jmdRN

jmdRN

community small-town med/icu unit

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About jmdRN

jmdRN has 2+ years experience and specializes in community small-town med/icu unit.


Latest Activity

  1. You know you've been a nurse too long when...

    That's been my standard mom-response since before being a nurse... the littlest booboos from my kids would get a look at, and if nothing visible to the naked eye, the threat of amputation (in jest!) as a result, usually followed with a cartoon bandai...
  2. First or last name on stethoscope?

    I put 1st initial of 1st name and whole last name on mine, but that's because there's no less than 5 nurses on my (small) unit who share my 1st name.
  3. Oldest patient

    my oldest was in LTC as a CNA, she was 102. Since graduating, my oldest pt was 98, in ICU...
  4. Had a patient recently who had a deep, productive cough x several days. Docs asked for a sputum culture, so night shift sent off 1st sputum of the morning last week. Got the C&S back and had a few of the 'usual suspects' ie haemophilus influenz...
  5. What helps you sleep after night shift?

    Super dark room (I have a black out blind that I put a dark coloured flannel blanket over top of), fan on medium for white noise, ear plugs if it's a nice day (neighbor likely to mow lawn), no coffee after 2am, and no drinking at all after 4am (I get...
  6. Team Nursing

    We've been doing team nursing at my hospital for a little over a year now, and I hate it! Our med/tele unit has 28 beds, divided into 2 teams. Each team has an RN team lead, 2 RPNs who each have 7 pts on days and 1 PCT. As RN, I'm supposed to eva...
  7. LPN from the US to Quebec??.. help :/

    LPNs in Quebec report to the Ordre des Infirmiers et Infirmieres Auxiliaires de Quebec (OIIAQ). Their website is found here : Order - Ordre des infirmières et infirmiers auxiliaires du Québec - OIIAQ And as mentioned by JustBeachy, you do need to be ...
  8. What does it cost to renew your license?

    I paid 410$ for 1 year in Canada, which includes malpractice ins and sales tax >.>
  9. Emergency Psychiatric Medications

    we do B-52's here on our agitated pts in the ER. Benadryl, 5mg Haldol and 2mg Ativan
  10. Thoughts on new grad being made charge?

    I agree that it depends on the new grad. Some are more mature (read 2nd career, old farts ) and have managing skills from past life experiences that some of the "fresh out of HS to NS" new grads don't have. At my place of work, I was charge on even...
  11. I can't sleep!!!

    When I work nights, I'll have a coffee or 2 at the BEGINNING of my shift, but nothing more than water or regular juice after the 1/2 way point. If you have a medscape account (free!) check out this CME/CE on Night Shift Syndrome. I found it eye open...
  12. How not to say the wrong thing.

    If AKY's link doesn't work for you up there, try this link , it's a direct link to the LA Times story she linked. And thanks for sharing AKY. The message of that article is sooo true. So many of us, myself included, just don't know what to say, or...
  13. Most shocking thing you've seen another nurse do?

    It means the replace the AMOUNT of NG drainage (usually between 150-300mls with the NG's I see per 8 hr shift) with an equivalent amout of NS. You dispose of the NG drainage wherever the bio-hazards for your unit go, DO NOT try to replace the goo th...
  14. Nursing School Patient Loads

    My last semester of RN school was split into 2 1/2 semesters. Before spring break we had 2 days in classroom and 3 days on the floor where we had 2 pts and up to 3 in the last week. After spring break we had a 6-8 week preceptorship where we had to...
  15. Heart and vascular help!!

    Some step-downs also have dopamine or other pressors.