agent66

agent66

neuro, med/surg/, cardiac care

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All Content by agent66

  1. What you wish they knew....

    agent66 replied to candicane's topic in General Nursing

    That having a bypass when your're 85 and don't do much activity to get angina anyway is not worth it. Is it not easier to spray before going to Bingo than having chest tubes, a foley, a huge...

  2. Rule Book On Narcotic Pain Medication

    agent66 replied to MustangSallie1997's topic in General Nursing

    I stick to the 4 hour rule as well and if they are showing a pattern of continually asking for it before the four hours is up then they need either A) a breakthrough dose of the same drug or B) a...

  3. How would you handle this?

    agent66 replied to labbio's topic in General Nursing

    Well being the unsarcastic, always therapeutic communicator that I am , I would have said , " Let me grab my glasses, I thought this said NURSES

  4. The "Warm Body" Syndrome

    agent66 replied to TheCommuter's topic in LPN, LVN Corner

    I biggest issue with the warm body syndrome is when I have applied to work in an area and don't meet the criteria they are looking for, but when they are minus a nurse suddenly I am just what they...

  5. WORK: Name tags

    agent66 replied to bklynborn's topic in General Nursing

    I have two tags, the hospital issued one with the magnet strip to let me into the building, changerooms etc , which has full name, registered nurse and fab photo on (NOT!) , I keep it clipped inside...

  6. How to be a nurse when the pt's family is around.

    agent66 replied to big apple's topic in First Year After Licensure

    You just have to put your foot down and get them to leave. I usually let one person stay if they are the closest to the patient. Ask the patient as well if they mind so and so staying while you do...

  7. Am I reading this right...?

    agent66 replied to xptp29a's topic in General Nursing

    I read it as ANY hours over your scheduled shift is OT, regardless of total hours worked in the week. Evening shift seems to be the worst for getting off on time , esp 4 hours. I put in for overtime...

  8. Concerns: Actions outside of scope of practice

    agent66 replied to tigermonkey's topic in CCU, Coronary, Cardiac

    I am not a new grad and have been called in on a lawsuit, and I will tell you the docs you thought would back you up were on one side and we the nurses were on the other. They had their lawyers and...

  9. experience or money?? Need opinions please!

    agent66 replied to CWiggins3's topic in General Nursing

    I will likely offer you the same advice, go for the job that sounds more appealing to you, it is only money. If you have worked medicine awhile, maybe a move to surgery is good for the longterm...

  10. interview questions for new grad

    agent66 replied to dlaura22's topic in Cardiac

    Agree with the MONA scenario for sure, it is a given. I also got asked what drugs would you potentially see a change in your ECG strip and why would you be worried. I thankfully had reviewed my meds...

  11. ANGRY! There's no place to eat or drink 'round here!

    agent66 replied to CaLLaCoDe's topic in General Nursing

    In our hospital as well it is not allowed, mainly because of the health risks as per Infection control policies. And to be truthful i would not want to have my food or drinks anywhere near the...

  12. theft of my scope

    agent66 replied to dvfd365's topic in General Nursing

    I only ever had one taken and that was when i worked in neuro and we used a nursing office so had a lot of floating nurses on the unit. Funny thing was when i changed units 6 years later I found the...

  13. Politely refusing

    agent66 replied to gtmoore's topic in General Nursing

    I have been in that position many times also and have used the "no sitter available" line many times, but ultimately I have realized I am just one person and cannot solve the hospital's daily staffing...

  14. Over 40 and working nights?

    agent66 replied to Toots71506's topic in General Nursing

    I am also 40, soon to be 41 and have done almostly straight nights for 20 years. I am definately a night person, still don't have trouble sleeping all day and can often go back to bed at 11pm the...

  15. What's more objective...?

    agent66 replied to BrandiBooh's topic in Nursing Student Assistance

    My guess would be the shortness of breath, because you could also do a sat, and a blood gas possibly, there would be more measureable factors basically. And the resp rate, color of the patient, use...

  16. Nursing school friends = regular friends?

    agent66 replied to HeartsOpenWide's topic in Patient, Colleague Relations

    Actually I met my best friend the first week of nursing school in 1985. We had actually apparently met up before as we had mutual high school friends and work acquaintances but I had no reccollection...

  17. Starting Clinicals: How to Get Off on the Right Foot?

    agent66 replied to Music in My Heart's topic in General Nursing

    Just me but I think #2 and #3 are heading towards the brown nosing side. The bagels are a nice idea but once would be more than enough, The flowers? maybe at the end of your rotation with a thank you...

  18. Telemetry/heart attack scenario help

    agent66 replied to TweetiePieRN's topic in General Nursing

    In our facility we would not necessarily have them on monitor 2 days post stent, and depends on what kind of MI he had, the anterior walls are usually monitored longer. BUT..in view of the fact that...

  19. How many use dosage calculators at work?

    agent66 replied to lpnstudent07's topic in General Nursing

    I don't and don't think i want to, simply cause i trust my brain first and foremost. We have standard formulas for figuring out drip rates of Milrinone, dopamine , nitro etc and i will do it myself...

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

    agent66 replied to RNinRubySlippers's topic in Cardiac

    Kizzykat, i must clarify that our patient population generally runs with a low BP to start with , if your patients are running 110 syst and higher then i would definatey call if they were below 100....

  21. Needed advice on staying up and staying healthy in night shift

    agent66 replied to geaalrn2007's topic in Health, Stress Management

    I find working nights i actually see the kids more, especially when they were younger. With a twelve hour day you leave before they are up and are home usually after they have gone to bed. With...

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

    agent66 replied to RNinRubySlippers's topic in Cardiac

    The unit I work on we generally get an order to cover if the BP is a concern. Most of these patients don't have a blood pressure over 100 on a good day anyway. The docs always say is the patient...

  23. Short Interview, Could you answer these Qs? :)

    agent66 replied to karrbran99's topic in General Nursing

    Hope this enough for you , i could go on and on about the challenges , the high turnover with new staff is also stressful, as is the lack of support staff at night, which i predominantly work ie the...

  24. Pornographic movies

    agent66 replied to Mrs. M.'s topic in LTC: Directors, Assistant

    I don't work in long term care either, but agree with MOST of the posts above especially that of mjlrn, the facility is his home so he should be able to watch his movies in privacy. We are health...

  25. Define being supportive.

    agent66 replied to CraigB-RN's topic in Patient, Colleague Relations

    I do not know the original thread post to which you refer but to me being supportive is offering words to help the person deal with whatever it is they are having difficulty. Unfortunately the words...