MPKH BSN, RN

General Internal Medicine, ICU

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All Content by MPKH

  1. MPKH

    Which Nurse are You?

    I’m 100% Quiet Quincy.
  2. MPKH

    So, who are you?

    A fiancée, cat mom, knitter, and crocheter in progress.
  3. MPKH

    How Long Do You Expect To Be a Nurse?

    Been a nurse since 2011, so I’m hitting up a decade of nursing this year. I intend to work as a nurse in one capacity or another until I retire, unless something life alternating happens!
  4. Look if your role is to help the floor nurses, then you should listen to the nurses and do the tasks they requested you to do. You don’t get to cherry pick what you want to help them with. Just because you’re a manager doesn’t mean you’re magically e...
  5. I started out in med-surg. Worked 8 years on an Internal Medicine unit before transferring to the ICU this past Summer. I feel that my med-surg experience have definitely helped me with the transition, and it wasn’t as steep of a learning curve for m...
  6. I’m from Canada, so my personal experience may be a bit different over here in regards to keeping/omitting jobs that you were fired from on your resume. As a freshly minted new grad, I took up a rural nursing job, far away from the big city I g...
  7. I recently started working in the ICU after 8 years of working on a general internal medicine floor. I did it because I was starting to feel stale working on the floor, and I wanted to expand my nursing knowledge and learn new things. ICU did not dis...
  8. MPKH

    ECG/EKG HELP! ACLS

    1) Aflutter, characterized by the saw tooth pattern of the p waves. 2) I think it’s Afib 3) Third degree heart block 4) It looks like a sinus block to me 5) Junctional escape rhythm 6) SVT
  9. MPKH

    New Grads and Acute Care Hiring

    I graduated in 2011. Couldn’t find a job in the big metropolitan city that I grew up in. The hospitals all wanted nurses with at least a year of experience, and long term care facilities weren’t too eager to take on a new grad. So I went where ...
  10. MPKH

    Staff Nurses Who Refuse To Precept Or Teach?

    Some people just don't like to teach. It's not a mandatory part of our jobs. I don't like having students because I just don't have the patience to teach and explain everything I'm doing. That doesn't make me a bad nurse or anything like that. Teachi...
  11. Set boundaries and enforce them. We have a patient similar to yours on our unit-cognitively intact with behavioural issues. We learn to ignore her incessant screaming and name calling, and if she chooses to throw things on the floor, she doesn't get ...
  12. MPKH

    Shortages r/t Puerto Rico

    Got a talking to at work today about iv pushing every med that we can. Or give them via other routes if possible.
  13. MPKH

    The one thing nursing has taught me is...

    One thing nursing taught me is the ability to remain calm, collected and professional all the while wanting to strangle and throttle the person I'm talking to. And don't trust people at their word. And that you can do anything for 12 hours if you set...
  14. MPKH

    Dealing with rude family members

    I usually answer all questions politely and professionally, and refer the family members to our manager and/or the physician for things out of my hand. If it's something I have no control over, I would let them know. I also am firm with rude family m...
  15. MPKH

    How to respond to "am I dying?"

    Well it depends on context. If my patient is making a joke and being non serious, then I'll fire back with a cheeky response. If they are being serious, I'll try to suss out the reason and providing reassurance/education as dictated by the situation....
  16. I look way younger than my age...I'm 29 and could pass for 18. Patients often will comment on how young I look. I simply take it as a compliment and roll with it. From what I'm reading, I don't see any specific examples of bullying. Sometimes you nee...
  17. I work in a hospital that serves the downtown and inner city area of the city I live in. IVDU patients aren't a foreign specimen to me. If there is no clinical reason to hold an opiate (or any drug, really), I give it, providing that the patient's me...
  18. MPKH

    Can you refuse to give care to a resident in LTC?

    Ask your manager to implement a care plan for this gentleman. We have that for difficult patients on our unit. We inform the patient that we are leaving due to inappropriate behaviour and will attempt care at a later time.
  19. MPKH

    Dirty bed sheets/RN/CNA/UAP/CP

    So do you get a new sheet everytime you make your bed at home?
  20. MPKH

    Does anyone else ever envy their patients?

    I don't envy being sick and unable to do things for yourself. I don't envy having tubes in your orifices. I don't envy being poked and prodded multiple times a day by well meaning staff. I don't envy sitting on my own pee and poop and waiting for som...
  21. Port, unless you have an order to collect it from the bag or your hospital policy deems it is okay to do so with a newly inserted catheter. The drainage bag is not sterile--that's why when you change the bag, you don't need to wear sterile gloves.
  22. Hi all! I've been working as a floor nurse on a General Internal Medicine unit since 2012. Last week, my manager asked me if I would be interested in taking on a preceptor student, and I confirmed in the affirmative. So! It looks like I will be a pr...
  23. MPKH

    OT for Time, Love or Money???

    OT time at my work can either be paid out in the next paycheque, or you can bank the hours and request for a day off later. Most people choose the cash option. As for vacations, you start accruing vacation hours during your first year, so you can sta...
  24. MPKH

    AHS undergrad nurses employment

    Posting =/= there's actually a job opening. Postings are up as per union agreements...whether or not there's funding for the position is a different story. For what it's worth, I work in a medicine unit in Edmonton and we've had no UNE for the past t...
  25. So if you're required to interview a nurse regarding these questions, maybe you should contact the Clinical Nurse Educators at your local hospitals and ask if you can meet with an OR nurse.