mmc51264 BSN, MSN, RN

orthopedic/trauma, Informatics, diabetes

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All Content by mmc51264

  1. mmc51264

    Pain medication advice PLEASE!!

    I work on an ortho floor and our pts usually are on scheduled tylenol, many times scheduled oxycontin (or other long term opiod-depends o hx), celebrex and/or gabapentin/lyrica. It is kind o expected...
  2. mmc51264

    Prayers for France.

    So terrible. These numbers are conservative. The Telegraph - Telegraph online, Daily Telegraph, Sunday Telegraph -
  3. mmc51264

    What thrills you/what terrifies you?

    Thrill: catching something early that may allow a pt have a better outcome Terrifying:
  4. mmc51264

    Hospital experience in the Triad

    I have a friend with 10+ years Army and it has taken her along time to get a foot in the door at the VA. Fed gigs are good. My hubby is TSA. I have no idea what it is like to work for VA. I have heard...
  5. mmc51264

    The MANDATORY Skills fair

    Never that one before LOL We have done away with skills day. They have divided what we need to show proficiency in, into the different quarters and we have 3-4 skills that have to be completed by a...
  6. mmc51264

    Going into informatics

    I am a floor nurse and going into informatics. I am getting the MSN b/c I work at a teaching facility and they are helping with tuition. I think there are opportunities for jobs already, but I am not...
  7. mmc51264

    Hospital experience in the Triad

    There is more to Duke than "the privilege of having Duke on your resume" It is a great facility that gets the sickest of the sick pts that no one else will take. Not sure what you expected with one...
  8. mmc51264

    Legal question POA

    There is a big story going on here in NC about a mom who cannot make decisions for her 18 year old son because he does not have a HCPOA. When my son turned 14, I do not have access to all parts of his...
  9. mmc51264

    Legal question POA

    I was just using this as an an example because it got me to thinking, as my children are getting older. Sorry I wasn't clear. Thx Risk Manager for the
  10. mmc51264

    Duke 2015 Nurse Residency Program

    Sure!
  11. mmc51264

    Legal question POA

    I understand that as an 18 year old, they make their own decisions, what I am curious is when does HCPOA come into play when the child is in a state that he/she is unable to make any decisions. As far...
  12. Why would you not want to take a medication that will help you heal? The body cannot heal if it is in a state of constant crisis. Cortisol levels rise and healing is impaired. There is nothing at all...
  13. I work at a Magnet, and a non-Magnet before that, We had to clean the bodily fluid and housekeeping
  14. mmc51264

    Incentive Spirometer Appearance and Patient Care

    I tell them to suck, not blow and not worry about how high. The important part is to inflate lower parts of their lungs and that coughing is a good thing. we teach them 10x/hr (about once everytime a...
  15. mmc51264

    I really want to know?

    Acute on chronic pain is extremely difficult to deal with. They hurt, they have a trauma of some sort so they hurt more. They take enough meds to, literally, knock a horse down, and we are frontline...
  16. mmc51264

    Hospital experience in the Triad

    There is WakMed, too (which has an affiliation with UNC) as well as REX, who also has a closer tie with UNC. Lots of people say that UNC pays way better but with the wide variety of facilities, it...
  17. mmc51264

    How are you assessing alcohol withdrawal?

    We use CIWA and depending how bad it goes, they are on tele and sometimes end up on a step-down unit. We get a LOT alcoholics/polysubstance abuse. We take it seriously as do our docs so we try to keep...
  18. mmc51264

    Not having kids until 35

    I didn't meet my husband until I was 35. I had the first one just after my 37th birthday and the second just before my 40th. I am glad I had them when I did. I had not trouble "running after" toddlers...
  19. mmc51264

    Duke 2015 Nurse Residency Program

    love Duke!!!!! Went through the residency program myself and it was extremely helpful. I did a shadow interview (not an open house) which SO much more relaxing than a traditional interview. I think...
  20. The ones that i have seen abuse the silence of others are the ones that if you try to approach them professionally, do not react
  21. mmc51264

    RN Moving to San Francisco, CA

    that should. I misread your post, thought you were a new
  22. I, myself have not had a discussion with management about the abuses that others commit, like all 3 aides taking an hour lunch when I barely have time to pee. There have been nurses that HAVE...
  23. mmc51264

    Outside of Nursing..

    I have two boys, 11 and 14 so they keep me busy. I have 3 cats, 2 dogs. Finished my BSN in May and starting my MSN in Jan. I am a school-a-holic. I also am on a diabetes "champion" team and an EMR...
  24. mmc51264

    RN Moving to San Francisco, CA

    We just had a nurse move back to SF after getting her min of 1 year exp. She could not find a job in SF as a new grad and it took her almost 6 months to find one after she got experience so she could...
  25. mmc51264

    HUC and accessing drug info

    All of ordering is done MD/PA/NP. HUC has nothing to do with anything at all r/t med