MichelleB34

MichelleB34

Med-Surg/Pediatrics, Maternity

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All Content by MichelleB34

  1. When my kids were younger I used to calculate the amount of motrin, tylenol, etc. they should get according to their weight. I never went by what the bottle
  2. Any Postpartum Nurses?

    Where I work we went to mom/baby care about a year ago. Prior to that they did have a postpartum nurse, L&D nurse and nursery nurse. Usually the postpartum nurse would round with the aid. The...
  3. Nubain question

    Thanks for the information. I was not aware of this particular issue. We give stadol most of the time. Any risks associated with giving stadol beyond the normal assessments when giving IV
  4. New Nurse OB/GYN

    It is normal to feel uncomfortable when you first graduate. I always tell my orientees it takes at least 6-12 months to feel a certain level of comfort in your new role. Don't be too hard on...
  5. need help to choose a maternity project ttile!

    I work on maternity so obstetrical emergencies, gestational diabetes, and GBS are some of the topics that peak my interest and are pertinent to my practice. But if you wanted to do something...
  6. Curious Jomo Nurse your age is 94? Was that a
  7. I'm curious, those of you who mentioned you have 4 beds to a room? Where do you live? Our hospital has only semiprivate and private inpatient rooms. Our old ER trauma/cardiac room had 2 stretchers...
  8. Burnout

    I did med-surg for 11 1/2 years along with some pediatrics because it was on our unit. I wouldn't say I was burned out but maybe frustrated. Nurses are always being urged to limit their overtime....
  9. Gtube flushes

    When I have had similar orders I will sometimes use the shift flush(es) during my med pass. When you are giving metamucil you can easily give 200cc of water or more so there is your first flush....
  10. Starting first job--- really nervous

    Set up PM, not sure what you mean. I don't know if it will help but remember that all your new coworkers were new at one time. We all have to start somewhere. Just take it one day at a time. Good...
  11. End-of-Life Education for the family?

    I think it is within the nurses role to answer questions from the patient and or family honestly and within the scope of our practice. But of course the decision to place the patient on comfort care...
  12. Things to do on night shift

    LovingNurse- I love your word decootify. That's
  13. PCA pump error

    At our hospital we have preprinted PCA orders. The doctor picks which drug they want and fills in the doses and the hourly limit. I think the form has the concetration of the drug on it as well....
  14. PCA pump error

    I work with PCA's often. I alway take the order in the room when I set up a PCA. Any medicated gtt has to be checked by a second nurse. But most of the time I am picking up a patient from PACU who...
  15. med error--real world answer?

    You were certainly within your rights to feel out a report if that's what you felt was the right thing to do. At our facility our meds are profiled by the pharmacy. ie During pharmacy hours we can't...
  16. "Eyes & Thighs"

    At my hospital we only obtain a specific consent for the hepatitis B. I think the other meds are covered under the consent for admission to the hospital for medical treatment. But of course the...
  17. JCAHO and bedside medications...

    JCAHO just came through in December and this was not raised as an issue. We do keep the dermoplast and tucks in the bathroom and the lansinoh at the bedside. Perhaps you could get an order to leave...
  18. Mandatory prenatal HIV testing

    I work in New York state. I'm not sure if there is a law but this is what happens. An HIV test is done with the initial prenatal blood work. I have noticed that one of the doctors has the HIV test...
  19. I just became an OB nurse last summer. I had floated to OB from time to time and had thought about making a switch to OB. I also was crosstrained to pediatrics. I knew if I switched that I wanted...
  20. OB- FHR Strip help

    Here are a few of the web sites from my favorites. I hope this helps. Also on this web site under the specialty tab there is a section for obgyn nursing. I don't know if you would find any...
  21. floating between departments ie med/surg to nicu

    I can relate to your dilemma. After 11 1/2 years of med-surg I switched to maternity in August of 2008. Several times in the first 2 to 3 months I was mandated to float to my old floor because I...
  22. Reconstitution Medications and Dosages

    Our pharmacists mix the majority of our meds for us or the meds come in unit dose vials. The pharmacist also does the calculations for us. However I did have to learn how to do the calculations in...
  23. MRSA and Infection Control in LTC...??

    The hospital I work at has a LTC facility on one of the floors. To my knowledge they don't isolated for MRSA. However one has to remember that the nursing home is the residents' home. So the...
  24. Please help...mini swat type policy

    I absolutely agree with the others on this thread that the nursing supervisor and charge nurse should have been involved. On the medsurg unit I worked on when you have a patient that is crashing or...
  25. CNA

    You won't know if you can do it unless you try. Since you would love to help care for others that might be the motivation you need to do some of the "messier" jobs. Helping somebody that can't help...