mmc51264 BSN, MSN, RN

orthopedic/trauma, Informatics, diabetes

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All Content by mmc51264

  1. mmc51264

    How to prevent falls

    PT assess first. Bed alarms for all pts. NO knee immobilizers to get up. 2 people if there is any question. When PT is ambulating, they follow with a w/c. Agreed that most falls are pts that try to...
  2. I went to community college for
  3. mmc51264

    PICC line blood draw

    We are being told not to draw from PICCs If we have to, flush 10, waste 20, draw 10, flush 10, hep lock 5. They are trying to avoid infections. Also depends on whether they are single lumen or dbl...
  4. mmc51264

    Pt has severe pain when legs elevated

    I have many pts w/PAD and it feels better to dangle than to elevate. we let them
  5. yes, but in the more metropolitan areas, it is not as bad. I just don't watch TV. On a day-to-day basis, it is not that bad. I have lived in both NC and SC, originally from Chicago and if I focus on...
  6. mmc51264

    What are the top 5 medications YOU administer daily?

    Lovenox, oxycodone (IR and CR) tylenol, zofran, protonix, phenergan, colace, miralax, insulin, vanc and zosyn,
  7. mmc51264

    IV starts in nursing schools

    ADN program in NC, was taught to insert IVs Don't have to do them at work but other hospitals
  8. that house here would be 200-300K depending on where you buy. We also have Duke and another hosp (WakeMed). Traffic is not too bad either. less than 2 hours to beach or mountain. Can you tell I love...
  9. North Carolina could be an option. The winters are pretty mild; occasional snow. Cost of living is reasonable-you can get a decent size house for less money than the places you want to go. in the...
  10. We just had pt that needed a portacath de-accessed. I was going to check off one of the nurses on my unit who hadn;t done it. I took the student AND the potential employee who was shadowing me. I...
  11. I liked the idea of night shifts (huge weekend shift diffs). Until I had to work them. Part of my orientation was to work on nights to see what it was like. I would give enemas all DAY rather than...
  12. mmc51264

    Lantus BID

    I'll have to ask the person who said 30u/site. It may be just our
  13. mmc51264

    New Grad Residency

    New grad residencies require passing boards first. We have a PNA position where nursing students work as CNAs between
  14. mmc51264

    No more 12 hour shifts?

    We were just talking about this over the weekend. A veteran nurse said that when she started, she did 2-12s and 2-8s. I personally love the 12s. I work 3 days and I drive about an hour each way to...
  15. mmc51264

    PICC line flushing question

    Our PICC team says that the reason that we don't want to aspirate a single lumen PICC that flushes but does not have blood return is to NOT dislodge the clot that may be at the end of the tip. We...
  16. ours was
  17. mmc51264

    PICC line flushing question

    we only aspirate power ports. The standard single lumen,
  18. I'll have 3+ years in and ortho cert by the time I would do it. It is just a thought. There are some extra perks for working on the University side. I may end up what I am doing on the side now...
  19. mmc51264

    Interview for Ortho Unit this week

    ? I didn't get a chance to answer-how did it go? Ortho is
  20. mmc51264

    is nursing really worth the debt

    My nursing debt is definitely worth it. My private university masters in teaching was NOT! ADN then RN-BSN total debt 50K/year. Teaching degree-60K in debt last salary 35K. Nursing is a much better...
  21. mmc51264

    Nurse-Patient Ratios

    1. What type of unit do you work on, and in what state? Ortho, NC 2. What is your nurse patient ratio, and how does it change between day-evening-night shifts? 4-5 day; 5 nights (we are 12 hours...
  22. I will be interested in the answers here. I will finish my BSN in May and I have a Masters in teaching so I was hoping to maybe do that. I was going to try precepting first to see if I like it. I...
  23. mmc51264

    Health insurance covering titers, exam, etc?

    Mine weren't covered. I did what I could at the Health Dept and ended up getting my titers free because they did the wrong ones (have to make sure you get IgG not IgM (one tells you immunity and one...
  24. mmc51264

    Lantus BID

    When you have pts with that high a dose, how do you administer? Recommendations are no more than 30 units per site. We just had this discussion during our skills
  25. mmc51264

    Sedation Chiropractics?

    I go to a chiropractor, too. Have for years. It takes some digging to find a good one and sometimes I have to take what he says with a grain of salt, but he has helped me tremendously. I also do yoga...