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missmollie ADN, BSN, RN

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missmollie has 4 years experience as a ADN, BSN, RN and specializes in Neuroscience.

missmollie's Latest Activity

  1. missmollie

    Can't get covid at work

    Literal. They are saying we get it from others, outside the hospital, and there is no possible way we get it from the workplace.
  2. missmollie

    Can't get covid at work

    My hospital is saying that if nurses get COVID, it is not from the hospital. The hospital isn't responsible. It's our co-workers, our family, ourselves, but not the hospital. It is safer to be at the hospital than anywhere else. Cannon Fodder. That's exactly what we are.
  3. missmollie

    4 Types of Difficult Patients and Tips for Dealing With Them

    The moment a patient is asking for specific tests and medications, I always ask them: -"What do you think this test/lab result will tell you?..."What results are you looking for?" -"Why do you feel this test is necessary?" -"Have you spoken with your doctor about these tests?" This helps to open a conversation about their fears, their needs, and why they want specific things. You can help to educate once you understand why they request specific tests.
  4. missmollie

    New Nurse..Lost a pt. I didn't know ID hurt so deeply

    You personally, individually, wholly and absolutely on your own accord lost a patient? You were personally responsible to oversee every medication he took, was given, was ordered, and delivered according to standards? No!!! No, you are not personally responsible. The patient made bad choices -> ED -> Neuro ICU -> lifesaving measures -> Cpr-> chest compressions-> 1 mg of epi-> 2 shocks to the heart-> broken ribs from compressions (good compressions)-> and one sad family. And you caused this to occur? I'm impressed how one individual could affect someone's life so much that this is the outcome. Here's the thing. You didn't. You are not the cause of his outcome, you are not the reason he coded. You are not the reason he died. His choices are and were his. It's really difficult to lose your first patient. Don't take responsibility where there is none. Death will always win, no matter what you do, even if that death is 20 years later. Don't try to keep score or responsibility. ❤️
  5. missmollie

    I hate fake call outs.

    Then she is not technically off and is considered on the clock. When she is truly off, not on call, not scheduled or required to come into work, then that is her choice. I can't blame my co-workers when it's my time to be on call. If I choose to answer or accept a text when it is my off day, that's on me.
  6. missmollie

    I hate fake call outs.

    You never "have" to go in. If it is your day off, then it's on you if you choose to pick up a shift because a co-worker called off. Put your phone on silent. My best advice: Your phone is there for your convenience. You pay the bill, you own the phone, and you do not have to answer every call or text. You are putting yourself in this situation.
  7. Family member who questions what I'm doing with a "Did you" question. "did you thicken that drink" *no, I just thought I'd let your family member drown on dry land*... Reality: "Yes". Followed by a death chilling mom stare.
  8. missmollie

    What's your favorite nursing task?

    Getting positive on a Euvolemia patient when no one else could. But my most favorite thing is a really productive NT suction.
  9. missmollie

    Night Shift & Relationships

    It may affect your relationship now, but I can tell you that as a mother, I never saw my son during the days that I worked. He was in bed when I left for work and he was in bed when I came home. Work days if that's going to be better for both of you right now. Your priorities will shift after having children (if that's in the cards) and you both will work towards what is best for them. Always do what is best for you at this moment, because these moments of time never last.
  10. missmollie

    Cry me a river...?

