maelstrom143

maelstrom143

PCU

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All Content by maelstrom143

  1. Going to a telemetry floor to work???

    maelstrom143 replied to LoriRN911's topic in CCU, Coronary, Cardiac

    Our M/S tele units handle pre/post ops, fx's, ortho procedures, CP, afibbers, chronic CHF, COPD, ID...you name it they get it. about 50% of the people have telemetry and you have to keep a very close...

  2. Nitro vs Morphine

    maelstrom143 replied to moidla's topic in CCU, Coronary, Cardiac

    For unrelieved CP w/initial EKG changes: depending on changes, in our ER we give NTG SL, morphine, O2, ASA, cardiac enzymes, rainbow draw. If stable, cath in AM; unstable, stat cath. May start NTG...

  3. Have you ever seen this before?

    maelstrom143 replied to SweetseRN's topic in General Nursing

    We have had that occur in a few patients. Depending on I&O trends, level of ARF, vital signs, our docs would use low dose dopamine drip for renal perfusion in conjunction w/IVF. If issue continued...

  4. RN going back to work as an LVN

    maelstrom143 replied to witc's topic in General Nursing

    BE CAREFUL. This lady sounds as if she is trying to do you a favor, but she is getting an RN under false pretenses and as my grandma used to say,"para muestra, un boton." If in the little things there...

  5. Upfront payment for non emergent conditions

    maelstrom143 replied to danggirl's topic in Emergency

    There are many things that are imminently "rational." That does not make it right. It is easy to excuse one's bad behavior by saying, well, it can be done so we might as well do so. Right is right...

  6. Is this fallout from JCAHO? Recent ER visit...

    maelstrom143 replied to Malanya's topic in Emergency

    In our old ER we used Ativan to decrease anxiety caused by respiratory distress and morphine to decrease dypsnea and resp rate. Morphine causes respiratory depression, which in turn can alleviate...

  7. Sooo many crushed meds...

    maelstrom143 replied to beatrice1's topic in Geriatric, LTC

    And this is why I would never return to LTC. Too many practices that make me question protocol/practice. Being in the hospital environment is so much easier as far as getting a hold of pharmacy,...

  8. That fantastically horrible night....

    maelstrom143 replied to NickiLaughs's topic in General Nursing

    O.O So glad you had her again and able to see the changes. Good luck and hope she continues to improve w/her little one

  9. Just got the call...I'll be an ER nurse!

    maelstrom143 replied to Prettyladie's topic in Emergency

    The Littman 3200 is an awesome piece of equipment, jmo. Not in ER anymore and missing it more than you will ever know. You will get a little bit of everything. Be assertive, be a team player. Don't...

  10. Cross roads...Cut Throat... Change

    maelstrom143 replied to TigerLilie's topic in General Nursing

    So...did you get the job? If so...CONGRATULATIONS! If not, you have the awesomest attitude. God bless and best of luck in your search. Whoever gets you will be lucky to have such a motivated person in...

  11. Feeling sick but don't want to call out on first day of orientation

    maelstrom143 replied to NurseLoveJoy88's topic in General Nursing

    If no diarrhea, fever, n/v, just feeling sick, go in, do your shift, use a mask when coming into contact w/patients for their safety. Make sure you wash your hands thoroughly before and after doing...

  12. So what exactly is a bed alarm?

    maelstrom143 replied to abbaking's topic in General Nursing

    :lol2: Our facility has both, the bed alarm that can be hooked to the patient on the older beds and the built-in alarm on the newer beds. They can be annoying, but I would rather have them than not....

  13. Torn

    maelstrom143 replied to arnie1234's topic in General Nursing

    Absolutely. Leave on good terms, by all means, but you said yourself you have hated your job for two years now. Not good for your mental or physical well-being. It is time to try your wings elsewhere...

  14. self mutilating patients

    maelstrom143 replied to nightengalegoddess's topic in General Nursing

    As both a nurse and family member of people w/mental illness, my heart goes out to you. "Seizetheday" was right on target from a nursing and humanistic perspective, so I am just adding my to that....

  15. Need advice on which job to choose as a new grad..........

    maelstrom143 replied to Sherbi5's topic in Nursing Career

    Congratulations on such lovely job offers! I think the Trauma I level hospital would offer you better opportunities for growth, esp since the ICU you are looking at will not have vent patients anyway,...

  16. How dare you!

    maelstrom143 replied to sweetsleep28's topic in General Nursing

    Sweetsleep: I think you made it perfectly clear there was a darned good reason for your not taking a lunch. Patient safety comes first. The lack of respect and professionalism (issues are taken care...

  17. Violence against nurses law.

    maelstrom143 replied to metfan's topic in General Nursing

    I have had patients become agitated and it has been scary. Never actually had any try to injure me, thank goodness. However, it is a fact that many people act toward their healthcare workers in ways...

  18. New No Violence Against Nurses Law

    maelstrom143 replied to chevyv's topic in General Nursing

    This is the thread that I saw concerning violence against nurses law:

  19. Are you looking at me?

    maelstrom143 replied to Esme12's topic in General Nursing

    I love reading this poem. I have read it before, but it is a wonderful reminder to all of us what we should already know but sometimes forget in the rush of the

  20. What info should nurses let a PCT/CNA be aware of?

    maelstrom143 replied to sh_eany's topic in General Nursing

    I have to agree. While bathing patients I have had them have incontinence of B&B, thereby making it necessary to have the gloves on already. Also, have encountered bleeding hemorrhoids while doing...

  21. After my 12, I just want to go home! RANT

    maelstrom143 replied to SweetseRN's topic in Patient Safety Issues

    Wanting to go home once the shift is over is perfectly reasonable. If this is a frequent occurrence, you should definitely bring it up to management. It is not right to have to wait on others who...

  22. I ♥ downstaffing!

    maelstrom143 replied to linzjane88's topic in General Nursing

    I don't mind being called off. I seldom do, so when it happens it is not the end of the world and I know I will be able to make my hours up later down the road. Besides, get to enjoy my time

  23. what to do

    maelstrom143 replied to charlie1234's topic in Ob/Gyn

    Stay w/L&D. It sounds like the ideal situation for someone in school. It is wonderful to be able to enjoy different areas of nursing and be blessed enough to be able to follow your dreams. Good...

  24. That fantastically horrible night....

    maelstrom143 replied to NickiLaughs's topic in General Nursing

    THANK GOD! Congratulations on such an awesome outcome. Baby gets to have a mom thanks to everyone who pulled it together. Doesn't get any better than that

  25. keys for narcotics

    maelstrom143 replied to onthemark's topic in General Nursing

    I agree w/everyone else here. At my AZ facility, once the narc key was in my hand, it did not leave again till end of shift, no matter what. Anyone else wanted to check, they could check w/me standing...