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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

    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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.
  9. 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
  10. 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
  11. missmollie

    Another Tragedy at Vanderbilt

    Maybe she monitored the patient to ensure she wasn't flailing around on the bed. Perhaps the nurse felt that the versed had done the trick because the patient was not moving. Obviously the patient wasn't tele monitored. Nurse gives a med, expects the patient to calm down. Patient calms down (or so she thinks). All is good and she leaves. How does that possibility fit into your narrative?
  12. missmollie

    Dubious Victories

    Patient was trached and O2 sat was reading 65%. Not a single nurse in the hallway. Hit the assist button and grabbed an ambu bag, connecting it to the trach and gave breaths. That's the first time I realized I was THE nurse at that moment. After what seemed like hours, others showed up and the patient was moved back to the ICU. O2 saturation had increased to a normal level. Now I know that patient had a plug, and I dislodged with the bag. I bag trach'd patients all the time to clear the airway and think nothing about it, but it never has gotten to that point where the O2 is reading 65%.
  13. missmollie

    Another Tragedy at Vanderbilt

    Why do you think that is?
  14. missmollie

    Generation Z

    Do you notice a difference age groups of 25 or less having a different mindset than those older than 25 in the workplace?
  15. missmollie

    Another Tragedy at Vanderbilt

    Sure, and there are no fail safes to ensure it's the right organ, right patient, right side, and right part taken out. Please, show me your comparisons and how failsafes aren't in place for medicine. Do you really consider that doctors do no wrong? Is there not a service you wouldn't allow to operate on you, or a doctor that you have told your significant other, just let me die rather than have them operate. If so, then your comment is null and void.

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