rnmi2004

rnmi2004

private duty/home health, med/surg

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All Content by rnmi2004

  1. What is it like in your hospital right now?

    rnmi2004 replied to FloatFNP-C's topic in Disaster Preparation

    Very tense atmosphere at the moment. It feels like the calm before the

  2. Public Making Masks

    rnmi2004 replied to LovingLife123's topic in Disaster Preparation

    My hospital has put out a plea to the public to make fabric masks for our staff. ? Anyone else working at an acute care facility with this situation? Also would like to throw this out there...

  3. Hospital staff/no weekends/holidays

    rnmi2004 replied to finallyRN7's topic in General Nursing

    Nurse managers, case managers, WOCN nurses in my hospital are all weekdays only with no weekends, no holidays. NM do have to be available for any crisis on the unit 24/7 but they can usually manage...

  4. GN to NP in <1yr

    rnmi2004 replied to OhioCCRN's topic in General Nursing

    This. An inexperienced RN or NP doesn't even know what they don't know. I don't want an NP with no job experience or residency taking care of me or my family, period. I also don't feel I should have...

  5. Has anyone ever look down on you because you are a nurse

    rnmi2004 replied to dulcet's topic in Patient, Colleague Relations

    I've never run across that in real life. People who make comments like that are obviously ignorant of what nurses really do. Try to educate them; if they're receptive -- great. If they want to wallow...

  6. Continuous Bladder irrigation

    rnmi2004 replied to mindlor's topic in General Nursing

    If the patient doesn't clot off with the bag going in at only 50ml/hr, they don't need a CBI. Your boss is clueless and should be ashamed to spout off nonsense like that. If that is indeed your...

  7. conscious pt terminal wean

    rnmi2004 replied to taylynnfree's topic in MICU, SICU

    Many nurses have already made beautiful comments about end-of-life care. I'd like to address the OP's perception of how the nurse handled this situation. I can't imagine the emotions this poor nurse...

  8. Bedside shift report w/ emergency department

    rnmi2004 replied to bsnursing's topic in Medical-Surgical

    I can see how it would be feasible in a small hospital. Many hospitals have inpatient floors too far away from ER to make this work. And what happens if the floor nurse decides the patient isn't...

  9. Evidence-Based Practice...your thoughts

    rnmi2004 replied to ThePrincessBride's topic in General Nursing

    I agree with other posters -- it's nothing new. However, in my relatively short time as a nurse, I've seen some practices come and go that turned out to be based on shaky evidence. Remember...

  10. JP Drains and blood exposure

    rnmi2004 replied to Katniss88's topic in General Nursing

    Practice will help! I agree, turn the spout away from you to empty, and don't squeeze the bulb until you're done emptying. Styrofoam then a 30cc cup sounds a little more time consuming than it needs...

  11. Random thoughts after a loved ones admission

    rnmi2004 replied to Pepper The Cat's topic in Patient, Colleague Relations

    Sorry to hear about your father. I hope he's better soon. Thank you for the reminders. I try to acknowledge patients that are hospitalized around the holidays & birthdays -- I want them to know I...

  12. ER nurses bringing pts to the floor soiled

    rnmi2004 replied to garn12's topic in Patient, Colleague Relations

    The AC in the IV doesn't bother me-- there are many reasons for it as was previously mentioned. In addition to the ease of access in a dehydrated patient, plenty of admitting dx carry the possibility...

  13. No more phlebotomist in the hospital?!

    rnmi2004 replied to squatmunkie_RN's topic in General Nursing

    Wow, I work med/surg with a lower ratio (1:4/5) WITH aides & I can't even imagine being on a tele floor with no aides AND having to do your own lab draws. Many cardiac tele patients are admitted...

  14. Call light abuse. What to do???

    rnmi2004 replied to IBleedGreen's topic in Patient, Colleague Relations

    Do you have a patient relations department that you can call? We have had more than a few patients that have had a behavior contract drawn up &

  15. Medication shortages?

    rnmi2004 replied to Tarabara's topic in General Nursing

    God forbid there's a shortage of all forms of IV Dilaudid... I think our patient population would suddenly

  16. May-Thurner syndrome

    rnmi2004 replied to Clovery's topic in General Nursing

    I love your pain scale! I can see it being very useful for teens & young adults. I found this free article from a search on pubmed that might explain why she would have had surgery on both...

  17. Nurses entering their own eletronic MARS? ?

    rnmi2004 replied to Pride/hardwork17's topic in General Nursing

    Check out this article... http://www.ahrq.gov/downloads/pub/advances2/vol4/Advances-Miller_93.pdf Especially this

  18. Sympathy strike...would you do it??

    rnmi2004 replied to notachargenurse's topic in Collective Bargaining, Union

    If I had the day off, I would consider standing with the strikers. If I felt the company in question were being unfair, I would not use their services or product. I would not screw my current...

  19. Should I have implemented Suicide Precautions?

    rnmi2004 replied to RNdiva505's topic in General Nursing

    Do you ask about suicide attempts or suicidal ideations on every med-surg patient? That seems odd to me. We have a question about stressors, but we don't specifically ask about suicide. IMO, if your...

  20. Ridiculous V/S...are you out of your mind?

    rnmi2004 replied to BrazoriaLVN's topic in General Nursing

    Or maybe the patient was standing on his

  21. Central line dressing changes

    rnmi2004 replied to Chieif20's topic in General Nursing

    What makes me cringe is reading that you only change tubing Q 4 days? I'm pretty sure our policies are evidence based practice, and don't even keep peripheral IV tubing up longer than 72 hrs. My...

  22. How do you induce passing gas post-op?

    rnmi2004 replied to bjaeram's topic in General Nursing

    Pull his finger? OK, seriously 12 days is a long time to not even be passing gas. I agree with the position changes. At this point, anything oral isn't going to get to the part of the intestines...

  23. is it wrong to sit on a patients bed?

    rnmi2004 replied to LPNweezy's topic in General Nursing

    Most of our rooms have chairs, so I sit on them next to the bed. If the chairs have "walked off" or if they're full of stuff, I have sat on the bed before. There are just some times when your...

  24. Dealing with emotions at work

    rnmi2004 replied to sugarmagnoliaRN's topic in General Nursing

    I totally agree with the comments that you need to check the baggage at the door. I work with too many people that air out their dirty laundry while the rest of us are trying to work. Or they are...

  25. Night shift and mom RN's...will it be ok???

    rnmi2004 replied to kimbalotz's topic in General Nursing

    I also have a supportive husband (and awesome kids) so it works out well. I see my kids more working nights. We eat dinner together as a family every night, I can help them with their homework, etc....