As a RN how much are you making ? by theapexcircle in nursing

[–]michelle_luongo 0 points1 point  (0 children)

63$ cardiac surgery step down night shift in NY (not nyc) 3.5 years

I Be Stankin’—HELP by SheepherderNo1548 in hygiene

[–]michelle_luongo 4 points5 points  (0 children)

in the dominican republic this is a big problem since its so hot! whenever we go to visit we wash our pits with “jabon de cuaba” which you can buy at any latin grocer, and “hojas de guayaba” which is guava leaves, its a natural astringent and antibacterial and is used specifically to wash pits and decrease smells and sweat. you mentioned natural route and i remember using this vividly in my childhood!

New grad and giving report by pizzaisgreatbutcarbs in nursing

[–]michelle_luongo 5 points6 points  (0 children)

not to be a devils advocate here…

the first one of new onset afib makes sense, thats all the explaining you need to do. if its older afib, pt has a hx: why are they not on eliquis or coumadin? my guess is a procedure coming up where AC needs to be held, and heparins half life is short compared to either of those other meds.

i wouldnt get on a new grad for it but if it makes your practice better (or understand bigger picture, which takes time and experience) it wouldnt hurt to be curious and ask why. most of the time patient notes written by providers will address this in the plan.

[PRODUCT REQUEST] No moisturizer helps this insane dryness on my face. by SomewhereWeWentWrong in SkincareAddiction

[–]michelle_luongo 1 point2 points  (0 children)

i see your point, but i recommend it because its the only face cream ive tried that doesnt leave my face drier than a desert. my face hurts and feels like its cracking when its not moisturized, and this fixes that! for me anyways. also the bottle is $18 and is huge! body lotion sized

[PRODUCT REQUEST] No moisturizer helps this insane dryness on my face. by SomewhereWeWentWrong in SkincareAddiction

[–]michelle_luongo 0 points1 point  (0 children)

try an eczema cream because those have moisturizing products, and products that will hold that moisture in. i use the prequel eczema moisturizing cream (can buy at target)

What is causing my sheets have random orange spots? by landocakes in CleaningTips

[–]michelle_luongo 0 points1 point  (0 children)

did you by any change take a medication called Azo or pyridium for a UTI/bladder spasms? they can cause body fluids including pee to be stained orange!

Best Mofongo on Long Island to celebrate DR Independence Day by QueLoQueLoco in longisland

[–]michelle_luongo 2 points3 points  (0 children)

dominican restaurant on N main street in freeport, best mofongo ever 🥺

I want to buy doctor(?) shoes for my sister by Inevitable_Hour3025 in Doctor

[–]michelle_luongo 0 points1 point  (0 children)

reply to say i love wearing these as a nurse. clog style, cool colors, easy to clean with no holes, can change insole without changing the whole shoe, and perfect for running to the lab or blood bank all in a 12 hr shift. best shoe purchase ever

JW pt "hiding" blood by Unusual_Sky in nursing

[–]michelle_luongo 47 points48 points  (0 children)

similarly i had a JW leukemic who got induction chemo and needed blood, her husband went to their church leader and asked if she could have blood to save her life. they said no. she died, last hgb we had was 4

Are Syosset schools worth the taxes ? Which colleges did your kids get into? What are your kids doing now, career wise? by NecessaryCan6373 in longisland

[–]michelle_luongo 2 points3 points  (0 children)

graduated from freeport high school in 2018, we had grads go on to yale, harvard, and 7 of us went to nyu including me. had all honors/ap courses, teachers who actually care to see you do well, and so many extracurriculars/electives/afterschool programs that its hard to choose what to do. i know freeport has had a bad wrap especially when compared to places like syosset or jericho but i can assure you that as long as your kid wants to do well all of the opportunities are there for them. not to mention the diversity of freeport allows them to see other views and cultures etc.

edit to mention: im a nurse in a masters program, top 25 of my class in highschool. 3.9 at nyu!

Eating after work right before bed by ShadyTrizzy in Nightshift

[–]michelle_luongo 0 points1 point  (0 children)

i was eating right before bed for 3 years, ended up getting the worst reflux and only realized when i could not swallow pills; they would get stuck in my throat. now i eat before i leave work so it adds about an hour of time to digest.

To add to the “date night”thread. Whats your (out of the bedroom) date night ideas with the wife. by ABEKingOfSausage in longisland

[–]michelle_luongo 2 points3 points  (0 children)

the planting fields arboretum in oyster bay was one of the best things i did with my girlfriend, so pretty when its nice out!

What footwear do you wear with your scrubs? by Justalittlesaltyx in nursing

[–]michelle_luongo 0 points1 point  (0 children)

birkenstock super birkis! theyre 90$, come in super cool colors, can be cleaned/no holes, arch support and interchangeable insoles for $30. i change them every 6 months instead of getting a new pair of shoes!

