MPKH BSN, RN

General Internal Medicine, ICU

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All Content by MPKH

  1. MPKH

    Nursing Care Hub with AHS

    MPKH replied to aywl's topic in Canada

    Not to make this a LPN vs RN thing, but the team lead/resource nurse is an RN under the care hub model. You don't "need" to be told what to do by your team lead, but it is the role of the RN on the...
  2. MPKH

    Resignation

    MPKH replied to heronurse's topic in General Nursing

    It sucks to be a new grad, going from a big fish in a small pond to a tiny fish in a really big ocean. We've all been there. The first year is the hardest, adjusting to "real life" nursing and how you...
  3. MPKH

    Guilt

    MPKH replied to Whitesranch's topic in General Nursing

    It's not your fault, although you should work on your boundaries. There's a reason why I don't give out medical information/advice to anyone outside of work and ask them to refer to their own doctor...
  4. MPKH

    Who do you work for the patient or the facility?

    MPKH replied to hppygr8ful's topic in General Nursing

    You did nothing wrong. A patient cannot be admitted without an admitting physician, which applies to your situation. The doctor refused to admit the patient, and that's not on
  5. MPKH

    CNO Registration

    MPKH replied to Daniel01_'s topic in Canada

    There's always the possibility that CNO will process your paperwork faster than the 15 business days. However, will they? Depends on the volume of applications they have...and seeing as CNO goes...
  6. MPKH

    Nervous Nellie

    MPKH replied to NurseOnAMotorcycle's topic in General Nursing

    Don't sweat it. People will talk. Managers talk. Things will get skipped. You can always say "I'm looking to see what's out there" when approached--on my unit, whenever one of us gets a new job,...
  7. MPKH

    Had a great day on my shift.. or so I thought

    MPKH replied to HopeToBeDivine's topic in Canada

    Maybe you should try for something else other than fertility clinics for the time being. It sounds like they want nurses with more experience than you
  8. MPKH

    0200 BP's - Dealing with Tired Rude Doctors

    MPKH replied to Jennifer in Cali's topic in Patient, Colleague Relations

    You mention that it is common place on your unit to check vital signs at 0200 for patients you are concerned about. I would tell the doctor the reason I took the blood pressure was because I was...
  9. MPKH

    Nursing Care Hub with AHS

    MPKH replied to aywl's topic in Canada

    The team lead is able to divide the assignment however he or she chooses--if you have issues with it, talk to the team lead or your manager. On my unit, the charge nurse is part of a care hub. She...
  10. MPKH

    Nursing Care Hub with AHS

    MPKH replied to aywl's topic in Canada

    I work AHS too and our care hub is one RN one LPN and one NA during the day. Teams care for 9-10 patients. The team lead--RN--figures out how to divvy up the charting and meds. I usually divide the...
  11. MPKH

    How To Document Sleeping On Night Shift

    MPKH replied to Iggy123's topic in General Nursing

    I chart "Resting in bed with eyes closed, visible respirations noted. Call bell in reach, siderails x 2. " I modify that as needed for each patient--if the breathing is laboured, I say so. If their...
  12. MPKH

    How To Document Sleeping On Night Shift

    MPKH replied to Iggy123's topic in General Nursing

    I just chart the following: resting in bed with eyes closed, non laboured visible respirations
  13. MPKH

    Another reason unions suck!

    MPKH replied to Ruger8mm's topic in Collective Bargaining, Union

    I agree unions have their flaws, but I think the pros outweigh the cons. As for your vacation, I have a hard time believing you can schedule 18 months in advance--most places I know do vacations on a...
  14. MPKH

    NP preceptor Edmonton Area

    MPKH replied to velliott's topic in Canada

    Like Fiona said, try calling places where NPs work. I work in the medicine program at the RAH, and I see NPs all the time. Try calling the medicine units...or there's gotta be a liaison person...
  15. MPKH

    In what setting does an RN do the most thorough physical assessments and health histories?

    MPKH replied to Lemon Bars's topic in General Nursing

    I work internal medicine and I do a basic head to toe assessment on all my patients at the beginning of each shift. I'll do focused assessments on areas that are of concern to me throughout my shift....
  16. MPKH

    Medication Calculation

    MPKH replied to das729's topic in General Students

    How about you tell us what you've got so far? We are not a homework forum so nobody will do your homework for you. We can, however, guide you to getting the answers
  17. MPKH

    How do you deal with untherapeutic situations on the unit?

    MPKH replied to RNdynamic's topic in Patient, Colleague Relations

    I wish I can just walk off the unit or hide in the bathroom when **** (literal and figurative) hits the fan, but alas, I am usually the charge nurse (in a non nurse centred therapeutic medical unit)...
  18. MPKH

    Must we "pay our dues" by working night shift?

    MPKH replied to Cola89's topic in General Nursing

    Actually SBE was not being rude. She simply stated that using underhand methods to achieve and manipulate your way into a position that you covet is wrong and unethical. Other posters then insinuate...
  19. MPKH

    Frustrated

    MPKH replied to bosslady47's topic in General Nursing

    You said you love your job--that's something not many people can say. The grass isn't always greener and looks can be deceiving. However, if you really want a hospital job, try gaining some experience...
  20. MPKH

    Blood Chemistry Labs

    MPKH replied to twsn5's topic in General Nursing

    Well I'd look at the trend and check what treatment/medications the patient is on, as well as the patient's diagnosis and history before calling the physician. General rule of thumb is if the lab...
  21. MPKH

    Nurses: How far is your commute?

    MPKH replied to Cola89's topic in General Nursing

    I work between 3-4 days a week, 12 hours shift. I live about 2.7 km (1.7 mile) away from work. The drive is 7-10 minutes. I think anything longer than a 15-20 minutes drive is too far...but kudos to...
  22. MPKH

    Must we "pay our dues" by working night shift?

    MPKH replied to Cola89's topic in General Nursing

    The post that you are referring to isn't about you. It is referring to the poster who suggests that you get a note from a psychiatrist saying that you cannot work nights due to a "mood disorder". No...
  23. MPKH

    Must we "pay our dues" by working night shift?

    MPKH replied to Cola89's topic in General Nursing

    Generally speaking, day shifts are seen as more desirable than night shifts, and positions that are only day shifts will go to the person with the most seniority/experience. That usually leaves...
  24. MPKH

    Kwantlen Sept 2016 Post-Bacc Admission

    MPKH replied to sarahjustloves's topic in Canada Nursing Programs

    Maybe ask a mod to move your thread to the Canada sub forum. You'd probably have more luck there as the majority of posters here on the General Nursing sub forum are from the States and can not help...
  25. MPKH

    Would you tell a coworker they're going to be demoted?

    MPKH replied to jschut's topic in General Nursing

    I'd stay out of it. It's not your job or place to tell your co worker what you