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Double-Helix, BSN, RN 28,567 Views

Joined Apr 5, '11 - from 'New Jersey'. Double-Helix is a Nurse, Children's Hospital. She has '6' year(s) of experience and specializes in 'PICU, Sedation/Radiology, PACU'. Posts: 3,063 (52% Liked) Likes: 5,668

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  • Feb 17

    Quote from blackvans1234
    Post cath patient who needed urgent CABG with systolic like 230.
    BLAST THOSE CORONARIES OPEN

    Alas, coronary arteries do not perfuse in systole, unlike other arteries, because they are encased in contracting muscle. Coronary arteries perfuse in diastole, from the diastolic pressure in the aortic root, as they originate just next to the aortic valve cusps on the outside of the ventricle.

    This is why:
    1) Intraoartic balloon pumps augment diastolic pressure at the dicrotic notch, when the AV snaps shut and coronary filling is at its greatest before runoff drops the intraaortic pressure, and
    2) High systolics are problematic, because the ventricle is working its hardest against resistance precisely at the moment it's getting "paid" the least.

  • Feb 17

    Back when we used actual mercury manometers to take blood pressure (for those of you young'uns who wonder why it's always given in millimeters of mercury, mmHg), the top of the column said "300" and the name of the manufacturer and the patent information. Therefore, our superhigh BPs were colloquially known as "Patent pending over ..."

    The highest one I ever recorded was "Patent pending / 286."

  • Feb 15

    My organization 'counts' CST experience at 50% for new grad RN hires into OR... So, 4 yrs CST = 2 yrs RN. This is a special deal that is just in the OR - otherwise, the only non-nursing job that is factored in the same way is LVN & only if the newly licensed RN will be working in a similar clinical area. Hope that makes sense.

  • Feb 14

    Quote from Double-Helix
    Do you think the money you spent on the vacation house 1400 miles away could have been used to pay your bills so you could quit the job that doesn’t allow you to take vacation?
    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! HELLO!!!! Thank you!!! I wasn't gonna go there but since you did, I'd so love to hear the answer! Waiting......

  • Feb 12

    I have had a day or two when I was mentally in a place where the thought of going to work that day was beyond my ability. I called off.

  • Feb 10

    MRx2 and OD- I bow to your patience level. I am not worthy.

  • Feb 8

    Quote from Loveeea
    When I said complaints I was with another young lady on the floor and she kind of was a bit rude to patients bc they didn't see her name on the board they seen mines and that's what I meant by complaints and orientation is 90 days that's why I said I'm eligible for rehire bc I didn't get to finish my 90 days I'm not a bad worker and I'm not rude I really love this job field and the hospital I work at I was never rude nor late and missed any days
    Ok. This "rude young lady" who was training you, she still works there. While I'm sure there have been complaints about her too, there are also issues with your work. We do not know what they are. You will have to ask your former supervisor for some feedback. This will help you improve on your next job.

    This place didn't work out, and that's okay. Move on gracefully.

    Get your résumé and references together. Best of luck to you job hunting.

    Also, a PP gave you advice on using punctuation. You didn't take it. Maybe that's what happened at this job too. When someone tries to help you by pointing out a flaw, please take that as constructive criticism and use it to better yourself :-)

  • Feb 8

    Quote from HouTx
    This is a blatant HIPAA violation because the message include PHI (illness information & name). If I was OP, I'd be making a formal complaint via the organization's compliance hotline.

    Overall, looks like yet another instance of manager incompetency. SMH
    LOL. No it isn't.

    Not unless that nurse sought treatment from the facility they were working at and the employer was divulging protected information from that fact.

  • Feb 8

    Don't do what we did, which was to pack up half the ward in our own cars with no staff or faculty and drive them into the city to see the Planetarium show at the Museum of Science. Nobody stopped us, we told them ahead of time, but apparently it never occurred to anybody that it was a CRAZY G-DDAM IDEA to let a bunch of 19-year-old nursing students take a dozen people who had been institutionalized since the Eisenhower administration in our own cars for a field trip. Ummmm, I sorta forget whose idea it was .... yessiree, that's my story and I'm sticking to it.

    Good news: We didn't lose anybody. And one of our delusional buddies, whose particular thing was that he was "The Lost Taurus," was apparently deeply affected by the show about the Crab Nebula... which, for those of you who didn't get the Girl Scout Stargazer badge is in (wait for it.....) the constellation of Taurus. He apparently wasn't lost after all-- there he was, all over the dome, bigger'n life.

    And to this day I can't hear the song, "I Can See Clearly Now (The Rain Is Gone)" without seeing Carol, Shelton, Bobby, and the rest of them in the day room.

    Oh, have some fun with it. These people know why they're there, they know people are afraid of them sometimes; treat them like normal folks as much as you can. It might be a treat for them. Watch out for the borderlines is all.

  • Feb 8

    I completed an LPN-to-ASN transition program that lacked regional accreditation as well as ACEN accreditation. ACEN (formerly known as NLNAC) is the entity that accredits LPN, ADN/ASN, BSN, MSN and doctoral nursing programs.

    A few years later I completed a CCNE-accredited online RN-to-BSN program at a school that has regional accreditation. I essentially 'laundered' my unaccredited ASN degree by using the coursework as transfer credit toward an accredited BSN.

    Would I recommend attending a non-accredited program? Nope. It may create some unforeseen roadblocks, as well as problems that can be anticipated. However, this pathway worked nicely for my career goals.

  • Feb 8

    Reducing blood pressure with antihypertensives in an acute ischemic stroke decreases perfusion of brain tissue surrounding the area of initial insult. Reducing BP reduces the MAP, which can result in a larger area of ischemia. Sedatives are typically used with patients experiencing anxiety and agitation related to the stroke. It is not uncommon for stroke patients to receive benzos, antipsychotics, and antidepressants. As you can see, one class of medication has the potential to do much more and longer lasting harm than the other.

  • Feb 7

    I've worked in two states where THC is legal recreationally (Colorado, Oregon). In both states, most facilities still require their nurses to NOT smoke marijuana, and if it is detected through a UDS, it's a fireable offense.

  • Feb 6

    Hah. I think we were simultaneously typing very similar advice.

  • Feb 6

    Some of you have heard my story of when I got called at home by my registry to go to the locked psych ward at the big city hospital to give a couple of units of blood. I wasn't doing anything else that afternoon, so, "Sure," says I, how hard can that be?

    So I get there and sure enough, here's this woman pale as a sheet with a crit of about philodendron level, and I set to work getting her blood going. While I'm there, I ask how she got so anemic, anyway.
    "Oh," came the answer, "She was having bloody bowel movements in the bed."
    "Umm, did anybody call the surgery resident to check that?"
    "Oh, no, she was just acting out."

    Uh-HUH. "Call them right now!"

    When I went in to work on the gen surg floor the next day, there she was. Still loony (I'm not a psych nurse, you know that) but at least getting properly worked up for a pretty significant lower GI bleed.

  • Feb 6

    Quote from Double-Helix
    By OT are you referring to Operating Theatre? And if so, is your goal to work inside the operating room, or as a pre-operative/recovery nurse?
    Thank you! While I recognized that "working the ward" implied perhaps the U.K., I could not figure out the "OT."


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