TachyBrady

TachyBrady

Telemetry

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All Content by TachyBrady

  1. no monitor tech?

    TachyBrady replied to LanaBanana's topic in Cardiac

    Just some thoughts, observations, and opinions.... In the above 2 stories, the scenario with no monitor tech survived while the patient with the monitor tech did not. CNAs and monitor tech/s seem to...

  2. Heparin in an emergency-to draw PTT or not?

    TachyBrady replied to Shell5's topic in Medical-Surgical

    I would check a Pt, Ptt, and a CBC before hanging the heparin just to cover my butt. Don't quote me but I do believe liver disease can elevate coagulation studies. There may be other conditions also...

  3. Be Careful!

    TachyBrady replied to SNKerri's topic in General Nursing

    Sounds like Marie...LPN was having a bad day. SNKerri, I remember making a huge med error when I was a new RN. I remember the other nurses gossiping about me. I remember the snickers. Not only did...

  4. Some musings about reading posts here...

    TachyBrady replied to Lurksalot's topic in General Nursing

    Your write. Me

  5. Bro-in-law had an MI

    TachyBrady replied to TachyBrady's topic in Cardiac

    Thanks Timothy. The article you posted looks good and I will read it more thoroughly tomorrow. I was not aware that clots formed due to afib could migrate to the coronaries. It's still a mystery...

  6. Bro-in-law had an MI

    TachyBrady posted a topic in Cardiac

    My BIL is 57 years old and an athelete. He has no risk factors or prior heart problems. The other night he developed chest pain, was taken to our small community hospital (which only does diagnostic...

  7. Some musings about reading posts here...

    TachyBrady replied to Lurksalot's topic in General Nursing

    I haven't read all of the previous posts but I do have an opinion. What you write reflects back on you. I don't read too far in a message or give much respect to the poster with bad grammer and...

  8. Discharging a patient AMA

    TachyBrady replied to Tweety's topic in General Nursing

    I agree with sjt. If the pt is receptive, I inform them of the dangers, risks, things they can do for themselves (as is the case of someone that signs out because he'she doesn't have medical coverage...

  9. Question On Mi

    TachyBrady replied to angelique777's topic in Cardiac

    Gotcha. I also agree.... the wording of this question is too ambiguous. Under differing circumstances, any one of the answers could be considered "most significant". I did enjoy the discussion...

  10. Question On Mi

    TachyBrady replied to angelique777's topic in Cardiac

    I think the answer is SVT. Increased HR means increased oxygen demand by the heart. Blocked coronary arteries (MI) block oxygen delivery. The combination can extend infarction. Treatment of MI...

  11. RN with relapsing cdiff

    TachyBrady replied to RNinPGH's topic in Infectious Disease

    It is my understanding that C Diff occurs naturally in all of our GI tracts. It is only when we take antibiotics that our normal balance of bacteria is upset and the C Diff proliferate, wreaking...

  12. Refusing unsafe RN:pt ratio

    TachyBrady replied to RN2B07's topic in Medical-Surgical

    We are fortunate in that our management is willing to work with the charge nurses in providing more staff when needed. But this goes both ways.... when we have extra staff or are slow, we have to be...

  13. Standing orders for chest pain

    TachyBrady replied to wellstar's topic in Cardiac

    When you say "standing orders" or "protocol", are these actual written order sets that go on the pt's chart after the fact? If our pts do not have chest pain standing orders, we do the O2, EKG, NTG...

  14. Standing orders for chest pain

    TachyBrady replied to wellstar's topic in Cardiac

    Zookeeper and Timothy, Do all of your telemetry admissions come with CCCs/Standing Orders regardless of their diagnosis? If not, what do you do for a pt admitted with CHF or new Afib that develops...

  15. Has anyone given Haldol IV?

    TachyBrady replied to lorster's topic in General Nursing

    We give Haldol IV. It is my understanding that the research supporting the drug determines the recommended route. The studies done on Haldol in order to pass FDA approval were probably only PO or...

  16. Standing orders for chest pain

    TachyBrady replied to wellstar's topic in Cardiac

    On our telemetry unit, when a pt has chest pain, we automatically apply oxygen, do an EKG, and give up to 3 NTG (as long as BP is okay). Then we call the doctor for further orders, i.e. enzymes,...

  17. Refusing unsafe RN:pt ratio

    TachyBrady replied to RN2B07's topic in Medical-Surgical

    In my opinion, it is not so much the number of pts., but the acuity. You can have 3 crappy patients (and run your butt off all night) or you can have 7 easy patients requiring very little care or...

  18. Nurse charting inaccurate vital signs...please help

    TachyBrady replied to NurseLatteDNP's topic in General Nursing

    I was always under the impresson that false documentation is a very serious offense. PCPs use vital signs to guide treatment decisions. A high or even borderline high blood pressure could warrent...

  19. Could I be held liable for not telling a doctor?

    TachyBrady replied to hhrhrn41's topic in General Nursing

    It sounds like this person has some big-time emotional problems and is using her diabetes as an attention-getting scheme. I agree that you should discuss it with your unit manager. If a person shows...

  20. Pt autonomy vs competetent nursing care

    TachyBrady replied to chef2rn's topic in General Nursing

    In this situation, building trust is secondary to medical treatment, in my opinion. In situations like these, I imagine the worst case scenario.... the pt has a bad outcome and I am sued. How will...

  21. Rapid Afib

    TachyBrady replied to zacarias's topic in Cardiac

    One would think that if they expected you to initiate the drips, they could at least allow you to stock the drug in your

  22. Rapid Afib

    TachyBrady replied to zacarias's topic in Cardiac

    Hi Zac, It sounds like you acted appropriately. In my experience, cardizem works fairly quickly and is effective in most cases. However, we just had a pt the other night from ER with an amiodorone...

  23. Rapid A. Fib or PACs?

    TachyBrady replied to harley_fan's topic in Cardiac

    I've worked in telemetry for 13 years and I agree with the previous posters who've said it is not possible to have PACs in A fib. One of the reasons is as Andy has indicated... you would have to...