Tomascz ASN, RN

Wound care; CMSRN

Living the dream

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All Content by Tomascz

  1. Tomascz

    Real Talk- "Ideal" Nurse Personality?

    Man, this is a whole can of worms. ? As far as I can tell, nursing isn't just one thing. ER nursing isn't Oncology which isn't Peds which isn't PACU which isn't OB which isn't Med Surge and so on. So, it only stands to reason, there isn't any ideal n...
  2. We're working with a system the VA gave up on some time ago, that's how bad it is. All of us have always been required, even on paper to follow up on administration of PRN's and not just for pain. You have to document whether or not the drug did what...
  3. Major work is being done with Ketamine and some analogues to treat depression, with good results. The biggest inhibition to that research has been interference from "law enforcement" agencies in the practice of medicine. Protesting that research will...
  4. Tomascz

    Case Study: Does Childhood Abuse Prevent Weight Loss? Pt. 2

    Looks like our favorite Nursing prerequisite, "empathy", may be a direct result of said trauma (mines 7 by the way). Here's the Cliff notes version: https://bigthink.com/mind-brain/childhood-trauma-adult-empathy?rebelltitem=2#rebelltitem2 And the p...
  5. Tomascz

    Med-Surg Certification

    I took the CMSRN exam end of last year and passed it. This was my second attempt. I was way to cocky the first time around although I did scour Med Surg related NCLEX study material to prepare. This test isn't really NCLEX style. I do study best by l...
  6. Tomascz

    How to properly dilute morphine?

    Was there any left in the vial? I've never seen 1mg/ml MS; not saying it doesn't exist. 5 minutes seems excessive for that dose, but whatever. Follow policy at all times.
  7. There's more to this than meets the eye. The disinhibition and the physicians detached awareness of his own disinhibited state (no intent) are striking. This guy is genuinely dangerous. And nobody called security or had this guy pee in a cup or try t...
  8. Tomascz

    Snowflakes

    I'm not sure what this conversation is really about, but I'm perfectly willing to stick my neck out and step on it, anyway. I'm an RN; a job not many people are willing to do or maybe even can do. Some days I'm not sure I'm up to the task. It's alwa...
  9. Tomascz

    Sexual harrassment or just an old creep?

    Given the behavior described, and your feelings about it, I would say the contact is unwelcome and is causing you discomfort in your workplace. That coupled with the fact that he goes out of his way, now, to initiate those contacts, establishes eleme...
  10. Tomascz

    'My Patient died' Facebook post

    Stick with politics and swear a lot. Everybody will hate you and unfollow you and then you won't get busted for the occasional honest, poorly thought through oversight. Seriously though, don't even mess around. I'm only friends with one co-worker and...
  11. Tomascz

    Worried sick that I may have caught MRSA?

    Germ-a-phobe in the nursing business? Hah! MRSA isn't resistant to Doxy and all your zits will dry up besides. It even kills Yersinia pestis! Not to be glib, but you need to be practicing some serious hand hygiene. There are bugs out here that do not...
  12. Tomascz

    New Grad Age 60 Can't Land a Job

    I was 63 yoa when I landed my first job as an RN on an acute care unit. I turned down two SNF jobs and ultimately two other hospital jobs ( I had landed this one already) before I started working here (six months after passing the NCLEX and quitting ...
  13. Tomascz

    Bringing in the Boys: How to Attract More Male Nurses

    And herein lies the crux of the issue: What is a "Nurse" anyway? How much education should you really have? What would be ideal in terms of the needs of the industry, which is essentially the timely and accurate delivery of direct patient care to r...
  14. Tomascz

    Most Pressing Issues in Nursing Today

    I think you ought to stick to nursing or at least study some post autistic economics. Definition and accuracy of terms is every bit as important in economics as it is in medicine. Both have the power to end or extend human life.
  15. Tomascz

    Male Nurse Disgusted by Female Nurses

    No, of course I'm not serious, Elkpark; I just wanted to give you an opportunity to throw some shade my way. Thanks.
  16. Tomascz

    Male Nurse Disgusted by Female Nurses

    Here's some reading material that may be helpful. I grabbed it off Ozy which I subscribe to. One thing I've noticed, anecdotally, is that a lot of women prefer to work with men or in mixed groups rather than exclusively with women. I don't think m...
  17. Tomascz

    Male Nurse Disgusted by Female Nurses

    Thanks for the evidence based heads up on NNLV (usually called NETY). Broad generalizations about the behaviour of groups based on sexuality, race, income, trade,etc. can be grossly misleading and worse yet, turn people off to discussion altogether. ...
  18. It's kind of apples and oranges. Yeah, we're always learning, but Nursing school was one big long waiting for that other shoe to hit the deck. I was so glad to get to work and actually be able to do something. No more waiting to see if this latest ex...
  19. Tomascz

    CMSRN or CCRN? Both?

    What I'd like to know is , is there any relative advantage to getting certification in Med-Surg nursing (CMSRN) or should I just go ahead and try for my CCRN, or better yet, get em' both? I'll have enough relevant experience come January to apply to ...
  20. Tomascz

    DNR Turning Into Do Not Treat?

    Any DNR can be rescinded by any patient at any time. In any case, O2 and Morphine would be the least you could do for this person.
  21. Sure I want recognition, cash preferably, but more importantly I want a hand in ensuring and improving patient care and treatment of nurses which to me go hand in hand. Like somebody else said here, nurses aren't peas in a pod. We may be Debby Downer...
  22. This just looks like another way for the MBA's to quantify and nitpick a process that already happens in responsible hospitals that care about competent patient care and staff development. Its just another attempt to turn love of the work into a tool...
  23. Tomascz

    new grad starting on med-surg unit

    "Trauma Nurse Core Course" Trauma Nurse Core Course (TNCC) Certification | Cascade Google works when my brain won't
  24. Tomascz

    Nursing Student??

    Doesn't sound crazy to me, but I got my RN certs at 62. I also work in a federal facility. I can think of lots of applications for a psych background in nursing way beyond strait up psych nursing, which I have no experience in, beyond the psych nursi...
  25. Your opportunities are only limited by your imagination. Ethanol is an anesthetic of sorts; not your best bet for building an imaginative future. Crazy as I am, I think the beautiful accepting tone of the responses you've gotten from a bunch of nurse...