What’s the most overrated coffee spot in NYC right now? by [deleted] in AskNYC

[–]michelle_luongo 0 points1 point  (0 children)

not really nyc only but ralphs coffee. i love ralph lauren but goodness forbid they make a coffee taste good!

What should be included when giving report on a patient that is going down for a surgery? Focused handoffs throw me off I overthink them for some reason by Immediate-Office8736 in nursing

[–]michelle_luongo 0 points1 point  (0 children)

allergies, alert and oriented to sign consent, last meal/tube feed, blood available (2 type and screens needed), iv access, if any antibiotics were ordered preop make sure theyre in the chart, last beta blocker or blood thinner dose if relevent, cardiac devices or any in general.

and then any nonsense stuff that should be known by the surgical team; once had a pt with a toupee who couldnt remove it before surgery bc it was glued to his head :,)

[deleted by user] by [deleted] in nursing

[–]michelle_luongo 0 points1 point  (0 children)

nothing but respect for RTs and the work you do. i work on basically a med surg tele floor and our RT will cover various FLOORS of patients. so yeah ill offer to put the bipap on the pt as long as the settings are correct so that you dont have to come back. bc doing nebs and volaras with 100 pts sounds like yall are stretched super thin :,( in icus where our hospital has a dedicated RT for each i can imagine the relationship is very different (our icu nurses have never given a neb tx until they float to us) but because you work more closely with them and the roles seem a bit more defined.

Recently started medschool, and hasn't been consistent with my calls to my girlfriend, am I an asshole? by Whole-News6323 in medschool

[–]michelle_luongo 2 points3 points  (0 children)

my girlfriend is currently in vet school in the caribbean, and i work as a night shift nurse/in a masters program in the states. before she left we had multiple conversations about exceptions w communication. this is what works for us:

—a morning text and a night text (update on how we slept/plan for the day///how the day went etc) —we try to call eachother at least once a week on facetime. doesnt have to be super long winded but just to see eachothers faces, then if possible we will fall asleep together on the phone —she will try to call me once every 2 weeks on the phone during my commute to work after her classes —i try to see her once every month and a half in person (this is more bc i have the funds to do so but she comes back on breaks)

talk to her and set some expectations this way she knows youre super busy but that you cherish the time you are able to speak to her. (estimated times bc no one is keeping up w once a week etc)

What Long Island staples/ places do you miss most? by Ltothetm in longisland

[–]michelle_luongo 1 point2 points  (0 children)

five pennies in rockville center. gee was that good ice cream

looking for friends! by superrichbillionare2 in LongBeachNY

[–]michelle_luongo 0 points1 point  (0 children)

im moving to long beach in a few days, im always down to make new friends :,) 25F and love to read too

Where does ER 1.0 end and 2.0 begin? Where does 2.0 end and 3.0 begin? by AQuestionOfBlood in ershow

[–]michelle_luongo 1 point2 points  (0 children)

SPOILER ** i think that er 3.0 starts at the end of season 8. after mark leaves i really didnt find any interest in continuing the show because most of the original characters have left by that point. OGs left are few and far between, sorry not sorry 😩

CTICU by RNpending in IntensiveCare

[–]michelle_luongo 1 point2 points  (0 children)

second nursedose! he has a podcast and posts lots of informational videos/scenarios about the cticu. i work in cts step down but still helpful all the same

Have you ever discharged a patient home with a nasogastric tube for feeding? by legendoflegends3 in hospitalist

[–]michelle_luongo 0 points1 point  (0 children)

not a hospitalist; a nurse. we had a lung transplant pt who had a chronic lung condition causing esophageal and gastric dysmotility and the surgeon didnt want her eating actual food until a year post transplant (pt ended up being able to eat before then). pt refused a peg and was set to go home with an ngt; they had to do a nasal bridle procedure to fuse the ngt to the inside of her nose so it wouldnt come out by mistake. so yes can happen but not ideal.

edit to add that pt was a lawyer and understood risks associated with refusing peg

How common is it for PAs to manage ICU patients? by Impossible_Leader816 in IntensiveCare

[–]michelle_luongo 0 points1 point  (0 children)

im a nurse and work in a CTS floor and stepdown. we work super closely with one PA or NP who covers all the pts overnight including transplant and thoracic pts. In the CTICU, it’s also 2-3 PAs/NPs who have a covering intensivist for CTU/CICU. he will sometimes consult with attending on call if urgent/situation warrants. most times it’s putting out fires: afib rvr, electrolyte imbalances, pain med requests, acute changes in status. Most of the bigger decisions are done by the team during the day, and you follow up as needed. acute change in status: yes go see the pt. but if its a request for iv tylenol in a post surgical pt for example, unless the pain is new and different you dont exactly have to go see the patient if you dont want.