angell883RN

Im looking for a simple explanation for the whole cardiac enzyme thing-highs/lows-what does it all mean? Making cheat sheets for my clipboard-every lab test, other than the usual, seem to be a struggle when Im "on the run"!! My clipboard is my life! Thanx in advance!

Im also a brand new "investigative" travel RN:icon_roll- whats a "stipend?? how does that figure in?

OK-- THANK YOU & L8RRN for your input!! Its greatly appreciated! Any goodies involving cardiac enzymes to share? highs/lows simply what they mean?

Sorry if this is a dumb question:uhoh3:- but it just doesnt seem to "click"-Yet! Lol--Ok- So thats why my pt with the INR of 1,7 was sent back from Endo-no procedure done? 1.7 is low correct? so would he have potential to clot or bleed? this is where Im getting confused- you give the coumadin to thin the blood- BUT- yet I was told to HOLD it-why? His blood is already "to" thin? he will do the endo procedure at a later date-

ALEGRIA's !! I LOVE them-excellent support, TONS of styles, they "mold" to your feet with your body heat-then keep that shape They are so comfey! Everyone who has tried mine-bought them- Im sure they have a web site. Did I say they are cute as a button?! PS- I hate those "toe shoes"!! They creep me out!

So- if one has a High ptt inr pt- then ones prone to clots? etc, potential stroke, etc? IF Im understanding at all! To low-then bleeding potential is increased? (hence the no razors, vit K foods etc?)

Im having a problem getting this all straight and WHY it is? The highs,what they mean-the lows, etc-any simple explanations? Thanx-I have to re read info each and every lab test! I just cant keep it straight and simple-

LOL-unknow- THE BOSS?? Thats a good one

I am currently in the process of graduating-LPN to RN- and we have been told to go directly into a BSN program. As of 2010 all will be required-new hires- to have BSN. If you are already in a facility, you "should" be grandfathered in. It will be up to that facility. I really don't feel, that by that time, the USA could afford to force any medical people to do anything-they are already desperate!! hey-FL has a docotor shortage! We actually had to "close down" a level one trauma center-just recently-because we had no neuro one call! The malpractice and sueing issues aren't worth it- plus patients have "discovered" the internet and can find, afforable, adequate, care in other countries now. Don't worry- the world will always need a good nurse!:redbeathe

It was last Xmas- I wanted to purchase a "gas card" as a stocking stuffer for my son, well my husband and I were riding down the road when i screamed, with delight, "Oh look honey, we better stop at that Mobil, gas is only $2.99, I can get my gas card there! " Well I wasn't thinking, of course! I was thinking I'd get it cheaper there and my son would have that "$2.99" price locked in until he used it! Duhhhhhhhhhhhhh- it wouldn't matter what the price! a $50 gas card is $50 period!they will NEVER let me forget that one!:icon_roll

Thats what I thought picc requires xray confiramtion and midline does not- I was told, via computer test, I was wromg. The other choices were -only a DR can put in PICC line (wrong-so can a trained RN) -A picc is considered a central line a midline is not (that was wrong as well) -and picc only gets isotonic solutions and midlines hypertonic (wrong) I'll see tomorrow if "test" answers were flawed?

Any info is greatly appreciated! I know the main difference is that the PICC goes to SVC tip where as the MIDLINE only goes to ax. area- but- do you need an xray for a midline confirmation placement?? and/or is the midline "not" considered a central line as the picc is?? It was a quiz question I had and the only other choice- "midlines only take hypertonic solutions and piccs only isotonic" I wasn't quite sure about these - anyone- please explain??

I just loved the "broker picker!" how true-no matter if your man or woman!