CABG patch kid

CABG patch kid BSN, RN

Telemetry, CCU

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All Content by CABG patch kid

  1. Question about raises

    Where I work it is standard practice to raise everyone up to scale when something like that happens. There were 2 nurses who had been at my hospital for about a year longer than me, one had been a...
  2. I need help: a nurse not prepared for the job

    Let me guess, you must be an ASN prepared nurse? I am a BSN program graduate and have never felt "less prepared for the actual act of nursing care" than my fellow new grads. Unfortunately I have been...
  3. VS parameters and antihypertensive meds

    We have a hospital protocol to hold the med if systolic is less than 108, sometimes docs will write their own parameters if the patient has a low ejection fraction and usually lives with a systolic of...
  4. Is it really difficult to get a job in an ICU?

    Speaking from personal experience, telemetry is a good place to start before transitioning into critical care because you will see a lot of the same patients; in other words, your tele pt may have...
  5. nursing school compared to real nursing

    This is a great point that classicdame makes. For example, I work in a CCU, I am competent to work there and take critical, adult patients, however, I would not expect to go into the NICU and take...
  6. question re: Picc line

    If you want to make sure the line is still in a large central vein, you will need a chest xray. Looking at the previous xray and trying to figure it out is something I would only expect from an...
  7. Haha, I'll even admit that when I heard Micheal Jackson died of cardiac arrest, I never thought of it as a blanket statement. When you put it that way, you can say every mystery death is caused by...
  8. Am I doing something wrong here?

    Okay, quick vent warning here; also would like some other people's insight on this situation. At work, I have had a few incidents with one nurse where I feel like a complete failure. First time was on...
  9. Job advice **kinda rambling-sorry**

    Just go for whatever feels right to you! If ICU is what you really want, being on nights for awhile may be worth it to you. If your schedule is more important, then you may want to stick with what you...
  10. Who is GENERALLY more of a "PAIN"?: Co-workers OR Patients?

    If its any employee in the hospital, I'd have to say pharmacy in general trumps the annoyances of patients and families. It's not really their fault that they're under staffed, but it gets real old...
  11. Am I doing something wrong here?

    Yes, that's the funny thing. There are a bunch of us younger nurses that hang out together, her and I both included. She is really sweet outside of these two situations, that's what makes this a...
  12. When did you know what specialty you wanted?

    I thought I wanted to do L&D for the longest time; even after my clinical rotation in L&D I was still interested. Then I hit the doors of the ICU and knew that's where I wanted to be, at least...
  13. Change of shift calls to MD. Who should take the call?

    I guess if it doesn't affect pt care its okay; but now I'm seeing more and more people using headphones to listen to music while at work. That's a whole other
  14. Change of shift calls to MD. Who should take the call?

    Yes, the hospital where I'm currently working has a culture of "you have to get out on time" and "overtime has to be approved by the supervisor"; its all part of this economy thing, and BS to me. If...
  15. help with groin sheath pulls - any pointers?

    You mentioned placing your fingers and I'm wondering exactly how you hold the site after you pull, meaning, do you use your fist? For example, picture the pt has a sheath in the right groin. I would...
  16. Gender and Pain Management

    We don't titrate according to anything other than the pt's pain level, but it will be interesting to hear what you find out regarding age, weight and sex. Our standard orders are Morphine 2,4, and 6mg...
  17. Change of shift calls to MD. Who should take the call?

    In that particular situation, I think the oncoming nurse could have taken the call with no problem. Granted, there are complicated cases that would probably be more suited for the offgoing nurse to...
  18. 18 fr salem sump up the nose?!

    Like others here, we always use salems in our hospital for NGs and OGs (honestly haven't seen anything else since I started a year ago). As far as size, we'll use a 16 for the nares and 18 for oral,...
  19. I got into NVCC's Fall 09 program!! IM SO HAPPY!!

    Congrats!!! It is such an exciting feeling when you first get accepted, I remember reading my letter and crying!!!! Good luck to you
  20. What do you think, or what would you do?

    Ok good, because I was thinking in this case, I would have just sent the pt to the hospital, as increasing cyanosis of a limb and knowing that the pt has hx of DVT seems like a medical emergency to...
  21. What freak occurrences have you seen?

    This just happened to me a few nights ago..... Had a very confused pt, very restless in bed. Was three rooms down with my other pt when all of a sudden I hear "He's out of bed! He's on the floor!" I...
  22. What do you think, or what would you do?

    I'm just curious, as I have never worked in a LTC, but is there ever a time where you just use your judgement and decide to send the pt to the hospital, regardless of what the doc
  23. Does DNI mean no CPR?

    Yea but what a lot of people don't realize (can't believe no one said it yet) but many many times someone needs CPR, they will end up needing to be tubed. I haven't been a nurse for very long, but can...
  24. Please Send Good Vibes my Way!

    Good luck Sue!! I hope you get
  25. common drugs on ccu step down

    Common drugs would include: ace inhibitors, beta blockers, calcium channel blockers, direct vasodilators (most common one on our floor is hydralazine), amiodarone, glycosides, nitrates, opioids,...