mmc51264 BSN, MSN, RN

orthopedic/trauma, Informatics, diabetes

Member

  • Content

    3,320

  • Visitors

    45,619

  • Followers

    3

  • Likes

    1,428

All Content by mmc51264

  1. mmc51264

    Nurses Deleting Orders to Reduce Charting

    mmc51264 replied to SilverBells's topic in General Nursing

    My pt population has changed so we have pts that have been there for 40, 50, days (as opposed to 3-5). Sometimes there are like 8 orders for VS, etc. We are allowed to delete one-time orders that have...
  2. mmc51264

    Patient going to complain against me?

    mmc51264 replied to Bella345's topic in General Nursing

    Try not to worry, you did everything right. You can't MAKE the provider change orders. We have residents on call, or an APP available to explain stuff that is out of our scope. I got fussed at...
  3. mmc51264

    Tricks to getting an Spo2 reading on a difficult patient

    mmc51264 replied to mmc51264's topic in General Nursing

    My point was that they really didn't need the rapid. The pt was not in distress and they were just doing routine vital signs. It is frustrating that it is so difficult to get an O2 reading on...
  4. mmc51264

    IV Sedation Question

    mmc51264 replied to Kimmadsim's topic in General Nursing

    Some people react differently to different meds. We use a long-acting nerve block for some surgeries (ortho related) some people get the 96 hour advantage, and others get less than 8 hours of relief....
  5. mmc51264

    Where do you stand on "Nurses don't get paid enough"?

    mmc51264 replied to Convoy2022_TrumpSupporter's topic in General Nursing

    We got a blanket $3 raise and then lots of opportunities for very well paid OT. I am making more money than ever now. I have no
  6. mmc51264

    Giving abx in 100 ml NS instead of 50 ml

    mmc51264 replied to autumn_blue's topic in General Nursing

    50mL vs 100mL doesn't seem like a big deal. I'm just curious if you have to mix your own abx? We don't have to, except on rare occasions where there is a product shortage and we reconstitute with...
  7. mmc51264

    Tobacco free environment and testing for nicotine. Lawful? Thoughts?

    mmc51264 replied to BeatsPerMinute's topic in General Nursing

    I used to be a teacher. This is a state that is a "right to work" state (I lose my words sometimes and I forget the word that is more descriptive). Because they provided health insurance, they tested...
  8. mmc51264

    Health literacy question

    mmc51264 replied to Nueticles's topic in General Nursing

    I work in a very large teaching hospital. recently had a pt with a traumatic BIL LE amputation. Zero health literacy. Really thought that their life was over. Young person (50s) that thought if one...
  9. mmc51264

    Were you a bully in high school?

    mmc51264 replied to Koalified's topic in General Nursing

    I was anonymous in HS. Big school. I was bullied terribly in the K-8 Catholic school I went to. I am very introverted and possibly on the spectrum. Even now, I am very
  10. mmc51264

    Assigning Admissions Among Nursing Staff

    mmc51264 replied to SilverBells's topic in General Nursing

    Work on an ortho unit. Sometimes our turnover is high, sometimes, not so much. Everyone is expected to be able to have a 4 pt assignment and discharge/admit 1-2 pts per shift. Anything more than...
  11. mmc51264

    What's your opinion?

    mmc51264 replied to Sbhayes09's topic in General Nursing

    As a former teacher, I would run from anything to do with school systems. There is a reason you would be a contract
  12. mmc51264

    Ageism in Nursing?

    mmc51264 replied to Guest1176712's topic in General Nursing

    I am 57. I am faster and more efficient (motivated??) than most of those half my age. Not going to go down the apathy and laissez-faire attitude road of many of the youth... Right now, just about...
  13. mmc51264

    New nurse choosing between ortho/spine unit or general surgery unit

    mmc51264 replied to Brow1234's topic in First Year After Licensure

    Since there may not be enough ortho/spine to fill all beds, there may be some overflow med/surg pts. that flow in. I have spoken with some of our medicine attendings and the number of medicine...
  14. mmc51264

    RN Doing Non-RN Duties

    mmc51264 replied to NurseAnnie123's topic in General Nursing

    Everyone in our facility is BLS trained, except EVS/dietary. transport is. I am kind of curious. Every RN, in any capacity has to have their BLS. It rarely comes up, but we had a 55 min code in...
  15. mmc51264

    Advice On Appropriate Head Covering For A Transgender Nurse

    mmc51264 replied to nogoodsirimonthelevel's topic in General Nursing

    D/t menopause and weight loss surgery, I am bald on top of my head (well damn near ? ) I wear scrub hats at work. I find lots of really cool, unique, "me" patterns on Etsy. When not at work, I...
  16. mmc51264

    New nurse choosing between ortho/spine unit or general surgery unit

    mmc51264 replied to Brow1234's topic in First Year After Licensure

    I have been an ortho RN my entire career. As EBP and Covid have pushed our total joint replacement pts to outpatient, we have started taking trauma pts. If you have a chance to stick with ortho/spine,...
  17. mmc51264

    Why Do New Grads Lack Critical Thinking Skills?

    mmc51264 replied to Nurse Beth's topic in General Nursing

    There is a shortage of everyone! Short CNAs, short RNs, short NP/PAs. Short on bed space. We just hired a lot of new RNs. There aren't enough veteran nurses to be charge and precept, so we have...
  18. mmc51264

    Will I have a hard time getting into grad school?

    mmc51264 replied to phassy21's topic in General Nursing

    There was a nurse that I oriented, was an RN less than a year and got into a Psych NP Program with less than a year of nursing experience. Now she has graduated and working in an advanced practive...
  19. mmc51264

    Nurses are Fleeing the Hospital

    mmc51264 replied to Nurse Beth's topic in General Nursing

    I have an amazing manager. It's the person 2 people above her that is the one we are angry at. Our manager has come in at 0300 to help out. Our team leads are working the floor. Charge RNs are taking...
  20. mmc51264

    DUSON MSN Acceptance

    mmc51264 replied to SciNurse's topic in General Nursing

    For Jan? It's still early. When I went through, it was after fall semester had started, if I remember correctly. Good Luck! Amazing school
  21. mmc51264

    Pickup bonus

    mmc51264 replied to exit96's topic in General Nursing

    We have incentive pay for hard to staff units. Not mandatory, but one of the units offered $20 extra per hour. If you pick up a night, you get that differential. Other units got incentive for $16....
  22. mmc51264

    How to Stop the Mass Nursing Exodus?

    mmc51264 replied to ClaraRedheart's topic in Disaster Preparation

    Staffing staffing staffing. We are so short in every dept. RNs, NCAs, Dietary, transport, EVS. Can't hire fast enough. I am not sure what other places the non-nursing people are going, but the nurses...
  23. mmc51264

    Looking For Advice On A Hospital Job

    mmc51264 replied to Lovethenurse2b25's topic in General Nursing

    Do her pay stubs have FTE units? I.e. I am a FTE 0.9 (3 x 12 =36). I have a friend that works 2-12s one week and 3-12s one week, of a 2 week pay period. On her pay stub it says FTE .7 (or something...
  24. mmc51264

    Are nurses really leaving nursing in droves?

    mmc51264 replied to Mqshell's topic in General Nursing

    We are "bleeding" nurses (and aides, PT/OT, dietary and EVS). Covid has a horrible impact on healthcare. Nurses have been sick, tired of the stress of worrying about getting the virus, getting...
  25. mmc51264

    Pyxis problems

    mmc51264 replied to avergowven's topic in General Nursing

    we don't use a pyxis for meds. we have Omnicell. Our pyxis is for supplies and things like