Nursonegreat

The comments are all excellent. i will be bringing this up when the main nurse gets back form her vacation. this particualr pt had hx of stents and used nitro in past. after reading comments, agree that nitro might not be the complete answer...but if we can come up with a P&P and training we can always handle situations that arise anytime. like i said, i have never worked in an MD office, just PACUs so these were issues i had to deal with as we are already prepared there for these kind of emergencies......thanks to everyone for their comments and input, please keep it coming! Ignorance is not bliss.

awesome input, thanks Trauma. these are things i have never had to think about as i work at the surgery center, where we have all of that equipment (obviously). my concerns are new and it is unknown territory as i have never worked in a docs "office" til just recently. so my inquiries are very fresh and dont know what SHOULD be there, just think something is missing. BTW we do have an aed in doc area and thankfully FD is right around the corner...... thank you all so much!

Thanks so far for all the comments, keep bringing them! Thanks Eric for food for thought. There is always a bunch of ortho docs in the building while on hrs are going....then after 4pm there is a clinic for emergent, non open breaks (ortho) so there is always a PA at least on premise. i think it would be great to have at least a box where a central cuff and stetho is readily available.... I defintely smell a new P&P to be created so we can get some basic guidelines...seems like these things are really thought of until an emergency occurs. Please keep the comments coming! i appreciate it!

Situation today: Pt was in to see doc on a f/u. before seen he c/o chest pains. i was called over. This is an ortho docs office with a surgery center and PT/OT dept attached. i do triage calls at this office ("campus" its called) i am new on the doc side (i work surgery center too). took a few min trying to find a BP cuff and stethoscope. got his vitals and assessed, called 911. asked hey, can we get some nitro from the surgery center? someone went to get it. after its all said and done...am thinking we should have an emergency kit on the docs side (for times when the surgery center is done for the day and if a pt has CP again--noone there to get the nitro...)...my question is this: anyone work in a docs office? do you guys have a kit? is there nitro and asa and o2 available?? or just call 911. this is not like a reg docs office (like a PMD or family doc) where they do BPs on everyone. we did find a cuff and stetho, but would it not be a good idea to have everything together in one place, easily accessible and everyone knows where it is?? please give me some input and if there is such a thing...what do you ahve in your kit?? thanks everyone!!

Yes, agree that all the reasons we become nurses are those reasons exactly...but must i be the one to mention the fact that sometimes its nice to know that once a certain pt is discharged (difficult personality, demanding, pick an issue), we really dont have to deal with that pt ever again (come on you have had that one pt before)...but the docs must keep these pts on for the most part.

this was before ambien CR, but i did use ambien and worked nights...i would take it after my 1st 12h shift to get on track, then on the 2nd shift i would be so dead tired didnt need it. i did this for about 3 yrs without a prob. ALWAYS take on an empty stomach then have a little something to eat and sleep. never a hangover, always a good night sleep. stopped nights about 5 yrs ago but occasionally will take when i know i have to sleep and i am wound up. 4 tabs a month would be a lot for me. never felt dependant, but i feel i used responsibly. i tried benadryl...would get about 3 hrs sleep then be buzzed up and groggy feeling and couldnt sleep. tried melatonin and rarely worked...i needed something i could depend on. i love ambien!!

i did compressions for a few min and i was 6 mos preg. i have a healthy, rambuncious 3.5 yr old!!! GL

I was at the game and it is indeed sad. there is all this news and swarming of prayers and well wishers stopping by the hospital....gee i hope that the people are saying prayers and well wishes for all of the other hundreds of people that are in the same hospital and not getting the same coverage or support.

Is there anything concrete that says we should take a BP on left or right and why? i thought it was most accurate to do the left, but i have been searching for a site that tells where and why if there is such a thing....anyone? Thanks

working in the PACU i had a few pts who had SVT, and i was told to have the pt bear down while in bed as tho they were making a BM, it did slow the HR for a few secs but went right back up, so never officially broke it.

anywhere i worked if u left the buiding fine, u just had to clock out. someone was watching your patients and if something did happen, during the period u were on break and not on the clock could not come back to get u, and that clock in and out is your only proof u werent really there.

Did anyone see how he had to go to a childrens cancer floor cause there were no surgical beds available. common thing i know...and not an excuse by any means....but these nurses take care of cancer pts and prob dont see a high percent of surgical pts. if u dont use it u lose it. altho it seems like the things that went wrong should have sent off all kinds of internal alarms...i dont know....but it makes me so sad for the family left having to miss the prro kid for the rest of their lives.

I was taking nursing pre-req's and got a C in A&P and thought id never make a good nurse with a C, so went into business. was working for nuns in a nursing home type setting....was in my next to last semester of business and this poor nun was diarhea all over the bathroom. so we were talking and i was on my knees cleaning and wiping her bottom (she was on a rolling commode chair--LOVE those) and carrying on a conversation and thought all of a sudden...this doesnt even bother me! from that point i knew i should be a nurse. altho i dont work in that type of situation at all i consider that the "calling" i finished my business degree, then went and got my nursing degree...RN for 8 yrs now and cant imagine not being one. PS i got into the nursing field originally cause my dad says they always have a job and make good money, but mom said u better do something in nursing before u make that big of a decision. so thats when i went to the nunnery....i had no clue what nursing was all about, truely!!

Hey, when i worked at the hospital, it was unionized and there was a clause that stated u couldnt be LC'd more than 6 or 8 shifts a year (i dont remember which). so if i were u and u had a union i would make sure it gets written in next contract!!

I had this test done many yrs ago (maybe 8?) i think cause i had gained weight and family hx of DM and it was absolutely the worst thing ive gone thru. it tasted so bad, i almost couldnt finish it and to this day i cannot drink orange soda....so when i got pregnant i told my doc flat out i would not do it, i knew there had to be a better way. luckily (i suppose) my mom tests her glucose level for type 2 and so i borrowed her machine and tested every day, 3 times a day for like a month i think. it was so worth it not to have that 1 three hr test. there is absolutely no way i will ever do that again, never ever. just thinking of the orange drink right now is makin me a little queazy!