KnittingRN7

Latest Activity

1. I am having IV anxiety lately....bad!!!!

   KnittingRN7 replied to FiduciaRN's topic in General Nursing

   Practice makes perfect, honestly you just have to keep doing them to get better. I had changed jobs and needed to get #18's in the Antecubital vein for CT's and I never used those veins before, it took about a month and i could pop them in almost ev...

2. screaming doctors....how can we handle them?

   KnittingRN7 replied to KSU-SN's topic in Relations

   You have to take exactly what you wrote above and put it in those objective terms and write him up. Keep writing him up, they are reviewed by their peers but at least your manager will have a copy too. You have to stand up to him and not allow it. ...

3. charting help - ugh!

   KnittingRN7 replied to Lola77's topic in General Nursing

   I am sad to hear your facility is still using narrative notes, most with electronic records have gone to flow sheets for assessments, education and care plans. We write a narrative if there is a major change or Dr call. Most notes have some format ...

4. How do you manage your shift from beginning to end?

   KnittingRN7 replied to missdeevah's topic in General Nursing

   Wow I work on a tele floor and our max is 4patients days/eves, and 5 at night which is still too many in my opinion. I have been nursing for 26yrs 23 on this unit. I honestly couldn't take care of 6pts. So kudos that you do. I am constantly priori...

5. Cardiac Stress Testing

   KnittingRN7 replied to ICN2U's topic in Radiology

   Jeremy, what did you mean by "Supposidly lower occurance than with adenosine. Interestinly adenosine increases flow 4x, this new agen is ony 2x. So it can not be used for endothelial dysfunction eval, also may not have as much PPV as adenosine with e...

6. Cardiac Stress Testing

   KnittingRN7 replied to ICN2U's topic in Radiology

   Lexiscan is a new one for me, never heard of it. At our practice we have a Cardiologist quickly available but the nurses run the tests and administer the meds, we have Card Techs who run the EKG' and prep the pt's etc. Seems to work efficiently. W...

7. Cardiac CTA

   KnittingRN7 replied to jfelicia71's topic in Radiology

   I think the peak is about 1 hour and the half life around 4hrs. If we give a small amount 5 or 10mg I usually just keep them our 15 min that we try and keep everyone. But we can give up to 40mg, so those people usually we keep longer, but it is ind...

8. Cardiac CTA

   KnittingRN7 replied to jfelicia71's topic in Radiology

   We have a dual source CT scanner and still use IV Beta Blockers. The cardiologists say the images are so much clearer. 1. We hope if pt is on oral Beta Blockers or Calcium Channel Blockers that they will take them the am of their test but sometimes ...

9. Can use all the help I can get

   KnittingRN7 replied to LaneDoesCare's topic in Radiology

   Are there any other resources for policies and procedures, the ARNA is $95 a year. I to am a new nurse to radiology nursing. We don't do interventions, just CT's and Cardiac CTA's and MRI's. I job share with another nurse but we have only 1 RN in ...

10. CT protocols

    KnittingRN7 replied to Altra's topic in Radiology

    I asked the same question about extensions and our CT tech said the injector injects at 300pounds per square inch (psi). According to her that could rupture the extension. It would be best if you contacted the manufacturer of your extensions and as...

11. How does your dept administer Lopressor? IV? PO?

    KnittingRN7 replied to DutchgirlRN's topic in Radiology

    Thank you for your response. I just don't know logistically how we would do that. We would have to call every patient and every pharmacy for them for a script for lopressor. Then when we know their creat call them back for premed if needed. As...

12. Can a nurse obtain informed consent for a CT /MRI scan?

    KnittingRN7 replied to KEVIN88GT's topic in Radiology

    In our clinic in MN, we (the RN's) explain the risks of contrast and obtain a consent for the CTA's. We have been told by our physician what percent of risks to tell the pt's. Our adenosine MRI's have a consent, but I don't think our regular MRI's ...

13. Iv starts for CT and MRI

    KnittingRN7 replied to "NEWKID" in RAD's topic in Radiology

    We use tegaderm the 3M product it comes off easily, some of the techs use just the plastic tape. I like the occlusive dressing better, I can see and feel the site better.

14. I think this protocol is awkwardly worded?

    KnittingRN7 replied to DutchgirlRN's topic in Radiology

    We just worked on our protocol and are changing from creats to GFR. We use the NDRD for GFR. It is calculated by age, sex, creat, and if african-american or other ethnicity. I found that any woman over 65 with a creat of even a 1 or 1.2 will have ...

15. Cardiac CTA's anyone using esmolol or amiodarone?

    KnittingRN7 posted a topic in Radiology

    I work in an outpatient cardiology clinic with a Ct scanner. We are currently using metoprolol for rate control. Some of the Dr's talked about trying esmolol because of the 9min 1/2 life. Another Dr said in other OP centers they use amiodarone. I...