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mama_d BSN, RN

tele, oncology
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mama_d has 10 years experience as a BSN, RN and specializes in tele, oncology.

mama_d's Latest Activity

  1. mama_d

    Does anyone like night shift?

    I love love love my night shifts! I was a wreck when I worked days. Getting up with (or even before) the birds is just not right, I'm sure there's several natural laws that breaks. Plus all the coolest kids work nights on my floor.
  2. mama_d

    Breastfeeding and 12 hour shifts...

    I breastfed my oldest until he was 10 months old while doing LPN school full time & working nites. He did fine with formula every once in a while so my supply waxing and waning a little wasn't a big worry for me. My youngest on the other hand was completely breastfed until he was nearly nine months old...he wouldn't eat anything else, even mixing in some baby cereal was a fight. I was working 4-5 12 hr shifts a week at the time; when I weaned him at 15 months I still had a freezer full of milk. I took Fenugreek, ate oatmeal, drank a ton of milk, and pumped between feedings at home. I had awesome co-workers who made sure I could pump twice a shift. It can be done, it just takes some figuring out at first. :)
  3. The only way to know for certain is to ask your HR dept. Be sure that you speak to someone who specifically deals with insurance benefits. I was able to get my hubby and step-kids on my insurance before we were married...he qualified as a LDA (legally domiciled adult) and since he qualified for coverage, his kids did as well. Perhaps if there's a similar clause in your insurance you could get at least one of your parents covered. Other option...talk to a social worker or case manager at your facility for advice on trying to get them Medicare or Medicaid coverage, depending on their age. It may go nowhere, your parents may be stuck between a rock and a hard place, but at least you'll know that all options have been exhausted.
  4. mama_d

    Primary Nursing is for the BIRDS

    In my neck of the woods, "primary nursing" means no techs...so the nurse does all with no real assistance. ALL of the ADLs, code browns, feeding, blood draws, I & O's etc. on top of nursing duties. No backup when you have multiple patients on bowel preps or an entire team of fall risk patients. And since every nurse is doing everything for their patient without any UAP assistance, it means that everyone is running their butt off and just can't help each other out much. It makes no sense to me...puts the patients at higher risk as well as causing a more rapid burnout.
  5. mama_d

    Head Lice - Protocol at camp

    I don't have anything to offer as far as the camp situation specifically...but I do know a remedy for lice that nearly always clears the nasty buggers the first time. I have no idea if you could use it or not, but wanted to throw it out there. Get a jar of regular mayo, slather it on their head saturating their hair and scalp. Wait about five hours (a disposable shower cap works well to minimize the mess), then comb out like you would after using Rid. Something in the fat of the mayo breaks down the chitin of the adult lice and loosens the nits from the hair shaft. Use dish soap to wash the hair with before shampooing to get the mayo out. It works great, and since there are no chemicals, it can be repeated as soon and as often as needed until no more lice are left.
  6. mama_d

    Nursing school + working - WWYD?

    You're going to need to have a frank discussion with your hubby about expectations. I work full time (3 12's) and am in a bridge program. We're scraping by with hubby being a SAHD. He and the kids (15, 13, 12, and 5) know that when Mommy's in school, all I do is laundry and grocery shopping. I help out with homework and kid control as much as I'm able, but between work and school I have something going on 7 days a week. It's doable, but can be difficult just so far as feeling stretched too thin. Unless your spouse has the patience and understanding of a saint, there's going to be friction from time to time...be sure to make him feel appreciated for all he's doing to support you. I think it's a good idea to get your foot in the door with as difficult as it cn be to find a job after school, so even if you decide not to do so now keep it on the table as an eventual necessity.
  7. mama_d

    LPNs: Myths and Misconceptions (Part II)

    I've been a LPN for 12 years now, all of them in acute care (the last eight woring tele in a large community hospital). I'm one of the go-to people when the crap hits the fan, despite my lack of education. (I didn't let them keep my brain in that jar I guess.) One of my good friends has worked with me for years now as a tech and is in school for her BSN. It's become a running joke over the last couple of years...she'll say "Guess what I found out you can't do at school today?" Basically, per her instructors and review guides, we're nothing more than glorified techs. Lucky for me, many of the nurses I work with started out with their LPNs and have worked their way up, so our unit has been open and accepting and judges based on individual merit, not degree. And the few newbies we've had who haven't had that attitude got straightened out fairly quickly.
  8. Does your local school district offer math classes for aduts? I don't know what all the TEAS involves, so not sure it would help. My kids' school district offers "brush up" classes for returning adult learners, as does my county's voc ed department. Best of luck to you.
  9. mama_d

    Dressing question

    Gotta love those vague doctor orders, don't cha? We have one who's famous for saying "I don't do wound care..do whatever you want." I'm always tempted to put that as an official order, but we all know who that would come back on. I'd probably use telfa or a Mepilex border as well. It's been a LONG time since I've seen gauze and tegaderm used as a dressing. Especially in a population with fragile skin, tegaderm can be a nightmare.
  10. mama_d

    My classmates dropping like flies???

