al7139

al7139 ASN, RN

Emergency

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All Content by al7139

  1. One year in, yet still making errors -- stupid ones!

    al7139 replied to SoundofMusic's topic in General Nursing

    Hi, I have been a nurse for 2 years now on a telemetry unit. I can tell you from my experience that I am only human and still make mistakes. There is no such thing as a nurse who doesn't make a...

  2. A Patient Made Me Cry Today

    al7139 replied to flightnurse2b's topic in Patient, Colleague Relations

    Thank you for sharing your experience with this man. I work on a unit where we see lots of nursing home patients and patients that have private help, and I have seen some terrible things in my 2...

  3. Critical Thinking question for practicing nurses

    al7139 replied to Bjm1982's topic in Nursing Student Assistance

    I have used narrative, and exception. As daytonite said, exception is way faster, but you do have to be careful to be detailed in your abnormal charting. I found that it's easier to write things...

  4. Anybody that is in the tcc nursing program

    al7139 replied to BOOKWORM09's topic in Virginia Nursing

    Meriwhen is right, The math diagnostic test is not fun, I didn't pass it, and I'm really good at math, but it's lots of word problems, and other strangely worded questions that were basic math, but...

  5. The current economy and your job

    al7139 replied to diamondqueen's topic in NICU, Neonatal

    Hi, I am in a hospital which is looking to save costs "due to the economy" while expanding with a construction project lasting until 2012. Yesterday we were handed new cards for access in the...

  6. How do you deal with annoying classmates?

    al7139 replied to scrublifenurse10's topic in General Students

    Hi, As lots of posters have said, you just ignore it. If your teachers are good like mine were, they will set these people straight.

  7. Wages for GN/RN Norfolk Area

    al7139 replied to D2588's topic in Virginia Nursing

    Hi, I graduated in May 07 and started at base of $19.60/hr, BUT I work the 3-11pm shift, which gives me an $8.00/hr shift diff. It works out for me because I don;t have kids and can work whatever...

  8. Starting in Tele...!!

    al7139 replied to Crux1024's topic in Cardiac

    To snowflake07: On my tele unit we typically are 5-6 patients on my shift (evenings 3-11pm) and days, and the night shift is usually a 7 patient assignment.

  9. Advice about scheduling NCLEX

    al7139 replied to EDis4me's topic in Nursing Student Assistance

    Heres my advice: First: are you a morning person or a night owl? I am not at my best first thing in the morning, so I scheduled my test in the early afternoon. second: Schedule as close to home as...

  10. Starting in Tele...!!

    al7139 replied to Crux1024's topic in Cardiac

    I told you I could go on and on!!! If your tele alarm goes off, go check on the patient. You may have just come from the room, and most likely they are alright, but you never know, and it really does...

  11. Starting in Tele...!!

    al7139 replied to Crux1024's topic in Cardiac

    Hi again, One other thing I thought about is to get ACLS certified ASAP even if it is not required. Invaluable if your patient codes. BLS is fine, but ACLS gives you so much more knowledge.

  12. Starting in Tele...!!

    al7139 replied to Crux1024's topic in Cardiac

    Hi! Congrats on your new job. I have worked in Tele since I graduated in 2007, and I LOVE it. It is stressful, but always a challenge, and I am never bored. As a new grad it is really scary to be...

  13. Forgetting things as a new nurse

    al7139 replied to CCURN87's topic in General Nursing

    If you are like me, you are human and therefore, you are not perfect. As a new grad I was so paranoid of doing something wrong, or forgetting to chart something or having to leave something for the...

  14. Really Bad Code...

    al7139 replied to al7139's topic in Cardiac

    Thanks again all of you who replied. I feel much better knowing it has happened that way for others. It was horrible and sad. I have not heard anything else about the lack of telemetry, etc., but...

  15. Virginia nurse roll call

    al7139 replied to starletRN's topic in Virginia Nursing

    Hi, I'm in Hampton Roads area. Graduated 2 years ago. On a cardiac/telemetry/medicine unit. Love it and hate it, but have had the same job since graduating. For all you new nurses, it gets better. But...

  16. IV access ports

    al7139 replied to courtenia's topic in Nursing Student Assistance

    Hi, You are right on both counts. First, you should always swab with alcohol any port prior to connecting a syringe, tube, etc. to prevent infection. I disagree with the poster that says it's just to...

  17. Really Bad Code...

    al7139 replied to al7139's topic in Cardiac

    HI, Thanks for your replies. It makes me feel better to hear you all saying that it happens like that sometimes. I had participated in other codes, and have broken ribs, but never have I seen/felt...

  18. EPIC Computer Program

    al7139 replied to al7139's topic in Nursing Informatics

    Hi again! I posted this thread originally last year prior to our hospitals "Go Live" date. I have to say that the hospital and the IT people have been really great. We even have a committee of...

  19. New nurse question about cardiac cath dressings

    al7139 replied to telecraz's topic in Cardiac

    Hi, I work on a Telemetry unit in VA. We get cath patients with lots of different closure devices. In report, the cath lab RN's always tell us what the result of the cath was, what closure was used,...

  20. Walking Pneumonia

    al7139 replied to richardw91's topic in First Year After Licensure

    Hi, Hope this helps. Walking Pneumonia is also known as Atypical Pneumonia or Mycoplasma Pneumonia. It is caused by M. pneumoniae, an organism with no cell wall, making it resistant to cell wall...

  21. here goes again I am sure-acrylics-this time it's personal

    al7139 replied to mel1977's topic in General Nursing

    I agree with HBN and Tait, I was a slave to acrylics before nursing school. My nails do not grow well and I am also rough on my hands, so I got acrylics. Starting with school, they were banned....

  22. Rules for the ER (long)

    al7139 replied to EDValerieRN's topic in Emergency

    Heres one: If the patient fails my bedside swallow screen and they are NPO, do NOT feed them from your KFC value meal, it just creates more work for me when they

  23. Why do you give IV nexium and protonix slow?!

    al7139 replied to Craychek's topic in General Nursing

    Hi, The only thing I can come up with (and we give it over 15 minutes too) is that there can be anaphylaxis and thrombophlebitis when given IV. Also other injection site reactions, so you give it slow...

  24. Anyone else start in tele?

    al7139 replied to MOGA's topic in Cardiac

    Congrats on passing the NCLEX! I am glad to hear you are into cardiac nursing. As I have said before, I got into it when I graduated and have never looked back. It's so challenging, but so rewarding...

  25. MI: when to go to cath lab

    al7139 replied to dingbiscuit's topic in Cardiac

    Hi, Our hospital is the same way. A STEMI is emergent, and our hospital's time goal is 90 minutes to cath and reopen the occluded artery. For this reason, we always have a cardiologist and cath lab...