harley007

harley007

rehab-med/surg-ICU-ER-cath lab

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All Content by harley007

  1. I don't want to be a nurse!!

    harley007 replied to sharebear003's topic in General Students

    These are all great answers especially that at 18 you are legally able to make your own decision. Don't have the funds to obtain your needed education in the field of your choice? Run not walk to the...

  2. Disturbing things that I heard Dr.s say in the Labor room

    harley007 replied to mamagui's topic in Certified Nurse-Midwives, CNM

    Here's my own two strange deliveries: Had signed birth plan with my OB for my first delivery of identical twin girls! Everything goes great = leave me the hell alone or there's a life-threatening...

  3. Decrease in volume of Cath Lab cases?

    harley007 posted a topic in Cardiac

    Is anyone else experiencing a decrease in the number of cases per day in your Cath Lab? I work in what has always been a super busy interventional lab. With the insurance changes in beginning of this...

  4. Decrease in volume of Cath Lab cases?

    harley007 replied to harley007's topic in Cardiac

    I am sincerely sorry to have given such a simple & incomplete explanation of the Medicare reimbursement that severely impacted numerous large hospitals in many states. As I've mentioned, the...

  5. Decrease in volume of Cath Lab cases?

    harley007 replied to harley007's topic in Cardiac

    Please let me explain, I am not discussing cuts under the new National Health Care. This is Medicare's autocratic rating system that has penalized many large state hospitals as much as 35 million...

  6. Decrease in volume of Cath Lab cases?

    harley007 replied to harley007's topic in Cardiac

    Firstly as far as reimbursement etc., each state is different. Medicare cuts to hospitals in some areas have been huge. Now even some of our very complex angioplasty patients are being discharged as...

  7. Any cath lab RNs required to take the RCIS?

    harley007 replied to inthelab's topic in Cardiac

    I think it might depend on your lab and what your MD's prefer. We frequently do FFR/IVUS in our lab and all four labs have installed bedside equipment. The Pyxis has pre-mixed Adenosine infusion...

  8. Any cath lab RNs required to take the RCIS?

    harley007 replied to inthelab's topic in Cardiac

    I was educated as a RN 38 years ago and I completed an AS/Diploma program. I didn't take the NCLEX as a nurse educated that long ago took a 5 part - 2 day long state board of examination to qualify...

  9. Did you ever have needle phobia?

    harley007 replied to CNL2B's topic in General Nursing

    I bit my MD's office RN when I was 3 y/o because needles freaked me out so badly! This was also back in the days of house calls & I would talk the poor busy GP MD's ear off just to delay my shot....

  10. Groin Prep for Cardiac Cath

    harley007 replied to sguthland's topic in Emergency

    I am a Cath. Lab RN and maybe I am confused in reading some replies but, my hospitals "door to opened artery" goal time is under 90 minutes. (I believe that is the national standard - naturally if...

  11. Cath Lab nurses!! Intro plz!

    harley007 replied to Marchantia's topic in Cardiac

    Best advice? Just hang in there until you are comfortable. You work tele so I am sure you are all set with recognizing what a dangerous EKG tracing is and I assume an S-T elevation. Review you...

  12. Drug Screen

    harley007 replied to bettysue62's topic in General Nursing

    In reply to the above post - As I said I just had this test. At my last position the screen was done during a physical and there was an area for you to write down your current meds. For this new...

  13. New grad in Cardiac Cath Lab Recovery???

    harley007 replied to MissBrittanyRN's topic in Cardiac

    Congratulations on the position! It sounds like you picked the perfect situation to allow you to get a really broad based set of experiences. You seem to be very motivated and I am sure you will...

  14. Cath Lab nurses!! Intro plz!

    harley007 replied to Marchantia's topic in Cardiac

    It is so nice to find a CCL thread as I totally love working in my lab. especially the opportunity to give 100% of my attention and care to just one patient. Sure I will admit I love to have my...

  15. Drug Screen

    harley007 replied to bettysue62's topic in General Nursing

    I just a a screen for a new position two weeks ago and the tech told me they were basically looking for illegal drugs. They did not want a list of any meds. and if anything turned up positive as long...

  16. New grad in Cardiac Cath Lab Recovery???

    harley007 replied to MissBrittanyRN's topic in Cardiac

    I hope all is well with your career search by now. But as a CCL RN with 4 years in the lab and 34 total in nursing I hope you work in the recovery area or even better in another general area position...

  17. How do I ignore the higH tension level at work?

    harley007 posted a topic in CCU, Coronary, Cardiac

    This is my first post and I am sorry it so long. I love my job in the cath. lab.:heartbeat But I am having two issues I need advise on. First I am the person with the least experience - 2+1/2 years...

  18. How do I ignore the higH tension level at work?

    harley007 replied to harley007's topic in CCU, Coronary, Cardiac

    It has been a long rough road with this situation. Because I myself would not treat another person like they do me, initially I didn't respond. Also to work in my department it takes a while to...

  19. Scrub sizes in Recovery Room

    harley007 replied to janedf's topic in Scrubs, Uniforms, Gear

    My dept. orders scrubs up to 5X as that is what our staff needs to function. Is there anybody you can ask ... friend that works in that area ... nice person that delivers clean laundry? Good Luck...

  20. How do I ignore the higH tension level at work?

    harley007 replied to harley007's topic in CCU, Coronary, Cardiac

    Thank you for your support. I am trying to ignore the negative comments but it is difficult. I just keep telling myself that my boss says I am doing well and the patients love me. I am not letting...

  21. Back Pain

    harley007 replied to megananne7's topic in General Nursing

    I consider my physical therapist my body mechanic. Just like my car if I do not go for regular treatment my body does not "run" as well. Going for a treatment on a consistent basis has made my...

  22. stress level in my department is getting to me

    harley007 posted a topic in General Nursing

    This is my first post and I am sorry it so long. I love my job in the cath. lab. But I am having two issues I need advise on. First I am the person with the least experience - 2+1/2 years in the lab...

  23. Pt with mi

    harley007 replied to rn undisclosed name's topic in General Nursing

    Why wouldn't a patient go to the cath. lab in the middle of the night? Every time I am on full weekend call the chances are we will come in at least once in the middle of the night. On average we...

  24. Pt with mi

    harley007 replied to rn undisclosed name's topic in General Nursing

    As they say in Monopoly - Go straight to the cath lab ... do not pass go ... do not collect $200.00 ... Our ER door to first balloon inflation goal time is under 52 minutes. Your Community Chest...

  25. I must be an idiot

    harley007 replied to sharann's topic in PACU

    It makes me crazy when staff questions giving sedation for a cardiac cath if the patient has a current/past drug problem or chronic pain. These patients usually need the medication adjusted up to...