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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

    The math doesn't add up

    When my then-13 year old received his thank you card, his reaction was along the following: "Thank you for getting appendicitis, have your incompetent ER nurse miss my veins, and getting emergency surgery? What's wrong with you people? I know you've all got a sick sense of humor, but this is bizarre." He did however appreciate the added on message from his nurse that thanked him for being so patient waiting for pain meds and being "more polite than my grown up patients usually are". What I find ridiculously stupid is that my floor sees a lot of oncology patients with poor prognosis who we end pre-printed cards to referencing our sincere desire for an uneventful recovery. Wha??? Those I absolutely refuse to sign.
  2. 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.
  3. 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. :)
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. mama_d

    Fainting... so dramatic

    As far as the *dramatic* fainting goes.. We had a patient who was apparently the matriarch of her family who was expected to pass any time. While her approximately 40 family members (no exaggeration) were in the waiting room, THREE of them "fell out" and had to be admitted for syncope. One of them had the gall to complain to her nurse that no one was paying any attention to her by coming to visit her...no, they were taking turns visiting the dying patient and waiting for the end.
  9. mama_d

    Fainting... so dramatic

    On my first day of first grade, I fell during recess and split my chin open. Even at that young age I knew my Mom could not handle the sight of blood. We were at the urgent care, and she insisted on going back with me...I had a sterile drape over my face and they were about three stitches in when I heard a thud. The doc chuckled a little when I said "Did she pass out? I told her she would." I was getting a nerve conduction test done on my arm and started feeling woozy. I made the neuro doc doing it stop...I told him I wasn't going to pass out but I was going to puke on him if he didn't. My SBP was in the 50's and my HR was in the 40's. He was all set to wheel me to the ED himself but I refused b/c I had to work that night. I ended up having two of his patients that night, and when he showed up to round on them he asked (and he doesn't speak quietly EVER) if I had told my co-workers what a wuss I was. I told him next time I'd go ahead and vomit on him and see how he liked it.
  10. mama_d

    Whats the point of a LPN license

    Because I couldn't support my family at my job at the time and couldn't afford to be in school for that long or wait the yearsit would take to get into the RN program. Also, I've only worked acute care...currently tele with at least two shifts a month on step down. And as far as "not the brightest bunch", I'll refer you to our own TheCommuter as proof otherwise.
  11. mama_d

    something to think about

    For years I've tried to use the mantra "There are others worse off than I" to put things in perspective. My cancer patient's family is being needy and demanding...deep breaths and be glad it's not my mom in that bed. My shift sucks great big smelly donkey parts...at least I have a great tech to help me out. Etc etc
  12. mama_d

    Shift Work Disorder

    I've often wondered if those of us who are "natural" night owls see less of the health detriment long term than those who fight to adjust. I do nights at work (3 in a row) but then have to bounce to a day schedule during the week for school. It's getting harder as I get older but still nowhere near the challenge it was to work days when I was in my early 20's. Still SO looking forward to when all the kids are in school and I'm done with my RN bridge so I can do all nights all the time though. Thanks again for another good article...keep 'em coming! :)
  13. mama_d

    LPNs: Myths and Misconceptions (Part III)

    Sadly, in my area at least, LPNs are no longer found in most hospitals...I was one of the lucky ones who was "grandfathered" in at my facility and able to keep working acute care while working towards my ADN. When one of the units in our hospital got rid of their LPNs (the newest had been working that unit for over 15 years, the oldest for 30) and replaced them with brand spanking new BSNs, my manager at the time went to her higher ups and told them flat out that she refused to even entertain the notion of losing her LPNs because "they are part of the backbone of my floor and I'm not losing their experience". It's still the elephant in the room however and I don't think I'll feel true job security until I have my BSN at least. As to what CLROONEY said...I've been blessed to work with people who value me for what I'm capable of, not just what my degree status is...Last time I had a patient refuse to have me because I was a LPN, my charge nurse that night went in and told him "She got assigned to you because of how sick you are. Your choice is a LPN with over ten years experience or a RN with less than a year's worth. You still want the RN?" Gotta love working with people who will stick up for you.
  14. mama_d

    Need input from NIGHT SHIFT nurses

    Night shift friendly thing my unit has done.. It used to be that nights was solely responsible for the weekly or semi-weekly stuff..wound measurements and photography & central line dressing changs & port re-accessing. After literally years of crusading, it's now split up...we alternate off. Days stills complains about it. And only a couple of them will actually change outdated IV sites, but that's a couple more than it was a year ago, so at least some of them are becoming aware of it. As far as the management thing goes, I prefer to not have them over my shoulder, but it is a sad reflection on management style when your director is at a meeting and a "new" nurse who has been there for two years has no idea who she is.
  15. mama_d

    Need input from NIGHT SHIFT nurses

    A thousand times "Yes!" to the above! Also, nights (at my current place under current management) is expected to run short staffed if days was over to "make up for it" in the budget. Days does not have the same expectation b/c we are NEVER allowed to run over...we're lucky if we meet the grid for "normal". I have seen our director twice in over two years. She regularly sees day staff on the floor just to "see how things are going". A side effect of this is that everything she hears about nights from days is true (to her) b/c she never sees or talks to us (unless you make an appointment to see her during the day; such time available is very limited however due to everything else she is responsible for). The cafeteria hours just suck for nights, on the days it's even open for us.
  16. I don't think the OP was aiming towards all the critical thinking, education, etc that many of the responses have been, instead more of a head-scratching at the whims of BONs (at least that's how I took it). I have no problem following "the rules", I'd just like it if they made some kind of sense. Then again, I'm one of those people who drove my parents nuts from an early age asking "why?" and not having "because I said so" be a good enough answer. Why is it that I am allowed (and at my job, expected) to be able to care for a complex patient on multiple drips but am not "educated" enough (per the BON) to push something as innocous as Protonix? I'm allowed (and again, expected) to care for patients with acute PE and/or DVT, including managing and titrating their heparin or argatroban drips, but can't do the IVP boluses required. I regularly administer blood to active bleeds, but can't spike the bag...seems like if my education was so lacking that I'm incapable of the physical act of piercing a piece of plastic with a sharper piece of plastic, I certainly shouldn't be monitoring for and dealing with transfusion reactions...or giving blood that's considered incompatible b/c the patient has so many antibodies (thank God that's only happened twice, I was like a cat in a room full of rocking chairs the whole time...because I know how horribly it can turn out). Sorry so long, I just feel that those who have never been in our position have never had to really consider the incongruitues of "the rules"...hoping this might help others understand where the "huh" factor comes from.

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