al7139

al7139 ASN, RN

Emergency

Member

  • Content

    618

  • Visitors

    10,072

  • Followers

    0

  • Likes

    9

All Content by al7139

  1. Nurse refuses to give or recieve shift report

    al7139 replied to dkweaver's topic in General Nursing

    I agree! We have computerized records, so our report is spent in part looking at the previous shifts charting and partly verbal. If I have questions about what I looked up on the computer I write...

  2. Funny Nursing Dreams

    al7139 replied to abbaking's topic in Nursing Humor

    I had a dream once where I heard an IV pump beeping but could not find it. I walked up and down the hall for eternity looking for the pump, only to realize it was my alarm clock, and it was time to...

  3. You know your shift is going to be INSANELY busy when...

    al7139 replied to abbaking's topic in Nursing Humor

    You actually volunteer to work an extra shift because they are short on nurses (every extra shift I have ever worked has been crazy). You are halfway through your shift and realize you forgot you had...

  4. End Stage Kidney Disease and Calcium Level

    al7139 replied to HappyMeNow's topic in Nursing Student Assistance

    Lets see if we can make this simple: In renal disease the kidneys cannot produce the activated form of vitamin D (Calcitriol), which leads to reduced use of calcium, thus hypocalcemia. This is because...

  5. Did everyone love telemetry???

    al7139 replied to ashemson's topic in Cardiac

    Hi there, I will say this: I was new fresh out of school and got my job on a tele unit...Keep in mind that I hated cardio in school lectures, but ended up doing one clinical and my preceptorship on...

  6. Am I missing something here?

    al7139 replied to Guest219794's topic in Cardiac

    I don't know if this will help, but I am on a tele unit and we use the 5 lead monitors. We place them like this: V lead in the mid sternal chest White on right chest wall over green abdominal lead,...

  7. Heart block help

    al7139 replied to suni's topic in Nursing Student Assistance

    Hi Here is how I remember: Second degree HB (Wenckebach or Mobitz I) The PRI lengthens (Longer, longer, then it blocks, now you have a Wenckebach) until one QRS is dropped (you have a P wave without a...

  8. Your Favorite one liner used with patients

    al7139 replied to scaredofshots's topic in Nursing Humor

    After inserting an IV in an anxious patient: Alright! I got it! Not bad for my first

  9. What is WRONG with this??

    al7139 replied to sasha2lady's topic in LPN, LVN Corner

    OMG, I am totally the same way. When I am at work the patients/family gets my all, but when I'm at home, my reply is "Call your Doctor, I'm just a nurse." I even say this to my husband when he is...

  10. You Know You Really Have To Pee When......

    al7139 replied to Nursing Assistant's topic in Nursing Humor

    You think all shifts should start with a Foley/leg bag insertion. You have had the worlds worst urinary tract infection six times in a year. You wear incontinence briefs to work (just in case), and...

  11. How often do you draw Troponins at your hospital?

    al7139 replied to RNcDreams's topic in Cardiac

    Hi, I am a tele nurse. When we get chest pain patients it's usually 3 sets of enzymes drawn every 6 or 8 hours apart. If 2 are negative, they get stressed the next day. Sometimes, they are what I call...

  12. really struggling with my decision...chewed out by another rn!

    al7139 replied to erin01's topic in General Nursing

    Hi, Don't let this nurse get to you. Yes you work on a tele unit (so do I), but we get all different kinds of patients, and not all of them require tele or enzymes. Virgo is right, some nurses see...

  13. Possibly moving to Hampton, VA

    al7139 replied to oreo84's topic in Virginia Nursing

    Hate to say it, but the replies you have gotten about opportunities are true. When I graduated, they couldn't get new grads in the door fast enough ( I had my job before I graduated), now most...

  14. Changing careers to Nursing?

    al7139 replied to LetsTeach09's topic in General Nursing

    Hi, Don't let the horror stories scare you. IF you decide to become a nurse you will, at times have run ins with MD's. When I was a newbie, it bothered me, but in truth I was just as much to blame....

  15. atrial fibrillation question..

    al7139 replied to Acosmo27's topic in Emergency

    Hi, I am a tele nurse, and I can tell you that I see lots of pts who flip flop between A-Fib and SR. This happens especially if they have chronic underlying conditions such as CHF. Also consider if...

  16. Too many mentally ill patients admitted?

    al7139 replied to ed.hall's topic in Emergency

    Hi, I agree with you. As a cardiac nurse, I primarily treat patients with heart related conditions. BUT I also get the suicide attempts, ETOH withdrawals, and general psych patients which range from...

  17. frustrating doctor

    al7139 replied to Fairemaid's topic in General Nursing

    HI, sounds like 4 issues here: 1. The family is assuming there is pain with the procedure and asks that you give tylenol prn. Fine, but if it is not needed, don't give it just to humor the patient....

  18. Murphy's Laws of Nursing | Life of a Nurse

    al7139 replied to Roy Fokker's topic in Nursing Humor

    Heres some: All falls happen at change of shift. The patient who is a hard stick will have tons of labs ordered and family watching your every move (I don't know about you all, but I hate having an...

  19. How long post cath is there risk for bleeding at the site?

    al7139 replied to Courtney Nurse Writer's topic in Cardiac

    Hi, I am a cardiac nurse on a tele unit. We get tons of post cath patients. We instruct patients to not lift anything over 25lbs for 1 week post cath, but other than that it is usually 24 hour...

  20. A&P at TCC

    al7139 replied to twosugars's topic in Virginia Nursing

    Which professor do you have at the Norfolk campus? I took my A&P's there and can give you lots of help...

  21. PT vs. PTT

    al7139 replied to EquuszARNP's topic in Online Distance Learning

    Hi, I hope I can help: PT is used to evaluate the extrinsic coagulation system. That is to screen for deficiency of factors I, II, V, VII, and X. It monitors oral anticoagulant therapy (Coumadin). It...

  22. NICU to Tele????

    al7139 replied to Curlygurl's topic in Cardiac

    Hi, I have no experience with NICU, but I can tell you that any telemetry unit is filled with it's own challenges. I went to tele fresh out of school two years ago and love it. I can tell you that my...

  23. Need help with med question

    al7139 replied to Nancy06's topic in Nursing Student Assistance

    Hi, I hope I can help. A1 adrenergics are vasodilators and decrease peripheral vascular resistance, which results in what is sometimes called first dose phenomenon. Patients will experience...

  24. Same post, different Specialty

    al7139 replied to Chloe'sinNYNow's topic in Cardiac

    Hi, I work on a Tele/med unit, and we get post cath patients with or without percutaneous interventions (i.e. stenting). First, there are lots of different closure devices for the insertion site,...

  25. how my life changed, thanks to u nurses.....

    al7139 replied to ErinDel's topic in Cardiac

    Hooray! Another convert! I think you will love being a cardiac nurse, I know I do! I graduated in 2007 and have been on a telemetry unit since then. I recommend doing tele right out of school,...