I took a new job and hate it!!


  • Specializes in ER, Med-surg, ICU. Has 9 years experience.


I will try to make this as short as possible, but I am pretty stressed out right now.

I was wondering if any of you know or can tell me the staffing standards for a cardiac stress lab? I currently work in one and have gotton myself in to an area I am so uncomfortable in I could just quit.

Our stress lab in staffed with only one nurse. thats it. During echo and sestamibi the echo tech or nuc med tech are in the room, but they have no idea what I am doing. I have done 5 dobutamine echo/sstamibi in the last month which have resulted in teh person going into `10-12 beat runs of v-tach or rapid atrial fib. I get so scared when this happensbecause there is nobody around to help. No doctor, no other nurses. Yes, I have a crash cart and know how to use it. but I feel like I knew how to use it better when i was working in the ER full time. when you aren't exposed to it, you lose it. this is a clinic setting by the way... I am looking for a new job currently but I live so far away form everything 1 1/2 hours drive one way.

I just don't know what to do. I feel sick to my stomach with worry on a daily basis.

I hope this doesn't sound rambly, but there are so many things going through my head right now

I have asked the doc about dobutamine and when to use it and when to not use it and he said that if they have a history of v-tach, don't use it, glaucoma, don't use it, but they all seem to have ventricular ectopy once it gets started. bi-geminy, tri-geminy, I just don't know enough to do this. I don't know how else to get the education. I have read and studied whatever I can find. but the real situations happen while I are doing the tests and there is no one there to bounce anything off of.

Can anyone help me?

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