mmc51264 BSN, MSN, RN

orthopedic/trauma, Informatics, diabetes

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All Content by mmc51264

  1. mmc51264

    Pulmonary vs. Cardiac step down

    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 literally never thought I would say this! LOL)
  2. mmc51264

    Continuous bladder irrigation

    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 difficult. 🙂
  3. mmc51264

    RSV vaccines--necessary?

    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 have had all rec Covid vax, pneumonia, shingles, etc ...
  4. 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 nurses on my unit have finished their FNP/AGNP in th...
  5. mmc51264

    The 3 12s, 5 8s Debate

    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 not like, but have to work one, and nights, which ...
  6. mmc51264

    Older Nurse no BSN needs advice

    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 veteran ADN RNs that do not have to do their BSNs...
  7. mmc51264

    The 3 12s, 5 8s Debate

    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 (passed mt boards at 48, now 59) and it has been aw...
  8. mmc51264

    Efficient assessment and med routine?

    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 risers 🙂 ) Do med pass with pain assessment, che...
  9. mmc51264

    Protonix IV push rate?

    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 usually it comes in a pre-mixed bag. When we are out...
  10. mmc51264

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

    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 and 22) To me it is worth it to make it as e...
  11. 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 her o2 was reading 66% (the nurse also said she ha...
  12. 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 company.
  13. mmc51264

    Vaccine error

    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 fill in that info for all vax we give.
  14. mmc51264

    IVIG patient to nurse ratio

    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 ratios are 3-4 pts per nurse. If we have a pt receivin...
  15. mmc51264

    Nurse Lunch Break Survey

    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 weight loss surgery, so I cannot eat a lot at any one ...
  16. mmc51264

    Best and Worst Patient Interaction

    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 ended up with us. He was homeless, dirty, ha...
  17. mmc51264

    MA or CNA prior to NS general education?

    MA takes a little while longer to get done, but I was a home health CNA while I was in nursing school (I already had a BS in Biology so all my pre-reqs were done). I found it to be a great help while being in school. I noticed that in the first semes...
  18. At my hospital, we have a vascular access team that places most of our IVs and also phlebotomy so we don't have to draw labs (unless they have a central line/port). We are very spoiled and it can be an issue when time is of the essence. Our residents...
  19. mmc51264

    Midline Usage

    We don't use them hardly at all! Can't give anything extravasating through them, can't draw labs, can't tell if they've infiltrated. BSI or not, they are a bad idea as far as I can tell. Interesting idea though. Are they not considered a central line...
  20. mmc51264

    Documenting a medication given by a physician

    In EPIC, we have an option to select "given by other" and then can put in a note who gave it.
  21. mmc51264

    Crusty Old Bats

    Yep and then I explain it 😜
  22. mmc51264

    Broke My HCA Contract

    I can't believe that after all this time there hasn't been some sort of class action suit against them. They are horrible. Hear stories like this a lot. I guess all we can do it keep preaching to NOT work for them.
  23. mmc51264

    Not sharing EMR notes w patient/family

    Glad you are fine. So nice of you to dismiss others that have concerns. We had a nurse get shot in the ED. You win, you're tougher than the rest of us. Glad healthcare violence on health care workers is "drama"
  24. mmc51264

    Not sharing EMR notes w patient/family

    Not a dude. Sorry if you got offended, it's kind of mind-boggling that one would not understand that there are pts that have psych issues, many untreated, and there are hospitals in not so nice areas. I am glad that it's not something on your radar. ...
  25. mmc51264

    Not sharing EMR notes w patient/family

    We have had 2 people assaulted, one died, in our parking area. People do act on theses things sometimes.