halsey

I am struggling a bit with 12 lead ECGs. I prefer counting down the intercostal spaces from the clavicle. I just wanted to check that the first space between the clavicle and first rib IS NOT counted as the first intercostal space so you skip that space when counting? When counting down from clavicle is it best to start at part of clavicle that's closest to sternal notch or mid clavicular? Any tips appreciated.

So my manager has chosen not to respond to requests by email for further feedback. Do I take this as a sign to move on, please help.

Feeling upset and annoyed that I was loyal to this job, and that I gave up a full time job outside of nursing for this job.

Only the first few shifts were orientation but not across all areas. On the last shift a nurse asked me to check a day surgery patient in and said the patient might need shaving/clipping. I've never been shown this, don't know exactly which surgeries patient's need to be shaved for and would not feel comfortable just being asked to do it without observing beforehand. My main question is what is the likelihood of receiving further shifts now after this rejection? I've asked many times that I'm available for extra shifts with no luck. I'm only told I will be called when someone's sick etc.

No I didn't ask for specific examples, they were not given in the email and I never replied back. Thanks if I ever were to receive another shift I may bring it up in person, but not sure if that makes me look desperate.

I recently started as a casual nurse in a day surgery/procedure unit doing pre and post op cares. I have a couple of years experience working on surgical wards but then took a couple of years off until I started this new casual job. I haven't received many shifts so I applied for a permanent job that was advertised. I didn't even get an interview! I got told by manager that other staff think I lack acute surgical experience however I received no examples. I have this experience from the past so I don't understand. I can't think of anything that I did to display a lack of experience, apart from asking general questions as I was only new to day surgery/procedure nursing and didn't receive much training. I literally only worked a handfull of shifts sporadically making it difficult to learn. I now feel uneasy that other coworkers dislike me and I'm reluctant to continue working there as a casual nurse. Does this experience mean that I am likely fired from my casual job as well and to look elsewhere?

The patient is stable, pulse oximeter was used for post procedure vital signs monitoring. The patient had a history of strokes (no diagnosis of AF) and had ceased anticoagulant for procedure. Could this be why? Sorry I’m a student it’s the first time I’ve seen this. So if I notice the heart rate up and down on monitor, the pulse needs to be checked manually and do ecg?

When a heart rate bounces up and down within seconds on a pulse oximeter monitor say from 90 to 120 is this a sign it’s irregular and patient may have atrial fibrillation?