56's topic in General Nursing

    The physicians in each hospital, ER or clinic have certain drugs they use all the time. I would start with those. Class, mechanism of action, doasage range, administration, interactions, nursing...

  4. What does your head nurse need to know?

    mianders replied to Riseupandnurse's topic in General Nursing

    Thank you for going out of your way to help out in a crunch.

  5. caring for chronic pain pts

    mianders replied to abbysmom's topic in General Nursing

    In your post you went into great depth about the multiple surgeries, ulcerative colitis, arthritis, ect.., so I would think the patient has valid issues. I work in an area where the patients have...

  6. If I were your assigned CNA...

    mianders replied to misslo's topic in General Nursing

    It depends on where you work. Everywhere I have worked the CNA was assigned to certain rooms. They might be under several RN/LVN's. Some of the best CNA's I know anticipate what will be needed, so a...

  7. Tired of being SICK!!!

    mianders replied to ERnewbieRN's topic in General Nursing

    Get well soon.

  8. "She does it because she cares about me"

    mianders replied to Tait's topic in General Nursing

    I worked in the Er for years and those kind of comments were rare. I work in IV therapy now and the patients are so different. They tell you all the time what a great job you are doing. It is so...

  9. Where to go from the ER

    mianders replied to AJK2004's topic in Emergency

    I left the ER after 12 years and am doing infusion therapy. We do chemo, blood, IVIG , Iron, basically anything that goes in a vein. It is a completely different world and I love it. The patient...

  10. hall patients

    mianders replied to rnlightening01's topic in Emergency

    We always have hall beds in our ER. Even if there is no one in them when you start your shift they will still assign a nurse to them, and they will float until they get patients in them. It will do no...

  11. Ethical question-being friends with a patient

    mianders replied to tharris22's topic in General Nursing

    I work in an infusion suite and give a lot of chemotherapy. When my mom was diagnosed with cancer for the second time she was told she would have to go through more chemotherapy. She decided she did...

  12. So I took Boards this morning.....

    mianders replied to nikkiannette's topic in General Nursing

    I took my boards 13 years ago right after it went computerized and the same thing happened to me. I did not think I did very well either, I cried every day for 2 weeks (back then it took 2 weeks )...

  13. What did you do to get to where you are rt now?

    mianders replied to rxrn's topic in General Nursing

    I worked the EC for 12 years, and most of them I was working 4-12's, every other weekend and a lot of holidays. Then I was in a very bad wreck and had to re-evaluate my priorities. I changed over to...

  14. can LPN take verbal telephone orders?

    mianders replied to mom4jesus's topic in Geriatric, LTC

    I live in TX and LVN's can take telephone and verbal orders. They can do assessments if an RN signs behind them. They can not hang blood. Although, they can check blood with a RN. There are also some...

  15. Phone Triage

    mianders replied to scrubsnhugsRN's topic in Emergency

    We were not allowed to give advice over the phone. I did the same thing tell them if they feel like they need to be seen in the EC to come

  16. Its True about Nurses and Tickets

    mianders replied to ScooterNurse's topic in General Nursing

    I have been pulled over 2x and not received a ticket because of being a nurse. I would never abuse it though. You never know if you'll get the one cop who does not agree with

  17. Eating on the floor

    mianders replied to *Scrubs*'s topic in General Nursing

    I am not sure what the nurses bringing food on the unit has to do with one of the patients being on isolation. JCAHO does not regulate this. The only thing they say is it is up to each facility to...

  18. Would you write this up?

    mianders replied to TigerGalLE's topic in General Nursing

    You should discuss it with the nurse. It is always important to have all the facts before you write someone up. You would appreciate the same courtesy. The "normal" dose for colace is 50-360 mg/day in...

  19. Is this illegal?

    mianders replied to megananne7's topic in General Nursing

    I am not sure what an ALF is, but someone in admistration does not usually write in the chart, and if a nurse is signing behind her she could be setting herself up for a lot of

  20. Things that are learned on the job

    mianders replied to fsaav's topic in General Nursing

    I think skills in general (IV's, foleys ect..) are not done much in clinicals. The instructor or nurse has to be with you and a lot of nurses don't want to be bothered with it. It is easier to do it...

  21. I am a nurse!!! But this....?!

    mianders replied to CactusFlower's topic in General Nursing

    It sounds like you have been a nurse a long time and as you said have learned a lot. This will definately help in the adjustment. I worked in a small rural hospital when I first got into nursing and...

  22. Houston-L&D nurses

    mianders replied to FutureRN_08's topic in Ob/Gyn

    The choices are unlimited in the Houston area. There are several very large hospital systems and some smaller ones and most have very good women's services. A lot of it depends on which side of town...

  23. A heartfelt patient's (and future nurse's?) view on healthcare in the US

    mianders replied to EnduringFaith's topic in Activism, Healthcare

    I agree completely that something needs to be done about the healthcare system in America. The problems are almost insurmountable. As a healthcare provider I see these problems everyday. Medicare puts...

  24. Dating co-workers

    mianders replied to jerenemarie's topic in General Nursing

    A supervisor should never date a subordinate. Co-workers in general should be no one elses

  25. Drinks in the nurses station...

    mianders replied to mcknis's topic in General Nursing

    No drinks at the nurses station is not a JCAHO, OSHA or Dept. Health rule. There only requirement is you do not have food or drink in patient care areas. It is up to each facility to determine what...