Nightcrawler

Nightcrawler BSN, RN

Cardiothoracic Transplant Telemetry

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All Content by Nightcrawler

  1. Did I do the right thing? *long*

    While I understand that in this case the cardiologist probably didn't want to be bothered, I have had many cases of asymptomatic bradycardia that the cardiologists weren't too concerned with. I work...
  2. Harassment?

    When these "teambuilding" initiatives come up it just drives me nuts. You are not a team because you all wear the same color, you are not a team because you say the same scripted statements to...
  3. Am I Just Bein a Baby or should i quit ???

    You should check with your BRN. I know that some of those hours are on call and that you may not have to work them, but my understanding is that you are only covered under your license for up to 16...
  4. As long as the other nurse that is "watching" your patients for you while you are on break agrees to do so you will be covered with the BRN. You could probably get sued according to the staffing...
  5. I recently went back to school at University of Phoenix to finish my BSN and was adjusting well. I had finished my first class with an A-, and was well on track to have an A in the second class. I...
  6. Portland Oregon LPNS

    I have heard rumors, mind you rumors that some of the Legacy hospitals are looking at a team nursing model and are considering opening up to LPN's. I know of a few LPN's where I work now, but they...
  7. MD orders Viagra for pulmonary hypertension?!

    I used to give it all the time on my old unit when we had a cardiologist that specialized in pulmonary hypertension. All these little ladies would always joke that they wish they were taking it for a...
  8. MD orders Viagra for pulmonary hypertension?!

    It might actually help with compliance, just kidding. Just think of how unhappy all of those men who suffer from impotence or lack of drive because of beta blockers..... hmmm I'm thinking maybe a...
  9. Amiodarone and Cardizem drip??

    The onset is also an issue with the amio, as it too will convert the rhythm with the same set of
  10. The price of healthcare

    Hi all: We all know that healthcare today is expensive. We rail against it, talk about how expensive insurance is etc.... But we don't really know how expensive it is until we see it in black and...
  11. The price of healthcare

    I went uninsured for years, and if my SVT had kicked in then I don't know what I would have done. I would not have even been able to afford the meds, that didn't work, that I was on before the...
  12. The price of healthcare

    I had a patient go for a EP study yesterday, but without the ablation. This is a man who has had a CABG with an extended bounce-back admission for CHF, who has been out of work for a month, is...
  13. The price of healthcare

    Tweety: they are already steering you to certain providers. If I had gone to an "out of network" provider, they would only have paid 35% of the bill, instead of 90% regardless of any "provider...
  14. I have seen tele nurses floated to ICU on very rare occasions. Usually it is someone with ICU experience in the past, and they usually take patients that are tele overflow to the unit, or stable...
  15. Should I stay or should I go ?

    The standard says that the ECG has to be done and interpreted within 10 minutes of presentation with chest pain and either fibrinolytics within 30 minutes or PCI with balloon inflated within 90...
  16. difficult co-workers

    If I hear "call lights are everyone's responsibility" one more time, I think I will scream. Of course they are everyone's job, but if you are the aid, and you are sitting at the desk reading a...
  17. difficult co-workers

    Arrrgh: This is what I am dealing with right now!!! We have several "problem" CNA's on our night shift who seem to think that doing the basic functions of their job is just too much to ask. These...
  18. Tomorrow is the BIG DAY

    Hey everyone, Last fall I wrote a post about a night when I went into SVT at work right after report, ended up in the ED, and had to be chemically converted. I was horribly embarrassed because I am a...
  19. Tomorrow is the BIG DAY

    So TODAY was the big day, and all went well. The ectopic pathway was very close to the AV node, so he wasn't able to ablate all of it, but my doc feels that it should be enough for a cure. I...
  20. Tomorrow is the BIG DAY

    Its funny, but as uncomfortable as Im going to be with the situation, I cant imagine what it would be like to NOT know the skill set of the people who are going to be taking care of me. I cannot...
  21. Tomorrow is the BIG DAY

    My doc does practice at another hospital, but not within our system. Its a difference between 90% reimbersement by insurance and 35%. Everyone is being really nice about it, and I have already...
  22. Non-Degreed Registered Nurse???

    There were a few people in my ADN class that still had one or 2 general ed classes left to graduate with their ADN, but had completed all of the elements of the nursing program. They could have sat...
  23. I moved from CA to OR last year. If you go to the Oregon BON site, you will find the application and steps to endorse from one state to another. You will need to send money to Oregon to start your...
  24. bigeminy info please!

    Wienkebach, is another name for Second degree heart block type 1. It is a PR interval that gradually increases beat to beat until there is a missed qrs. Also known as Mobitz
  25. Count me