enigmaticorange

enigmaticorange

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About enigmaticorange

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  1. New to cath lab- any tips?

    Thanks! Ive been in there a few weeks now and the advice given is spot on! I really, really get now why critical care/ER experience is usually required. Ive been in codes before, but what Ive seen and treated now? Whoa. What an amazing job, and I hav...
  2. New to cath lab- any tips?

    After working nights in tele, I finally got my dream job in the cath lab! I am a person who always wants to know as much as possible about any new environment. I bought a text book and have been studying the Wiggers diagram and hemodynamics- things i...
  3. Never enough-vent

    My behind would be is big trouble if i told a family we had staffing issues. It is a hospital, not Denny's. You tell someone there is not an adequate number of people to care for patients....they don't take it well. Even if they have no idea what we ...
  4. Explaining circumcision to mom....

    When i told my pediatrician that I would not have my son circumcised, (and this was before i was a nurse) He said to me: "Well at least we have ONE informed parent in the world!" This surprised me quite a bit, especially since this doc tends to be co...
  5. Is post surgical the same as medical/surgical?

    No, med/surg is general medical problems while a post surgical unit is specifically for recovering surgical patients unless they are Ortho. (We have a separate ortho floor, you might not) The surgical floor takes lots of bowel resections, amputations...
  6. End of shift report

    I am on a 33 bed tele unit, and we are expected to give bedside report always. It is always a PIA to change, but really, bedside reporting can be great when 1: staff is properly trained in reporting off, and 2: Staff is scheduled to match groups as c...
  7. The chest pain vent.

    Altra- That is a very good point you make. The push for 100% patient satisfaction has turned patients in to monsters sometimes. I think a ginger ale should do the trick once in a while instead of pushing zofran. Once a patient has had a clear cath, ...
  8. The chest pain vent.

    Assuming that I am the nurse actually admitting the patient, our ED nurses dont handle admitting orders. Their job is to stabilize then ship them up or out. Our ED docs don't write orders for admitted patients. All ED orders are null and void once th...
  9. The chest pain vent.

    I work nights on a cardiac floor that of course includes lots of admits for chest pain. I often get this scenario: Patient admitted at 1am from ED, chest pain was 10/10 on admit to ED, recieved MONA, etc, pain relieved by the time patient is admitte...
  10. Nurse: "I hate it here." & has given me doubts!

    The first time I gave birth; I was 17. My boyfriend at the time (now my husband) was also there. I was treated HORRIBLY by both nurses. It was an uncomplicated delivery and im not even sure why two nurses needed to be there, allowing my entire family...
  11. Don't understand this weird-a%&! parameter

    if the issue was tachycardia and the patient was able to tolerate a systolic in the 80's (and many are) then I would not see the problem with this. The opposite is true as well- Ive notified docs about BP's that are 180/100 and in a CVA, this is OK.
  12. Fired from my first job today......Feeling like a failure.

    Aside from the FB stuff- do you feel comfortable actually working in this setting? When I am orienting a new nurse, there are limited opportunities in orientation for he/she to practice as many skills as possible. That being said; if my orient was un...
  13. Only a nurse would say......

    lol. mmmmm. Dopamine pie.
  14. Only a nurse would say......

    The other day another nurse and I are on the way out of the hospital in the parking garage. The smell of rotting eggs is suddenly hanging in the air. The other nurse says "Ewwww, what the heck smells like Mucomyst?!?" LOL. Us nurses are changed fore...
  15. Foley Irrigation

    I flush a foley anytime I am concerned with output -along with a bladder scan, repositioning, and deflation/reinflation of the balloon. Ive only seen a doctor have a fit about a foley once. A pt with Hx of prostate/bladder CA had his foley removed a...