nyrn5125

nyrn5125 specializes in pcu/stepdown/telemetry.

Latest Activity

1. telemetry vs med surge

   nyrn5125 replied to ffliper27's topic in Cardiac

   everything is the same including ratio. my hospital is1rn to 7-8pt no monitor tech. we carry beepers. all same med surge issued but with ehart monitors. lots of afib

2. BP Cuff Readings vs. Arterial BP

   nyrn5125 replied to Zee_RN's topic in MICU

   A difference in the aline sbp 70 to cuff of 109 would lead me to believe she had subclavian stenosis. The aline measures pressure and the cuff measures flow. So the flow isn't there because of the stenosis. Our vascluar surgeons have us follow the a...

3. CMC Cardiac Medicine Subspecialty Certification

   nyrn5125 replied to SICU_Murse's topic in MICU

   hopefully everyone taking it will pass. I found the cardiovascular nursing practice to be theonly book I needed by jacobsen and they have a cd rom with practice questions Cardiovascular Nursing Education Associates (CNEA) - Cardiac Nursing Review Cou...

4. Nurse Ratched

   nyrn5125 replied to Stormy8's topic in Cardiac

   state politely " no need to roll your eyes they might get stuck"

5. INR increasing...without anticoagulation?

   nyrn5125 replied to LetsChill's topic in CCU

   Exacly what I was thinking. Once had a patient that was getting multiple doses of vit k and the inr was still 13. He was on Cipro

6. CMC Cardiac Medicine Subspecialty Certification

   nyrn5125 replied to SICU_Murse's topic in MICU

   I just passed within the last week and studied my you know what off on my own independantly and it was the hardest test I have ever taken. I had no one give me questions or tell me what is on the test. I studied from scratch over the past couple of m...

7. Fired for giving Med late

   nyrn5125 replied to Beaubou's topic in General Nursing

   I feel for you because pcu can be hectic and you really cannot hold off taking patients, at least mine can't. We have to take pt's when we are swamped. To fire you for a late med. I think it's crazy. The money they just wasted to train you is gone. Y...

8. Oxygen levels possibly hurt pt?!

   nyrn5125 replied to samiam4's topic in General Nursing

   If for a few seconds he was getting 12l nc and not the NRB that is not something you should worry about. What you should be concerned about is that you are a student and a PCA is putting high levels of oxygen on a pt when their sats are in the toilet...

9. Bedside Reporting starting Monday :(((

   nyrn5125 replied to 2bTraumaRN2008's topic in Professionalism

   My facility did it the way they wanted for maybe a few days. They wanted it done on 8 pt's. It was a nightmare and we changed it. The pt's do not understand the nurses job and what it entails. They cannot help but interrupt for water, toileting,want ...

10. How bolus infusions of NaCl may affect low sodium levels...?

    nyrn5125 replied to Xsited2baNurse's topic in General Nursing

    we don't know the history of the pt but a sodium of 131 is not that low and not going to change much after NS bolus. initially may go down but the real problem here is the hypotension which has to be corrected. then if the sodium is lowered less than...

11. cdiff death?

    nyrn5125 replied to purple10's topic in General Nursing

    perforated colon, sepsis, renal failure are all possible

12. No one will hire a nurse with only a Associates???

    nyrn5125 replied to CNA1991's topic in General Nursing

    As a clinical nurse working directly with pt in a stepdown unit I can tell you that what you are saying is only a dream. Wait until you get that masters and still work at the bedside doing the RN,aide,housekeeper,dietary job all the while not making ...

13. ratio for fresh CABG pts

    nyrn5125 replied to bhrusa09's topic in MICU

    at my hospital the LVAD are 2:1. fresh post op 1:1 pt awaiting transfer to stepdown and 1 critical then 1:2 Let your surgeons know about this as another post stated. They would not be happy. They can do something about it. Get the MD on your side

14. PCCN - I failed by 10 questions

    nyrn5125 replied to ChineseNurse's topic in Cardiac

    So sorry you didn't pass. When I took the test it was shocking to find out from aacn that the pass rate was 60% the latest I saw was 62% at the site below. It is the lowest for all their tests.Why, partly because it is an extremely hard test, and th...

15. No one will hire a nurse with only a Associates???

    nyrn5125 replied to CNA1991's topic in General Nursing

    You should complain about that counselor. First of all your license is granted at the associate degree level.Same test as the BSN program. Most RN get online degrees for BSN after becoming ADN. It means you take online classes and are granted a title...