Joycean

Latest Activity

1. cardizem drip nurse/patient ratio

   Joycean replied to lihuejan's topic in Safety

   Our Telemetry unit has a 4:1 ratio. Patient on Cardizem must be monitored continuously and transported with an ACLS certified RN. We take Insulin drips that require no more that every 2 hour blood sugar checks.

2. Manager vs Leader

   Joycean replied to MedicDanRN's topic in Safety

   You have great insight into what needs to be done to make a good team. Anyone in a supervisor role should have both managerial and leadership skills. I believe the leadership is more important, esp. in a Magnet envirenment. Having the frontline ca...

3. What does the assistant manager do on your telemetry unit?

   Joycean replied to passing thru's topic in Cardiac

   I took a position as Tele AD in January and it sounds like the duties are very similar. We do staffing, scheduling (self scheduling by staff is in progress), hiring, mentoring, discipline and evaluations. Patient rounding and conflict resolution (...

4. Telemetry staff ratios

   Joycean replied to lee1's topic in Cardiac

   We are not a teaching hospital. There are 3 Tele units totaling 88 beds. The ratio is 4:1 24/7. We have 3 nursing assistants on days (12 hr shifts) and 2 on nights, monitor tech 24/7 and health unit sectretary from 7:00AM to 11PM on each unit. No...

5. Type Of Pts Accepted on Telemetry??

   Joycean replied to SCNuttyMeg's topic in Cardiac

   Isn't that the worst. No dignity in dying with that situation. I hate to have a DNR dying patient on the monitor! That's almost as bad as a CCU patient with a monitor at bedside and the family focus is on the monitor. YUK

6. POST-CABG bleeding?

   Joycean replied to ANEWBYRN's topic in Cardiac

   I was just reading about HIT (Heparin Induced Thrombocytopenea). It can occur with patients anticoagulated with heparin during surgery or a procedure. The article also stated it can be caused by as little as a heparin flush.

7. Type Of Pts Accepted on Telemetry??

   Joycean replied to SCNuttyMeg's topic in Cardiac

   We take lido, heparin, insulin (stable with bg q2 hrs), pronestyl, amiodarone, corlopam, natracor, bicarb, cardiazem, dopamine, dobutamine, integrilin, reopro, vassopressin, no nitro...yet. I may have missed some. We do have some patients with elev...

8. Are nurses high payed techs?

   Joycean replied to nilepoc's topic in General Nursing

   Being a nurse is not just about the tasks but more importantly about critical thinking. It is my responsibility to know what is going on with my patients no matter who is doing the tasks.

9. need info?!!

   Joycean replied to River's topic in Arizona

   Banner T-Bird is using nurse patient ratio of 4:1 on Tele. That is day and night shifts. There have been occasions where you will have five but not the majority of time. We are in the process of establishing assignments according to patient acuity...

10. Nurses caps!

    Joycean replied to FERTMYRTOBRN's topic in General Nursing

    Wow, I haven't worn my cap in years! I wore it, along with a classmate the first shift after receiving our licence. After that we would wear them every year for Nurses Day. They are difficult to work in, just not used to something high on top of ...

11. 2 Nurses needed???

    Joycean replied to BrandieRNq's topic in Safety

    I ran a poll on this subject a few months back and 65% of the responding nurses do double checks on insulin. Our hospital policy states double check orders and dosing when drawing up any type of insulin when dose is 20 units or greater. This is evi...

12. RN "refresher classes"

    Joycean replied to aznanabanana's topic in Arizona

    Welcome to Phoenix. Some of the colleges offer refresher courses. Consider contacting the State Board of Nursing for a listing. Some hospitals require such a course when you've been away from hospital nursing for a certain period of time. As for ...

13. Emergency department holding patients. Who does your institution use to care for the

    Joycean replied to maxim's topic in General Nursing

    EDH patients' generally stay in the ED usually with a qualified nurse (dependent on level of care needed) from our hospital's resource team. Once the order is written for admission, the patient becomes an inpatient no matter where they are located a...

14. "The View" insults nursing

    Joycean replied to SandySummers's topic in General Nursing

    I stopped watching The View long ago because of unflattering comments made about another group of people. Specifically, Christians, and not in a joking manner. I feel they tend to generalize instead of dealing with individuals. I only wish I cou...

15. Evidence-Based Practice

    Joycean replied to LauriJo's topic in General Nursing

    The company I work for is very big on evidence-based practice. They have a research dept that encourages and assists with each aspect of a project, including the stats. Our policy council makes recommendations only after reviewing research and wha...