buddiage

buddiage

critical care transport

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All Content by buddiage

  1. To those that left critical care for this

    buddiage posted a topic in Hospice, Palliative

    I've been in the hospital in a CCU, CVICU, and have been a transport nurse (on an ambulance) for 10 years. I've really enjoyed the 'nerdy' aspect of critical care, but I feel especially connected on...

  2. I'm so lost :(

    buddiage replied to JenMH88RN's topic in General Students

    You will be doing so many things in med-surg. The COOLEST part of this is, you are gonna get PAID while you figure out what calls to you! How cool is that? You will be exposed to different disease...

  3. Nurse union contracts

    buddiage posted a topic in California Nursing

    I'm considering a move to Covina area from Washington. I want to review the contract that the nurses have with the hospital I am considering. I looked up CNA. There is nothing to review. Where are...

  4. Nurse union contracts

    buddiage replied to buddiage's topic in California Nursing

    I read a story that the hospital I was considering went union. Thanks for your

  5. Have you ever been insulted for what you do?

    buddiage replied to Mrs. SnowStormRN's topic in General Nursing

    I am quite shocked at the STUPIDITY of what people say. We ALL have our specialties. THANK GOD. There's enough work for everyone, so let's not step on

  6. anyone leave high paying 1st career?

    buddiage replied to onedayitllbeme's topic in General Nursing

    Honestly, you aren't going to know if it was truly worth it until you become a nurse, and some people can't imagine NOT being a nurse despite the fact that their job frustrates them. IMO, if I were...

  7. cranberry juice and ptt

    buddiage posted a topic in Medical-Surgical

    I had a pt who was on a heparin drip, and I followed protocol to titrate based on ptt levels. Well, her ptt came back >200 multiple times between me and another nurse (protocol- stop infusion one...

  8. Assaulted and written up. (vent)

    buddiage replied to JessicRN's topic in Emergency

    I'm wondering if you sprain your wrist and have a 'demigod' for a medical director in the situation described, I wonder if the physician examining you would be inclined to treat you the way the...

  9. New national nurses union forms

    buddiage replied to herring_RN's topic in Collective Bargaining, Union

    Another nurse union? I tell you, we are so fragmented with different organizations and associations that I feel we don't have a chance at changing anything. Frankly, I scared how healthcare is...

  10. A-fib + metropolol + diltiazem gtt + soft bp

    buddiage posted a topic in CCU, Coronary, Cardiac

    situation: rhythm a-fib, with rate 100-130's systolic lood pressure: 82 and 91 in different arms ns going at 100/hr (for 2 days!) diltiazem drip 5mg/hr metropolol 50mg bid i held metropolol d/t blood...

  11. A-fib + metropolol + diltiazem gtt + soft bp

    buddiage replied to buddiage's topic in CCU, Coronary, Cardiac

    Pt had scant crackles in bases, but sats fine (97 to 99 percent), and no SOB. Lung assessment hadn't really changed since being there, and she had been on her back for a few days. EBL- can't remember...

  12. After cath with reperfusion dysrhythmias- WHY at the cellular level?

    buddiage posted a topic in CCU, Coronary, Cardiac

    I get the cardiac cells are "irritable." I don't understand why oxygenated blood would cause dysrhythmias when the heart muscle needs the oxygen. What is going on here? Is there something happening...

  13. A-fib + metropolol + diltiazem gtt + soft bp

    buddiage replied to buddiage's topic in CCU, Coronary, Cardiac

    NO, no lisinopril, just metropolol. random things i remember: ef of 40%. I dont recall digoxin on her sheet. My supervisor said she would've given the metropolol. I had heard (but was corrected by her...

  14. A-fib + metropolol + diltiazem gtt + soft bp

    buddiage replied to buddiage's topic in CCU, Coronary, Cardiac

    she has a history of afib. had gone in and out of it. the plan was to wait until her INR came down so that she could get the surgical proceedure. after proceedure she was restarted on coumadin. i...

  15. A-fib + metropolol + diltiazem gtt + soft bp

    buddiage replied to buddiage's topic in CCU, Coronary, Cardiac

    Totally see your point, but b/p actually IMPROVED as heart rate went slightly up. I'm glad you shared your view, because I also want to see just how many people would've done what. i'd love to take a...

  16. After cath with reperfusion dysrhythmias- WHY at the cellular level?

    buddiage replied to buddiage's topic in CCU, Coronary, Cardiac

    That (google one) was an excellent source! Thank

  17. Ever have family members of a pt who was a doc?

    buddiage posted a topic in General Nursing

    Maybe others have had a positive experience. I had a pt whose son was a pharmacist and daughter was a psychiatrist. This pt was on a natrecor gtt. Pharmacist son, probably a nice guy, hovering over...

  18. Ever have family members of a pt who was a doc?

    buddiage replied to buddiage's topic in General Nursing

    I do ask that one member of the family be the "representative" usually if phone calls are crazy...etc, but in this situation the only two were right in the room! :0) Thank you Dolcevita. It's just...

  19. After cath with reperfusion dysrhythmias- WHY at the cellular level?

    buddiage replied to buddiage's topic in CCU, Coronary, Cardiac

    Sounds plausible. If you find out, let me know.

  20. Ever have family members of a pt who was a doc?

    buddiage replied to buddiage's topic in General Nursing

    I couldn't agree

  21. Ever have family members of a pt who was a doc?

    buddiage replied to buddiage's topic in General Nursing

    Thanks for your replies. I just got through with a reply and it erased! Urgh... so... To clarify: I never speak medical jargon to pt families, and when she let me know she was a physician I just went...

  22. This morning I sat with a patient as he died

    buddiage replied to SuesquatchRN's topic in General Nursing

    God doesn't have a magic wand. He works through people like you. What a nice

  23. Opinions pls!, Is it to late?

    buddiage replied to RosellaBellaNY's topic in General Nursing

    My friend, one day, you will be 40 years old. Or 50... you will still have to be that old. So now that you've accepted that fact, you can chose to be a nurse at that age or not. You have no choice in...

  24. Patient with pacer/AED is DNR

    buddiage replied to oldnewnurse's topic in Cardiac

    Wow. This is a good thread. I had admited a pt with a COPD/ CHF exacerbation. Rapid Response team was called within 8 hours of her placement to our floor. She was a DNR. I had seen they had put her in...

  25. After cath with reperfusion dysrhythmias- WHY at the cellular level?

    buddiage replied to buddiage's topic in CCU, Coronary, Cardiac

    I thank you for your responses. I got something now (which is better than nothing). Seriously, 1990's info? Man, doesn't any university want to know? I had a difficult time finding anything on the...