mariebailey MSN, RN

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All Content by mariebailey

  1. mariebailey

    What is an EKG artifact?

    Whoa killa dilla! Maybe he or she assumed we would have nursing degrees & google
  2. mariebailey

    Ethical Dilemma...Shingles :(

    I would just run it by the infection control or employee health department to find out their policy at your particular hospital. Very rarely, someone who is not immune to varicella may get the...
  3. mariebailey

    aspiration before IM injections; are you SURE?

    I included a link to an article entitled, "To aspirate or not: An integrative review of the evidence" https://www.nursingcenter.com/_PDF_.aspx?an=00152193-201203000-00008 & a quote from CDC...
  4. mariebailey

    aspiration before IM injections; are you SURE?

    The current practice NOT to aspirate is based on evidence that, while you may hit a vessel at those sites occasionally, you would not cannulate the vessel &, therefore, give a med intravenously as...
  5. mariebailey

    Appropriate orientation attire

    Dress
  6. mariebailey

    Afraid of loosing my job

    I feel your frustration. My supervisor told me verbatim recently, "You need to try to be more extroverted." My preceptor put on my recent evaluation that I was too soft-spoken. Part of my problem is...
  7. mariebailey

    The Influence of the Influenza Vaccine:

    Attention allnurses.com participants & responders to this particular article: It irritates me to pieces when people hog a thread by posting an excessively long comment. Why can't people be...
  8. mariebailey

    The Influence of the Influenza Vaccine:

    The difference between 1 brand of inactivated flu vaccine vs. another is negligible. I know this because, in order for any new vaccine to get licensed by the FDA, they must undergo non-inferiority...
  9. Hello all, In a/b 2 weeks, I'll start 12 weeks of orientation on an ICU, & all of my prior nursing experience is outside the hospital. I feel I'm at a disadvantage to new grads in some regards,...
  10. mariebailey

    Documentation of delegated tasks

    I totally agree with your reasoning, but I would try to meet management halfway unless you don't need a paycheck. If CNAs are doing skin assessments, they need to be coached to NOT interpret what they...
  11. mariebailey

    Obamacare and hospitals

    Has anyone actually experienced Obamacare firsthand? I have. I had some health issues & decided to quit my job/return home to the lower 48 prior to applying for another job. I needed health...
  12. mariebailey

    Mandatory flu shots????

    Your job hangs on many things in addition to the flu vaccine, so why did we pick the flu vaccine, in particular, to protest against? Often mandatory: PPD test & reading, proof of MMR, Hep B, Tdap,...
  13. I think a hallmark sign of it is distractibility, rather than the ability to hyperfocus. With the exception of when I took Adderall, I haven't been able to hyperfocus on squat my entire life.I think...
  14. mariebailey

    Abandonment or not? Need opinions! in Louisiana

    I think she's fine, at least with the LA BON, because she notified appropriate personnel. See pg. 4 of an LA BON publication for how they define "patient abandonment"....
  15. mariebailey

    Obamacare and hospitals

    I supported & do support Obamacare, but I was not naive enough to believe it could be implemented flawlessly. Such a major change in policy will inevitably be plagued by setbacks & obstacles...
  16. I like Glycerine82's line of thinking, documenting something like, "Per facility protocol, notified Amy, RN Supervisor, of change in patient status". I would also document any follow-up with the RNS...
  17. I will put on my HAZMAT suit & hope it will protect me from the media sensationalism likely to
  18. mariebailey

    Do you wear jewelry to work?

    Just my gold necklaces, that's
  19. mariebailey

    Bullied at work

    Seriously, you need to enlist the aid of your superiors at this time. I would specifically tell them you heard people want to jump you. Not seriously, you could train like Rocky, so you'll be prepared...
  20. mariebailey

    Help me bring this into the public!

    You reaction was to an IM injection, not specifically the flu shot. Local tissue injury or hematoma may occur following any IM injection, which may lead to a palpable knot that takes several days to...
  21. mariebailey

    Help me bring this into the public!

    Off the subject, & we do see eye to eye on the topic of quarantine for Ebola-exposed nurse. As a TB case manager, I isolated plenty of people with CXRs consistent with TB prior to having a...
  22. mariebailey

    Help me bring this into the public!

    These people treating Ebola in West Africa are heroes. Their work abroad helps assure our future safety at home. They should not be subjected to mass hysteria upon their return; they should be...
  23. It's actually 3 (trivalent) or 4 (quadrivalent) strains in the flu vaccine, not just 1, & they are selected based on the most common circulating strains worldwide prior to the
  24. mariebailey

    Altered Mental Status- a surprise diagnosis

    I think it's still treatable in that you can kill the syphilis with antibiotics, but there is likely damage to the CNS that can't be undone, depending on how long you've had