MIA-RN1

MIA-RN1 RN

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All Content by MIA-RN1

  1. How is this fair?

    I didn't even know nurse managers work the floor regularly. I thought they had all holidays
  2. The Magical Fundus Question

    I am taking it to mean in the postpartum care? What I do is instead of going at it with my fingertips, I use the side of my hand--my little finger side. And I kind of feel with a massaging-scooping...
  3. Charge Nurse Position = Required?

    From what I can tell from where I work, and I've only been there almost 6 months, the charge nurse position begins around a year after you start. You get oriented into it, trained in it, and have...
  4. client teaching help, does this sound right?

    what about a white board that can have the date written on it and also something that says "Today is Sunday January 24, 2006 and you are at suchandsuch hospital" The reason for the whiteboard is that...
  5. medication doses

    Here is the scenario--a patient had two percocet ordered q4 hours prn pain. So at 2000 she decides she wants to take it but only wants one. Fine, its entered on the MAR as just one tab given. Then at...
  6. It's that time again! Working Christmas?

    I don't really mind working the holiday. But what burns me is that I am a straight evening shift and they put me on days for Christmas. So I am going in at 7a. To me, its wrong and they should put day...
  7. medication doses

    I thought of that, giving the next 2 pills in two hours, but then I thought she'd have three percs floating around in her for that 2 hour overlap, and was getting close to the max dose of...
  8. medication doses

    our orders aren't written as ranges tho. They have to be either q4H or q6H, not q4-6h. The pills too, have to be either one pill or two pills. We get around it because the patient can refuse the...
  9. It's that time again! Working Christmas?

    I am straight evenings and have two older kids (12 and 18) and I knew all along I'd have to work Christmas this year but what I don't like is that I got put on the day shift 7a - 3p. I was counting on...
  10. Hi all. came across something new last night at work. The L&D nurse brought over my post C-sect patient and the patient had the shakes pretty bad. The L&D nurse put a hot pack on her chest,...
  11. no-smoking policies

    Well, today our hospital went majorly smoke-free. Smoking has been banned inside of course for years, but now you can't smoke in your car, the parking garage, or anywhere on the property. This...
  12. no-smoking policies

    yep they took down our employee smoking shelter the other day. We too are offering nicotine patches to our patients. (although not sure how it will be with the nursing
  13. #%@&$ Flu Shot!

    I have gotten the flu shot every year since I was 22--that year I didn't get one, got horrible mycoplasm pneumonia, all sorts of upper respiratory illnessess, cfs, it was awful...doc said from now on,...
  14. Pregnant but Negative Urine Preg?

    ah okay thanks!
  15. Pregnant but Negative Urine Preg?

    ?? Doesn't the fact that the HCG stays positive indicate a molar pregnancy or something like that? I thought that the increased HCG after a miscarriage indicates molar and then in turn that the...
  16. Has this happened to anyone else?

    I had a thyroid MRI a few years ago w/o sedation or anything but I was in an 'open' one, which meant that I was only in from the top of my head to about halfway down my torso. I had my hand out and...
  17. patient ratios?

    We recently had a meeting at work and one of the nurses brought up the fact that there are actual guidelines for patient/nurse ratios in mother/baby and that if our assignment is higher than set...
  18. patient ratios?

    we can and do tell them where the kitchen is but then sometimes they complain the nurses arent' helpful enough, our press gainey scores or whatever go down and we are the bad guys. disney model says...
  19. I am scared I will be sued. We work with too many patients and the orientation is good but not great. I worry all the time because I care for newborns. We are short staffed and I can't always get the...
  20. Abdominal pain??

    i guess pancreatitis. Very
  21. Postpartum nurses and circumcisions?

    I HATE assisting with circs. I try to be busy when the time for one comes around. Technically its the NBN nurse who helps since the procedure room is off the nursery. We have many docs who use...
  22. I made my patient cry (long)

    you did the right thing. If you hadn't of asked her these questions, you would have been remiss. We are obligated to check into situations that seem wrong and you acted as a wise and prudent
  23. Do You Have Any Favorite OB Myths?

    i am thinking the castor oil causes imbalances in K and Ca and other vitamins because they get washed away in the oil as it passes the intestine. That can cause arrythmias. My daughter used to take...
  24. Ok, silly/strange uniform question...

    try Steve and Barry's if you have one near you. Inexpensive and thin. I also got a hanes long sleeve shirt and a faded glory long sleeve both from
  25. Confused again...as usual...

    bachelors degree nurses and associate's nurses know the same clinical stuff. They take the same board exam to become nurses. Bach. nurses have further courses outside the core cirriculum than...