Psqrd

Psqrd

Cardiac/ED

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About Psqrd

Psqrd specializes in Cardiac/ED.


Married, 2 Daughters.

Latest Activity

  1. How much morphine is too much??

    I am an ED nurse as well and see only a couple of issues, yes that is a high dose of morphine but the flip side is that if you go over it is easily rectified with narcan..however your patient being alert, oriented and ambulatory tells me that he has ...
  2. Are you insulted????

    I have to smile at your post as I recently was grilled by a patients' family member about why I didn't want to be a physician and appeared bewildered when I explained that I loved being a nurse! P2
  3. What to do when.....?

    Darknights, I admire nurses like yourself that everyday despite poor conditions continue to do the best they can every day for their patients. To second guess what you could have done different in this situation is very tough indeed, as you were only...
  4. Question about post CVA and blood pressure

    I would remind the family member that the injury is of the brain not the arm itself. I have seen some edema in the affected arm but this is usually after a long time following the stroke. Not all strokes are the same...with my grandmother she feels...
  5. Arterial Sticks...for Routine Labs

    I was a phlebotomist before I was an RN...I have one word for this practice..LAZY! As I know that most of these sticks are brachial or femoral..if they clot off or damage the artery do they have a plan for re-vascularizing the limb...if this was my c...
  6. Question about post CVA and blood pressure

    I have taken care of several individuals with stroke symptoms and I can see no reason why you can't draw blood or start IV's on the weak side. In fact, a good argument could be made that starting the IV on the weak side would be the better choice as...
  7. Med question?

    Anytime a medication is held, document observations and notify physician. Not notifying the physician of a held medication can get you in trouble. P2
  8. Well I would certainly list the job or you will have trouble explaining the gap in employment and as most employers are doing credit checks it would most certainly pop up there. As far as how to talk about the job I would just say that you left seeki...
  9. Moving to ED

    I too will be starting in the ED here in Sacramento in January and similar to you have 1 and half years of experience on a cardiac unit. I don't have any advice but wanted to let you know that you are not alone in starting this ED adventure and wan...
  10. (VENT!!!)Tonight I wonder..Why did i choose nursing?

    I had a patient that wanted to go AMA, I pushed the elevator button for him and asked him while he was waiting if he would sign this little form I had entitled "AMA". When the elevator came I said see ya later.. and we was back before I came back on...
  11. Are there any hospitals hiring new Grads

    It's not good enough just to have the license as the competition is heating up for the few new grad jobs that become available. My manager speaks with the clinical instructors and asks who is the best and that is who she is recruiting. The other iss...
  12. How long should I work before taking ACLS?

    I took ACLS as a fourth semester student about 2 months before graduation and because of it ended up on a Cardiovascular intervention floor. You are correct that it gives you a bit more confidence and increases your marketability if you ever want to...
  13. Daily assignments -- how are they made?

    I am sure I am not the originator of the term "Jenny Craig" assignment of one patient at one end and another patient at the opposit end of the unit but I love the term.
  14. Daily assignments -- how are they made?

    On my unit we do the assignments for our shift. I having worked with the nurses on a regular basis take into account whether the nurse had a bad assignment the night before as to not give them heavy patients again..I also consider isolation as I try...
  15. tattoos and Nursing

    I have heard that cover up makeup works really well...use that for the interview then when you are hired..it's to late. I work with nurses that have tattoos that show piercings too...no problem that I have seen. Just my 2 cents. P2