al7139

al7139 ASN, RN

Emergency

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All Content by al7139

  1. Not out of Orientation yet and...

    al7139 replied to a.w.n.'s topic in First Year After Licensure

    Hi, Do you have a hospital or unit educator who plans your orientation, or is your orientation planned by your unit? I am a new grad, and just finished my orientation. At our hospital if you are an...

  2. Precepting?

    al7139 replied to gdelrosa's topic in General Nursing

    Hi, I am a new grad nurse. I work on a telly/med floor. At our hospital, the preceptorship starts with two weeks in classes learning the computer system, pyxyis, ECG interpretation, point of care...

  3. Learn From My Mistake - Dilaudid

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

    Hi, I just wanted to say thanks for posting this. I am a new grad with three months of experience on a cardiac/med unit. We frequently see pts with pain management issues, that MD's order tons of...

  4. Urinary Elimination Questions

    al7139 replied to SA2BDOCTOR's topic in General Students

    To the second part of your question: Why is it important in post operative and ill pts? In sick patients, low urinary output can be a sign of renal insufficiency, and can also be an indicator of...

  5. CHF & low BP (hold BP meds?)

    al7139 replied to RNinRubySlippers's topic in Cardiac

    Hi, On my unit, most docs give parameters for specific meds such as Coreg or NTG, or Lasix. Usually it is to hold if SBP is less than 90 or apical pulse is less than 60. I have had instances where I...

  6. atrial fibrillation versus atrial flutter in comparison

    al7139 replied to RVMI73's topic in Cardiac

    To the folks discussing rate of A-Flutter: I was taught that the ATRIAL Rate is high (200-400). Is this what you mean when you say rate? I was also taught that the ventricular rate is usually 1/2 to...

  7. Question for Psych RN's about pt on cardiac unit

    al7139 posted a topic in Psychiatric

    Hi there! I am a nurse on a cardiac unit. Although most pts we see are "normal" or at least taking meds for their psych issues, we occasionally get some really tough pts to work with. We have a man...

  8. Question for Psych RN's about pt on cardiac unit

    al7139 replied to al7139's topic in Psychiatric

    Thanks for your replies, This is such a hard situation for me, as I am a new nurse, with little experience. Here in Virginia, the psych hospitals can reject admitting this man on the grounds that he...

  9. pancreatitis and demerol

    al7139 replied to ORNurseAngie's topic in Medical-Surgical

    My unit is primarily a cardiac unit, but we do get medical patients as well. I have had two pts with acute pancreatitis since I have been ther and they both had Demerol ordered q3hrs prn. They also...

  10. How Does Your Facility Identify Code Status?

    al7139 replied to al7139's topic in Patient Safety Issues

    Thanks for your replies. I will run them by my unit mgr.

  11. What would you do in this case?

    al7139 posted a topic in Cardiac

    Hi all, New to nursing and to cardiac care. I have just started my fourth week at work. I had a patient tonight who was very frustrating for me. This is an older retired radiologist, who was...

  12. Like Water Off a Duck's Back.........

    al7139 replied to VivaLasViejas's topic in General Nursing

    Thanks for the post! As a new grad I sometimes wonder how much is too much! We have MDs at my hospital who are famous for not returning pages, calls, faxes etc, and then get mad at you when they...

  13. New Grad starting in Tele

    al7139 replied to daisymurphydog's topic in General Nursing

    Don't sweat it! If your hospital is like mine, an ECG interpretation course will be a required part of your orientation. In school I had about 2 hours of telemetry, and we were not required to really...

  14. Nurses with tattoos...

    al7139 replied to vaileheart's topic in Nursing Career

    Hi I am an RN, and have 5 tattoos. All of my tattoos are well covered by my scrubs. I do work with several staff (RNs and others) who have visible tattoos. I have not really seen that there is any...

  15. 1st semester clinical rotation

    al7139 replied to amdale's topic in Nursing Student Assistance

    When I was in school, my essential items were: A clipboard Calculator Stethoscope Hemostats Scissors Several black ink pens Sharpies in multiple colors A red ink pen A highlighter Post it notes Note...

  16. spinal injury

    al7139 replied to paisa's topic in Nursing Student Assistance

    OK, Here is my reply to this question: While checking LOC and B/P are important, I would choose check their bladder. There is a condition in Spinal pts called "Autonomic Dysreflexia" This is...

  17. Are most nursing students cruel?

    al7139 replied to treeguy's topic in Pre-Nursing Students

    When I went through school, our class was about 86 people. In that large of a group, there are bound to be some "bad apples." I found that the people who went into nursing for the money did not last...

  18. Love your job?

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

    I am a new grad on a telemetry unit. I never in a million years thought I would enjoy cardiac nursing, since I hated the subject in school. That changed my last semester in school, when I did two...

  19. Feeling incompetent

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

    I feel the exact same way sometimes. I graduated in May, and work on a very busy cardiac/med unit. I really sometimes feel like I don't know anything! I have found that I still refer back to my...

  20. atrial fibrillation versus atrial flutter in comparison

    al7139 replied to RVMI73's topic in Cardiac

    It's hard to describe without pictures, but here goes: A-Fib is ALWAYS an irregular rhythm, sometimes decribed as "Irregularly irregular". Controlled A-Fib is a rate of 100 or less. Uncontrolled...

  21. New grad on telemetry unit

    al7139 replied to JennyMac's topic in Cardiac

    I am also a new RN on a tele unit. I really do love it. It is extremely challenging, but this experience will prepare you for almost any unit. Most hospitals offer a ECG interpretation course as...

  22. Had My First Night Off Orientation Tonight...Need a Little Support Please!

    al7139 posted a topic in Cardiac

    Hi Everyone! Tonight was my first night "on my own". I was very anxious as I went to work tonight, and my shift did not start out well. I got to work and got my assignment (same pts as the last two...

  23. Had My First Night Off Orientation Tonight...Need a Little Support Please!

    al7139 replied to al7139's topic in Cardiac

    Thank you all so much for your replies, I feel much better. Th pt was ok, and went home with no problem. I have been off orientation for a few days now, and it's still overwhelming, but I find that...

  24. Funny things you have said but wish you didn't

    al7139 replied to FranEMTnurse's topic in Nursing Humor

    Here is a funny one... I was taking my dinner break on shift. Since my cell phone does not work in the hospital, I went outside to a smoking area near my unit. It is used by pts and staff who smoke....

  25. Body slam to nurses all ! ! !

    al7139 replied to CaLLaCoDe's topic in General Nursing

    Your link is from Great Britain. I feel that the majority of the time, the MD's in the USA treat nurses with respect for their education (at least that is the case where I work...with a few...