kmaryniak

kmaryniak

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All Content by kmaryniak

  1. Peer support study

    kmaryniak posted a topic in General Nursing

    My name is Kim Maryniak and I am a student at the University of Phoenix working on a PhD in Nursing degree. I am doing a research study entitled The Correlation between Peer Support and Quality of...

  2. Is There Enough Time for Patient Teaching and Teach-Back in Fast Paced Acute Care Settings

    kmaryniak replied to brcanda3's topic in Patient Education

    There is definitely not enough time that is needed for bedside nurses to provide quality education. When the average length of stay was 7 days, there was time. Teachback strategies are helpful when...

  3. What is your nursing "joy?"

    kmaryniak replied to jamisaurus's topic in Nurses Rock

    I agree. For me, the biggest joy is in helping others reach that "ah-hah" moment. Teaching, whether it is patients, families, students, or other staff is one of the most rewarding outcomes of the...

  4. How often do you use transducers with UVCs?

    kmaryniak posted a topic in NICU, Neonatal

    I am trying to gather info on how many units routinely use transducers with their UVCs. We currently use transducers on all UACs and UVCs, but the policy is up for review. Do other units have this...

  5. Job Shadowing

    kmaryniak replied to Lilme04's topic in NICU, Neonatal

    Try Bakersfield or Sacramento. Or, if you are close to Fresno, the Kaiser has a level II

  6. Can someone explain the whole CHF, BPD,edema thing?

    kmaryniak replied to t2000JC's topic in NICU, Neonatal

    Here's another good article: http://www.emedicine.com/PED/topic289.htm

  7. Minimal handling policies

    kmaryniak posted a topic in NICU, Neonatal

    Hello, all! We are currently revising our policy on assessments in the NICU, and would like to include minimal handling. I'm gathering the research now, but would like a consensus on what other...

  8. Resistance to change

    kmaryniak posted a topic in Nursing Educators, Faculty

    I've just recently become a unit based educator, and one of my main tasks in educating the nurses, is updating the policies and procedures. I am a great believer in evidence-based nursing, so I quite...

  9. Resistance to change

    kmaryniak replied to kmaryniak's topic in Nursing Educators, Faculty

    Thanks for your input! I have tried a questionairre when I first started, but I think I do need to look more towards the staff on a continual basis, for their thoughts, feelings, and needs. I'm not...

  10. IV Starts

    kmaryniak replied to Mofe'ny's topic in NICU, Neonatal

    It's always been my practice to a limit of 2 attempts per nurse. I love scalp veins, personally. I know parents don't like the look of them, but they work great, and tend to last. I've noticed at...

  11. How about anyone from Canada moving to the USA?Thats my plan in 2 years.

    kmaryniak replied to maple's topic in International Nursing

    Hey, ME! I miss you guys, too! Probably more than you

  12. How about anyone from Canada moving to the USA?Thats my plan in 2 years.

    kmaryniak replied to maple's topic in International Nursing

    Well, here I am in "sunny California", and it has not been that big bed of roses I was promised. I had issues with the Board of Nursing in getting my California license (after nursing in Canada for...

  13. gavage feeds

    kmaryniak posted a topic in NICU, Neonatal

    Just curious what everyone did out there, for feeding their babes gavage feeds. The hospital I'm at now is very different than the one I came from in Canada. Do you guys use OGs, or NGs? And, when...

  14. gavage feeds

    kmaryniak replied to kmaryniak's topic in NICU, Neonatal

    Actually, it isn't just swaddling (almost all the babes are on skin probes). The nurse told me that they were literally using tape to hold the baby's arms down. I'm sure JCAHO would have something...

  15. gavage feeds

    kmaryniak replied to kmaryniak's topic in NICU, Neonatal

    It is very interesting, how everyone does something a little different. Here's a tidbit, though. A couple of weeks ago, a little 1kg babe pulled out his tube (just a little!), during a feed. No one...

  16. gavage feeds

    kmaryniak replied to kmaryniak's topic in NICU, Neonatal

    You see, where I worked in Canada, we would sit at the bedside with our gavage feeds. This would allow us to watch for feeding tolerance, so if they regurged, desatted or had a brady, we could adjust...

  17. autonomy

    kmaryniak replied to kmaryniak's topic in General Nursing

    "It's all

  18. autonomy

    kmaryniak posted a topic in General Nursing

    Hello! I'm from Canada, where I've been nursing for 13 years. Included in my experience is teaching nursing students, in med/surg. I also have been working the past 7 years in NICU. I decided to go...

  19. autonomy

    kmaryniak replied to kmaryniak's topic in General Nursing

    SmilingBluEyes- I did not mean to sound "snippy", nor insulting. I just meant that a lot of issues I have surround nursing judgement, which I feel that, on my unit we are not allowed to have. I...

  20. autonomy

    kmaryniak replied to kmaryniak's topic in General Nursing

    Okay, I'm glad I'm not insane for thinking that it is stupid. But it is. I had a kid (I work NICU), who was starting that lovely "stridor", so I went a put a sat monitor on him. Then I was told (by...

  21. autonomy

    kmaryniak replied to kmaryniak's topic in General Nursing

    Just to clarify- when I say "autonomy", I mean do activities that are totally within the nursing scope of practice. Does the term "nursing judgement" ring a bell with anyone else? For example, if my...

  22. new grads that don'y ask questions

    kmaryniak replied to altomga's topic in General Nursing

    I think that there is a lot to situations, where new grads don't ask questions. The question is, why aren't they asking questions? For some, it truly is a "know it all" attitude, where they believe...