zookeeper

zookeeper

Telemetry, ICCU, Home Care, Psych/MRDD

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About zookeeper

zookeeper has 15 years experience and specializes in Telemetry, ICCU, Home Care, Psych/MRDD.


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  1. Standing orders for chest pain

    I had a pt, say 5 yrs ago maybe, that I was giving his ordered nitropaste to. (It was just after we had had an inservice mentioning nitro in an RV MI and the result if you do) It wasn't 5 minutes later the wife came out of the room a little nervou...
  2. Indiana towns and cities

    I don't live in Indpls, I live in Richmond which is 60 mi east. My brother and 2 nieces now live there though. I used to commute to Methodist though when I was in nursing school. It is a 900 plus bed trauma center and Wishard is the county hospita...
  3. Standing orders for chest pain

    Only CP r/o MI are on a CCC. On our tele floor if someone develops CP we have standing orders that we can give SL ntg x3, O2, and do an EKG. If we're doing all this we're usually on the phone pretty quickly to the doc getting further orders to treat...
  4. Rapid A. Fib or PACs?

    Do you have basic or advanced arrhythmia classes you can sign up to take? You can't have PAC's in A-fib. A-fib can speed up to over 100---hence the RVR or slow down to a controlled rate (below 100). You can have lots of PAC's especially in lungers...
  5. Standing orders for chest pain

    We have a couple different pathways called CCC's which I think stands for Collaborative Care Continuim (sp). There is one for low risk MI and one for hi risk MI. In ED they do MONA, serial EKG's, cardiac profiles, etc. Within 30 min. of arrival. ...
  6. Staffing a telemetry unit

    I have worked tele for about 15 yrs. We have 33 beds divided into 3 modules that used to be split 11 each but we remodeled the floor about 8 yrs ago and mod 1 has 10 pts, mod 2, 11 and mod 3, 12 pts A typical day is 1 RN to each module with and LPN s...
  7. Doctor interaction?

    I am an RN and my husband is an LPN in ICCU (go figure) anyway, he gets along with ALL the docs splendidly. There is one doc in particular that I can't stand much. He changes the spelling of his name on the board if someone happens to spell it wrong,...
  8. Maybe what I want to be when I grow up...

    Question for you LNC's that do your cases out of state. Do your atty clients fax you the cases or what? (I am wondering if I will need a fax machine while I'm filling out this loan app $) This is a big step------yikes!:chair:
  9. Maybe what I want to be when I grow up...

    Wow, thanks for the quick reply. I actually called the institute today and spoke with a guy who was so helpful and also told me I could upgrade if needed. He spent quite a bit of time on the phone with me, which I appreciated. I did not realize, ...
  10. Maybe what I want to be when I grow up...

    I have logged in a lot of hours at Vickie's site the last few days. I am thinking very strongly about doing the basic course. I guess I am wishing the basic had more mentoring opportunities than once per month. Do you think this is ample since you ha...