telehead

telehead

Adult tele, peds psych, peds crit care

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All Content by telehead

  1. 2nd Nursing Cartoon caption contest - win $100

    telehead replied to Brian's topic in Nurses Rock

    "Vacation request- Denied.

  2. Can student administer medication without RN supervision?

    telehead replied to AnneN's topic in General Students

    If you mess up administering an abx drip, it's not terrible... if you mess up a heparin drip, you very well may be looking at a large cobra waiting to bite... Edited to add that the CI is always...

  3. Assignment of Patients-- "You are too outspoken!"

    telehead replied to TallGirlAni's topic in Medical-Surgical

    Stick to your guns. I've been fighting this battle for the past year and a half. People complain when I'm charge because I spread patients throughout the four hallways we have but I don't care... I...

  4. from nights to days??

    telehead replied to RN2B07's topic in Medical-Surgical

    I disagree with this line of thinking in general and specifically the part of your msg that I placed in bold... If nursing is expected to be a professional occupation, nurses need to be treated as...

  5. Insulin drips on the floor!

    telehead replied to jackieRN03's topic in Cardiac

    We do insulin drips on our tele floor and I believe the plan is to move to the tight controls in the near future, but that's not why I called. We had a situation about a month or so ago. A particular...

  6. Head case...

    telehead posted a topic in Cardiac

    Looking for general thoughts here. I had a patient last night on Q1 hour neuro checks (I'm a tele nurse! What the hell am I doing hourly neuro checks for?! ) and I know diddly about neuro. 82 y/o...

  7. Head case...

    telehead replied to telehead's topic in Cardiac

    It was actually the intern on call and she was going to sit with the patient while we increased the dopamine above the limit we're restricted to on our floor. Fortunately, a unit bed was made...

  8. feelin flustered

    telehead replied to RN2B07's topic in Medical-Surgical

    My suggestion- take a deep breath, prioritize the priority tasks and ask for help... I've never seen every nurse on our floor busy with high priority tasks all at the same time. There is always...

  9. Head case...

    telehead replied to telehead's topic in Cardiac

    There have been a couple references to my gcs of 3. If I did it incorrectly, please, someone correct me! I'm used to heart problems, not head problems. Under "eye opening", the options were...

  10. Rapid Afib

    telehead replied to zacarias's topic in Cardiac

    this would infuriate me. i can think of numerous times i've gone to our pyxis that has meds and had to override to obtain meds based on verbal stat orders. for example- i had to get dopamine the other...

  11. Head case...

    telehead replied to telehead's topic in Cardiac

    An abg done earlier that morning was wnl. He was in no respiratory distress, unlabored, regular rate, good depth. When I did my first assessment, I asked another nurse (who had 10+ yrs experience with...

  12. Rapid Afib

    telehead replied to zacarias's topic in Cardiac

    Based on the info provided, it seems to me you did everything right... possibly could have taken the cardizem up a little quicker or higher (our tele unit limit for cardizem is 20mg/hr) but that...

  13. Hello-Spankin' new to Cardiology Nursing

    telehead replied to blackIrish's topic in Cardiac

    Welome to the wonderful world of cardiac nursing, bbuff! CHF and MI's will be enough to keep you going without the mix of fresh hearts, caths, etc... Rhythms, rhythms and more rhythms would be my...

  14. Blood Transfusions: How fast do you go?

    telehead replied to Genista's topic in Medical-Surgical

    I work tele also and I generally run blood at 75 for 15 minutes then increase per the patient's status. For the CHFers, I calculate the rate based on a 4 hour infusion. No sense playing with fire....

  15. Rapid A. Fib or PACs?

    telehead replied to harley_fan's topic in Cardiac

    Andy, you are right. As I was typing the Beta 2 (bronchioles, breathe easier), I had one of those "wait a minute, that doesn't look right" moments but blew it off without thinking and kept typing....

  16. Rapid A. Fib or PACs?

    telehead replied to harley_fan's topic in Cardiac

    I haven't seen Afib with occasional PAC's because, as I work through this and try to understand it, the rhythm doesn't exist. I'm not trying to be confrontational. This is an open discussion seeking...

  17. Rapid A. Fib or PACs?

    telehead replied to harley_fan's topic in Cardiac

    Agree with the others who state you should get an ABG. I've had pt's with sats in the low-mid 80's on the finger that registered a 96% on the ear! It would be a good idea to know exactly what the sat...

  18. Rapid A. Fib or PACs?

    telehead replied to harley_fan's topic in Cardiac

    You may choose to address these points or not address these points. No big deal. But to continue restating your points as if in a vacuum, condescension included, does not help you relate this concept...

  19. Rapid A. Fib or PACs?

    telehead replied to harley_fan's topic in Cardiac

    I'm torn between responding or allowing this dead horse to lie... But discussion is fun. :) With all due respect, I believe you have either interpreted what your cardiologist said incorrectly or...

  20. Rapid A. Fib or PACs?

    telehead replied to harley_fan's topic in Cardiac

    I still disagree with your explanation. First, the ectopic beats are not typically indications of the heart's attempt to convert- just the opposite. The ectopic beats are indicative of considerable...

  21. Rapid A. Fib or PACs?

    telehead replied to harley_fan's topic in Cardiac

    True Afib will NEVER have a true, distinctive p wave b/c the atria is FIBRILLATING, not contracting. So in Atrial Fibrillation with frequent/occasional Premature Atrial Contractions, look for distinct...

  22. Staffing a telemetry unit

    telehead replied to ShayRN's topic in Cardiac

    Hi all, This looked like a good thread for my first post. I'm in PA on a tele/med-surg overflow floor. Day shift: 4-6 pt (charge has no pt) with 2-4 aides. Evening shift 4-7 pt (charge can...