Candy999

Well. He died because of MI as I understood. You do not know what happened in a different hospital during cath. Could be anything really. As I understood pt had MI that was unrecognized d/t his trop/EKG was negative. For MI you can only do cath, which is not even done in your hospital. I do not see what you could do differently since you did not have correct diagnosis and correct orders. The corrrect order in this situation should have been emergency transfer to Cath lab

what do you mean you had no order? You had a verbal order from a cardiologist. That is not your problem that the house doc did not respond on time to the emergency. You did what the prudent nurse would do and you caused no harm. ECG and trop always ordered for a pt with a chest pain. You did not do anything stupid. And it is not invasive. Did the rapid come in because the pt started to feel worse or because the house doc asked them and the pt was doing fine? There are some people in the healthcare that try to make new grad feel bad about themselves and RRT staff is often one of those people. Because RRT are always old, seasoned nurses. Do not feel bad you did not do anything bad.

I was working with an aid who can only get clinicals in our hospital (because she worked there and had connections to get her in clinicals without covid vaccine). As a result she would only take one class a year. You will have to get approved with every clinical site. Some clinical sites are very limited. For example, peds. We have only one ped hospital and I have no idea how you can pass this class. I think, you should not get into nursing if you are against vaccines. We deal with so much ***: AIDS, heps, tb, you name it..... I joke that I get self vaccinated daily, because I naturally inhale, touch. deal with all kind of diseases. Another thing is that I was working on a Covid floor and when vaccines came out it was such a game changer: patients started coming without any symptoms and had no idea that they had covid. It was beautiful.

thank you for that

I would leave or try to work separate shifts with her. She can make up anything.

Can someone explain me what is midline and why they can not be used for pressors. I have never been trained on them. I would appreciate that. Sometimes I see them in our facility, but rarely. I was told they are like PIV, but longer. My facility does not know how to treat them. Sometimes they are charted as PIV and sometimes as Central Lines. Sometimes, we are allowed to use them for blood draws and other times we are not.

Dear fellow nurses, as a new grad I would appreciate your help. I am a new grad working on Med Surg/Telemetry. Staffing is an issue and more experienced nurses are leaving. Now, we have only new grads and travellers with couple experienced nurses for the whole unit. Not so long ago our hospital started hiring LPNs. We have never had training how to work with LPNs. LPNs are pretty independent, getting their own reports and taking care of their patients independently. The charge nurse usually assigns us LPN's patients that we need to hang IV meds. I am not very comfortable doing this. So far, I had only had benign meds to administer, but I am sure that in the future there will be more dangerous meds. Technically, I can review LPNs patient info, but it adds to my already heavy patients load. However, the main issue is that LPNs have never had Telemetry training, but they are taking telemetry patients. I am not sure if they are looking at the monitor at all, because they do not know how to read it. My questions is what should I do? If something happens who will be responsible and is there any "smart" way to deal with this issue. Considering that I can not leave at this point. I would appreciate any advice and suggestion.