melissa_rn

melissa_rn

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All Content by melissa_rn

  1. Patients destroying pain meds?

    melissa_rn posted a topic in Ambulatory Care, Clinic

    Just wondering how other clinics handle the situation of destroying pain meds. For example, say a patient was prescribed Percocet, but they had a reaction to it, so the doctor wants them to get rid...

  2. New RN in Docs office; Will it screw me??

    melissa_rn replied to Joy06's topic in First Year After Licensure

    I never worked in a hospital after graduating nursing school. I worked at a residental treatment facility (psych), then a family practice clinic, and now a rheumatology clinic. While I don't plan to...

  3. IV Boniva

    melissa_rn posted a topic in Infusion, Intravenous

    Just started a new job in a rheumatology office and will be giving an IV Boniva next week. I'm pretty confident in my ability to find a vein....but I'm not sure how the IV Boniva is set up. Will I...

  4. IV Boniva

    melissa_rn replied to melissa_rn's topic in Infusion, Intravenous

    Don't plan to "wing" it. Plan to get instruction by the doctor (since there hasn't been an RN in the office for a few months) but I wanted to have a bit of a "heads up" from some infusion nurses...

  5. paid in pesos?

    melissa_rn replied to floridaisawful's topic in General Nursing

    I was a clinic RN in Seattle for 5 years. My pay there ranged from starting at $23.50 and ending at $28.24. Then I moved to NH. Pay in NH is much lower than Seattle. I asked for $23 here (since I...

  6. How "intense" is it?

    melissa_rn posted a topic in School

    Looking at a school nurse position for a small-town elementary school (430 students). My previous experience is 1.5 years at a residential treatment facility for mentally ill children and most...

  7. How "intense" is it?

    melissa_rn replied to melissa_rn's topic in School

    I was offered $15/hr. Is that a usual salary for school nurses? I made $15/hr when I was a secretary during nursing

  8. Would you take this job?

    melissa_rn posted a topic in Nursing Career

    I recently had an interview for a part-time family practice clinic RN position. I have 5 years of experience in a busy family practice clinic but we moved to another state. This was my first...

  9. Nuva Ring questions

    melissa_rn replied to texasnursingstudent's topic in Ob/Gyn

    I liked the ease of use but I turned into Cybil on it! My moods were all over the place. happy, then crappy, then near-tears, snapping at patients too! NOT like me. I took it out and moods went...

  10. Medical Assistants in WA

    melissa_rn posted a topic in Washington Nursing

    I work in a clinic in Seattle that uses MA's who have not been formally trained. Some of them refer to themselves as "Dr. so-and-so's nurse" on the phone with patients, pharmacies, and other...

  11. Is it normal to feel like this?

    melissa_rn posted a topic in Nurse Management

    I graduated from nursing school in December of 2003 and started my first RN job in Feb of 2004. In December I was made nurse manager and life hasn't been the same. I'm up most nights with a racing...

  12. Worried and feel bad...

    melissa_rn posted a topic in General Nursing

    About 2 weeks ago I put a fiberglass long-arm cast on a hispanic man who did not speak english, per dr's order. The man had an interpreter with him. The fracture was at the radial head. He worked...

  13. Newbie to Clinic Nursing - Questions on what is "normal"

    melissa_rn posted a topic in Ambulatory Care, Clinic

    So...I've been working at my new clinic job for almost a month, and I have a few questions... Most of the doctors have Medical Assistants working with them. I am the float nurse, so I will be helping...

  14. Have you ever hit the bone?

    melissa_rn posted a topic in Ambulatory Care, Clinic

    Has anyone ever hit the humerus when giving an IM in the deltoid? If so, what do you

  15. Have you ever hit the bone?

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

    Glad to hear I did what everyone else did...pull out a little, aspirate, and give the med. The woman I was injecting was a big lady, too! A fisherman, at that, with big muscles, I NEVER would have...

  16. Lots of changes at our facility!

    melissa_rn posted a topic in Nurse Management

    Last week I found a new job (therefore I notified my boss, the executive director, that I would be leaving my position as nurse manager). The next day she quit without notice (read: stormed out)....

  17. Is it normal to feel like this?

    melissa_rn replied to melissa_rn's topic in Nurse Management

    Thank you for the advice, I appreciate the support I receive on this

  18. Can LPN's work alone?

    melissa_rn posted a topic in Nurse Management

    Can LPN's work by themselves? For example, at a residential treatment facility where there is typically only one nurse working at a time, can that nurse be an

  19. Can LPN's work alone?

    melissa_rn replied to melissa_rn's topic in Nurse Management

    We always have an RN on call, and typically the LPNs are only doing med passes and first

  20. Advice needed - Should he be fired?

    melissa_rn posted a topic in Nurse Management

    I am a new grad and new nurse manager. We have a nurse working with us who has 18 years experience. He works 2nd shift which starts at 2:30pm. Probably 85% of the time he is late (arrives at 3:00...

  21. Advice needed - Should he be fired?

    melissa_rn replied to melissa_rn's topic in Nurse Management

    I finally did it - adios to this nurse. I feel bad, he was a nice guy, but the other nurses have thanked me and I believe I have earned their respect. (A very unpleasant conversation,

  22. Compliance Monitoring in Infection Control

    melissa_rn posted a topic in Infectious Disease

    What kinds of methods do you use for monitoring compliance in infection control? All of our new employees have initial training/bloodborne pathogen training, but what else? Should I be doing random...

  23. Advice needed - Should he be fired?

    melissa_rn replied to melissa_rn's topic in Nurse Management

    We do have P&P's regarding this situation - basically 3 strikes and you're out - the problem is that the last "manager" NEVER disciplined him for his tardiness or call-in's with the excuse "I'm...

  24. Graduating in May - Need Advice

    melissa_rn replied to lgrninmay's topic in Psychiatric

    No med/surg necessary! I graduated Dec '03 and went right into residential psych for adolescents. Dec '04 I was made nursing supervisor. Med/surg will never hurt, but it is not necessary. I think...

  25. Question for YOU!

    melissa_rn replied to StevenRN's topic in Pediatric

    i work in residential child and adolescent psych. we're a non-profit agency so the frustrations abound with lack of supplies and turnover in staff. the kids live with us for 3 months to 2 years, so...