mmc51264 BSN, MSN, RN

orthopedic/trauma, Informatics, diabetes

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All Content by mmc51264

  1. mmc51264

    How Do Nurses Advocate for Their Patients?

    I have 2 kids that are T1 diabetics and had to learn how to advocate for them before I was a nurse. I use similar techniques to advocate for patients. Many times it is a matter of communication....
  2. mmc51264

    How often do you wash your scrubs? :)

    We went to a dress code last year. I HAD 30 sets of scrubs and laundry is done weekly/every other week at my house (hubby is law enforcement so he has uniforms) Now, I have 6 sets of scrubs so that I...
  3. mmc51264

    Words of Guidance to New Nurse

    Working as a nurse is a complete 180 from school. I feel that new grads are sometimes coming out with unrealistic expectations. Nursing is hard (nursing school is really hard too, just different). Be...
  4. mmc51264

    Questions about morning blood sugars/insulin

    I am the diabetes "champion" on my unit (and parent of 2 Type 1 kids). BG does not get taken until trays arrive. Insulin needs to be given within 30 minutes of eating and the BG should be no more...
  5. mmc51264

    Who Did NOT Do a Year of Med Surg?

    I was hired as a new grad into a specialized residency for orthopedics (there was a program for many of our specialties) I got a fabulous 6 month orientation. There is a lot of medicine issues with...
  6. mmc51264

    Income as part time RN

    Perhaps you could do phone
  7. mmc51264

    New Grad making small mistakes!!!

    we have to do safety/rounding checks every 2 hours and being on an ortho floor, lots of pain assessments/re-assessments. I chart in the room when I am there and make sure I do I&Os, pain, an my...
  8. mmc51264

    Pain patients being denied their medication!

    My PCP wouldn't prescribe pain meds (Tramadol!!!!), so I got a referral to pain clinic. Best thing I ever did. Dr. is fabulous and the NP I see most of the time is really helpful. I get to pick their...
  9. mmc51264

    Med error?

    We have to give PO first and then the IV. Min of an hour apart. Not sure why they would use Norco. We use oxy/PO dilaudid and tylenol
  10. mmc51264

    MSN Informatics program recommendations...

    I got mine at Duke. It is mostly online with a week of campus meetings. Two total for the program. Best part is them finding
  11. mmc51264

    Breaking New Grad Contract

    I had to sign a 2 year contract-however, I got $10K in tuition reimbursement and a 6 month orientation. That did cost the hospital money. The amount to be paid should I have left, went down as time...
  12. even as a school nurse, you may have to give insulin or glucagon or
  13. mmc51264

    Post MSN question

    Here, the market is so saturated, it is very hard to find clinical sites (and most programs are not super helpful). I have an MA in teaching and an MSN in Informatics. Thought about getting NP for...
  14. mmc51264

    Aide Documentation - Rationale?

    I am having some issues now with our aides not being able to write a narrative note. We had a very ugly male pt that was making very sexual comments to one of our aides. I felt that it was not...
  15. When I was doing clinical, we had a pt in the ED that his living status was unknown. He was so dehydrated that it took 3L and 3 hours before he started to make any urine. We put a Foley in to get...
  16. I think it is normal to feel this way! My biggest pet peeve is that so many new nurses are not really prepared for what nursing really is. I precept a lot of new nurses and I see it all the time. Try...
  17. mmc51264

    manager proposed promotion

    i have 6 degrees too. 3 are nursing and the others are science, education
  18. I missed the application deadline for an ABSN program so went through an ADN program at Community college. So glad that I did! Got a good education and great clinical experience. I had no trouble...
  19. mmc51264

    Trapezium bar.

    our total knees get up within hours of surgery. There are no precautions for knees as far as moving. The best way to roll a total knee (or hip, for that matter) is to roll onto operative side. One...
  20. mmc51264

    Ortho - a stepping stone?

    As an ortho certified nurse, I am going to try not to take offense. Orthopedics is a LOT more than "bone stuff". We have Stepdown, pts on telemetry, pain management using many multimodal...
  21. mmc51264

    Does ANYONE like the hospital?

    I am an orthopedic nurse and I love my job. I got my MSN last Dec and have stayed at the bedside. My MSN is in Informatics, so I am on that committee, but I like working 3 days a week, I like...
  22. mmc51264

    RN school while in High School?

    i would think that a student would have to be 18 to do pt
  23. mmc51264

    HIPPA?

    I access charts all the time from home to do chart audits. I have to go through double verification procedures to access hospital intranet. I have permission from the hospital (as others do) to this...
  24. mmc51264

    Cerner or Epic - Which do you prefer?

    LOVE Epic. Changed my nursing. I, for some reason, had an natural affinity for Epic and I am much more
  25. mmc51264

    Is this insubordination? How do I deal with this PSW?

    dumb question-what is a