al7139

al7139 ASN, RN

Emergency

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All Content by al7139

  1. A little insight....... (long sorry)

    al7139 replied to Nurse Lulu's topic in First Year After Licensure

    Hello again, I am glad that you have the supprt you deserve after that incident. I do have to comment on a poster who stated something to the effect of "I hope we have clearer guidelines and docs...

  2. heparin and cardiac caths

    al7139 replied to RS0302's topic in General Nursing

    Hello, I hope this clarifies your question: If a cath pt has had a stent or other intervention done, it is not unusual to put them on anticoagulants post procedure because the body's natural reaction...

  3. After cardiac cath

    al7139 replied to lever5's topic in CCU, Coronary, Cardiac

    I work on a cardiac unit. If a cath patient has an intervention (stent, unblock, etc.) they stay in ICU or PCU for 24 hours. If they do not need an intervention, they come to us directly. The cath...

  4. oh ye uninformed... this is why er nurses "don't care"

    al7139 replied to Uptoherern's topic in Emergency

    And people wonder why nurses get annoyed with patients who do not have legitimate medical problems... I hate the words "drug seeking" but you'd be surprised what people will do to get their fix.

  5. Learning medications

    al7139 replied to woodland21's topic in First Year After Licensure

    For school, learn what you need to know to pass. Also realize that you will never know meds through and through. I look up meds constantly, even ones I am familiar with just to confirm what I know....

  6. Is this a normal work load?

    al7139 replied to AddyRN07's topic in First Year After Licensure

    Good for you for looking at other options. I am a new grad on a cardiac/med unit. During the day shift, the nurses have 5-6 patients. On my shift (3-11pm) we get 6 patients, and the night shift gets...

  7. A little insight....... (long sorry)

    al7139 replied to Nurse Lulu's topic in First Year After Licensure

    All I can say is Document the heck out of that situation. If you have witnesses, have them document it also. The attending or whoever cannot make the determination as to a parents right to visit her...

  8. NG Tubes... Sigh.

    al7139 replied to DudeNurseRN's topic in First Year After Licensure

    OMG! The same thing happened to me the first time I attempted an NG tube! I am glad to know I am not the only one! I thought that since I had not done it on a pt in school I didn't know what I was...

  9. EKGs.....I think I'm screwed!

    al7139 replied to nursekatie22's topic in Cardiac

    Hi there! I am a new grad on a telemetry unit. I took the classes during orientation for EKG interpretation, but still have a long way to go before I feel comfortable interpreting. The one most...

  10. I love Cardiac!!!

    al7139 replied to RNmom08's topic in Cardiac

    Hi there! Good luck. I am glad you have enjoyed your cardiac experience so much! I am a new grad (May this year), and got my first job as a nurse on a telemetry unit. I had a clinical and a...

  11. EEK! There's a MAN in my room!

    al7139 replied to abooker's topic in General Nursing

    Hi there, I read the postings on this thread and just had to put my 2 cents in! I am a new grad RN, who worked during school as a nursing assistant. While working as an NA, I worked with 2 male...

  12. Patient's Demanding Family *Vent*

    al7139 replied to Ms Kylee's topic in General Nursing

    I always refer any family or patient care issues to my team leader imediately. I know that I cannot make everyone happy all the time, but I also know that the majority of the pts and families I deal...

  13. Non compliant and frequent flyer patients

    al7139 replied to dona4jc's topic in General Nursing

    As a new RN, It's hard for me sometimes when I see the obvious drug seeking behaviors of a pt. I have been taught that pain is part of the vital signs assessment, but I have a hard time with the...

  14. Differences between tele and stepdown

    al7139 replied to rn undisclosed name's topic in General Nursing

    In my hospital, I work on a telemetry unit. The majority of our pts are chest pain, chf, htn, etc. We have a cath lab that does the cardiac caths +/- interventions. If the pt needs a STENT, they...

  15. "No New Orders Received" ..... ?

    al7139 replied to RainDreamer's topic in General Nursing

    Bottom line here is CYA. If I call a doc with an issue, and they do not give me orders I ALWAYS document the issue, the time of the call, the MD I spoke to, and that I received no orders. I also...

  16. Do you run to bed alarms?

    al7139 replied to TiggerBelly's topic in Medical Assistant, CNA/MA

    Hi, I am a nurse on a cardiac/telemetry unit, but we also get medical pts. I am a new nurse, but have worked as a NA in school. I have seen patients who have taken really bad falls in the hospital...

  17. Please help need advice

    al7139 replied to Lucky21's topic in First Year After Licensure

    OK, I am going to be brutally honest here. You said that you thought nursing would be nice because of the money, flexibility in scheduling, and only working three days/week. If these are the only...

  18. How Many People Really Love Their Nursing Job And Why?

    al7139 replied to 987!'s topic in General Nursing

    Hi, I have been a nurse since May of this year. Prior to nursing school, I worked as a Vet Tech for about 15 years. I have always from a young age been fascinated by medical stuff, and vet med...

  19. Don't wanna always give baths, clean up feces, etc., where to work?

    al7139 replied to WannaBCRNA's topic in General Nursing

    I have experienced both sides of this, both as a nurse assistant and an RN. Guess what? As an RN you still do the "nasty" jobs as well as getting to do exciting things like give meds, start IV's...

  20. New nurses being an asset to unit

    al7139 replied to snowfreeze's topic in First Year After Licensure

    Snowfreeze, You have no idea how wonderful it is to hear this from a "seasoned" nurse! I am a new grad (May of this year), and I work on a telemetry unit. I am lucky in that I had 2 clinicals on my...

  21. Staff pretending to use empty hand sanitizer in MRSA room.

    al7139 replied to FireStarterRN's topic in General Nursing

    Hi, I am a new nurse that works on a tele/med unit. We see all kinds of medical issues, including MRSA and C-Diff patients. What really irks me is seeing the MDs go into a room that has a pt on...

  22. Question about LGI bleed case

    al7139 posted a topic in Gastroenterology

    Hi, I am a nurse who works on a telly unit. We do accept medical pts if our census is low, but I do not have much experience with these cases. I had a pt last pm that was admitted for a lower GI...

  23. Need help with nursing diagnosis!

    al7139 replied to wackyj2000's topic in Nursing Student Assistance

    Acute Pain r/t inflammatory changes in tissues from infection. Impaired skin integrity r/t inflammatory process damaging skin. Ineffective health maintenance r/t lack of knowledge regarding prevention...

  24. In Nursing School, how much science?

    al7139 replied to WannaBCRNA's topic in First Year After Licensure

    Hate to burst your bubble, but for me, I really needed that science background. You need it when you are a nurse to understand why a pt is sick, what happens to the body as a result of the illness,...

  25. What area of care do most new graduate nurses get put into?

    al7139 replied to nurse2b2010's topic in General Nursing

    I should probably rephrase that statement to say that nurses are in huge demand. The nursing shortage is a very difficult situation because people are living longer, and require more care as a...