mrphil79

mrphil79

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All Content by mrphil79

  1. Filing a grievance against your manager- opinions

    mrphil79 replied to Nurse4lifewithparrots's topic in General Nursing

    Union or not... if you give 5 months notice, they need to figure it out. How can they not figure it out with 5 months, but they can cover your entire job if you give 2 weeks notice when you quit?...

  2. Why don't CRNAs have prescriptive authority like NPs?

    mrphil79 replied to matthewandrew's topic in Certified Registered Nurse Anesthetist, CRNA

    I'm offering an actual fact in response to the original question about why anesthesiologists can prescribe most meds, whereas CRNAs can't... But for some reason you seem to be hearing my words as...

  3. Why don't CRNAs have prescriptive authority like NPs?

    mrphil79 replied to matthewandrew's topic in Certified Registered Nurse Anesthetist, CRNA

    Yeah... perhaps my point is being a bit twisted here... I'm not arguing that anesthesiologists should be regularly prescribing all kinds of medicines or that they in fact do - I'm just stating why...

  4. Why don't CRNAs have prescriptive authority like NPs?

    mrphil79 replied to matthewandrew's topic in Certified Registered Nurse Anesthetist, CRNA

    Well to be fair, the anesthesiologist went through the entirety of medical school and years of residency that include multiple specialties -- the CRNA has been trained specifically to focus on...

  5. What do you wish you would have learned in your first nursing school clinicals that would have helped your student and professional career?

    mrphil79 replied to Tymber Higgins's topic in General Nursing

    Seriously... nursing students need to be taught the realities of the profession... Specifically that patients aren't always rainbows and sunshine and so happy that you're helping them......

  6. LPN left facility to get coffee-License suspended for patient abandonment

    mrphil79 replied to Nurse Beth's topic in Career Advice Column

    If you only had 47, who had the rest? Things like this are exactly why I can't at all understand why people are OK working in these facilities - you had 133 patients and didn't even know. The...

  7. Help! Masking Wound Smells?

    mrphil79 replied to seeConnienurse's topic in Wound, Ostomy, Continence

    NOT coffee - for the love of god NOT COFFEE. Because then you end up with a room that smells like C Diff flavored coffee, it doesn't cover the smell, only adds another layer...

  8. Is it illegal to mention nurses names when charting on a patient?

    mrphil79 replied to Nurse Beth's topic in Career Advice Column

    But you have no real justification for saying this other than someone told you this a long time ago. You can't justify being SUPER specific about every microscopic thing we are expected to chart...

  9. Using a permacath for med administration in end-of-life care.

    mrphil79 replied to Martie S's topic in Hospice, Palliative

    This is a great

  10. Is it still worth it becoming an APRN in 2024?

    mrphil79 replied to guestnurse1's topic in Student Nurse Practitioner

    There's a ton of state schools that don't charge out of state tuition for their NP programs no matter what state you're from — many of them range in cost from $15,000 to $25,000. total, For the...

  11. struggling at work as new grad

    mrphil79 replied to dublin02's topic in General Nursing

    First thing - and sounds like you're already addressing it - is to get off that floor. Those people sound terrible. The people you work with DO make some of the biggest differences in your day....

  12. ACLS vs real life

    mrphil79 replied to Dtwjj's topic in General Nursing

    Especially in a code, narcan has no downside. Only a possible upside. Bicarb actually is really important because you need to help the body keep at least a normal-ish pH because it goes acidic...

  13. Quiet Unit

    mrphil79 replied to PeachTea7's topic in General Nursing

    If you're considering a MSN or NP - use the down time at work to study and do school

  14. Is looking at a patient's chart on your floor a HIPAA violation?

    mrphil79 replied to PrettyPeachyRN's topic in HIPAA Challenges

    I'm currently traveling to a very small rural hospital. we all get report in huddle on all of the patients, because at any point during the day you may be helping someone to the bathroom, passing...

  15. Any Nurses That Didn't Get COVID Vacc/Booster for Complio?

    mrphil79 replied to NoFly-4645's topic in General Students

    It's been my consistent experience that the people who refuse the vaccine due to stated fears of it being new and untested and unknown side effects are the same people who aggressively seek out...

  16. EKG order

    mrphil79 replied to cepr4's topic in General Nursing

    At places where the ekg machine syncs automatically into the chart - you usually need an order in place to be able to tie the ekg to their chart. Some places you can sync it up later if you needed...

  17. Phasing Out ADN?

    mrphil79 replied to Candi Williams's topic in General Nursing

    No way - they've been pushing BSN forever. They somewhat successfully got rid of a ton of LPN/LVN options and hospitals nationwide stopped hiring them or required them to get their RN... But so...

  18. Being Too Slow

    mrphil79 replied to delrionurse's topic in General Nursing

    I know it wasn't exactly the point, but you do know you're lowballing the doctors' salaries,

  19. Advice on BSN

    mrphil79 replied to Kaceyn428's topic in General Nursing

    My suggestion is to get it as cheap as possible - which may or may not equate to how fast it can be done. Spend as little as possible even if it takes 12-18 months

  20. What was she thinking?!

    mrphil79 replied to pharmanurse11's topic in General Nursing

    It takes about 3-4 seconds to pull an IV... I gotta agree with another commenter - pull it while you are there, it's gonna probably take more time to come back later just for this... But as for...

  21. Do you regret becoming a nurse?

    mrphil79 replied to jengood's topic in General Nursing

    The more you hear from management that "we are a family", the less you are going to be treated like family when anything goes bad. The hospital will protect itself every time, and only protect you...

  22. Do you regret becoming a nurse?

    mrphil79 replied to jengood's topic in General Nursing

    I'm always stunned at the people who pay $40-50,000 to get an RN degree in the name of being done 5 months faster than a community college program that will cost a total of $9,000. No matter how...

  23. Couldn't Find Ativan Pt Threw in Trash

    mrphil79 replied to newgradlpn's topic in General Nursing

    If my employer comes after me in this situation, it's not a place I'm interested in

  24. Mandated to Work 16.5 + Hours

    mrphil79 replied to Irving's topic in General Nursing

    Also... Im eating and Im peeing. If nobody's dying, I have time to pee. If nobody's gonna die in the next half hour - call lights be damned, I'm gonna eat. If I'm working at a place...

  25. Mandated to Work 16.5 + Hours

    mrphil79 replied to Irving's topic in General Nursing

    If I've said it once, I've said it 1000 times... You mandate me *once* and it's my last shift. I'm done. There WAY too many nursing jobs out there for me to care about quitting this one....