ctunurse

Never thought of it this way, but excellent point. It should have been all professional and at the time I was functioning as the nurse of his patient just as he was functioning as that patient's doctor. I should have asked him to write an order:madface:

I understand that, but also, you see I'm a newer nurse and never had a personal doc prior to working as a nurse. So, I chose my job at a hospital, then you have to fill out your insurance info. I chose HMO and as a result we can only select from doctors in the network. That's just how it is unfortunately

Thank you so much for this post. OMG...That poor CCU nurse was stressed when she arrived on the unit. She walked into that room, heard what he had to say, walked back out to the nurses station away from the doctor, and was talking to the nurses and the secretary about how they don't have those on CCU. I wasn't sure what she was talking about, but she was stating that they do central lines but what he was looking for was not in their omnicell and needed to be sent up. So, she helped the secretary get the equipment needed, then he asked for her assistance during the procedure. :angryfire

thank you all for the feedback and opinions, mom23rn: you're right, i do work on a telemetry unit which i absolutely love but it's a lot of hard work at times. things weren't going well as multiple attempts to obtain the equipment he requested failed. he was in a bad mood when he first came on the unit and then he became furious after we ran into difficultly getting his equipment. ccu nurses do these procedures all the time and we rarely ever take part in them. in fact, this is my first time seeing one done on our unit but i've only been a nurse for a year. i can understand him wanting a nurse that knows what to do and what he needs and all. suzanne4: oh, i was so set back by the amount of verbal orders he barked at me. but because he was my doctor i didn't want to add any more fuel to his burning fire. so, i kinda just smiled and repeated his orders. if he wasn't my personal doctor i would have asked if he could write an order. the ccu nurse that came to our floor was stressed. i know her personally and she graduated a semester after me. she is newer than me and she hadn't even been a nurse for a year yet. she was charge on ccu and she said she was the only regular ccu nurse on her unit at that time and the rest were resource pool float nurses. nursing 101: so happens our nurse manager wasn't working that day. this doctor is my electrophysiologist and the only one at this hospital. they paid him to come from another country. because i'm hmo, in the network, he's the only ep doctor available. grrr:( thumperrn: we have a few docs that are nice to the patients but hateful to the nurses. i've never seen him this way before but this was the first time i had a one on one encounter with him about one of his patients. i've seen him on the unit before but that was before i was referred to him. thanks for the advice about verbal orders. it wasn't an emergency and i thought about asking him to write an order but again, he's my doctor and i wasn't sure how he would have responded to my comment. tazzirn: i don't think we would have been offended as much if he didn't come across as if we were incompetent nurses incapable of helping him. and as he was finishing the procedure he was mumbling that he'd hate for something to go wrong when he's on this floor. but i know if i was a patient i would want the best for the job. we just disagreed with the way he went about it and in front of the patient. i don't have a choice in doctors. he's the only electrophysiologist i have to choose from since i'm hmo.

Is it strange or is it just me. Having your doctor stand in your face at the hospital and give you verbal orders about a patient of his that you are taking care of and to see your doctor come to the unit in a bad mood? Anyone else have this experience? Here's mine: Yesterday, my EP doctor came to the unit and requested the nurse of one of his patients that had A-fib with RVR. He looked me in my eyes and stated how are you and then he proceeded to tell me to start a cardizem drip at 10 and give rhythmol po 150mg when patient can tolerate po meds. Then I watched my doctor get angry in another room because he was trying to start a central line at bedside and some of his equipment was missing and he already started the procedure. The secretary had distribution sent the item up two times and both times it was the wrong item. He became furious, walked out of the patients room with bloody gloves, picks up one of the phones at the nurses station and proceeds to call CCU to get a nurse to help him with the procedure. I felt so bad for the nurse that was caring for that patient. We all felt like he was putting us down when he had our nurse step aside and the CCU nurse help him. It's kinda hard to see him in this manner because when I went to him he seemed very pleasant and understanding. At first I was a little angry with him. I had to keep in mind that I am at work now and he is not functioning as my doctor at this time. He came back to the floor later on that day in the same mood and requested that the cardizem be increased he also gave me a few more verbal orders. We were in report at shift change and he opened the door and began to speak telling me additional orders having little regard to the person that was already speaking giving report. Everyone just looked at me and someone said he's in a bad mood today. Besides his mannerism I was a little let down by the way he managed the care of the patient I was taking care of. I thought to myself, I hope he doesn't take care of me that way? Maybe this just wasn't his day, but this is the first time I have taken care of one of his patients where he had to actually speak to me.

