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Meeshie's Latest Activity

  1. Meeshie

    Ugh- helicopter/tiger mom!

    Is it possible that she doesn't want her kid to talk to other kids with diabetes and realize that they have more autonomy over their disease care than she does? After all, it would be mighty inconvenient if the kid started bucking the system the mom set up and talking to other kids with the same disease but differences in how they do their care might spark that. So if kiddo doesn't realize there are other kids then....... Ya know?
  2. Meeshie

    Non-nurse midwives?

    CPMs have become popular in certain parts of Florida because the laws are not friendly for v-bac patients. You can't v-bac in a birth center - you need an OB and a hospital. However, a good portion of providers in some areas won't agree to v-bac so..... patients that want it are going to CPMs or lay midwives for home births.
  3. Meeshie

    Help me out here....

    It's reasonable. Those antibiotics are unlikely to impact the results and the fluid from the chest tube isn't the same as sputum but..... I thought Mexico vaccinated? If they have that vaccine scar then they'll always test positive and since I know darn well the patient has had multiple chest x-rays (and if they showed a TB issue someone would have said) then... so, it depends on if he has the vaccine scar.
  4. Meeshie

    New nurse staying way past 9:30 pm on day shift

    Safe Harbor doesn't exist but here's the thing - every single state has somewhere in their laws that hospitals have to provide safe care. It's just one of those things. So when hospitals don't? You can do something about it.. it's just hard and it sucks and it takes every nurse standing up. There was a hospital in Florida not too long ago - they tried to make a med surg department go to 10 patients per nurse. The nurses refused on safety grounds and they were fired. A major nurses union stepped in (not theirs - the hospital didn't have one) and offered to sue on behalf of the nurses using safety as a rationale. They won the lawsuit. The nurses got their jobs back and back pay and the hospital couldn't flex that far again. Am I recommending going that route? Not for a new nurse without contacts in the hospital. But what I'm saying is - it's possible. Its just hard as heck. The hospital is called Monroe Regional if you want to google the case.
  5. Meeshie

    Advice for New Grad

    My first two years nursing I've done three hospitals. I stuck a year out at a large organization that I hated. It was disorganized, the ratios were awful, management was difficult to work with, turn over was very high. I went to a smaller hospital closer to home and it seemed better for a little while but in many ways it became worse when season hit. Safety just wasn't a priority for that hospital at all and the amount of sentinel events and deaths was a bit terrifying. Since then life has changed. I'm at a large network and I work a pretty high acuity and I'm happy with what I do. A lot of the happy as to do with my co-workers and management. Moral of the story - big and small can all have problems. In less than three years I hopped through three networks. Is that ideal? Probably not. Still - you do what you can live with. If you're miserable and you can't live with what you're doing? Find something else.
  6. Meeshie

    Newly graduated RN job search

    Google the words "New grad rn residency job" and plenty of hospitals will pop up that are happy to take on a new graduate and train them.... for a contract with an obligation to work a certain amount of time.
  7. Meeshie

    Florida CEUs/CE Broker

    As long as the cite you use gives you something you can print out.. you can print it on your computer as a pdf and then upload it. Generally speaking, I use NurseCE4Less for all my CEU needs. It doesnt automatically transfer but it gives me the certs to upload and you can buy a year membership pretty cheap.
  8. Meeshie

    How fast do you run blood?

    Policy varies widely hospital to hospital. When I worked on an inpatient high acuity oncology floor we typically ran PRBCs at around 2 hours as long as we had good access or the patient had CHF or fluid overload issues.
  9. Meeshie

    Nursing Grading Scale

    That one is slightly easier than the program I was on. And yes, it's as hard as it seems but you can do it if you really want to.
  10. Meeshie

    What's the most urine you've emptied from a bladder?

    3200 or so in a patient that had not voided in a smidge over 24 hours. We tried to cath her (no kidding here) 12 times. No one could manage it on two shifts, including rapid response personnel. Called Urology, repeatedly. They decided it could wait until morning rounds. I was flabbergasted.
  11. Meeshie

    Rhythm strips on NCLEX

    There's no way of knowing. However, you're not as likely to see something like "what is this?" as you are "This is the EKG of your patient, which medication is contraindicated?" Or "You patient is on blahblah medication, the EKG is this, the vitals are this. What do you need to do?"
  12. Meeshie


    Make an appointment to speak with your manager... and then.. ask. "Given my years of service and excellent record I'd like to discuss the possibility of an increase in my pay" Be prepared for a no. You don't always get a yes. Be prepared for a plan B if you get a no, too.
  13. Meeshie


    You're right that nursing is a 24 hour job. However, your next shift already has 12 hours of work to do. If you find that the shift previous to you is leaving a lot of things undone for you to do and it's a consistent issue then you need to say something. It can be as simple as "hey, don't forget to hang that mag that was due before you leave please?" If it keeps being an issue then the charge has to get involved. It also helps to not leave patients with the expectation that something will be done at 6 if there's no logistical way that that's likely. "I'm sorry but there won't be time to do somerandomthing at that time. I could come back at 5 and we could do therandomthing or we could do it now while I have time." It they don't like either option then them refusing is also an option. I realize that both the things I put down require some level of assertiveness and that they can make people uncomfortable to do at first. However, some assertiveness becomes necessary.
  14. Meeshie

    Tips for getting faster at admissions? Please share them

    Practice makes perfect. The more of them you do the smoother it will start to go.
  15. Meeshie

    Certification question (critical care and BART)

    Maybe they mean ECCO cert from the AACN (for the crit care one)??
  16. Meeshie

    What are my options if...

    Call other schools and see what they're willing to do and if they'll take any credits? They may not be willing to do anything but you won't know unless you ask.

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