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Do you think you are a "hero"?
Labeling nurses as hero diminishes the work the rest of our peers do. House keeping, lab, our techs, the physicians, RT,OT, rad tech ETC. They all out them selves in harm's way as well. Being labeled a hero also makes it seem like we would take a bullet for a patient. One of the first things a new EMT and or Medic learns is "Scene safe" the are taught not to become a patient so they can help when needed. The term hero has the connotation that you would give your life to save another. If nurses did this on a daily basis we would not have any nurses. The only hero in healthcare is the patient.
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Running a code
Humblecirculator, I was wondering if you ever got information about Codes within the OR. We are looking at using the Code team or how to integrate them. I have not seem much research on the subject. Any help would be great
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Questions?
Any procedures that cause vagal stinulation. facal Impaction removal, Pulling a groin sheath. Sitting up quickly and holding ones breath. As for prolong QT.. there are loads of durgs that cause this. Google prolong QT syndrome and you will get loads of suggestions
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PACU- educational requirements
tlc-jax crna i am the nurse educator in a pacu in seattle wa. shoot me an email and i will see what i can do to help you out. i would suggest you make a questionnaire form for people. it would be easier to send it to them and then have them send it back to you.
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ECG REVIEW
ncglazergirl: i would suggest googling ekg and rythum strips. there are loads of free web sites that have great learning experences. http://www.blaufuss.org/ this is a great site built by and ems educator. http://www.templejc.edu/dept/ems/pages/powerpoint.html
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I think I made a bad choice.
rant: as a nurse educator and an instructor it seems that you are not being supported by your preceptor. i hear from your post that there is a communication break down between you two. the circumstances with your patient being drowsy can be caused by many factors and there is not enough information for anyone to say what the issues was/is. ie what were the blood gasses is the patient going septic? there are many unanswered questions. for your preceptor to point an finger at you is unacceptable even if you had part in it. that is not a good learning environment and not supportive of your learning. your preceptor needs to be more tuned into her/your patients and ask question to facilitate your learning needs. if you have an instructor i would suggest that you talk with her/him about the situation. i would also suggest that you sit with the nurse manage and preceptor write out learning objectives. you need to build up your skills and confidence. with your learning objectives i would suggest taking care of 1-2 patients for a short time and then add more as your skills improve. this will help build your confidence as well. here is a suggestion to start. day one rant will assess patient at....(add time) this assessment will be done with the nurse and will be discussed and compared between the preceptor and preceptee. differences will be talked about and the preceptee will then review the assessment again asking questions during the assessment. rant will help pass medications at (add time) the medication pass will take no longer than ............. mins depending on the route and number of medication. the nurse will check all medication prior to passing of the meds and verify the route, dose time and reason for administering the medication. rant will pass meal trays at..... time you get the picture.. i hope this helps you this will show the nurse manager, instructor and preceptor that you are engaged with your learning and taking responsibility for your learning