mama2

mama2 specializes in Ambulatory Care/Community Health.

Latest Activity

1. Feeling like maybe I shouldn't be a nurse :(

   mama2 replied to mama2's topic in General Nursing

   I wish I could "turn it off"... that's part of my problem. I've been a nurse for 2 years now. Please tell me it will get better and that I will eventually feel more

2. Feeling like maybe I shouldn't be a nurse :(

   mama2 posted a topic in General Nursing

   I know that we all make mistakes and that we are all human, but sometimes I am so hard on myself and let my confidence get so low that I start wondering if I should be a nurse at all. I love nursing....

3. Coumadin

   mama2 replied to Grasshopper11's topic in Medical-Surgical

   obviously there is more to our protocol than I can write about here, but we have a very good success rate with keeping patients within their prescribed therapeutic range. A lot of patient teaching is...

4. Scripted responses to difficult phone conversations with patients

   mama2 replied to BlueLightRN's topic in Ambulatory Care, Clinic

   for those truly special patients, I say, (in my sweetest voice) "I understand how frustrating this must be for you, and I'm truly sorry that I am unable to get you what you are asking for. Let me...

5. Words of wisdom/advice for new hospice nurse?

   mama2 posted a topic in Hospice, Palliative

   I've just accepted a position with hospice, and am excited and nervous all at once. Excited to begin a new career with an amazing team that I know is dedicated to compassionate care (they came in to...

6. Telephone Triage

   mama2 replied to SunnyMindRN's topic in Ambulatory Care, Clinic

   I do a lot of telephone triage at my current job. Basically, you're answering patient phone calls and deciding whether they need to go to the ER, come in for an urgent visit, wait for next available...

7. Coumadin

   mama2 replied to Grasshopper11's topic in Medical-Surgical

   We use a standard protocol for 5-10% increases or deductions depending on INR and therapeutic range. INR 5 or greater will warrant an MD notification (when 2- 3 is the range). If the range is 2-3 and...

8. Is it any fun working in a doctors office as an RN? Or something along those lines

   mama2 replied to wnb4's topic in Ambulatory Care, Clinic

   I've only been a nurse for 7 months now

9. Stable life vs not enough action! Do you ever envy your inpatient counterparts

   mama2 replied to newrnltc's topic in Ambulatory Care, Clinic

   I try to look at it this way- we are not losing skills, we are acquiring different skills. Acute care is completely different from ambulatory care- two different skill sets. I may not be using some...

10. Patients destroying pain meds?

    mama2 replied to melissa_rn's topic in Ambulatory Care, Clinic

    Where I am in MA, we have prescription drug disposal drop-boxes at the local police stations. Call around- see if a program exists where you are, and if not, see about starting one! It's good for the...

11. Charting/Documentation

    mama2 replied to mama2's topic in Ambulatory Care, Clinic

    Hi CarreBarreLPN, Typically, I was seeing about 16-20 clients per day in-office for "nursing visits", plus giving about 10-20 injections (immunizations) per day (to patients who were seeing Dr.'s),...

12. Is it any fun working in a doctors office as an RN? Or something along those lines

    mama2 replied to wnb4's topic in Ambulatory Care, Clinic

    I love my job at a community health center! I have a ton of freedom, get to do a lot of patient teaching, dressing changes, suture removal, immunizations, coumadin clinic, routine sick visits like...

13. Win CASH! New Year Nursing Caption Contest - $100

    mama2 replied to Joe V's topic in News, Announcements

    Someone clearly didn't see the DNR

14. Crusading for Better Mental Health Care: Mental Health Education in Schools

    mama2 replied to wish_me_luck's topic in Activism, Healthcare

    I commend your enthusiasm :) You can start by calling the schools in your area. Find out what the curriculums are, and who the people are in charge of developing/implementing them. Lots of school...

15. Charting/Documentation

    mama2 posted a topic in Ambulatory Care, Clinic

    I need advice on how to handle a situation. My immediate supervisor- the practice manager at an ambulatory care clinic (who has NO medical experience whatsoever) has told me that she feels that I...