JustMe

JustMe

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All Content by JustMe

  1. Ekg help

    Get an ACLS book. All of rhythms are posted on an algorithm that delineates treatment. I'm sure that will be the source used for your test. Good
  2. Cardiac cath? Should I be afraid?

    Our cath lab also requires monitoring experience. Some require critical care experience. The drawback for me has always been the call-back
  3. Meg Whitman addresses the CA nursing shortage

    Every nurse should take a look at this website. Meg shows again that she has NO IDEA what's going on in California. If you listen carefully her whole campaign sounds just like Arnold's did when he...
  4. Nurses have a right to strike just like any worker but in this case I have a problem with it. I don't have a problem with Minnesota--my problem is with the California Nurses Association that is taking...
  5. Best and Worst of working CCU

    What I love about being in a cardiac unit vs a surgical unit is that my patients generally TALK BACK! That may sound funny but with so many pts being intubated/on vents having a fresh MI who is...
  6. Associate vs. Bachelors in nursing

    I didn't necessarily plan to go back for my BSN so much as the opportunity presented itself. I always wanted my bachelor's degree even before I decided to be a nurse so going back to school was always...
  7. Start or Wait?

    Take a deep breath! Maybe it's an opportunity to enjoy some time off after all that hard work. After all, Feb-May isn't all that long. Take the time to find out if, in fact, you will need to move. It...
  8. Nursing Student braving the CCU

    I tell my ADN students that they will see a lot of equipment---but there's still a patient under all that technology and that patient needs a nurse! Listen and ask pertinent questions. No question is...
  9. BSN not worth it?

    The difference between an ADN graduate and a BSN graduate is the degree. The training is virtually the same since these graduates need to pass the same NCLEX. Yes, some jobs are requiring a BSN, but...
  10. Is is within my scope of practice???

    That's a good question for the BRN. Working for a doctor in the office or clinic can be tricky--he/she may ask you to perform tasks that do NOT fall within your scope of practice. That being said, I...
  11. Anybody ever see an IABP balloon failure?

    This is as good a reason as any that EVERY pt with an IABP should be a 1:1. In our facility some pts come from the cath lab with a pump before they go to surgery the next day. They are relatively...
  12. Cardiac Monitoring/ 5 lead system

    If you're talking about a telemetry unit, the 5 lead monitoring system is used to obtain a modified 12 lead EKG using the computer that the monitor is connected to. The leads are not placed in the...
  13. Xavier College?

    Just my bias, but I teach for Delta College. We also have an LVN program that costs a lot less than Xavier charges. Yes, our program goes a little longer, but you won't be so far in debt when you...
  14. Advice to Students: say "thank you"

    Every rotation I have my students provide goodies and a thank you card, signed by each student, to the nursing staff of any area of the hospital they have visited. It makes for good relations between...
  15. Your frustration is very evident and understandable. That's why we--all nurses--need to support and respect each other. Coz no one else will. Not the patients, not their families, not the docs and not...
  16. Post MI care and expectations

    I have some experience with this phenomenon, both with my job and with a family member. Yes, many patients who survive resuscitation come out of it confused, agitated, etc. Besides the things...
  17. Non Q Wave MI

    There are 2 types of acute MI--transmural and non-transmural. A transmural MI involves the full thickness of the wall of the ventricle--shown as a STEMI on the EKG. A non-transmural MI, or non-Q wave...
  18. Is this common at your facility?

    Yes, one of our surgeons has a nurse making rounds for him too, but this nurse is an NP and I have no problem taking his orders. In fact it's nice to be able to get orders when the surgeon is always...
  19. LVN -RN Bridge or Go straight to RN

    Hi Chanel-O--It all depends on your priorities. You have a 2yr old and that's a pretty big priority. Do you have adequate daycare? Do you have someone to watch your child while you study? Getting the...
  20. NP vs PA vs MD??? Hmm, let's see. Since you are interested in money, let's look at some figures: NP: $$$ for student loans; licensed RN; independent practitioner. PA: $$ for student loans; no RN...
  21. SVT vs Atrial Flutter

    That was my initial thought. And this is why I don't like these types of test questions. SVT vs AF are rhythms that CANNOT be answered with only 1 or 2 leads especially if the rate is very high. Yes a...
  22. I use several 4X4 gauze pads to soak up any bleeding and just use my balled up fist at the site. I'm not a very big person so it takes a lot of my strength to hold pressure. If a hematoma is growing...
  23. Grammy awards given in triage!

    Award for most stupid: Came to ER with a whopping big bellyache. Um, when was your last BM? Oh, 9 days ago?! MD orders oil retention enema and HHH enemas til clear. Talk about Code Brown!
  24. Our Governator "fired" several members of the BRN recently. What the story doesn't tell you is that three of the Board members were up for reappointment and were told they would not be reappointed....
  25. Governor "fires" members of BRN

    The LA Times did an "investigative" report about the BRN that was neither investigative nor a report. It was a malicious attempt to gain readership at the expense of nurses. The Governor picked up on...