    I think because the nursing curriculum is so structured we notice it more as well. I can't think of many otger programs (especially at the associate's level) where classes MUST be taken in a specific order no matter what. That said, we do lose a lot along the way, don't we? My bridge class (all current LPNs) lost 11 out of 24 during our transition semester. It was ridiculously fast paced (we basically reviewed the first two semesters of the RN program with just 5 lecture hours a week). Those who were on the borderline of passing have the option, based on facility judgement, to merge in with the 2nd semester RN students (those of us who made it through merge with 3rd semester). We move into slots from RN students who haven't made it. From talking with other students, it sounds like there's about a 50% attrition rate through the program...and they have all kinds of support systems in place to utilize. I see a lot of people who get into programs not realizing how freaking difficult it is, and get the wake up call too late to do anything about it. And then there are those who just can't hack it for whatever reason, those whose lives get in the way, etc etc etc. All adds up to lower (and more noticeable) retention rates than other programs.
  11. mama_d

    Share your tips please

    Talk to your OB about how to keep up your suply...mine had me take Fenugreek supplements and eat oatmeal. Not sure if it actually helped, but I managed to exclusively breastfeed for nine months and he didn't wean completely until 15 months. I also pumped while nursing and had suportive co-workers who would shoo me off to pump when I started looking like Pamela Anderson.
  12. mama_d

    Post-code debriefing?!

    We've never had any where I work at either. It might help if you talked to one of your chaplains...they're there for you too if you need them.
  13. I have to second the post a few above mine...she came on here, asking basically if she was right or wrong, was told that she was wrong, thought about it and moderated her response to the situation. How often are we beating our heads on brick walls on here with posters who get irate at the merest suggestion that they need to re-think things? Especially in the midst of such an anxiety producing scenario? I'm on the IV team where I work, and I always come armed with towels...my hope every time is to hit a big juicy vein that will hold up for the full four days before needing to be restarted. And a little blood can look like A LOT of blood when it's on a background of nice bleached white linens. I've told patients before that they simply have the cards stacked against them genetically. I usually lead into it with the fact that I'm going to get skin cancer and be six inches shorter in my 80's b/c I'm a short pale girl so that it comes across in a "we've all got crap to try to deal with" way (at least I hope that's how it sounds). Best wishes for a speedy recovery for your Dad.
  14. mama_d

    Morphine PCA

    Not sure how this would apply to your population, but when we have patients on PCAs that are unable to use them (generally EOL oncology patients), the nurse (never anyone else per policy) titrates to the Ramsey scale. If we're pushing the button regularly, basal rate gets increased.
  15. I'm bridging with a co-worker and we have a deal worked out...I keep us on top of the paperwork end of things and he does the driving. Works out well for both of us.
  16. mama_d

    Funniest/strangest dementia patient stories

    Last night I had an extremely confused, incontinent LOL. My tech was one of our "baby" staff...he's been qorking with us for a few years now but is in his early 20's, over ten years older than me. He cleaned up said LOL by himself, and I walked in to give her some meds immediately after. She looked at me very indignantly and said "Do you have any idea what your husband just did to me?" Which was followed about fifteen minutes later, as she saw him pass by her room in the hall, with "Who's that good looking young man? Can I meet him?" I swear the entire shift with her was like dealing with Dory from "Finding Nemo". Same patient was thoroughly convinced that we were in her living room, not a patient room at a hospital, and was getting combative trying to get the intruders (us) out of her house. I knew it probably wouldn't help much, but pointed out to her on the wall above her white board where the name of our hospital is as proof that we were not in her home and we were supposed to be helping her get over her illness. Her response: "What ***** put that up in my living room and where the hell is she? I'm gonna beat the crap out of her, putting that ugly ass thing in MY house." It was a LONG night but oddly enough made me miss working geropsych.

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