telehead

telehead specializes in Adult tele, peds psych, peds crit care.

Latest Activity

1. 2nd Nursing Cartoon caption contest - win $100

   telehead replied to Brian's topic in Rock

   "Vacation request- Denied. Next."

2. Can student administer medication without RN supervision?

   telehead replied to AnneN's topic in General Students

   If you mess up administering an abx drip, it's not terrible... if you mess up a heparin drip, you very well may be looking at a large cobra waiting to bite... Edited to add that the CI is always present when a student administers meds in our unit... ...

3. Assignment of Patients-- "You are too outspoken!"

   telehead replied to TallGirlAni's topic in Med-Surg

   Stick to your guns. I've been fighting this battle for the past year and a half. People complain when I'm charge because I spread patients throughout the four hallways we have but I don't care... I look at acuity... If they get angry enough (some of ...

4. from nights to days??

   telehead replied to RN2B07's topic in Med-Surg

   I disagree with this line of thinking in general and specifically the part of your msg that I placed in bold... If nursing is expected to be a professional occupation, nurses need to be treated as professional and stop acting like we need babysitters...

5. Insulin drips on the floor!

   telehead replied to jackieRN03's topic in Cardiac

   We do insulin drips on our tele floor and I believe the plan is to move to the tight controls in the near future, but that's not why I called. We had a situation about a month or so ago. A particular nurse who is a real pain to everyone ("that's get...

6. Head case...

   telehead replied to telehead's topic in Cardiac

   It was actually the intern on call and she was going to sit with the patient while we increased the dopamine above the limit we're restricted to on our floor. Fortunately, a unit bed was made available shortly after we bumped the drip. Well, allege...

7. feelin flustered

   telehead replied to RN2B07's topic in Med-Surg

   My suggestion- take a deep breath, prioritize the priority tasks and ask for help... I've never seen every nurse on our floor busy with high priority tasks all at the same time. There is always someone who can help! Either the other nurse helps when ...

8. Head case...

   telehead replied to telehead's topic in Cardiac

   There have been a couple references to my gcs of 3. If I did it incorrectly, please, someone correct me! I'm used to heart problems, not head problems. Under "eye opening", the options were spontaneous (4), speech (3), pain (2), no response (1). I ...

9. Rapid Afib

   telehead replied to zacarias's topic in Cardiac

   this would infuriate me. i can think of numerous times i've gone to our pyxis that has meds and had to override to obtain meds based on verbal stat orders. for example- i had to get dopamine the other night. i've had to get lasix for flash pulmonary ...

10. Head case...

    telehead replied to telehead's topic in Cardiac

    An abg done earlier that morning was wnl. He was in no respiratory distress, unlabored, regular rate, good depth. When I did my first assessment, I asked another nurse (who had 10+ yrs experience with brain injury patients before coming to our floor)...

11. Head case...

    telehead posted a topic in Cardiac

    Looking for general thoughts here. I had a patient last night on Q1 hour neuro checks (I'm a tele nurse! What the hell am I doing hourly neuro checks for?! ) and I know diddly about neuro. 82 y/o male had a ® ventricular-peritoneal shunt placed 2 da...

12. Rapid Afib

    telehead replied to zacarias's topic in Cardiac

    Based on the info provided, it seems to me you did everything right... possibly could have taken the cardizem up a little quicker or higher (our tele unit limit for cardizem is 20mg/hr) but that doesn't sound like it would have done much. Agree with...

13. Hello-Spankin' new to Cardiology Nursing

    telehead replied to blackIrish's topic in Cardiac

    Welome to the wonderful world of cardiac nursing, bbuff! CHF and MI's will be enough to keep you going without the mix of fresh hearts, caths, etc... Rhythms, rhythms and more rhythms would be my suggestion... they can tell you a lot about your pati...

14. Blood Transfusions: How fast do you go?

    telehead replied to Genista's topic in Med-Surg

    I work tele also and I generally run blood at 75 for 15 minutes then increase per the patient's status. For the CHFers, I calculate the rate based on a 4 hour infusion. No sense playing with fire. Lowest H&H I ever saw was actually the night befo...

15. Rapid A. Fib or PACs?

    telehead replied to harley_fan's topic in Cardiac

    Andy, you are right. As I was typing the Beta 2 (bronchioles, breathe easier), I had one of those "wait a minute, that doesn't look right" moments but blew it off without thinking and kept typing. Thanks for catching that.