Psqrd

Psqrd

Cardiac/ED

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All Content by Psqrd

  1. How much morphine is too much??

    I am an ED nurse as well and see only a couple of issues, yes that is a high dose of morphine but the flip side is that if you go over it is easily rectified with narcan..however your patient being alert, oriented and ambulatory tells me that he has ...
  2. Are you insulted????

    I have to smile at your post as I recently was grilled by a patients' family member about why I didn't want to be a physician and appeared bewildered when I explained that I loved being a nurse! P2
  3. What to do when.....?

    Darknights, I admire nurses like yourself that everyday despite poor conditions continue to do the best they can every day for their patients. To second guess what you could have done different in this situation is very tough indeed, as you were only...
  4. Question about post CVA and blood pressure

    I would remind the family member that the injury is of the brain not the arm itself. I have seen some edema in the affected arm but this is usually after a long time following the stroke. Not all strokes are the same...with my grandmother she feels...
  5. Arterial Sticks...for Routine Labs

    I was a phlebotomist before I was an RN...I have one word for this practice..LAZY! As I know that most of these sticks are brachial or femoral..if they clot off or damage the artery do they have a plan for re-vascularizing the limb...if this was my c...
  6. Question about post CVA and blood pressure

    I have taken care of several individuals with stroke symptoms and I can see no reason why you can't draw blood or start IV's on the weak side. In fact, a good argument could be made that starting the IV on the weak side would be the better choice as...
  7. Med question?

    Anytime a medication is held, document observations and notify physician. Not notifying the physician of a held medication can get you in trouble. P2
  8. Well I would certainly list the job or you will have trouble explaining the gap in employment and as most employers are doing credit checks it would most certainly pop up there. As far as how to talk about the job I would just say that you left seeki...
  9. Moving to ED

    I too will be starting in the ED here in Sacramento in January and similar to you have 1 and half years of experience on a cardiac unit. I don't have any advice but wanted to let you know that you are not alone in starting this ED adventure and wan...
  10. (VENT!!!)Tonight I wonder..Why did i choose nursing?

    I had a patient that wanted to go AMA, I pushed the elevator button for him and asked him while he was waiting if he would sign this little form I had entitled "AMA". When the elevator came I said see ya later.. and we was back before I came back on...
  11. Are there any hospitals hiring new Grads

    It's not good enough just to have the license as the competition is heating up for the few new grad jobs that become available. My manager speaks with the clinical instructors and asks who is the best and that is who she is recruiting. The other iss...
  12. How long should I work before taking ACLS?

    I took ACLS as a fourth semester student about 2 months before graduation and because of it ended up on a Cardiovascular intervention floor. You are correct that it gives you a bit more confidence and increases your marketability if you ever want to...
  13. Daily assignments -- how are they made?

    I am sure I am not the originator of the term "Jenny Craig" assignment of one patient at one end and another patient at the opposit end of the unit but I love the term.
  14. Daily assignments -- how are they made?

    On my unit we do the assignments for our shift. I having worked with the nurses on a regular basis take into account whether the nurse had a bad assignment the night before as to not give them heavy patients again..I also consider isolation as I try...
  15. tattoos and Nursing

    I have heard that cover up makeup works really well...use that for the interview then when you are hired..it's to late. I work with nurses that have tattoos that show piercings too...no problem that I have seen. Just my 2 cents. P2
  16. Advice about ADN

    As far as nurses with BSN getting preference over ADN, I have not seen that. In fact in my unit ADNs outnumber by far the BSNs. I used to hear that the BSN would be the person to get the charge nurse role but I haven't seen that either. I have bee...
  17. regarding pay rate in sacramento, ca for nurses

    Your question is a tough one to answer as it would depend upon specialty and length of experience. I however can give you a range that one could possibly expect....A new grad in a acute care hospital can expect around 38-40 dollars per hour. I have ...
  18. Things to do on night shift

    Pretty much like Lovingnurse said but in addition..with the H and P I try and learn just a bit more about the patients history and pass it on to dayshift as they never have the time to that kind of reading. P2
  19. New Grad??

    when they put me in charge nurse. P2
  20. Threatened by Patient Family

    I was once involved in an altercation with a fellow employee that hurled something at me and almost hit me...an assault...I did not call the police but rather let the managment take the reigns...he continued to work there. They thanked me for allowi...
  21. Army Medic to Nurse? Anyone have experience?

    Well, I actually do understand as I was a Super B as an E4 and thus had more training than most of the NCO's that I worked for. I was often put in charge of the "my" ED at Fort McClellan Alabama as I had more training and experience then the NCO's t...
  22. Army Medic to Nurse? Anyone have experience?

    Help with what? as in what is your question or are you asking about LVN training? It sounds like you need to be an RN and will be bored to death with anything less. P2
  23. Fellow Nursing DUDES

    I work on a cardiac floor but have dreams of working in the ED one day. What I suggest is for new grads to make sure that you get your 1 year of experience in Medical surgical floor. This experience will prepare you for whatever specialty that you ...
  24. any advice to male late 30's on entering nursing field?

    I am not sure that I have info that can help you decide but I did enter nursing at the age of 40 but I already had been working in health care for over 20 years. I did not work through nursing school as I knew the challenge of balancing nursing scho...
  25. Resume question

    I would not list the license but if you list the work experience from former jobs that you worked as an LPN I think it would be apparent that you were an LPN. I was a Certified Phlebotomist here in CA, it expired a couple of months before I took my...