buddiage

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 a more spiritual/human level with hospice patients...

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 processes and wound care, and certain aspects of pati...

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 these contracts at to look at? WSNA has them all onli...

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

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 eachother.

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 you, the idea of more money sounds good. I'm in a si...

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 hour, then restart and lower by 250). I found the h...

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 medical director would want you to be treated. Would he ...

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 moving. I love the idea that healthcare could be availab...

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 pressure, but i'm keeping an eyeball on the rate....

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 the number, but it was hardly worth mentioning. A...

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 with the electrolytes? Is there lactic acid buildup ...

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 today) that diltiazem affects bp, just not as pro...

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 might add her b/p had been on the soft side since admi...

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 vote on my unit, but that won't happen.

That (google one) was an excellent source! Thank you!

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 his dad (I'm a night shifter), wanting to know thing...

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 eye popping to review situations like that and think...

Sounds plausible. If you find out, let me know. :0)

I couldn't agree more.

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 forward (speak medical "jargon" but chose my words...

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

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 getting older. The real question is, do you want ...

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 a special care unit when I had come back from wor...

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 itnernet that described WHY as opposed to that it act...