candyndel

candyndel

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About candyndel

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  1. Site Marking

    still doesnt make sense because if he can not gain access with the site marked, he has to use another site (which contradicts the purpose of laterality). its not like the surgery is going to be done on the wrong side....
  2. Site Marking

    that is silly...the heart is unilateral....
  3. EKG meanings?

    It sounds like u have a silly case scenario (non-realistic). But u are correct. ST elevations meet diagnostic criteria for a STEMI if they are >1mm in TWO OR MORE CONTINGUOUS LEADS. Why would they give u STE in just one lead? TWI are non-specif...
  4. Pronouncing someone with a pacemaker

    U do not need to do anything with the pacemaker...like we say in the ED...u cant pace meatloaf! What will happen is u will have a flat line with pacer spikes. Not a big deal. Dead is dead and the pt will be pronounced. If u place a magnet over a pac...
  5. CCL: DC time p/ Manual Hold vs Closure

    I have noticed the many differences amongst various cath labs and am surveying... Please let me know what your institutional policy is re: ambulation/DC time in hours after a manual hold vs closure devices. THANKS IN ADVANCE!!! If anyone has a policy...
  6. Chf & Nsaids

    dont forget about the effects NSAIDs have on prostaglandins... ps this DOES NOT INCLUDE ASA. They should still take ASA....The AP benefits far outweigh the risks....
  7. NP as Hospitalist

    I am an ACNP and work as a hospitalist....its the perfect position for an ACNP.
  8. sedation protocol mechanically ventilated patient

    WOW- That must be some book if you have a policy on every task a nurse does! Here's the JCAHO reg on nursing policies... Elements of Performance for NR.3.10 1. The nurse executive, registered nurses, and other designated nursing staff members write...
  9. helps for charting.

    Very well seasoned nurses also share your opinions and frustrations about charting, too- so know you are not alone. If it was so easy, there wouldnt be lectures, conferences and books on it, right?? I actually began ED nursing when our charting was d...
  10. helps for charting.

    Always, always, always do a head-toe at the beginning of your shift (and I dont mean on the new ankle that just got here an hour ago...) then prn. Especially if you have the 'hold' problem that we do (usually about 20 every morning with over half for...
  11. sedation protocol mechanically ventilated patient

    Generalized nursing tasks...like bed baths? Why would one even need a policy for generalized nursing tasks? That's what our generic nursing programs were for! If I am administering the MEDICATIONS then I am deciding (and I say that collectively) the...
  12. Hospitalist??

    Gotcha. I like 'Acute Care NP' anyway....
  13. Hospitalist??

    Does hospitalist carry a negative connotation I didnt know about? "Hospitalist" is a term generally regarded as doctor that works exclusively in the hospital. I myself only work in the hospital. No clinic office. I work in a small ER and also adm...
  14. Hospitalist??

    Any NPs out there working as a hospitalist?? What can you tell me about it? Thanks!!
  15. sedation protocol mechanically ventilated patient

    I cant even believe what I am hearing (seeing?) on this post. Do some of you really believe that a Nursing Policy shouldnt be written by a nurse? This is a nurse-driven, collaborative effort and she seems to have the right team together.