ark-two

ark-two

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All Content by ark-two

  1. Rapid Response Team

    ark-two replied to Lukestar's topic in CCU, Coronary, Cardiac

    Our hospital employs the RRT. We include TCU Charge RN brings defib and reads strips. ICU or CCU push drugs and assist md, respiratory therepist bags and abg's, and a pharmacist makes sure drugs are...

  2. Amiodorone and k level

    ark-two posted a topic in Cardiac

    What exactly happens when a patient is on amiodorone and they have a low potassium level? The reason I ask, a patient was on 400 mg of amiodorone (bolus dose), for conversion of a-fib. For me, the...

  3. cardiac care/lab values

    ark-two replied to lcazgirl's topic in Cardiac

    We usually check a d-dimer for blood clot. Mild pulmonary embolism can cause chest pain. IF d-dimer elevated v/q scan and/or ct of chest ordered and fragmin subq or heparin iv

  4. 8-month nursing and lacking skills

    ark-two replied to frogdog's topic in General Nursing

    Glad it's not just me! I didn't have 1 preceptor I had 10. Some were great and some where horrible. I had 1 who gave me her 5 patients and sat at the nurses station and talked on the phone. When I...

  5. Cardizem

    ark-two replied to ark-two's topic in Cardiac

    I was placed in charge my first day out of orientation as a new grad. I work nights so charge pretty much means I give ER beds and call md's and help my other nurses. I was placed in charge because of...

  6. Cardizem

    ark-two posted a topic in Cardiac

    Just a question. I'm usually in charge at night. I'm also a new grad and worked our floor out of orientation since Sept. I want your opinion. I am familiar with cardizem and have bolused and...

  7. How does your tele and ER work together?

    ark-two replied to Hrtnurse14's topic in Cardiac

    We have a lot of the same problems on our floor between er and tcu. I would like to add on our floor a lot of the time it depends on the nurse who is going to take report. One of our charge nurses...

  8. Skills vs ease

    ark-two posted a topic in General Students

    Hello,

  9. Beckfield college

    ark-two replied to kurkowsa34's topic in General Nursing

    Beckfield's RN program is ran by Tim Curliss. He was our educational director for years and excellent. It is an ADN program and we actually have their students on our floor quite often. I work...

  10. Question about Marfan syndrome

    ark-two replied to APinkston's topic in Pediatric

    I've actually taken care of a father and son with Marfan's. The man' children also had Marfan's. They were all long boned and with extensive cardiac complications. They have had valve replacements...

  11. What is up with insurance?

    ark-two posted a topic in Cardiac

    I had a patient with extensive cardiac history. He came in with symptomatic brady and developed tachy-brady syndrome. The cardiologist wanted to place a ppm/icd due to active lifestyle and...

  12. Please Respond!!

    ark-two replied to NCJill's topic in General Nursing

    Wow!!! I work in the greater Cincinnati area. 2 hrs from Louisville. The hospital I work at pays $18.75/hr with a $4.00 shift diff after 7pm. You can contract for weekend only and start at $26...

  13. Potentially unstable rhythms

    ark-two replied to suzy0610's topic in Cardiac

    A HR of 55 and asymptomatic is a stable rhythm. Athletes tend to have HR slower at rest and even lower at sleep. We've had several patients who at sleep are in the 30's and 40's and are...

  14. Staffing a telemetry unit

    ark-two replied to ShayRN's topic in Cardiac

    The NIH stroke scale isn't hard, but just time consuming. We follow ACLS in ER. If the pt has began symptoms of stroke within 3 hr or less we attempt to put them on TPA. They need to have a CT that...

  15. Staffing a telemetry unit

    ark-two replied to ShayRN's topic in Cardiac

    I thought our staffing was bad. When I was first hired as a new grad. I was the only RN on the floor 23 beds and generally had 2 LPN's. I had 7 pt's and they had 8. Now there are usually 2 TCU RN's...

  16. syndrome tachycardia bradycardia

    ark-two replied to akor's topic in Cardiac

    I actually have. We had a woman who was brought up from the Er. Her diagnosis was bradycardia. She dropped to 33 and was symptomatic. We pushed atropine and she jumped to 155 and was symptomatic....

  17. I NEED HELP PLEASE! Does anyone know..

    ark-two replied to becky88's topic in NCLEX Exam, Programs

    Just remember that area in which you are going to work and your patients and co-workers don't ask your GPA or how many times you had to take the NCLEX! They are more interested in your work ethic and...