mmc51264 BSN, MSN, RN

orthopedic/trauma, Informatics, diabetes

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All Content by mmc51264

  1. mmc51264

    Disrespect & Profanity

    This is per shift. Like "Can you go give Mr 15 his Miralax for me?" We don't move people from one room to another. It's "in the moment conversation" When they scan the pt's armband and ask them their...
  2. mmc51264

    Disrespect & Profanity

    I work in the south but am from the north. I cringe when I hear others call patients "honey" "sweetie". I would never. I tend to call my patients by Mr/Mrs/Dr (if they want-I have had physicians or...
  3. mmc51264

    Frustrating Nurse Family Members

    I have found that when caring for patients that are in the medical field, the best ones have been doctors (medical). The further they get from that, the worse they are. I think the worst patients I...
  4. mmc51264

    Possible Relocation--Wake Forest

    Sure, I love it there. I have been there for 7 years and I wouldn't work anywhere else! I have been on the same unit for my entire time. I am certified in my specialty and I am climbing the clinical...
  5. I got my BSN at UNC-Wilmington. I was required to take a minimum of 31 hours at their school to finish my BSN. The GE reqs were basically the same as my Biology degree. A bachelors is a bachelors....
  6. I do chart audits for hypoglycemic events and I go into charts of pts that are not technically mine all the time, I even do it at home (I can access our EPIC through a secure link). I'd love to hear...
  7. We can't clock in until 0657 so I usually do not arrive much before 0650 I don't understand the coming in early to research patients. What if you have all the same pts from the previous shift??? I...
  8. I have a BS in Biology so I had all the non-nursing classes for a 4 year degree and the sciences required. I also have a MA in Teaching and a associates in Criminal Justice so I had all the education...
  9. mmc51264

    Possible Relocation--Wake Forest

    I'm actually at a big hosp in Durham. THE big one.
  10. mmc51264

    "Just a Med/Surg Nurse"

    That is sad. Our Drs are wonderful and rely on the nurses. I work at a teaching hospital and the residents learn very early on to rely on the nurse's input. The attending docs will point blank tell...
  11. I've seen sickle cell pts as low as in the 4s. When they are in crisis, it is hard to tell exactly if they are symptomatic as their pain is usually very high and they basically feel like crap anyway....
  12. mmc51264

    Low blood sugar, juice or D50?

    thank you for the link and I can what their rationale is. The study is older, but I will ask about why our protocol is what it is. The ED may have a different protocol than what we do for...
  13. mmc51264

    What support do you wish you had as a new nurse?

    I had the best orientation. It was part of a Specialized Nurse Intensive Program (SNIP) I got 6 months of 1:1 orientation on my ortho unit. I was amazing. It turns out that is was cost prohibitive...
  14. mmc51264

    Low blood sugar, juice or D50?

    Can you send me some links? Please? I don't work at some mom and pop hospital. Everything is EBP, top tier. Never had I head that D50 is "caustic" What do you use for the treatments I
  15. mmc51264

    Epic certification

    Your organization has to be the one to contact them. I have my MSN in Informatics and one of the jobs I interviewed for would have sent me to get EPIC certified. I called up there on my own and they...
  16. When I first started seeing Danskos, about 35 years ago, they were hand made in Sweden (I believe) and were very expensive. They were really FOR physicians. In ortho, most of our docs/residents are...
  17. mmc51264

    Low blood sugar, juice or D50?

    If I have a pt that has a BG of 39, I'm giving a full amp of D50. Don't understand what you mean by "D50 is not benign" It's 25g of carbs. It is not going to harm pt and it gets BG up quickly while...
  18. mmc51264

    Managing Type 1 Diabetes

    I am the parent of 2 T1s and it sounds like the parents need a lot of help. Does this child have a CGM and/or insulin pump? The new protocols in newly dx should include a CGM d/t honeymooning. My...
  19. "when I get to 7 patients...." Excuse me? My unit has recently started taking stepdown patients, but when we were a strictly intermediate unit, no one ever 7 patients! You need to find an area...
  20. mmc51264

    How do I become a better nurse?

    I am trying to help!!!! I know it is very difficult when you are the learner. Keep communicating and communicate to your manager. It would be sad if you eel burnt out or don't get the preparation...
  21. Is this in a LTC
  22. mmc51264

    How do I become a better nurse?

    I don't know a single nurse that "prints" a schedule for the day. I am a precepting nurse. And a charge nurse. Time management is very important to being a good nurse but thinking that you are going...
  23. I am in a long term research study and the nurse that is my contact, has been a research nurse for 33 years. She has some patient contact, but most is learning about new treatments or medications and...
  24. mmc51264

    Coronavirus (COVID-19): We Want to Hear from You

    One of the lucky ones!!! We have one case where I am-not confirmed yet. We had a protocol I place before the 1st one identified in
  25. mmc51264

    More and more layers

    I just applied recently for a promotion. I have applied for other positions at the organization, but it seems there is a new layer. I had to clear a phone screen before my resume would be forwarded to...