nyrn5125

nyrn5125

pcu/stepdown/telemetry

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All Content by nyrn5125

  1. Question

    at the hospitals in my area the flight nurses have to be paramedics as well as rn. paramedics do the intubating. usually though it's the resp therapist in the
  2. New nurse on cardiac stepdown unit

    experience is the best teacher to be prepared. as studyinginct said get your hands dirty. The only book I can recommend that would help on cardiac, when your not so overwhelmed read a little at a time...
  3. pt's do have the right to refuse anything as per the pt bill of rights. he can refuse to wait for a commode and or tell you he will get up on his own regardless of what the platelets are. in my...
  4. Float ICU RN to Med-Surg?

    in my hospital critical care nurses can only float to stepdown but never med surg. they cannot take more than 4 stepdown patients. stepdown nurses can float to any dept as long as it is...
  5. DVTs!

    If we are ruling out dvt we may keep them in bed till the stat dopplers are done. There is a policy that our physical therapy dept has that said they can only work with pt's on heparin/lovenox for at...
  6. vip floor in a hospital

    this reminds me of a guy that was annoyed on a tele floor(8:1) that I had that was mad at me for not coming back to him when he was calling me. at the time he wanted me in there to get him ice and fix...
  7. vip floor in a hospital

    we have private rooms and of course they think private room means private nurse/slave.they even try to throw it at you that they are paying more so they should be treated better than the other...
  8. Are the "chest thumpers" new?

    have not seen it in use but heard about very violent compressions and it doesn't adjust based on size. at my cardiac center we get in line and take turns doing compressions. they say one day we might...
  9. it's crazy when when our procedural areas, endo, cath lab call to complain when an incontinent patient on lasix has an accident by the time they get to them. we can't control everything and keep...
  10. IV infusion volume rate on Pump

    this isn't rocket science. my facility doesn't have a policy on setting the pump for a 1 liter bag. we use our nursing judgement to leave us enough time to get another bag, set it to leave you 100cc...
  11. cant imagine having code and then hearing a speaker play happy b-day for someone
  12. Working on a telemetry/med-surg unit as a new grad

    good thing to orient on days because there is a good appreciation for time management, getting things done quickly, and many tasks to complete. you shouldn't let the other nurses crying scare you. yes...
  13. Angry mom made me cry last week

    OMG I do the same thing, it's really out of pity for how stupid they can be. Everyone's a doctor so I'll let you feel high and mighty and then when you leave I'm laughin'. It also is a way for them to...
  14. Ratio on step-down unit

    ours is 1:3 and 4 max Some of the ratio's here are crazy, I wonder if they are really talking about a telemetry floor. step down is not the same as a med/surg pt on a cardiac monitor. That would be...
  15. wow it would be great if my nite nurses did some bed baths. you said that days assesses skin. I think if you work a 12 hour shift you are most likely obligated by your hospital to do a full...
  16. Nurses vs. Paramedics

    yawn.. this is the hardest post I have ever looked through and most I had to skip. They are different professions. I highly respect paramedics and they respect us as RN's. I can't intubate a pt and...
  17. Amiodarone education

    our ratio in tele is 1:8 with amio dopa, lidocaine, dobutrex,
  18. Handling delegation

    unfortunately everything is the rn's responsibility to get it done and those tech's know it. they also know that if they don't do it that you
  19. I remember this episode and I was surprised. I recall years ago a woman had cps called on her and they removed her children from the home because she was breastfeeding her baby when she was hiv+....
  20. Pt's mom asks to you lie to the pt---What to do?

    This is tough and depends on the age of child. the mom might have known how the child would react and also if the child has anxiety or deficits in learning, developmental/learning disability. My child...
  21. Orienting an experienced RN

    working at a facility that precepts new grads for 10-12 shifts not weeks, I think she had plenty of time to ease in. If you have taught her the hospitals way of doing assessments and she still isn't...
  22. Formality in the hiring process.

    a panel. I'd be terrified. most jobs have recruiter and then interview with suprervisor or
  23. *Vent* RN's make toast?!?!?!

    I totally agree that b/c nursing is not male dominated we get stuck doing the things no one else would do.Making toast. Flowers really have no place in the hospital anymore. who cares if they look...
  24. To the Excellent Experienced Nurses...

    That's all places you go. The RN will always be the most accessible, easy to interrupt,do 50 things at the same time and will get it done now person. I have had pt's projectile vomiting and I'm...
  25. I love being a nurse :)

    thanks, I love my job too Of course there are awful days, but still will take being a nurse and making a difference in someone's life over anything else. People who hate their job have not found the...