mmc51264 BSN, MSN, RN

orthopedic/trauma, Informatics, diabetes

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All Content by mmc51264

  1. mmc51264

    When do you hold insulin if no parameters?

    Insulin should not be held without and order. If you think the BG is too low, call and get instructions/orders from MD. If a person has mealtime insulin ordered, whether they are T1 or T2, they get...
  2. I work in a large level 1 teaching hosp. I don't start IVs or do phlebotomy. Ortho
  3. My doctors all know I am. I had surgery a couple of years ago and I tried to keep it secret but it didn't work. I barely saw my care nurse With my kids, who are diabetic, I do let them know that I am...
  4. mmc51264

    Racial Discrimination in the Nursing Profession

    I work in an extremely diverse organization. What I find that there can be some subtle things that appear to be related to clique-ish behavior more than racial discrimination. I appreciate my...
  5. mmc51264

    Inclement weather conditions...mandatory to work?

    For Florence, I went in as I was scheduled with a bag packed in case I couldn't get home. There was no power at home and if I stayed, at least there would be a/c and a hot shower!!! I ended up being...
  6. HR sent me to staff and labor relations. Proper
  7. mmc51264

    NEW GRAD Needs Help

    Practice and hope that you get a great preceptor that helps you. Best of Luck!! Welcome to nursing. I jumped straight into the fire-my first job was at an ortho rehab place that was also a LTC...
  8. mmc51264

    Where Were You...9/11

    I was sitting on the couch with my baby who was going to be 3 months old on 9/12. Had my coffee and was going to watch the Fox news as I always did. I turned on the TV just after the first plane hit....
  9. mmc51264

    MSN working bedside nursing

    I have my MSN in Informatics, but choose to continue to work the bedside as a certified ortho nurse. I love helping new nurses be more efficient at charting and helping the powers that be with...
  10. mmc51264

    New grad considering Ortho??

    I am in ortho and I LOVE it!!!!! We get everything you can think of. no spines (i'm a little scared of those) Lots of TJR, sarcoma, trauma, amputations. Lots of comorbid gen med issues. No place I...
  11. mmc51264

    Informatics? Please help me because I'm 100% lost

    I completed an MSN in Informatics. Do not feel like I was prepared to jump into the job market. My classmates that have been successful all were working in some capacity already. I am still bedside....
  12. mmc51264

    RN-BSN

    My issue with WCU is that I was coming in with a previous BS and they wanted me to take, like 8-12 electives so that I could fulfill and 48 hour degree. I had, at that time, over 150 undergraduate...
  13. mmc51264

    Infusion times....in a pickle...

    Big bone of contention about the Vanc/Zosyn issue. We have IV nurse experts. One is a legal expert nurse. even though pharmacy tells us that the two are compatible, IV nurse said, if there is ever a...
  14. mmc51264

    mixing pain medications with a flush

    we have pts that want IV dilaudid for the "rush" They would rather have 0.5 mg IV than 6 mg PO (?????). I will dilute it and give it slow so they don't get that buzz they want. I have had people not...
  15. mmc51264

    RN-BSN

    I took one semester at ECU and did not like it, but to be fair, they were in transition. I did mine at UNCW and loved it. My hosp reimbursed some and it is not expensive to begin
  16. mmc51264

    UNCW RN to BSN

    I did two courses. I had to take the Spanish and it was ridiculous. 2 semesters of medical Spanish in 7 1/2 weeks. Got a C. Wise not to take if you don't need. I would love to learn Spanish, but it is...
  17. mmc51264

    Is there a "Nurse Shortage" Lie?

    Eastern NC is short. We have three level 1 trauma centers; 2 teaching organizations within 50 miles. Raleigh-Durham area. Always hiring. ADN, BSN,
  18. mmc51264

    Nebraska Medical Center or Johns Hopkins?

    I'd go Hopkins, you can always move laterally. I work in a top 10 hosp and love all that I have learned as we get the cases no one else can figure out. I also love the Baltimore/DC area. SO much to do...
  19. mmc51264

    It will take me 7 years just for a bsn.

    where I did my ADN, many students had to do 4 semesters (less if they could find what they needed in the limited simmer schedule) THEN apply to the nursing program. Many ended up with 2 asoociates...
  20. basal insulin should almost never be held. Treat a low, but don't hold, especially if a Type 1. No Lantus, you end up on an insulin
  21. mmc51264

    Starting out in LTC?

    I started in a LTC facility that had a wing of orhto rehab. I had to work the LTC side some times. While I don't know if I would stayed there too long, it was a great environment and you learn time...
  22. I work (mostly) Fri/Sat/Sun so I have 4 days off. No one wants to work those days-most people want to work T/W/Th so they have zero issues with those of us who like to work those days. In fact more of...
  23. It depends on the type of accreditation you are talking about. I went to a community college that accredited by the state, not NLN or other such organization. I could have gone to any school I wanted...
  24. mmc51264

    FNP to PA?

    we have ortho NPs. They are on the floor and in the OR as well as in the clinic and doctor offices. Duke has an ortho specialty certification program for ortho NPs. They can also be certified in ortho...
  25. "If you are planning to continue past your BSN, I recommend NOT doing the BSN online. Some of my ADN online credits were not accepted in my BSN state college program so I had to re-take those classes....