rnbedone

In our hospital an Rn that is acls certified must ride with the pt to the hospital unless the ambo has an acls certified nurse on. You have to remember to do what a prudent nurse would do.That is if you feel that they are incompetent or lack the knowledge to take care of the pt, then you should have gone or called you supervisor on the subject at hand. You are responsible if you hand over the pt. knowing that they are unable to take care of them. One word comes to mind lawsuit.

if you know for a fact that its the pt doing it on purpose. I have ran into this before , and as kindly as you can tell them if you continue to play with your monitor and thump on your chest making it look like something is going on with youthen when something really is going on noone will know and you may end up dead. This usually does the trick , unless of course if they are confused then you have a problem.Try mittens.

practice, practice,practice. Allways remember your basics. Is everything there that constitutes a normal sinus beat? A P -wave , qrs, t. Does it map out from r to r . does it have a t wave. If more than one p, how many and its configuration. qrs is it normal wide or bazzare, does the r-r map out or is it coming at different times. Is the t present. These are all things to look at no matter what lead they are in . Know that each rhthym has a change in one of those things and the heart rate. Know them well and you can figure each rhythm. I didn't need a book , but they say that dubin is good.