    It's an anonymous nursing forum. Did you have an anonymous nursing forum available back in your day, or did you just complain to your significant other? Did your complaints mirror these complaints? Has healthcare significantly changed in the last 20 years? I think it's easier to complain on here because other nurses "get it". Sometimes our spouses don't, sometimes things are out of our control, and sometimes people just need to complain. You are probably not seeing the same people complaining, you might see more venting because this is a good place where people understand what others are going through.
  11. We should all be outraged. Outraged that non-clinical people are making decisions for nurses as if they understand nursing. Outraged that they don't consider the risks for the patient, outraged that they believe nurses do not need breaks, as if our title, our job, our very way of making a living somehow exempts us from the federal break mandate for workers. Washington Meal Breaks Washington requires employees who work 5 hours to get at least a 30-minute break. This break must be given no earlier than 2 hours and no later than 5 hours after the start of a shift. And, special rules for minors apply. Employees who are 14 and 15 years old can go no longer than 4 hours without being given a meal period of at least 30 minutes. Employees who are 16 and 17 years old cannot be required to work more than 5 hours without a meal break of at least 30 minutes. This break must also start between the 2nd and the 5th hours of the shift. Another 30-minute meal break must be provided before an overtime shift that is 3 hours longer than the normal workday. In Washington, meal breaks can be unpaid as long as the employee is completely relieved of all work duties. If the employee is required to remain on the work premises or at a prescribed place, then the meal break must be paid. (!!) But, what happens if an employee misses a meal break? The Washington Supreme Court has ruled that an employer is not automatically liable if an employee misses a meal break because an employee can waive the break. Employers can rebut any allegations of break-law violations by showing that no violation occurred or showing a valid waiver. Understand they do not want to pay us for breaks. If they start on nurses, then maybe they can take breaks away from fast food workers, or retail workers, or city employees, or federal employees. This is as basic as it gets, workers (including nurses) deserve breaks. It's a federal law. They are trying to take that away from us. We already give up our breaks for our employers, who punish us because we clock "no lunch". And you're going to argue with fellow nurses asking for the basic federal right? STOP
  12. Something has got to give. A nurse in Louisiana was attacked at work, finished her shift, went to the ER the next night. Sent home. Dead a few days later from a blood clot. Patient abuse of nurses is not a right. Here's just another story of a nurse being attacked. http://www.ksla.com/2019/04/15/baton-rouge-nurse-dies-days-after-attack-by-patient/?fbclid=IwAR2JHJJYDVnAyYxlxuK3RKtUmtw1CoJUc9M-gToOBxA7qidFYBak5wXExGY
  13. missmollie

    ICU nurse vs PCU nurse

    The above is an example of something I would say as a PCU nurse and an ICU nurse. Not something that was said about the patient twice.
  14. missmollie

    ICU nurse vs PCU nurse

    Help me with this. I was a progressive care nurse five weeks ago. I'm currently having a great orientation as an ICU nurse. This a conversation I have had. PCU: The patient is in a lot of pain, not sleeping, and is delirious. Could we get something for pain and a sleeping medication? Provider: I'm hesitant to order any of those things. Let's wait for the day team. ICU: The patient is in a lot of pain, not sleeping, and is delirious. Could we get something for pain and a sleeping medication? Provider: That's a great observation. Let's order both pain meds and 25 of seroquel. If anything changes, let me know. Any other issues? ICU me: Well, they haven't had a CT of this area, they are requiring one unit of blood a day. Because the surgery was in this area and a CT hasn't been done in a day, it might be prudent to get one. Provider: Good call. We'll order that after rounds. WOW!. Why would providers be more responsive to ICU suggestions than PCU suggestions. Nothing has really changed. I'm still the same nurse. I still have good suggestions. Why are ICU suggestions considered but PCU suggestions aren't?
  15. Please list your name, speciality, and how long you've been a nurse! Miss Mollie, Neurosurgery ICU and PCU, 4 years What lead you to the nursing field? It was on a whim, to be really honest. I was going to enroll in the RT program, but my sister convinced me just to go for nursing. Turned in my paperwork on the very last day and was accepted. What specialties you have worked in? Neurosurgery and Neurology. I work overtimes on different floors and feel confident to pick up in med-surg and medicine. Only floor I won't volunteer for is cardiac. Satisfying aspects of nursing? Utilizing skills, experience, and critical thinking to help a patient is satisfying. My days are never the same even if I have the same patients. Dissatisfying aspects of nursing? Charting, violent and verbally abusive patients. Patients just there for pain meds, doctors who won't listen, and charting. Oh the charting. What is something that is generally misunderstood about the nursing profession? That we just follow doctor's orders. That is not true. We spend more time with the patient than anyone else. We notice trends and issues before anyone else. A good nurse can save patients by preventing little issues from becoming big issues. Assessments are key, but so is interpreting data. Most memorable patient experience? Helping a patient work through survivors grief over the course of 3 months.