newnurseheadache

Hi- Thanks in advance for reading and responding! I am a new grad doing orientation on a stepdown unit. Her is an example of a typical day: On my 4th clinical day I was given 3 of my preceptors patients and she took the one patient that was being discharged home. She discharged her patient by 12pm and the rest of the time sat around at the N.station chatting, eating and talking to her BF on the phone. Every time i need help or have a question it takes me atleast 20 minutes to find her and when I do she gives me a look like "youre stupid" and it takes her atleast 25 minutes to come help. I am not learning anything new. She doesnt observe anything I do so maybe I'm doing things wrong but will never know. Im running around like crazy all day and cant take it anymore. Before I go to my manger- can you please tell me what I SHOULD be expecting from a preceptor at this point in orientation?? I CANT take another 6 weeks of this. Thank you.

i mean .02! sorry:uhoh21:. i havent been using calipers but will go out today and get them. i do need to be more accurate with the rate so therefore i'm using the method i wrote. i use the method of counting the number of qrsx10 for irregular rhythms. thanks tons for your help.

To measure HR I divide the number sm. boxes between 2 rr intervals by 1500. However, I often include 1 extra box or exclude 1 box because I'm not sure when to include boxes thatre half filled with the qrs complex. Same with pr and qrs- I most of the time am off by .2 or so.

Hi everyone. I am new to this forum but have been reading the forums for 1.5 years now. You guys are awesome and really helped me with passing the nclex!! I just started a job in critical care and am scheduled to take a dysrhythmia exam in 1 week. I bought a practice book that helped me learn the different rhythms. Here is my problem: when I do rhythms strips I DO get the overall rhythm correct most of the time (i.e. NSR with a run of VT or IVR...) However, on almost every rhythm I get one of the following wrong: HR, PR INTERVAL, or QRS COMPLEX (SECONDS). I'm probably not measuring correctly but have been unable to improve that for a while now. I really need your help!!! Any hints, explanations or good resources would be tremendously appreciated!! Thanks tons!