sscathlab

Can I ask a question what does MEPN stand for??

In our ICU though its only 10 beds, we do a group report. It was not what I was use to when I came here; however it works. It allows everyone working to get report. We do just about everything on computer from charting to BVM (scanning medications).

What I dont understand is why they QA'd you for being safe not just your back but your patients own safety. In Texas, there is something in with the state Not the nursing board about workplace safety and the availability of equipment to help save nurses. You need to check the state health and human services (that license the hospital); also I think CMS (center for medicare and medicaid services) have something in their requirements about having appropriate equipment available to assist with lifting. Sometimes with a small unit if one person decides they dont like you, unfortunately all of them tend to go along.

We give Lantus at night. We hardly ever give Lantus in the AM. The goal of Lantus is to level out the patients blood sugar.

We use Meditech and once our staff was trained they like it. The ER is the only one that doesnt really like. However we are getting the ER Module that is similar to the TSheets so they will like it better than what they do now. I do recommend that with what ever system you use do not bring up the nursing documentation with the EMARs at the same time. We did at the insistence of our old CNO and it was HORRIBLE. We had more medication errors because of that, so we stopped emars went back to paper and waited out until the update came. We went live with emars again and havent had that many errors. The nurses are still getting used to it since we have only been live since March. GOOD LUCK

email me at [email protected] I would have to snail mail it to you. Rachael

We have Meditech. Currently our students are allowed to do everything. They are assigned as svn1, svn2 . we switch who is who every semester. We also have 2 different schools that come so it does get a little interesting. At first the students didnt document on EMAR (we went live in March); mainly so that we could get our own staff comfortable with the EMARS without the students asking questions. At the first of the semesters, the students get a class on Meditech from charting to EMARS.

Our hospital which is in Texas too is now going to Accountabilty agreement. We have had certain issues that are falling to the wayside one of them being getting an allergy band on every pt. So my CNO came up with this Accountability agreement. all nurses have to sign it. IF something happens and they dont live up to the agreement, they will be disciplined. These agreements are for things that like I said earlier arent getting done when they are required. We are just now starting them so I will let you know what the response is from the staff and how they work out. I know one of the agreements which I had to personally sign was about staffing.

I too have the job of training all tele techs along with all new ICU nurses in EKG. I had a manual that my manager at the time wanted me to use. IT didnt do the job. So I wrote one that covers everything from basic A&P to all the rhythms including electrolyte imbalances to basic 12 lead and finally drugs used in the ICU and how they are mixed at my faculty. I cover the information in a 4 hour class. Then they are precepted. We at this time dont have an ekg competency but I am planning on doing one. IF you want I can mail you a copy of my ekg teaching information.

I,myself, am biased to TWU. But there are 2 schools in tyler which is a little over an hour from Dallas. Tyler Junior College and UTTyler

I had to develop one when we got a cath lab to do diagnostic only heart caths. basically the doctor inserts it. we apply TAO on it and cover it with a tegaderm. Occasionally we have to put a sandbag on for 30 minutes or so. I know the new angioseal VIP states that the patient can get up in 30 minutes. Our patients lie flat for 3 hours. Prior to getting up, the RN assesses the site to make sure its soft and no bleeding. If its soft the pt is able to get up ambulate in unit and then can go home after 30-45 minutes if there is no further bleeding. if I can help you any more, let me know Rachael

We dont do adenosines on COPD. He wants to give a smaller dose 0.56 mg/kg and do it over 4 minutes. I was just wanting to talk to someone that does it as a 4 minute protocol.

I am currently in "charge" of any invasive cardiac procedures at my hospital including cath lab and stress lab. One of my cardiologists wants to change his adenosine cardiolyte stress test from a 6 min procedure to 4 minute. Does anyone else do a 4 minute? IF so, could I please get a copy of your orders/protocol. I have researched this and am unable to find a 4 minute one. Thanks Rachael

At our hospital, it is the nurse's responsibility to make sure the home medication list is as complete and accurate as possible. We then give it to the doctor to mark which ones they want to continue while in the hospital. If the doctor is not immediately available, we clarify them over the phone. but IT IS NOT OUR RESPONSIBILITY TO KNOW WHICH ONES THEY WANT TO CONTINUE. We print a med rec sheet after they are admitted and when they are discharged so the doctors can review them Rachael

My first one was 9 # 8 oz and was over 21 inches. My mom said she looked like a giant in the newborn nursery next to the 4 #. She is now six and is over 53 inches tall. My second one was 11 # 23 inches long. I had gestional diabetes with the second one. Never did anything but watched what I ate and had no other problems with my sugars. My kids take after their daddy at 6'5" and great grandpa at 6"8