rnmi2004

rnmi2004

private duty/home health, med/surg

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All Content by rnmi2004

  1. The patient who wouldn't stop screaming...

    rnmi2004 replied to NewWayofLife's topic in General Nursing

    I feel for you...it sounds like you handled it better than the nurse in the "Similar threads" box below this thread: "Court Says Nurse Abused Screaming Patient With Pillow Over Face"

  2. Why are ampules stil used?

    rnmi2004 replied to Sarah Bellum's topic in General Nursing

    The last of our ampules went away earlier this year when the Fentanyl ampules were replaced with vials. I had always flicked the ampules with my fingernail to tap all the liquid to the bottom, and...

  3. Is it time to get rid of 12 hour shifts?

    rnmi2004 replied to country mom's topic in General Nursing

    I work in a hospital that has 8's and 12's. I prefer the 12's for all the advantages that so many others have already listed in this and other threads. That being said, I can't imagine calling for an...

  4. Three things...

    rnmi2004 replied to MissKitty21's topic in General Nursing

    Never again... 1. Deal with snot 2. Have to hear from clueless nursing management 3. Charting & paperwork up the yinyang Which would leave me more time to... 1. Sit & converse with my patients...

  5. Are you happy with your job?

    rnmi2004 replied to RedhairedNurse's topic in General Nursing

    I work med/surg. I've been doing this for almost 4 years now. I enjoy the variety in our patient population, the unusual cases we get, the teamwork. Our staffing is very decent for a M/S floor...

  6. Foley Irrigation

    rnmi2004 replied to RN4Yahweh's topic in General Nursing

    The correct procedure does, unfortunately, involve breaking the pathway. The sampling port is not intended for irrigating the

  7. low census, cancell that deprives nurses of their livlihooding shifts

    rnmi2004 replied to jam2007's topic in General Nursing

    We sometimes have low census shifts, usually around the holidays, and when that happens it applies to RNs, aides, and unit secretaries. It makes sense--why run with a full staff if you aren't at full...

  8. da vinci robot poll

    rnmi2004 replied to mikethern's topic in Operating Room

    I'm not an OR nurse, but I work on the post-surgery floor. Our hospital has one and it is used for prostates and hysts; so far we've seen higher complications rates. Obviously our surgeons haven't had...

  9. "fan out and go" + alchohol

    rnmi2004 replied to Pepper The Cat's topic in General Nursing

    These are my feelings exactly--if I hadn't bothered to check the caller ID and actually answered when my work called. I'm known for helping out in a pinch, and if my family was safe and cared for and...

  10. Do you start your own IVs?

    rnmi2004 replied to FireStarterRN's topic in General Nursing

    We start our own IV's. We have an IV team that inserts PICCs at the bedside and they will start IV's on difficult sticks, after the floor nurse and the charge has tried unsuccessfully. Like others...

  11. No blood return

    rnmi2004 replied to Calgon-take.me.away's topic in General Nursing

    I would hope the reason the patient has had "several PICC lines" isn't due to simply not getting blood return! As other posters have pointed out, if not properly flushed a PICC will develop a fibrin...

  12. When you overhear...

    rnmi2004 replied to miko014's topic in General Nursing

    If it is a patient or their caregiver, I will provide the correct info. I'll also say something to my closest family members or friends. Otherwise, I keep my mouth shut & hope that their ignorance...

  13. Epidurals...do you like them?

    rnmi2004 replied to sunnyside12's topic in General Nursing

    Where I work, the anesthesiologists are great at giving us orders to adjust the medication used in the epidural bag if the patient is experiencing side effects. I have seen many of my patients...

  14. How does one become assertive in the nursing field?

    rnmi2004 replied to nicnix's topic in General Nursing

    Ask yourself this...am I a nurse to take care of my patients or to pander to physicians who don't like to be bothered? What helped me when I was a brand new nurse was coming to the realization that...

  15. Called in tonight; I know I'm in trouble...

    rnmi2004 replied to NurseCard's topic in General Nursing

    I think a lot of nurses have to use a mental health day every so often to prevent burn out. I really like my job and my co-workers but there have been the occasional times when for various reasons, I...

  16. Pt w/ a PICC line on a heparin gtt

    rnmi2004 replied to NurseCherlove's topic in General Nursing

    We don't draw coags off of the lumen that has the heparin infusing in it. Our hospital policy allows nurses to choose if the capped lumen should be flushed with heparinized saline or just with 10ml NS...

  17. Surgical vs General Medical Unit

    rnmi2004 replied to medsurgrnco's topic in General Nursing

    I work on a surgical floor that gets med overflows at times. I much prefer the surgical patients. For the most part, their problem has been fixed surgically & they're getting better & go home...

  18. cause of diaphoresis

    rnmi2004 replied to Ms.RN's topic in General Nursing

    It could be something minor, like she had a fever that broke. Or it could be more serious, like an acute MI or PE. The patients I have seen that have been coded or near codes have been very...

  19. Maggot Debridement Therapy

    rnmi2004 replied to Keepstanding's topic in General Nursing

    I have not seen this used in my hospital but I would be the nurse volunteering to care for the patient if it was! MDT is something I find very fascinating. Here is a link to a case study (with...

  20. Heparin

    rnmi2004 replied to YoungRN06's topic in Medical-Surgical

    As long as it's compatible you can get a second pump and Y the antibiotic into the heparin line. You shouldn't stop a heparin infusion for an

  21. Big Brother - Hypoglycemia Seizure

    rnmi2004 replied to Sara5229's topic in General Nursing

    The medication is called Diastat--it is basically a preparation of diazepam for rectal administration. Parents who have children at risk for status epilepticus often have this

  22. DNR patient coded

    rnmi2004 replied to adventuregirl's topic in General Nursing

    The way it was explained to me is that DNR status has to be suspended for the patient to go to OR, because technically the intubation associated with a surgical procedure is a violation of a DNR...

  23. A Physician's disregard for families rights.

    rnmi2004 replied to DJ-Adia's topic in General Nursing

    Your family is going through a very rought time right now. The last thing you need is an internist that makes a show of caring about your father when he's really letting his big ego get in the way of...

  24. What the heck is a Netie pot?

    rnmi2004 replied to UM Review RN's topic in General Nursing

    Wow, that looks very effective. I have two kids with very stuffy noses right now. I can't see either of them trying it without some major bribing the first time. If it is that effective, I'm sure...

  25. Lunch time...

    rnmi2004 replied to Firehawk734's topic in Michigan Nursing

    Yep, it's really 12.5 hours and at my facility they automatically deduct 1/2 hour for lunch. We're also (theoretically) allowed two paid 15-minute breaks. If I don't get to eat a lunch, or if I'm...