Spatialized

Cardiac Telemetry/PCU, SNF

Member

About Spatialized

Spatialized has 5+ years experience and specializes in Cardiac Telemetry/PCU, SNF.


quit job, moved cross country, passed NCLEX...life is good!

Latest Activity

  1. Spatialized

    24 Hour Observation Unit & Charting

    My unit is in the process of starting an observation unit. It will be detached from the ED, under our Internal Medicine service, catering to CP r/o MI, COPD, CHF, Cellulitis, Syncope and Pneumonia observation status patients. Obs is based around CM...
  2. Spatialized

    Medication Incompatibilities with Sodium Bicarb

    When we have someone who needs bicarb, they get another line. Easy to get around incompatibilities that may happen that way. Yes, it is inconvenient for the patient (and the staff who has to start the IV) but it seems to be the best work around. O...
  3. Spatialized

    No respect...or...our profession's public image sucks

    Our image too often is formed based on the twisted stereotypes portrayed in the popular media. Sexy nurses, pillow fluffers and doctor's handmaidens is the image shown to the world and they all believe it (well, not all of them, but a good majority ...
  4. Spatialized

    How long post cath is there risk for bleeding at the site?

    The odds of developing a hematoma 3 days out is fairly slim, but if by chance the MD accidentally created a pseudo-aneurysm during the procedure it could manifest itself later like that. Usually a hematoma is a firm/hard lump, sometimes ecchymotic, ...
  5. Spatialized

    Not really "feeling it"

    There are days I still don't feel like I have it together and December will be 3 years for me. If you really think about it, 6 months is not that long at all on an active cardiac floor. There's a very wide scope of information that you have to unde...
  6. Spatialized

    Don't you want to be a Doctor?

    I just smile and say, "Nope, I love poop too much!" Then in all seriousness I relate how that I wouldn't even be done with residency until my forties and would like to raise a family and lead a semblance of a normal life. Beside, my last name does...
  7. Spatialized

    What the heck is going on in Portland right now?

    Whatever y'all. Nearly everyone in PDX is a transplant of some sort or another. Sure, some have been here longer than others, but what does is matter? How long you have been somewhere makes no difference when it comes to the caliber of the nurse. ...
  8. Spatialized

    New grads: hows the job hunt going?

    'Tis the season for low census, that's for sure. We're getting canceled (or at least placed on stand-by) at least once a pay period at Good Sam. And as for hiring? Nothing. Nada. Zip. We had a student do her senior practicum with us and she's g...
  9. Spatialized

    I actually like my coworkers

    My night shift co-workers rock, plain and simple. Not such a big fan of the day shift, but I don't hate 'em by any means. It's sad when it is perceived as "odd" or "strange" to like ones co-workers. Says something about our profession eh? Tom
  10. Spatialized

    ok ekg?????

    Yep, you've got it. Practice until you see strips in your dreams (uh, I wouldn't know anything about that...). Ask questions of more experienced nurses, bug the tele tech (if you have one) and if you hear that someone is doing something funky, chec...
  11. Spatialized

    Is it possible to go to nursing school and work full time?

    It is possible, but it isn't pleasant. Sleep is a foreign thing when you do so. I did it because I had to, working 2 jobs, combined full-time through the end of school having worked 1 job full time the first year. It sucked, weekends were non-exis...
  12. Spatialized

    Same post, different Specialty

    :yeahthat: Pretty much what Dianah said. We don't use sandbags as studies have shown that the weight distribution is too large for adequate control of a bleeder. If you get a bleeder, direct pressure just above the site (remember you anatomy...) f...
  13. Spatialized

    ok ekg?????

    Typically ST depression is indicative of myocardial injury, the myocardium is not getting enough oxygen due to blocked arteries, vasospasm, poor cardiac output and on and on. Yes, it's not a good thing, usually. Although you can have pseudo depress...
  14. Spatialized

    What the heck is going on in Portland right now?

    Hiring freeze it is. My floor usually hires a handful of new grads, usually due to turnover and people moving on, but there is none of that this year. Same thing goes for all the floors at Good Sam. The ICU there is not even doing their usual inte...
  15. Spatialized

    Oops, I Did It Again: Dottie

    Thanks for sharing this. It's been a rough couple of weeks at work and am in danger of becoming slightly more burned out (already...?), but your story rejuvenated my faith in nursing...the true personal aspect that tends to get lost at times in the ...