Beverage

Beverage

Cardiac/Telemetry

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All Content by Beverage

  1. ER nurses not calling report anymore...

    Our ED has a digital camera and will photograph wounds, skin issues and PU's before pt is admitted to show these were not hospital acquired injuries. If the nurse doesn't know she's getting an admit,...
  2. ER nurses not calling report anymore...

    I Am always courteous to the ED nurse regardless of how busy or annoyed I may be at getting a patient at shift change because it serves no purpose and can't be helped. I got one this evening at 1835,...
  3. Please Start!

    I work day shift Cardiac Tele, ratio 4/1. We pull ALL meds for entire shift from Pyxis with a few exceptions (Vanco, Amiodarone maintenance dose, Flagyl, Protonix gtt) Amiodarone loading & first...
  4. Squishy, lightweight clog recommendations?

    Try on a pair of these Landau foot wear, only $50 very squishy and very non-skid soles. I too have flat feet and love these. COMFORT - Comfort - Landau
  5. Our bedside Tele monitors have settings for paced rhythms which must be activated otherwise my pt can show as half the apical rate of 35 instead of 70 or double the apical rate of 140 instead of 70....
  6. Mispronunciations That Drive You Nuts

    Die-law-din or Dilantin for dilaudid moe-feen for morphine fursmide for furosemide Car-devil-all for carvedilol Metrop-all for metoprolol tie-nenoll for Tylenol assburn for Aspirin it still irks me...
  7. I work a busy cardiac Tele floor. I quickly learned I need dual cargo pocket scrub pants and scrub tops with 2 front pockets on the outside when stuff kept falling out of the cute slash pocket tops. I...
  8. Scrub the Hub

    Our hospital uses the swab caps for PICC and Central lines, love them. We have sterile caps for the end of IV tubing. I drop a few of both in my pocket along with alcohol wipes at the start of my...
  9. Don't go into nursing school if_____

    In my experience, my religious views take a back seat to my patients religious views and beliefs. Many of my patients are geriatric in their 70,80,90's and have strong values and beliefs which I...
  10. Quit nursing school after two months...

    We started IV on each other as second semester nursing students but no NGT! I would have refused
  11. Help with amiodarone drip

    Start the gtt. We have a protocol for a bolus loading dose, followed by a 6 hour infusion at 1mg/min then a maintenance dose of 0.5 mg/min. Amio needs a filter. Watch for hypotension and
  12. How do you feel about mandatory influenza vaccines?

    No flu shot for me, I'll happily wear a mask again this flu season. Last year I elected to wear a mask and I didn't catch a single cold or upper resp virus. Pts and visitors tend to cough in your...
  13. JCAHO Requirement

    We recently started providing pill cutters for each patient who needs a partial dose. They're $1 at the dollar store and I'm sure my hospital buys them in bulk for
  14. Phasing out noc shift differential in acute care?

    Hospitals in my area are not hiring unless it's per Diem. I've always thought day shift deserves a differential because the work is harder, pts going off floor for procedures and tests, finger sticks...
  15. I am scared to do CPR

    I've done 3 codes this year (my first,2nd and 3rd ever) #2 was a big guy in isolation and I was first in the room so jumped up on the bed with my knees to start while others gowned up. The 3rd and...
  16. How about dx tobacco abuse. Assess pts readiness to quit and provide teaching tools, guidance, and educational resources to help them
  17. IV push

    I dilute many meds in 5ml NS. Dilaudid comes in 1mg/1ml carpuject and sometimes a vial. order is for 0.5mg. I draw up the .5ml and dilute it for easier pushing. 1/2 ml barely clears the SL and the...
  18. Hospital RNs - how do you organize your shift?

    Arrive 10 mins early to get my assignment and look up labs before stand up. I get bedside report on 4 pts ( cardiac Tele) check suction during report and start my assessments. Chart my pain, IV and...
  19. Smokers need not apply?

    So those who complain about the smoke smell, should we start banning family members who are visiting and reek of cigarettes and/or marijuana? Not a valid argument in my opinion, however I agree that...
  20. The only pictures I've taken of a patient was using the patients cell phone (pt requested) and involved a pacemaker incision they wanted to see, and a wound that was healing the patient could not see...
  21. ER nurses not calling report anymore...

    Out hospital did a trial of faxing SBAR report to the floor in lieu of verbal report, it was a failure and we have since gone back to phoned report. I had several near disasters from faxed report, pt...
  22. RN Salary Survey 2013: Post here!

    1. CA 2. 6 yrs - ADN 3. Cardiac Tele 4. $44.75 days 12 hr shifts 5. $5 NOC, $1.25 weekend, $3 float (ICU step down, observation, ER), rent is $700 for 1 BR apt, $1,200-2,200 3 BR house depending on...
  23. Post your daily nightmares here.

    A coworker had a confused pt in his 70's who got out of his wrist restraints and she saw me & called for help. Pt ripped his Tele box off and hit the MD x2 with the leads. I grab his right wrist...
  24. What are the typical duties of RNs in cardiac nursing?

    Cardiac Tele floor: I get assignment and look up labs before start of shift. Take report at bedside on 4 pts then get the 1st set of VS and do my assessments, flush IV's, check IVF, gtt's and chart...
  25. New nurse needs help with shift report sheets

    http://scrubsmag.com/nurse-brain-sheets/ has some good ones. I took one and customized it to better suit my