harley007

harley007

rehab-med/surg-ICU-ER-cath lab

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About harley007

harley007 specializes in rehab-med/surg-ICU-ER-cath lab.


LPN 1 year ful time then worked my way through school working part-time as a LPN for the 3 entire years required for my Diploma RN/AD program. Work experience: Chronic Rehabilitation, Med/Surg; Step-Down ICU, Post CABG unit, ICU -( covered all specialties); CCU, ER & at last I found my home sweet home - super busy Interventional Cardiac Cath. Lab

Latest Activity

  1. I don't want to be a nurse!!

    These are all great answers especially that at 18 you are legally able to make your own decision. Don't have the funds to obtain your needed education in the field of your choice? Run not walk to the best US Naval recruitment office you can find. T...
  2. Disturbing things that I heard Dr.s say in the Labor room

    Here's my own two strange deliveries: Had signed birth plan with my OB for my first delivery of identical twin girls! Everything goes great = leave me the hell alone or there's a life-threatening emergency = do what is needed. Walked into L&D @ 8...
  3. Decrease in volume of Cath Lab cases?

    I am sincerely sorry to have given such a simple & incomplete explanation of the Medicare reimbursement that severely impacted numerous large hospitals in many states. As I've mentioned, the Medicare crisis hit my hospital when our when our Cath...
  4. Decrease in volume of Cath Lab cases?

    Please let me explain, I am not discussing cuts under the new National Health Care. This is Medicare's autocratic rating system that has penalized many large state hospitals as much as 35 million dollars/year. It your read the rating system it makes...
  5. Decrease in volume of Cath Lab cases?

    Firstly as far as reimbursement etc., each state is different. Medicare cuts to hospitals in some areas have been huge. Now even some of our very complex angioplasty patients are being discharged as day patients and that causes a decrease in income. ...
  6. Decrease in volume of Cath Lab cases?

    Is anyone else experiencing a decrease in the number of cases per day in your Cath Lab? I work in what has always been a super busy interventional lab. With the insurance changes in beginning of this year, our numbers are down 30% for scheduled angio...
  7. Any cath lab RNs required to take the RCIS?

    I think it might depend on your lab and what your MD's prefer. We frequently do FFR/IVUS in our lab and all four labs have installed bedside equipment. The Pyxis has pre-mixed Adenosine infusion bags ready to go - what a time saver! Less than 10% ...
  8. Any cath lab RNs required to take the RCIS?

    I was educated as a RN 38 years ago and I completed an AS/Diploma program. I didn't take the NCLEX as a nurse educated that long ago took a 5 part - 2 day long state board of examination to qualify as a Registered Nurse. My clinical rotations invol...
  9. Did you ever have needle phobia?

    I bit my MD's office RN when I was 3 y/o because needles freaked me out so badly! This was also back in the days of house calls & I would talk the poor busy GP MD's ear off just to delay my shot. Meanwhile, I was reading "Cherry Ames" books lik...
  10. Groin Prep for Cardiac Cath

    I am a Cath. Lab RN and maybe I am confused in reading some replies but, my hospitals "door to opened artery" goal time is under 90 minutes. (I believe that is the national standard - naturally if there is transport involved that is another issue.) W...
  11. Cath Lab nurses!! Intro plz!

    Best advice? Just hang in there until you are comfortable. You work tele so I am sure you are all set with recognizing what a dangerous EKG tracing is and I assume an S-T elevation. Review you basic heart anatomy so you know all of the coronary ar...
  12. Drug Screen

    In reply to the above post - As I said I just had this test. At my last position the screen was done during a physical and there was an area for you to write down your current meds. For this new job I was sent from HR directly to a lab. What I...
  13. New grad in Cardiac Cath Lab Recovery???

    Congratulations on the position! It sounds like you picked the perfect situation to allow you to get a really broad based set of experiences. You seem to be very motivated and I am sure you will due great in this new job. Maybe in a couple of yea...
  14. Cath Lab nurses!! Intro plz!

    It is so nice to find a CCL thread as I totally love working in my lab. especially the opportunity to give 100% of my attention and care to just one patient. Sure I will admit I love to have my skills challenged when a patient starts to circle the d...
  15. Drug Screen

    I just a a screen for a new position two weeks ago and the tech told me they were basically looking for illegal drugs. They did not want a list of any meds. and if anything turned up positive as long as it was prescribed there would be no problem. ...