MikeyBSN

MikeyBSN

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All Content by MikeyBSN

  1. Mandatory Flu shots

    MikeyBSN replied to CathyLew's topic in Disaster Preparation

    It's a terrible analogy for two reasons. First, you don't have the "right" to yell anything in a theater. You don't have any free speech right in a private theater, whether you yell "fire" or...

  2. Pain is not a "vital sign"

    MikeyBSN posted a topic in General Nursing

    There, I said it, now let the collective nursing/medical community rain fire upon me. I'm sorry, but I refuse to accept the idea that pain is a vital sign. I vital sign in a physiological response...

  3. Clinical Decision Units

    MikeyBSN replied to Medic2RN's topic in Emergency

    Never heard of it. Is that like an ED holding area? If my hospital created an ED holding area and told us we had to rotate through it then I would pick up the classified section on my way home from...

  4. Insecure new grad and urgent care orientation. Your thoughts please?

    MikeyBSN replied to MissBrittanyRN's topic in Emergency

    I don't think 30 days is enough time to orient a new grad, and I think you would be better in a hospital setting. You would learn a lot more and have more support. The orientation program in a...

  5. Pain is not a "vital sign"

    MikeyBSN replied to MikeyBSN's topic in General Nursing

    I'm not saying that pain isn't important, and I'm not saying that post-surgical patients don't have pain. I know, I've had surgery. However, I don't think we should call it a "vital sign" because...

  6. "disturbed Energy Field" ...Really?

    MikeyBSN replied to dannyc12's topic in General Nursing

    I have yet to use a single nursing diagnosis in 4 years. I don't even remember most of them. If I think the pt might have pneumonia, I'll just write all the s/s in my note and put them on the...

  7. Best way to start IV on infant or child

    MikeyBSN replied to newtress's topic in General Nursing

    No, you attach it to the end of the hep lock to draw blood. Don't use a

  8. Quick Pain question

    MikeyBSN replied to rita.kumar83's topic in General Nursing

    It's hard to tell, especially if it is chronic pain. Sometimes the person might be tachy or slightly hypertensive. The most accurate clinical presentation is probably diaphoresis. Technically, a...

  9. Best way to start IV on infant or child

    MikeyBSN replied to newtress's topic in General Nursing

    I've posted a legitimate answer for

  10. Best way to start IV on infant or child

    MikeyBSN replied to newtress's topic in General Nursing

    Starting an IV on a kid can be more challenging than adults (though some adults are big babies). It also depends on the age of the kid. Your teenagers (13 and above) will basically be an adult in...

  11. Best way to start IV on infant or child

    MikeyBSN replied to newtress's topic in General Nursing

    Yeah, I'm really good at this. The first thing you will want to do is introduce yourself to the family. Say, "Hi I'm nurse _____ . I just graduated nursing school and this is my first day." Next,...

  12. Help...please answer this question

    MikeyBSN replied to caylajune11's topic in General Nursing

    It's certainly not "absolutely necessary" but it might help in certain areas. What area are you looking to go into? I know several nurses who entered specialties and are very happy and did great. I...

  13. I'm Torn. . .

    MikeyBSN replied to hjohnson40's topic in Nursing Career

    I know a lot of great (some of the best) nurses who started as ADN's. Generally, I think it's better to get an ADN and then work for a while and, when you are ready, go back and get your BSN. This...

  14. I need this question answered...please help!

    MikeyBSN replied to caylajune11's topic in General Nursing

    You should look at the "first year in nursing"

  15. How long should you wait before transferring to another unit????

    MikeyBSN replied to NoDakRN's topic in First Year After Licensure

    your post is untrue! first of all i worked for my organization for over 2 years and so it does not look bad on my resume. also, i was given permission to transfer within my current hospital because my...

  16. Chinese Experts Question Swine Vaccine Safety

    MikeyBSN posted a topic in Disaster Preparation

    BEIJING, Sept. 10 (Xinhua) -- As China's Health Ministry has designated Beijing, Shanghai cities and Guangdong Province as the first places to use the newly produced domestic A/H1N1 vaccine, some...

  17. H1N1 Vaccine : Observe for signs Guillian Barre Diesease

    MikeyBSN posted a topic in Disaster Preparation

    health officials have warned doctors of possible similarities between the new swine flu vaccine and a jab linked to 25 deaths in america in the 1970s. the government’s health protection agency...

  18. Reasons to get the flu shot-funny

    MikeyBSN replied to HonestRN's topic in General Nursing

    Yes, damn those otherwise healthy fools who wish to maintain some control over their body. How dare they question the collective wisdom of the pharmaceutical companies and refuse to have a bunch of...

  19. FDA Approves New Swine Flu Vaccine

    MikeyBSN replied to Cherybaby's topic in Disaster Preparation

    That's great! Good thing the FDA didn't bother to test this thing for 10 years like it usually does before deeming a drug is safe for

  20. HELP!!! Need advice to critical think at work!!

    MikeyBSN replied to esthomprn's topic in General Nursing

    I agree, nursing schools are very task-oriented. It's also hard to teach people the "big picture." I noticed that you were in CCU, did you start in CCU? It's a pretty tough place to start. No...

  21. how did you handle your first patient death?

    MikeyBSN replied to ErinDel's topic in General Nursing

    It wasn't my first death, but I remember a rather awkward situtation I had with a pt death. I was a relatively new nurse and it was one of my first times assigned to trauma and we had a cardiac...

  22. question pelvic ultrasound

    MikeyBSN replied to ohmeowzer RN's topic in General Nursing

    I know some pediatricians who have used U/S to R/O appendicitis. However, they say it usually works well on peds because they're smaller and most of them are very thin. It also takes a skilled U/S...

  23. Mandatory Immunizations?

    MikeyBSN replied to nurseinpa's topic in Disaster Preparation

    I think a round of lawsuits would go over very well. I think a preemptive round of nursing "trade" strikes would be more

  24. How long should you wait before transferring to another unit????

    MikeyBSN replied to NoDakRN's topic in First Year After Licensure

    It's not a "nursing mindset", any career services professional or job guru will tell you that non-temporary, short tenures of employment look really bad, especially when you just start out. What...

  25. Anyone gone from ICU to ED?

    MikeyBSN replied to Rabid Response's topic in Emergency

    You had a 4:1 ratio? Personally I think that should be the standard ED ratio. Ours is generally