cardiacmadeline

cardiacmadeline RN

cardiothoracic surgery

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About cardiacmadeline

cardiacmadeline has 6 years experience as a RN and specializes in cardiothoracic surgery.


Latest Activity

  1. Holding Antihypertiensives

    That's so sad! It amazes me how many nurses, including seasoned ones, don't understand how medications work and why their patients are receiving them. I see this too many times with beta blockers (I've administered these to patients with heart rate...
  2. Bedrest post angio?

    Bedrest time can also vary based on the type of closure device used--Angioseal, Perclose (?), manual pressure, etc. I've seen a patient bleed a week after his procedure.
  3. Coreg med and no heart rate parameters?

    I agree with psu, one of my biggest pet peeves is when nurses hold Coreg based on BP and HR and not seeing the big picture. I see his baseline HR was in the 50's and that he had been on it for awhile. I don't know your patients story or clinical p...
  4. Coreg med and no heart rate parameters?

    What was the patient's baseline heart rate? Was the coreg a new medication or had the patient been on it previously?
  5. Medication Errors?

    I have seen a nebulizer med given iv. It wasnt a common drug, I can't remember what it was. I don't recall anything happening to the patient.
  6. Bedside Reporting starting Monday :(((

    I have tried to have a positive attitude about bedside report, but I hate it! I waste time looking for the offgoing nurse, and then I am told what I already know because I just read the chart! Now, if something is going on with the patient like an ...
  7. How to stop visitors from using empty bed???

    What if the patient coded? We have allowed a couple of people to sleep over and bring a cot in the room, but I tell them we need to have enough room in case something does happen like a code. I once had a family member bring a cot in and she was se...
  8. In honor of 9/11.... what was it like as a nurse?

    It was my first semester of nursing school. 9/11 was the first day my clinical group was to meet. I was home studying and had no idea what was going on. My husband came home because they had canceled his classes for the day and he told me what hap...
  9. range order rationale

    If I was a doctor and received a phone call from a nurse asking to give a second norco to a patient still in pain after receiving one pill and there is an order that says you can give 2 pills, I would not be very happy and I would question the critic...
  10. Is EPIC coming to your facility??....

    You are logging on so much into EPIC throughout the shift, you will have many chances to see that you have new orders. The icon telling you there are new orders should pop up on the first screen.
  11. The 5 things you love & hate about being an RN

    Love: 1) My cardiac and thoracic surgery patients 2) My coworkers (99% of them) 3) My pay and benefits, able to live comfortably 4) My elderly patients 5) The fact that I am not sitting behind a computer all day. I like the fast paced environme...
  12. What is the lowest HGB you have seen?

    2.4-patient totally asymptomatic
  13. Is EPIC coming to your facility??....

    Pretty much everything can be scanned in, including tele strips and 12 leads, making it very easy for a doc to interpret when they are elsewhere in the hospital. As far as new orders, an icon will pop up letting you know there are new orders.
  14. Never driving to work in snow again

    I live 45 minutes from work and drive a small car, nothing fancy. I have never had to call in for snow in the last 7 years. I stay up to date with the weather and road conditions. We shovel ourselves out, even shoveling part of the street once so ...
  15. asking for meds?

    I agree with you on this one. If my patient is taking prn pain meds every 4 hours, I will keep track of their next dose and bring it to their room so they don't have to call and ask for it. It's prn, as needed, they need it every four hours.