rnmi2004

rnmi2004

private duty/home health, med/surg

Member

  • Content

    534

  • Visitors

    7,017

  • Followers

    0

  • Likes

    15

All Content by rnmi2004

  1. Counting the Pyxis bid

    rnmi2004 replied to Riseupandnurse's topic in General Nursing

    So basically the hospital is paying their entire staff an extra 30 minutes of OT every shift? That is going to add up very quickly. Maybe once mgmt realizes how costly this is, they will change their...

  2. Poll: What size angiocath do you usually use to start an IV?

    rnmi2004 replied to mikethern's topic in General Nursing

    20 if I know they'll be going to surgery, getting blood, or going for a CT with IV contrast. Otherwise, there's no reason not to do a 22 for IV abx/maint

  3. AED Question

    rnmi2004 replied to PhilGN's topic in General Nursing

    :roll I have to confess, when I read the post, I was thinking about pierced EARS & wondering why in the world that would matter. Just goes to show how behind the times I

  4. inside the mind of a nurse.....

    rnmi2004 replied to ERRN92's topic in General Nursing

    I'm a floor nurse, so I have a hard time sitting still at committee meetings. One of the things I do to keep from falling asleep is checking out the veins of the people near me & guessing how...

  5. Posterior Vs. Anterior lung sound ausculation

    rnmi2004 replied to luv2shopp85's topic in General Nursing

    Shoot! I managed to post before I was done. If they have limited mobility, they are more likely to have respiratory complications and therefore merit a more thorough assessment, i.e., listening to all...

  6. Posterior Vs. Anterior lung sound ausculation

    rnmi2004 replied to luv2shopp85's topic in General Nursing

    If they have a hard time turning, then they are at increased risk of skin breakdown and therefore should be assisted in turning at least Q2hr. Next time they are due to be turned, go in their with...

  7. RN vs. Phlebotomist

    rnmi2004 replied to sweet sue's topic in General Nursing

    At my facility, RN's draw stat labs, blood cultures, and central lines. I work noc shift & if my pt's IV outdates the next day, I will restart the IV in the a.m. and draw labs off of that to save...

  8. The Uncertainty of it all

    rnmi2004 replied to garciadiego's topic in Medical-Surgical

    One of the things that you don't realize is how much time it takes to think things through when you're new at this. I've been doing med-surg nursing for almost 3 years now, and I can see in my...

  9. Ways I have heard Metoprolol pronounced...by medical personnel.

    rnmi2004 replied to stillpressingon's topic in General Nursing

    How about the different ways to pronounce Dilaudid: dilandid dilautin dilauntin dilaudinum "that pain shot that starts with d" So many people love it, so few can pronounce

  10. Charge Nurse Duties

    rnmi2004 replied to Celia M's topic in Medical-Surgical

    The charge RN on our floor rarely has a patient load. I think it is a bad idea on management's part to put someone in charge and expect them to do patient care at the same time. You can't do justice...

  11. Bad Rep for Med Surg

    rnmi2004 replied to kellyskitties's topic in Medical-Surgical

    I think the first thing that needs to happen is get over this "Mandatory year in med-surg" thing. If you truly have a desire to have the experience of a year in med-surg or that is the area of nursing...

  12. Families from Hell

    rnmi2004 replied to traumamomtx30's topic in General Nursing

    When I see a stable patient in my med/surg floor with their room full to overflowing with visitors for hours on end, I always wonder if they visit this much when the patient is at home in their usual...

  13. DNR bracelet with DNR written on it. HIPAA???

    rnmi2004 replied to FireStarterRN's topic in HIPAA Challenges

    Why not explain to the patient (or person making the decision on code status) the rationale behind the color coding & let them decide? Some people may be uncomfortable with the idea that a...

  14. Rapid Response team & decrease in codes

    rnmi2004 posted a topic in General Nursing

    Since our facility began staffing us with a Rapid Response RN 24/7, we have had almost no code white/code blue situations. What about your hospital? I was wondering if anyone else has thought about...

  15. Dreaming about work while you sleep:(

    rnmi2004 replied to Shantas's topic in General Nursing

    I have had the dream about not seeing a patient for the entire shift many times! I also hear call lights, sigma pumps, etc. while I'm winding down. Oh, and if I've been charge, the shrill cry of the...

  16. peg tube placement

    rnmi2004 replied to hunny_pye's topic in Medical-Surgical

    An NG/OG tube could migrate to the lung; therefore, checking placement is necessary. Have you ever seen how short a PEG/PEJ tube is? http://www.pedsurg.ucsf.edu/gastrostomy_tubes/images/main_img.gif...

  17. question about hemovac and jp drains???

    rnmi2004 replied to otan11's topic in Medical-Surgical

    I agree with what oMerMero said about the infusion pumps. And your facility should have a policy about the removal of drains. In my hospital, you have to be checked off. It stings when coming out, so...

  18. Home birth vs. hospital

    rnmi2004 posted a topic in Ob/Gyn

    I belong to another parenting board & one of the debates that surfaces every so often is home birth vs. hospital birth. There are so many pro-home birthers that talk about how natural home birth...

  19. My first few days, as a new RN

    rnmi2004 replied to starryx2's topic in General Nursing

    That is an unreasonable assignment for an experienced nurse, let alone a new grad. I'm wondering why you're even off orientation if you just took your boards yesterday. It sounds like this place...

  20. Aortic stenosis & BP - right or left arm?

    rnmi2004 posted a topic in General Nursing

    I work on a med-surg floor & the other day I had a pt who had a cardiology consult due to aortic stenosis. She went from being a stable GI bleed to very unstable. Our critical care team assessed...

  21. BD instye autoguard angiocaths- difficulty

    rnmi2004 replied to enfermeraSG's topic in Infusion, Intravenous

    Yes, you have to rotate it before you stick. When I was learning, I forgot that step once or twice and it is nearly impossible to slide a "stuck" catheter off the

  22. New RN's helping them

    rnmi2004 replied to bradleau's topic in General Nursing

    How does she plan out her night? Like veegeern said, she will have interruptions, but having a schedule will help get her back on track. I have a grid listing my patients and for each hour of the...

  23. Some ER nurse I am

    rnmi2004 replied to gonzo1's topic in General Nursing

    My condolences to your husband and you for the sudden loss. Even a "hot shot ER nurse" has the right to grieve over family members--it must tear you up to see how it is affecting your

  24. Aortic stenosis & BP - right or left arm?

    rnmi2004 replied to rnmi2004's topic in General Nursing

    She did have a hx of rheumatic fever & valve replacement in her H&P; it didn't specify which valve, it also specified aortic stenosis. She had many other issues going on that were being...

  25. THIS Is Why I Love Geriatrics

    rnmi2004 replied to VivaLasViejas's topic in Geriatric, LTC

    What a beautiful way for the staff to show honor & respect to this couple that has gone through so much