MPKH BSN, RN

General Internal Medicine, ICU

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All Content by MPKH

  1. MPKH

    Night Nursing: Precepting & Perception

    MPKH replied to Larry2016's topic in General Students

    I work both day and night shifts. Both shifts are busy. Night shift runs on a slower pace, but slow does not mean a relaxing shift. Night shift does not mean I do nothing but watch my patients sleep....
  2. MPKH

    Annoying CNA

    MPKH replied to Bellaxx392's topic in Medical Assistant, CNA/MA

    It's good that you are trying to do the right thing, but next time, remind the nurse in private. Do not do that in front of family members. How would you feel if the tables were turned? You were in...
  3. MPKH

    Advice with a difficult pt!!!

    MPKH replied to tinytrexarms's topic in Geriatric, LTC

    Can you get a prn restraint order for the patient? I agree with nutella; I work acute care and receive confused, decreased LOC patients from LTC all the time. Most of the time, it is a infection of...
  4. MPKH

    New Grad in Toronto Cannot find job

    MPKH replied to Depressed_RN's topic in Canada

    I know it's frustrating finding that first job after nursing school. I've been there. It took me moving out of the province from a large city to a small, rural town to do it, but I did it. Got my year...
  5. MPKH

    Have you met your husband at nursing? Is nursing a good career to meet men?

    MPKH replied to Upward_Bound's topic in General Nursing

    I know of a nurse who married another nurse (they both work in my hospital...different units). But I wouldn't think nursing would be a good place to meet guys. To start, there are far more girls than...
  6. MPKH

    could get fired!

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

    I know that if any staff at my hospital did that, they'd get into trouble for sure. We're talking suspension, and possibly getting fired. OP let your daughter deal with the consequences and outcomes...
  7. MPKH

    What are your personal standards when a patient "refuses care"

    MPKH replied to DesiDani's topic in General Nursing

    I leave it. I let the patient know the consequences of the refusal--for example: no recent set of vital signs=no pain meds--and will let them be. Patients have the right to refuse anything at any...
  8. MPKH

    No Nursing Job in Toronto

    MPKH replied to suner's topic in Canada

    Know that seniority and union contracts dictate who gets the job and who doesn't. You are competing with internal applicants and nurses already on the Union seniority ladder. An internal applicant...
  9. MPKH

    Looking for advice about what happened on my last shift

    MPKH replied to RN171621's topic in General Nursing

    I always make sure to check back on the patient to see that they're off the bedpan. Or I'll ask the NA for the characteristics of whatever the patient did on the bedpan so that "I can document it"....
  10. MPKH

    Documentation

    MPKH replied to nurse4sale's topic in General Nursing

    You can say observed if you saw something--"patient observed to have a severe non productive cough." You can say patient reported something to you--"patient reported to have a severe non productive...
  11. MPKH

    So fed up with my coworker

    MPKH replied to Rainy day RN's topic in Patient, Colleague Relations

    She works on a prn basis--that means she works when she can, not when it is convenient for you or your other co-workers. As long as she is meeting the obligation for shifts worked as a prn nurse, she...
  12. MPKH

    New Nurse With Large Disposable Income

    MPKH replied to LDAthleteNurse's topic in First Year After Licensure

    As others have said, what you make and what you actually get to take home are different. I started making roughly $30/hour, and I took home roughly 70% of what I made. Taxes and health benefits will...
  13. MPKH

    To medicate or not to medicate

    MPKH replied to SuperMomBob's topic in Patient Medications

    It's the same in Canada. We can not and do not medicate someone if they clearly refuse. There is a legal process for that. ...as for the discussion, patients have the right to refuse medications,...
  14. MPKH

    This week, I learned.... (7/25)

    MPKH replied to ixchel's topic in General Nursing

    1) The amount of cattiness and drama that occurs on my unit puts Mean Girls to shame 2) People cannot read, comprehend and follow through with a well defined, clearly written piece of instruction 3)...
  15. MPKH

    .

    MPKH posted a topic in General Nursing

    Yes, and please stop making multiple posts regarding the same topic. This is not a chat room, and replies don't always come
  16. MPKH

    days off- a rant

    MPKH replied to Fruit Sucker's topic in General Nursing

    Don't answer your texts or phone calls from work on your days off. Screen your calls and
  17. MPKH

    Report: Where do you work and what do you want to know

    MPKH replied to Oh'Ello's topic in General Nursing

    Reports from ED: we get a SBAR sheet with them so...anything that is pertinent to the care that you want me to know right now, please write it on the SBAR. For example, if there is family dynamics,...
  18. MPKH

    Comfortable living?

    MPKH replied to Kdao's topic in General Nursing

    Well it's a bit hard to tell if you don't have exact numbers. Find out what nurses make in your area, what your monthly expenditures are (exact numbers or close to it) and then do some number...
  19. MPKH

    Every other weekend & holidays??

    MPKH replied to LuciaRN2b's topic in General Nursing

    The jobs that do not require you to work night, weekend and holiday with good pay are ones that you can't get right out of school. Examples include managerial positions, teaching positions, nurse...
  20. MPKH

    Taking care of DNR patients. The point?

    MPKH replied to cholmes1223's topic in General Nursing

    I work on a medicine unit with designated beds for the DNR patients , some who end up dying on the unit. The point of DNR patients coming to the hospital is to receive treatments, just like any other...
  21. MPKH

    Adequacy of orientation

    MPKH replied to Photofosterrn's topic in General Nursing

    Orientation on my unit is generally about 4 weeks in length. You don't always get the same preceptor each shift, but the charge nurse do try to pair you with nurses that are unit staff and not new...
  22. MPKH

    preceptorship program

    MPKH replied to Grace808's topic in General Nursing

    Just apply to positions that interests you. If you are hired and need a preceptorship, the hospital will arrange one for
  23. MPKH

    Med Error

    MPKH replied to XNavyCorpsman's topic in General Nursing

    Since you're a huge stickler for doing things by the book, why did you give meds that you yourself did not prepared and checked? Next time, you can let your preceptor know that you can't give the meds...
  24. MPKH

    Not a Nursing Question, but Has to Do with Work, So...

    MPKH replied to flashpoint's topic in General Nursing

    Tell them that you are unable to provide rides for them. No explanation or excuse needed. Say no and leave it at that. If they wait for you at your car and refuses to leave until you give them a ride,...
  25. MPKH

    Which to follow: MD or Policy?

    MPKH replied to Angeljho's topic in General Nursing

    Does your patient not return with transfer orders from the hospital? I work acute care and whenever we send a patient back to LTC, the doctor will write a set of transfer orders for the patient. We...