SWEnfermera

SWEnfermera

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All Content by SWEnfermera

  1. stages of dying

    SWEnfermera replied to thatsme70's topic in General Nursing

    I've never heard of the "Wasting Stage of Dying". Does your sister-in-law have cancer? There is such a thing known as the "wasting of Cancer". Here is a site that explains this condition:...

  2. Ideas for teaching lab about Chest Tubes

    SWEnfermera replied to HEYOU 2's topic in Nursing Educators, Faculty

    Atrium Med has some great training modules covering principles and nursing care on their Website:

  3. When pulling sheaths after a cath...

    SWEnfermera replied to qt2168's topic in CCU, Coronary, Cardiac

    Also, make sure you have someone with you at the bedside when you are pulling; especially during the first 5 minutes. This is when your patient is most likely to vagal. Your hospital should have...

  4. When pulling sheaths after a cath...

    SWEnfermera replied to qt2168's topic in CCU, Coronary, Cardiac

    SORRY EVERYONE. I WAS TYPING WITH A BABY ON MY LAP AND SHE HIT ENTER. Anyway, as I was saying- Peachy hit on 2 key points: - Make sure the patient is positioned close to you - Make sure the patient...

  5. hanging cartizem

    SWEnfermera replied to Kristine6767's topic in General Nursing

  6. hanging cartizem

    SWEnfermera replied to Kristine6767's topic in General Nursing

    To all unfamiliar with Cardizem infusions: Your hospital pharmacy should have a protocol for Cardizem (Diltiazem) Infusions. Generally they contain the following items: Pt must be on a cardiac...

  7. I am pathetic.

    SWEnfermera replied to SaraO'Hara's topic in General Nursing

    Somebody probably once loved that little bear very much, and I'm sure they would appreciate what you've done for

  8. Inappropriate ICU transfers

    SWEnfermera replied to BlueEyedRN's topic in MICU, SICU

    I think this is a problem in every hospital. I can recall this one patient on a Telemetry floor that had a permanent pacemaker. Every time his intrinsic rate would slow he would Ventricularly pace....

  9. is it that bad???

    SWEnfermera replied to registeredin06's topic in MICU, SICU

    Every hospital should by now have a VAP Prevention protocol in place. Oral care should be done at minimum of every 4 hours, with a dedicated suction line for oral care. The Yaunker should be covered...

  10. Anyone else studying for CCRN exam?

    SWEnfermera replied to deeDawntee's topic in CCU, Coronary, Cardiac

    Free CCRN review Program Found this site in the Educators Forum!

  11. Cmc?

    SWEnfermera replied to putmetosleep's topic in CCU, Coronary, Cardiac

    Another good book is Cardiac/Vascular Nursing Review and Resource Manual, 2nd Ed. It is the review manual for certification from ANCC (American Nurse Credentialing Center). It focuses more on the...

  12. Cmc?

    SWEnfermera replied to putmetosleep's topic in CCU, Coronary, Cardiac

    I took the CMC Exam about a year after the sub-specialty became available. (I was about #186 to acheive certification). I used the Reference List available in the Handbook to study. My friend took a...

  13. Who order's vaccines??

    SWEnfermera replied to askater11's topic in CCU, Coronary, Cardiac

    "One of the contraindications is any ACUTE ILLNESS - fever or not." At our facility we have a standing physician order for the pneumoccoccal/influenza vaccines. The standing order contains defined...

  14. Need help with a resume - open heart

    SWEnfermera replied to mummer43's topic in CCU, Coronary, Cardiac

    This is how I've worded my resume. I've eliminated the dates and facilities in which I've worked. Hope you can use some of this info, or get an idea of how to word yours. Good Luck! Clinical Nurse...

  15. CCRN discouragement?

    SWEnfermera replied to nursecass's topic in CCU, Coronary, Cardiac

    I don't know if those people that are discouraging you from sitting for the exam are CCRN certified themselves, but to me it sounds like they're just being haters. Certification is one of the best...

  16. Cardizem gtt; is this reasonable?

    SWEnfermera replied to Virgo_RN's topic in Cardiac

    Good job! It sounds like you did everything perfectly! With this patient, an investigation into what exactly made him go into Atrial Fib is warranted. Is it atrial stretch? (caused by CHF), is it...

  17. Cath lab rn

    SWEnfermera replied to tmjm2309rn's topic in Cardiac

    Upon hire and orientation to the lab, nurses at my hospital are required to be checked off and complete every competency they might be responsible for. After that our educator, nurse manger,and some...

  18. CCU Back to the Floor?

    SWEnfermera replied to HillNPStudent's topic in CCU, Coronary, Cardiac

    I agree with other posters; you have to do what is best for you. If being on the night shift is not working out then by all means, transfer to the unit that works best for you. Just an FYI, this...

  19. Lasix gtt

    SWEnfermera replied to brissie's topic in CCU, Coronary, Cardiac

    As both a traveler and as a staff nurse I've never worked anywhere (other than in post open-heart units) that had standing orders for K checks. As others have posted, you have to consider the dose of...

  20. What would you do for this patient?

    SWEnfermera replied to UM Review RN's topic in CCU, Coronary, Cardiac

    An Amiodarone drip is another medication that might be considered for HR control, and hopefully conversion back to SR. It has less vasodilatory effects than most calcium channel blockers such as...

  21. Offered postion in Cath Lab.. any insight?

    SWEnfermera replied to BrittNICURN's topic in CCU, Coronary, Cardiac

    Most cath lab nurses are type A, at least in my facility. So don't wear your feelings on your sleeve, they will get stomped on. Be assertive, don't let them walk all over you, but also, relax, be...