I'm prayer my experience will duplicate your's. I see my electrophysiologist on Jan 19th. I hope you all are on this site later to help relieve my anxiety. I definitely want the problem over with. Feels good to hear from someone who has been there and done that. I already have another nurse who had an ablation done that told me she'll be there when I have it. I know I'll really need her. My problem is that I get anxiety when I feel I'm not in control of my mental status. Like one time I had my wisdom teeth taken out and was put on vicodin. The way that vicodin made me feel scared me. I can't handle the lack of control. So, I'm a little nervous about how I will handle sedation:imbar .

Thank you guys so much. Yeah, I don't want to waste any more money going to ER for psvt. I want this over with. I don't have kids yet, but I would like some so I really need to get this taken care of. I'm currently wearing a heart monitor, then my PCP will send it to my electrophysiologist, and then....The study. I hope mine is a success as well. I will definitely request a foley. I don't know...I don't think I can watch my own rhythm on the monitor. JUst the thought of it freaks me out. No problem watching anyone elses. Sometimes when I'm at home having a run...It goes in the back of my head if this is svt or VT or some other serious rhythm this time. I don't want to see anything bad on the monitor. I couldn't even watch my own echo.:chuckle

my hearts been taking off for no apparent reason since i was 16, i'm now 24. i also have frequent palpitations. over the years, this psvt had gotten worst to the point that i have runs at work and have to be put on a monitor. i've had the whole work-up and everything and i'm on verapamil 240mg daily after being told i have psvt. well, my doctor is referring me to an electrophysiologist to have ep studies done. he told me i have a re-entry electrical pathway in my heart that needs ablated because it's causing me much problems. i have to wear a king of hearts monitor so that he can get current recording of my arrhythmia on jan 4th, then i see the ep doc. i'm nervous. i think i know too much as a heart nurse.....i'm worried that i may have to have pacemaker due to my sinus node mistakenly being burned away among other things. and it doesn't help that there's only one doctor in our entire hospital that does ep studies and he's only been doing it for about a year? for insurance reasons, he's my only choice...gulp does anyone have any experiences with patients or personal experiences about ep studies to share, good or bad, i really need reality since this is a pretty scary choice for me?

Hey, I was a new nurse orienting on a telemetry unit also. I started at the very end of January 2005. I felt exactly how you felt in the beginning. I was told by my manager that it could take up to two years for a new graduate nurse to feel competent on a critical care floor. I feel like I learn something new everyday. I never thought I'd know as much as I know now 11 months into it. Hang in there. Soon you'll start feeling more competent. I was just like you. If you would like, I've created a journal called NIGHT SHIFT about my days at work. Feel free to read it.

I'm a cardiac nurses and so far the two meds I hate giving are: 1. DOPAMINE especially if it's not through a PICC line because of the constant worry about infiltration which could cause tissue necrosis and sloughing off of the skin. And I have to give the patient multible injections of regitine to prevent complications. 2. Potassium The oral pills, they are huge. Too many patients state they can take them ok, then choke on them. Tried splitting them in half, but that only leaves jagged edges to go down the throat. Tried crushing them and putting them in ice cream or another food, the task is still overwhelming.

I have had PSVT since I was 17. I'm on verapamil and considering an ablation before I have kids

:uhoh21: I joined this is nursing school. I was told is was a priviledge, but does anyone know exactly what it's all about?

This is my honest answer. I never even thought of nursing until I was told this: I wanted to go to other countries and help children and families in need. I was told it was missionary work and I wouldn't be able to make a living that way. So, I looked around and then I thought, Ok I'll become a nurse and then I can do mission work with a purpose and have income to make a living. I've been a nurse for 11 months and wouldn't change it for the world. Mission work, however, still remains my ultimate goal in life.

oh, i had the sweetest pleasantly confused lady one night. here's what happened: (i was doing rounds to check on my patients, i walked into one room to find a patients iv catheter still connected to the tubing and the solution still running dripping through the catheter onto the floor. i also noticed a trail of drops of blood leading to the bathroom door. so i knocked on the door) me: honey are you ok in there? patient:yes dear, here i come me: are you bleeding? (i hear the toilet flush and the patient opens the bathroom door and walks over and sits on her bed) me: honey, you pulled your iv out patient: oh honey, that had to come out. i needed to use the bathroom she was so cute, how can you get frustrated with her

We use very clean tecnique for flushing, blood draw, and unhooking fluid tubing. Because when someone is heparin locked off, the port is no longer sterile because it is hanging about on the patients arm. We use sterile technique for the dressing change.