PhyllisMSN MSN, RN

Critical Care, Emergency Department, Informatics

Musings with A Cardiac and Informatics Nurse

Platinum
  • Content

    54
  • Visitors

    3,792
  • Followers

    2
  • Likes

    84

All Content by PhyllisMSN

  1. PhyllisMSN

    Med error . I’m devastated

    Meds errors can happen to the best of us. However, it is quite surprising that the entire hospital is not using bar code medication administration (BCMA). Research has shown that BCMA has decreased medication errors by 75%. The BCMA only works if the...
  2. PhyllisMSN

    job forcing app on personal phone

    That is very interesting. If they’re not giving you a stipend for your personal phone I’m not sure they can require you to download an app or the jobs purpose.
  3. PhyllisMSN

    What is up with these Sickle Cell Patients?!

    I have worked my entire career in urban areas. These patients are very sick and in so much pain. They have been in the hospital since they have been infants. They have also been on hard narcotics since they were little children. It is a terrible dise...
  4. PhyllisMSN

    Should I feel guilty?

    No you should not feel guilty whatsoever. It is not your responsibility to staff the hospital or the unit. Healthcare is now a business and as nurses we should be treating it as a business. I know in nursing school we are taught that our patients nee...
  5. PhyllisMSN

    New Grad in NeuroICU

    Congratulations on starting out in this challenging field. Nurses have to be extremely astute when caring for neurocritical ill patients. Neuro patients status can change by the hour. Tips for the ICU: Do not administer any medication that you have ...
  6. PhyllisMSN

    Work from Home Case Management

    I have never thought about the isolation part. I have been in the hospital for almost 30 years. I think I would welcome my cozy home! So how do you find these jobs? Do you just Google " work at home nurse"?
  7. PhyllisMSN

    4 Reasons Ghosting an Employer is a Bad Idea

    You really have a valid point! I have been ghosted by human resources many times. However, in certain states, you have to really be careful about ghosting employers. For example in my state, there are 3 hospital systems in the whole state. So if you ...
  8. PhyllisMSN

    Work from Home Case Management

    I know you were probably startled when the interviewer stated there would be "culture shock". I do believe I would have asked her to explain (in a nice way of course). Did you accept the job? I have been contemplating working from home.
  9. PhyllisMSN

    Negotiating Salary as a New Nurse

    As a new nurse you will not have much negotiating room. However, I have known of nurses with a LPN license being successful in negotiating a higher starting salary. Once you get 1 to 2 years of experience, you will have more leverage. Good luck !
  10. PhyllisMSN

    CPR business

    Another place to market your CPR/ACLS business to is a staffing agency. When I worked as an agency nurse, we would always have someone who needed CPR, and they could not find a provider
  11. PhyllisMSN

    'My Patient died' Facebook post

    I did my Master's thesis on HIPAA and the Electronic Medical Record. It is not a violation unless the patient can be identified. However, there are many organizations that do not allow any postings about work on social media. I have a blog, and I get...
  12. PhyllisMSN

    Started A Nurse Blog

    Hi everyone, I have been a nurse for close to 30 years and I think I am ready to become a Nurse Entrepreneur. I have obtained a MSN in Informatics and I do believe this degree will help me to succeed in my new venture. I currently have two blogs an...
  13. PhyllisMSN

    Notice of resignation

    The average notice time is 2-3 weeks. However, it is best to look at your organization's policy. Is your wife in management?
  14. PhyllisMSN

    Started A Nurse Blog

    I have been a member of this forum since 2003. I am so impressed with its growth! The names of my blogs are in my profile! @Nurse Beth I actually read your Blog and this is what inspired me to look into writing as a freelancer!
  15. PhyllisMSN

    Started A Nurse Blog

    Thanks for the warm welcome! ?
  16. PhyllisMSN

    Veteran Nurses : advise please

    As a nurse of almost 30 years, the best advice I can give you is to continue learning everything about your patients. Ask questions, look up diagnosis, keep your medication book on hand at all times! I also subscribed to journals that was in my spec...
  17. PhyllisMSN

    Cardiac Step Down: 6 week orientation for new grad

    It is so interesting to see the different orientation processes around the country. As a new grad, I would expect no less than 4 months orientation on a specialty floor. I have only worked in large teaching hospitals, and sometimes they will go up to...
  18. PhyllisMSN

    Are you a new informatics nurse?

    I am interested also... how about we create a Facebook group?
  19. PhyllisMSN

    Undermining Authority

    I think you are correct. Last week we had a code in the ICU and a patient's family member was trying to come into the ICU. I told her she couldnt come in at the moment. She told my Manager I 'put' her out of the unit. My manager told me I had to apol...
  20. PhyllisMSN

    Progressive Nursing Agency-any info.

    The Baltimore-Washington Progressive office is very busy especially if you are muli-skilled. Every Hospital I have been at I have seen a Progressive badge in this area. I think their rates are a little low.
  21. PhyllisMSN

    sharing your knowledge please

    Oh, here is the link I told you about: http://www.uwmcacc.org/pdf/tunnelled.pdf
  22. PhyllisMSN

    sharing your knowledge please

    Here is a quick reference for drawing blood from PAC. The main thing to remember with these types of catherters is to remain STERILE at all times. These PAC are very easy to become infected and they are frequent sources of sepsis. Really ,I think if ...