roxie144

roxie144

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About roxie144

Latest Activity

  1. heart blocks

    Thanks for the tips, once I sat down and drug out the caliper, third degree blocks started to click in my head.
  2. documentation

    If you are taking care of a patient who is non-compliant, when giving education stares out the window, paying no attention, throws a fit at every meal because they are on a fluid restriction/diabetic diet, tells you he is going to eat, you give the i...
  3. heart blocks

    So I can explain heart blocks but, my problem is knowing it when I see it. First degree PR > 0.20, second degree type 1 lengthing PR with dropped QRS, second degree type 2 regular PR with QRS's dropped, third degree atria and ventricles beat inde...
  4. Holding Lasix

    Thanks for your input, I appreciate it.
  5. Holding Lasix

    I have asked aroung at work and can't seem to get a straight answer. If a patient has lasix ordered and BUN/cr are elevated at what number(s) do you call the Dr. to see if they want to hold it. Do any of Dr's have a standard order. Also, is it bec...
  6. is the grass greener?

    How is it at your hospital? We are short staffed and nurses are more and more flexing up with six patients on a step down unit. We often find ourselves with one aid for 24 patients and then getting reminded about how important it is to answer call l...
  7. Interview with MCO next week

    I have no CM experience and the company is aware of that. Case management is something I have had my eye on but don't possess the experience most companies require. I do see where you are coming from that feeling you may not feel as if your acting as...
  8. Interview with MCO next week

    I have an interview with a workers comp managed care organization next week and am looking for some advice.
  9. Is this even legal?

    I work in a SDU and recently I was forced to flex up with an LPN and cover twelve patients. Our normal ratio is 4-1.
  10. Days vs nights

    I have been a nurse for almost a year and have worked only nights and currently a position is open for days. I have not adjusted well to nights and feel like a piece of me is taken away everyday. I'm just worried about going to days, my husband kee...
  11. Any Advice Or Help Would Be Great

    Sounds like a famliar story. I graduated in May and for the first 2.5 months I felt the same way you did. Time has passed and although not much I'm getting into a groove. Don't get me wrong, just a week ago I had a real bad night, a hospice patien...
  12. Sorry to hear about your experience. I graduated in May and work in SDU with a ratio of 1:6. We have a lot of new grads on the night shift but it's balanced with experienced RN's. They have been so helpful to all of us and are so willing to teach ...
  13. New nurse OVERWHELMED

    After reading these posts I don't feel so alone. I graduated in May 09 and started working in the ICU about 5 weeks ago. I just started night shift and have about 5 more weeks of orientation left. I don't think there has been a day where I don't f...