mmc51264 BSN, MSN, RN

orthopedic/trauma, Informatics, diabetes

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All Content by mmc51264

  1. mmc51264

    My patient doesn't want to work with me at all and it's hurtful

    mmc51264 replied to dsaprog's topic in General Nursing

    Agree with others. Pain is a big deal and its difficult when you are not in control of things. At shift change, it may take an hour or so for the next shift to get caught up to give him his meds....
  2. mmc51264

    Cotinine urine screening pre employment

    mmc51264 replied to CWS RN's topic in General Nursing

    I was a teacher before I was a nurse and right before I left teaching, they implemented some odd things related to health care that was provided by the stats for teachers. Smoking was not allowed and...
  3. mmc51264

    Mask During PICC line removal

    mmc51264 replied to Manjeet's topic in General Nursing

    We do not use a mask. With the CHG dressings, the insertion site can stay protected up until the last minute where I place a 2x2 gauze with Neosporin on it s I pull it out. I do have the pt breathe...
  4. mmc51264

    Hardware removal post finger fracture

    mmc51264 replied to Sara Noble's topic in Orthopedic

    We have a hand team where I am. Is it a K-wire or something bigger? They should be able to pull it
  5. mmc51264

    Horror Odor - Removing

    mmc51264 replied to ICUBSNRN7's topic in Critical Care

    I have a friend that is very sensitive to smells. She will wear a mask with a little toothpaste rubbed on it. Never heard of this before but she swears by it. Some people will use peppermint oil to...
  6. mmc51264

    Direct Entry MSN - No interest in bedside

    mmc51264 replied to mgryffon's topic in Student Nurse Practitioner

    becoming an advanced practice provider without any nursing experience is kind of disturbing to me. I just don't understand this mentality. Knew a nurse that went into a psych NP Program after being an...
  7. mmc51264

    Direct Entry MSN - No interest in bedside

    mmc51264 replied to mgryffon's topic in Student Nurse Practitioner

    Absolutely agree with your
  8. mmc51264

    IV PUSH- if anyone can help please

    mmc51264 replied to futurenurse09's topic in General Nursing

    You're overthinking it. I am not sure if you are really "hep" locking. Best practices have moved away from using heparin. If I am giving an IV push med, I flush my IV with NS to make sure the IV is...
  9. mmc51264

    Loan Repayment

    mmc51264 replied to GoldenGirls1719's topic in General Nursing

    You can look into "income driven repayment" to see if you can get a lower payment until you can catch up. I did the PSLF program as I had private loan from getting my teaching degree (did not...
  10. mmc51264

    Pulmonary vs. Cardiac step down

    mmc51264 replied to Strugglebus101's topic in General Nursing

    As much as I hate pulm stuff, cards scares me more. I work on a trauma stepdown unit and we get trachs (not fresh) and chest tubes. I would not feel comfortable on a cardiac ICU, personally. (I...
  11. mmc51264

    Continuous bladder irrigation

    mmc51264 replied to Sue B's topic in General Nursing

    You should have a policy or protocol that addresses all those issues. I would think you would have some education/in-service plus support when you start getting these pts. It actually is not that...
  12. mmc51264

    RSV vaccines--necessary?

    mmc51264 replied to MarkMyWords's topic in General Nursing

    we have been seeing more and more older folks with RSV. I would get the vax; recommend my parents (if they were alive) get it and I will get it when it is time. I am a huge believer of vaccines. I...
  13. mmc51264

    University of North Carolina Wilmington (UNCW) DNP 2024

    mmc51264 replied to Brina0522's topic in Student Nurse Practitioner

    No too much to help, but I did my RN-BSN at UNCW and loved this school! I did my MSN at another school, non-clinical degree, but had clinical hours in informatics to complete, I worked my 3-12s. 4...
  14. mmc51264

    The 3 12s, 5 8s Debate

    mmc51264 replied to CCC_nursing's topic in General Nursing

    This is why I like my weekends!! None of the "real" people are there LOL. Just us and an intern. case management is on call for our d/c needs. To me it splits the difference from weekdays, which I do...
  15. mmc51264

    Older Nurse no BSN needs advice

    mmc51264 replied to Jon C RN 2024's topic in General Nursing

    I work in the Raleigh-Durham area. The hospitals are hiring ADN and LPN nurses. You might be able to get a waiver for the BSN requirement if you are thinking of retiring 5-6 years. I know that we have...
  16. mmc51264

    The 3 12s, 5 8s Debate

    mmc51264 replied to CCC_nursing's topic in General Nursing

    I have been a weekend option nurse for 8+ years and love it! I work 3-12s and couldn't imagine working a 5 day week ever again! I am lucky that I still love bedside. I was an older new nurse...
  17. mmc51264

    Efficient assessment and med routine?

    mmc51264 replied to Sjcappello's topic in General Nursing

    I go in, say hi!, fix the white board and check on pain (ortho/trauma unit). I start with the pts that are awake and ready to start the day (we get some young people and they are not always early...
  18. mmc51264

    Protonix IV push rate?

    mmc51264 replied to PrettyPeachyRN's topic in General Nursing

    If I am going to push protonix through an existing infusion, I just push it normal. The running fluids will dilute. If I am just pushing it, I do the 2 min. We have had issues with supply, so...
  19. mmc51264

    Any nurses file their own taxes? Turbo? h&r block?

    mmc51264 replied to Happytimes's topic in General Nursing

    I have an accountant. For my student loans, the PSLF, and getting a lower monthly payment, I needed to file married, separate. We also have special needs kids that we are still supporting entirely (20...
  20. mmc51264

    Tricks to getting an Spo2 reading on a difficult patient

    mmc51264 posted a topic in General Nursing

    What's been some tricks to getting an Spo2 reading on a difficult pt? We had a 92 DNAR pt that was transferred to us and we could not get an accurate 02 reading. A nurse was freaking out because...
  21. mmc51264

    HCA staRN nurse residency Regional Medical Center of San Jose Apr 2024

    mmc51264 replied to babynurs's topic in Nurse Residency Programs

    No offense, but why would you want to work for them? There is a lot of information on this site itself about the horrible issues with this
  22. mmc51264

    Vaccine error

    mmc51264 replied to mimi2930's topic in General Nursing

    as others have said, we all make mistakes and it was not solely your responsibility. I do have one question, when you gave it, do you not have to document manufacturer, lot # and exp date? We have to...
  23. mmc51264

    IVIG patient to nurse ratio

    mmc51264 replied to tansuki's topic in General Nursing

    Are you talking an adult getting it daily or continuous? We give a lot of IVIG but not as a cont gtt. A pt might get up to 5 days worth of it as a cycle. I work on an ortho/trauma SD unit and our...
  24. mmc51264

    Nurse Lunch Break Survey

    mmc51264 replied to esrun2015's topic in General Nursing

    I work as a staff nurse in an ortho/trauma SD unit at a teaching hosp. I don't usually take a 30 min uninterrupted lunch break-I tend to take a few 10 min or so breaks as needed. I have had...
  25. mmc51264

    Best and Worst Patient Interaction

    mmc51264 replied to vintagegal's topic in General Nursing

    The best experience I have had, and it was many years ago. I had a pt that had AIDS. He said he normally went to a different hospital (we have 2 level 1 trauma centers within 10 mi of each other) but...