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jmgrn65 RN

cardiac/critical care/ informatics
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jmgrn65 has 16 years experience as a RN and specializes in cardiac/critical care/ informatics.

Mother of one 16 y/o boy, married, and have 3 dogs

jmgrn65's Latest Activity

  1. Nursing Informatics is in its infancy and growing rapidly. It is needed and hospitals that have gone up with EHR that do not have a strong informatics team will not do well, they are finding out the need and developing their informatics department. I would not recommend trying to go into this field without getting a few years under your belt in bedside nursing. It is a needed foundation and some informatics department require at least 3 years exp. I know my department does.
  2. jmgrn65

    Advice on how to get here

    I don't think that it is stressful. Just watch for job postings and apply. Good Luck
  3. jmgrn65

    EPIC Computer Charting

    You will attend many classes, and there will a learning curve. It does take time, practice when you can.
  4. jmgrn65

    EPIC Computer Charting

    1. when will I know that there are new orders/admissions/discharges for a pt. there are many different ways, order review, acknowledge orders and new order icon on trackboard 2. how can I use epic to communicate to our float nurses and emt-ps that after ct scan the pt needs to be encouraged to pee or communicate that the pt is to be discharged when ride arrives. (rt now we use a white board/expeditor system)d sticky notes, orders or the old fashion way talk to someone 3. if the physician has another opened chart and viewing radiology or lab results and I come to him for a stat order of zofran, does he need to close all of his work, lose his place, and enter under the pt's file to put in the order for zofran?you can have multiple charts open, depending on how your facility sets it up;
  5. jmgrn65

    Physician Ordering and Documentation

    Having note templates and pref lists for the physician before you go live. That was one of our biggest complaints from the physicians. Lots of super users/floor support.
  6. jmgrn65

    Very nervous.. can I lose my license for this?

    SNF/ECF's are very difficult to work at, you arent' going to lose you lisence because were given late if that was the cause I don't think any nurse would have thier license. SNF/ECF is probably not a good idea for new grads just because you don't have other nurses to ask questions and for support in general. Its tough for exp. nurses to work at SNF, and I think it is nearly impossible to give meds to that many patients and be on time. at least that has been my experience. Good Luck
  7. i know, I thought it was a very useful site.
  8. jmgrn65

    Order Set Approval

    we have zynx, the nice thing is once you built an order set, you can send it to the persons you want to review and they can put thier comments on them. we have a committe which include doctors, quality, informatics, & pharmacy they go thru and approve and then present it to the speciality physician that it pertains to. Our order sets are diagnosis or procedure based.
  9. our joints also get coumadin, and fragmin (similar to lovenox) until INR 2
  10. jmgrn65

    advice desperately needed

    First, the guy that left AMA you cant do anything about, he obviously didn't give you time to think about it. If you had remembered after he left sometimes homecare will go out and remove them. Blood cultures sometimes get contaminated, that is a normal mistake you have learned from it and probably wont make it again. I am not clear on the sedation part, so what I will say, we have a read back policy, when a doc gives you an order you read it back, it then say yes or no when you sign the order you sign it T.O. Read back N.Nurse RN/Dr. Smiley Hope this helps, it takes at least a year to be comfortable in any position in nursing and sometimes longer depending on the specialites. Dont' sweat over them, they are learning opprotunities
  11. [color=#333333]this site has been taken down, at least temporarily. the content was prepared by duke nursing informatics graduate students for the prior ancc certification exam outline, and has not been updated to the newer version. in addition, duke was contacted by ana/ancc with complaints of intellectual property violations. students were very careful to create original materials and not use ancc materials, but the site has been taken down anyway. we sincerely appreciate all the positive feedback we have gotten about the site, and apologize to those who were expecting to make use of it. we hope you understand...
  12. jmgrn65

    Signing orders off

    Only an RN can sign off orders, and they are supposed to make sure they have been placed correctly by the Unit Clerk
  13. jmgrn65

    Which hospitals use EPIC?

    I thought if you go to EPIC website they have a list of who they are live with, and about to go live with. could be wrong
  14. jmgrn65

    What would be your IDEAL Nursing-related job?

    my ideal job is the what I am doing now, informatics. Hours are great, no patients and families complaining about not getting thier bath by 8am etc.
  15. jmgrn65

    Should I get a new stethoscope??

    if you can hear well, I would say no some steths you can replace worn or cracked parts check with the manufacturer I am not familiar with the type you are speaking of. hope this helps
  16. Drawing blood is not the issue. It is wether or not the vein it is in can withstand chemo or whatever medication to be put into the line. And right off I couldn't say if this is a good placment for all medication. The doctor seems to think it is ok. Is he familiar with picc's?