Melina

Melina

home health, neuro, palliative care

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All Content by Melina

  1. Colorado New Grads- Do you have jobs?

    Melina replied to Work in Progress's topic in Colorado Nursing

    Not sure relocating will do a lot of good. To answer the OP, I am FINALLY working as a nurse in a job I love, but it took seven months of volunteer nursing, private duty and generally

  2. Told to work 7 days/week or lose job

    Melina replied to ilovenursing2009's topic in General Nursing

    Are you only being hired to see one pt a day? Most full-time intermittent hh nurses see 4-6 pts a day, five days a week. We have LPNs that see our daily wound care pts on the weekends, but every place...

  3. Skin Prep QUESTION

    Melina replied to nurserin's topic in Wound, Ostomy, Continence

    Liquid barrier films (I've always used 3M Cavilon No Sting) will protect intact or damaged skin from urine, feces, other body fluids, tape trauma, and friction. I use them all the time to prevent...

  4. Bleach baths for MRSA wounds

    Melina replied to StNeotser's topic in Wound, Ostomy, Continence

    I recently read a study in which nasal application of 2% mupirocin and bleach baths were found to be more effective at eradicating Staphylococcus aureus colonization than other interventions. You can...

  5. Home Health a good option for fairly new grad??

    Melina replied to Blackheartednurse's topic in Home Health

    I just got my first nursing job in home health. I love it, but our orientation is up to three months for every newly hired nurse, experienced or not. It took a week just to get oriented to the office...

  6. what date do I put for an assessment on a discharge/transfer??

    Melina replied to spejsa's topic in Home Health

    According to OASIS Central (emphasis is mine):

  7. New Grad SNF work... I am just exhausted and shocked

    Melina replied to Bre14's topic in First Year After Licensure

    SNF => Skilled Nursing

  8. Cardizem, rythmol, and dig.....oh my

    Melina replied to Nurse Lulu's topic in Patient Medications

    Did your nurse verify the order? The usual IVP dose for A-Fib is 0.25 mg/kg, with a follow-up of 0.35 mg/kg after 15 minutes. Was it a bariatric patient? Also, according to ePocrates, mixing the 3...

  9. Diluting meds??

    Melina replied to mamaRN-09's topic in Patient Medications

    Sweetheart, you are making my eyes cross! When you dilute 50mg of a solute in 20ml of saline, you have 50mg/20ml. If the dose is 50mg, you give the full 20ml. For meds that are already in liquid form,...

  10. picc lines????

    Melina replied to erin01's topic in First Year After Licensure

    With both peripherally inserted central catheters (PICCs) and ports, the distal end of the tubing is usually positioned within the superior vena cava. PICCs are inserted into one of the peripheral...

  11. Being a bi-polar nurse~what's it like?

    Melina replied to MsEnfermera's topic in Nurse Disabilities

    Other than pass or fail on a drug test, Occ Health never told my nurse manager about my health status. I have never heard of an employer ask for a list of meds; is that even legal?

  12. I've been an RN for 3 years and I just made my first medication error.

    Melina replied to mikeyswife's topic in Patient Safety Issues

    jayme_lee: my advice is to come up with a step-by-step procedure for checking and giving meds, and do not deviate from it. Personally, I check each medication three times before the patient touches...

  13. 1:22 nurse/patient ratio?

    Melina replied to SDALPN's topic in Patient Safety Issues

    Can you shadow a nurse for a few night shifts before you make a decision? I would want to see things for myself.

  14. First med error - crushed a SR tablet

    Melina replied to mistyda's topic in First Year After Licensure

    I agree with Tulip. While you shouldn't beat yourself about it, there should be an incident report. It isn't about getting people in trouble. It's important data that is used to create safer...

  15. Would you give this order?

    Melina replied to mistyda's topic in First Year After Licensure

    I think they give it together a lot in Oncology. Each med can lengthen the QT interval, so I would be concerned about giving them together to a pt with a cardiac dz or electrolyte imbalance unless...

  16. Mgr brings up events on previous shifts-feeling blindsided

    Melina replied to GraceNotes's topic in First Year After Licensure

    I would be nervous about keeping notes past a few shifts. It seems to me that anything worth saving should have been properly documented at the time, including ED report if only given verbally. I want...

  17. checking BP before giving BP meds?

    Melina replied to 2bnurse_it's topic in Medical-Surgical

    I totally agree. If there is an order to hold a med for parameters, then the med should be held. If we have an issue with the order, we need to speak to the doc. I also think you should take your own...

  18. Would you give this order?

    Melina replied to mistyda's topic in First Year After Licensure

    I'm sorry this happened to you. It's never appropriate to be reprimanded the nursing station, no matter what the circumstances, and your preceptor really should have had your back. That said, as...

  19. Bipolar ?

    Melina replied to Melinurse's topic in Nursing Student Assistance

    Like you said, indigestion and HA could be her meds. I have no idea what she was taking. She could also have a cardiac issue for all I know, and the s/s were heart and not GI. I was just pointing out...

  20. Bipolar ?

    Melina replied to Melinurse's topic in Nursing Student Assistance

    i have to disagree. agitation is a classic symptom of hypomania, especially if the wisdom of a patient's good spirits and brilliance are challenged. agitation can be a sign of depression as well,...

  21. New Grad Pay Denver "atleast" $28?

    Melina replied to Coloradogrl's topic in Colorado Nursing

    I don't know about other facilities, but if you call the HR dept. at my hospital, they will tell you the salary range for each position they are hiring. Denver Health lists those ranges on their...

  22. Disaster preparedness

    Melina replied to Student4Life23's topic in Nursing Student Assistance

    I did a Google search (which you probably already did), and found some interesting stuff: Principles of Critical Care: preparing for a catastrophe Public Hospital Disaster Plan in Wisconsin The...

  23. Time Orientation

    Melina replied to halo425's topic in Nursing Student Assistance

    I knew there was a socio-cultural explanation for my horrible time management skills. Who says colored-people time is just a stereotype? I am a victim of my African-American culture's teaching of...

  24. ATI critical thinking entrance exam HELP

    Melina replied to mizliz06's topic in Nursing Student Assistance

    Are you referring to the general critical thinking exam with the logic and reasoning questions (not specific nursing or science questions)?

  25. Do You Tell EVERYONE You Are a Nurse?

    Melina replied to pagandeva2000's topic in General Nursing

    omg, that is funny! i am considering hospice, so maybe it won't be an issue for me either. i hope not, because i tell everyone i am a nursing student. i can't shut up about it. i like the idea of...