Celia M

Celia M ASN, RN

M/S/Tele, Home Health, Gen ICU

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All Content by Celia M

  1. TPN questions

    I'm doing a little research on TPN policies and have some questions: 1. Do you give TPN via a peripheral line ever? (PPN) 2. Do you always stop the TPN for lab draws (even if the TPN is in a central...
  2. My 76 y/o mother in law is to have a TAH BSO and possible colostomy for Ovarian CA at LWH on July 5, 2010. Since we live in California we are concerned about her and are making plans for my DH to be...
  3. Liverpool Women's Hospital

    Liverpool Jane, Thanks for all the info and good news regarding LWH. The situation is not so good for the MIL as it now seems that surgery is off and she will have chemo. Thanks to your info I did...
  4. Liverpool Women's Hospital

    Thank you for your replies. My MIL is now in Southport Hospital following a PE being discoverd on CAT scan that took 1 week to be read, so everything is still up in the air. They will decide tomorrow...
  5. Have you ever seen a seizure for hypoglycemia?

    Yes, several times, and one was with a confirmed serum BS of 8!!!!
  6. When the "new" title for a nurse was RGN. (Used to be SRN). When we mixed all our IV meds including chemo (don't worry we wore gloves and a plastic apron). When you taught to stand up for the Doctors...
  7. Scared to go back to work

    I am sorry for your loss, your Dad was lucky to have you at his side. Sometimes it is difficult being a nurse in these circumstances. I have not lost a parent but had several miscarriages while...
  8. Take your boss to work day..........

    So true, most nurse managers work very hard and floor nurses would be amazed at everything they need to accomplish in a day. You can impact patient care without actually being hands on. I find it very...
  9. Troubled RN...Need advice please!!

    I agree follow your heart, you will still get some great expereince in a smaller hospital. I moved from a 1000 bed hospital to a 48 bed hospital 21 years ago because of my husbands job and I loved...
  10. How do you deal with a rude co-worker?

    This physician should be reported to the Medical Staff office, there is a Joint Commission regulation dealing with this. no one should be treated in this way. At my facility there is a Physician Well...
  11. Not sure how I'm going to survive

    I'm so sorry you are going through this. I do not know if your employer has an employee assistance program (EAP) we do and it provides free financial counselling as well as 5 free personal counselling...
  12. I'm a manager and whenever one of the outstanding nurses in one of my units interviews for another job or leaves I do get that awful "OMG, how am I going to replace them" knee jerk reaction. This is...
  13. Fearing a Flu Vaccine and Wanting More of It

    Got mine (shot d/t asthma) and had the kids (10 and 6) take the mist last week. No side effects, except I fell asleep during a class the next day, but it could have just been really boring!! I'd...
  14. I just need some moral support...

    There are night shift openings at my facility on med/surg/tele if you are willing to relocate to Kern County. PM me.
  15. Charge Nurse Pay

    We are looking at campaigning for a charge nurse differential and were wondering if anyone out there gets paid extra for being in charge and if so how much? Thanks for your help
  16. Enemas in the ER

    Enemas are ordered in the ER, however because of privacy issues they are done wherever a free bed exists in the hospital, usually on an inpatient floor, tying up nurses and beds. it is a problem in...
  17. I am the nurse manager of a med/surg/tele floor and an ICU. I have in the past few months hired new grad RNs and LVNs, LVNs with LTC exp only and RNs with only HHA experience. SO if you need the money...
  18. Charge Nurse Duties

    I work on a med/surg/tele floor in California, Nurse/patient ratio of 1:5. I was wondering what duties your charges nurses have and how many patients they take and how many LVNs they cover. Thanks...
  19. Hi, I have posted this on the med/surg forum too. I would like to know what duties your charge nurses have, what your nurse/patient ratio is, whether the charges nurses take patients and/or cover...
  20. Lovenox IV

    Is anyone giving Lovenox IV, we have just had an MD order it and have not given it by this route and the MD could not give us much evidence other than other hospitals are giving it IV as a bolus when...
  21. SBAR Reporting in Critical Care

    We use SBAR for the RRT, PAMPER for report and ticket to ride for transfers to radiology etc. PM me if you need details.
  22. Vap

    We use the IHI Ventilator Bundle, no VAP since we started.
  23. Abandonment???

    If you're a JCAHO accredited hospital check the regs because I believe that if you don't give a face to face report there has to be the opportunity for the oncoming shift to ask questions of the off...
  24. lost and in need

    Hi Leilah, Sorry you're going through this. At my hospital we have an RN from Australia who is waiting for the BRN to clear her to take boards (the process has taken nearly a year!!) and she's working...
  25. Pancake day.... What you having ???

    I'll be making the real deal, it's an 18 year tradition for us, we'll have brown sugar and lemon juice, jam, cinammon and sugar, and golden syrup as our fillers. The kids (7+3) love it because that's...