Celia M

Celia M ASN, RN

M/S/Tele, Home Health, Gen ICU

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All Content by Celia M

  1. Advice needed - Should he be fired?

    Celia M replied to melissa_rn's topic in Nurse Management

    Continue with the disciplanary process, written warning, suspension , then fire him. Make sure that you have somone else with you during the process. Have him repeat back to you to make sure he...

  2. Foul Mouthed Nurse

    Celia M replied to LadyMadonna's topic in General Nursing

    This is just the kind of behavior that is unprofessional. As far as the gas passing that's just rude, especially to subject everyone to the smell. (However I have a friend who had terrible gas because...

  3. New start-feeling so depressed

    Celia M replied to jaimealmostRN's topic in Nursing Career

    Jaimie, It sounds as thoughyou have a lot on your mind right now, with the new job, a move away from your family and the ex. Does your new employer have an Employee assistance program, they might be...

  4. Policy for notifying docs of change in vital signs

    Celia M posted a topic in MICU, SICU

    Does your unit have a policy that states when you should notify docs of changes in vitals? If you do does it give absolute figures for example HR 100 or is it expressed as a percentage of the patients...

  5. scrubs vs dress casual

    Celia M replied to kevagonia's topic in MICU, SICU

    Now I'm in management I don't wear scrubs unless I'm scheduled to work in the ICU. I keep a set of scrubs in my office so if I need to I can change. The clothes and shoes I wear to work are washable...

  6. Tympanic temps in ICU?

    Celia M replied to erinnRN's topic in MICU, SICU

    We were using tympanic and just switched to the Temporal artery thermometers. We did a little study and found that they detected fevers in patients more frequently than the tympanic. We love

  7. Nurses Will Eat Anything

    Celia M replied to bobnurse's topic in General Nursing

    When I worked in Home Health a patient offered me wine from a 5 liter bottle that he drank out of using what looked like an old foley catheter for a straw. I was seeing him for monthly foley cath...

  8. What has been your experience with family presence during codes?

    Celia M replied to LatinaRN's topic in MICU, SICU

    We have a policy to allow family to be present during a code and we do that quite often, in fact we just recently used it. The designated person for family support is the nsg sup. The number is...

  9. Acls

    Celia M replied to pani's topic in CCU, Coronary, Cardiac

    It sounds like you're ready. It's really not that difficult, and most instuctors make it a fun learning experience. Good luck

  10. ETT tube holders and tape changes

    Celia M posted a topic in MICU, SICU

    We are experiencing some difficulties with tape burns and reactions with the manufactured tube holders (Dale) we are currently using. I'd be grateful if anyone out there is having difficulty could let...

  11. Are these orders valid?

    Celia M posted a topic in General Nursing

    A colleague works as an RN in Home Health. They have a pt with complicated wound care and the ordering MD is 100 + miles away. She suggested to her supervisor that she attend an MD visit with the pt...

  12. Unique ways to state the obvious . . . .

    Celia M replied to Ruby Vee's topic in CCU, Coronary, Cardiac

    "Going to the Eternal Care Unit" "One beat away from asystole"

  13. ETT tape and tape changes

    Celia M posted a topic in CCU, Coronary, Cardiac

    We are experiencing some difficulties with tape burns and reactions with the manufactured tube holders (Dale) we are currently using. I'd be grateful if anyone out there is having difficulty could let...

  14. How do you deal with the stress of the job (too busy to take a break, etc.)?

    Celia M replied to HillaryC's topic in MICU, SICU

    AS a manager of a small ICU in California we are required by law to provide coverage for breaks to maintain our ratios. I or the Nursing Supervisor provide the coverage. i always take over patient...

  15. GN interviewing for an ICU position, any tips??

    Celia M replied to aruray's topic in MICU, SICU

    As an ICU manager I would expect you to be honest about the fact you have no experience with ICU. I would also look for you to have a clear understanding of why ICU interests you and to show that you...

  16. "Reading EKGs II - a scary situation and a big save", is up on the MICU faqs site...

    Celia M replied to MarkHammerschmidt's topic in MICU, SICU

    Mark, Thank you so much, your website is so interesting and contains a wealth of information. Do you have anything or any references for heart tones.

  17. I can't believe this....

    Celia M replied to redshiloh's topic in General Nursing

    May be there should be a policy to split such goodies between the shifts. Most of our docs do send seperate containers for each shift, but sometimes when there is only one thing there is little left...

  18. Question

    Celia M replied to fusion's topic in General Nursing

    In most cases if a catheter is needed after surgery it will be put in during surgery while you are under anesthesia. Just check with your MD on Thursday. Good luck and speedy recoevery

  19. I don't think I was being unreasonable.

    Celia M replied to oramar's topic in General Nursing

    Good call, the nursing supervisor and the other unit were being unreasonable, not you!

  20. What does your spouse do?

    Celia M replied to vaughanmk's topic in General Nursing

    My hubby was Royal Airforce admin clerk, car salesman, college student and now an accountant. (Not a mechanical bone or cell in his body, but a great husband and Dad all the

  21. HELP!! Hospital covering up a murder???

    Celia M replied to Jennifernsammy's topic in General Nursing

    In our ICU versed, diprivan and sedating agents are run on a regular pump, this must be quite a common practice since our IV pumps (Abbot plum) let you program for specific drugs. They can be...

  22. "Cookie Cutter" uniforms

    Celia M replied to Limik's topic in General Nursing

    I do like the idea of different departments wearing different colors, we do not have anything like that at my hospital and since dietary, X ray, pharmacy , housekeeping and even sometimes medical...

  23. Atheists attending funeral services

    Celia M replied to Angelica's topic in General Nursing

    Go, Pay ypur respects ,your patients families will be touched you cared and thought enough of the patient to attend and it will bring them comfort. Not all funerals are religous and they are for those...

  24. ICU Admissions

    Celia M replied to DidiRN's topic in MICU, SICU

    Sherri, it sounds like we have a similar problem. Our ICU is in a small hospital, 48 beds. We have 8 beds but staff for 4 patients since our average census is 3. The problem arises with some docs who...

  25. Dress Code for Nurse Managers

    Celia M replied to deweydecimal13501's topic in Nurse Management

    I work in a small rural hospital (48 beds). The nurse managers wear scrubs or casual dress clothes with lab coats in general. We have no specific dress code but we are expected to look professional...