nyrn5125

nyrn5125

pcu/stepdown/telemetry

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All Content by nyrn5125

  1. Floor Emergencies

    We yell down the hall or whatever way we can be heard. An emergency shouldn't make you think of HIPPA. Pt's are more important than
  2. MD Quote of the Week

    our docs are pretty supportive and trusting of the nurses capabilities. When the general surgeon last weekend told me not to call him b/c he was going to a wedding I knew he meant
  3. Need help interpreting ECG strips.

    it's tough at first. you need to just look at a lot and start off the same with each strip, do not guess the answers but some simple things to remember without getting complicated are: 1. is there a...
  4. clarify the order. some CCB have off label uses..ex raynaud's-nifedipine some CCB are for preventing vasospasm in brain vessels-nimodipine either way
  5. Help im having IV problems

    You have to feel it.Where you want to stick them try to go up and follow the vein with your finger. you may feel it at the insertion site but if it doesn't feel like it extends up then it may be a bad...
  6. *Vent* RN's make toast?!?!?!

    Toast your bread? Sure just let me finish cleaning the BM off the
  7. *Vent* RN's make toast?!?!?!

    someone needs to break the
  8. Followed MD Order--Now Do I Look Incompetent?

    It's not you. Some, not all, nursing educators are not very educated on reality. You are taking up a bed that a soon to be intubated pt may need. Emergencies happen all the time and you do need open...
  9. Stroke pt with increased weakness and slurring

    stat blood sugar as the above post stated stat head ct. coag profiles and sometimes ammonia level have seen worsening after the initial symptoms and some neurologists don't get too concerned. one pt...
  10. #1 you might want good liability insurance! when i was in nursing school we were told 1st semester that if you cannot provide the care that a patient needs then look elsewhere or pick a field of...
  11. Is this fair to ask of a new RN?

    is it a telemetry floor? because most stepdown is 1:3 or 1:4. assume you are not at a magnet facility. of course each hospitals has different criteria in stepdown. if your hosp allows alines, cvp,...
  12. Coronary vs cardiac... silly ?

    is the coronary intermediate meant to really be the pre/post cardiac cath pt's at this facility? it could be cardiac would be post open heart,cardiomyopathy,valve disease, chf, chest pain. if it is...
  13. So much negativity towards Associate Degree Nurses

    you should be proud of your degree because it's still very hard getting through an associate program despite how you may be made to feel. and yes pt's just want to see RN. they don't know whether you...
  14. Patient Safety Dilemma

    patient safety is everyone's responsibility. we constantly get interrupted during med passes to place pt' on bedpan, boost in the bed, talk to family, answer bathroom lights/bed alarms, answer phones,...
  15. Even if you get acls or pals to be more marketable-what can you prove you can do with it as a new grad? Nursing managers will want to know how you have used it. The best thing you can do for yourself...
  16. Just a random vent

    I have on many occasions had family members demand to see charts or get info about the patient by saying "I'm a doctor" So I politely say oh your a doctor, then you know what a HIPPA violation that...
  17. ASN vs. BSN

    when I went to nursing school many people already had a Bachelor's degree and were getting an associate in nursing. It really depends on the state you live in, what school will accept you and what you...
  18. in NY you can be hired as a teacher but as far as I know you have to be accepted in a master's program I think teachers deserve to be paid well but as babylady said they get lots of time off. Nurses...
  19. it's wierd how we always see stuff about nurses eating their young. if it were a male dominated profession do you think anyone would bring emotion and feeling into it. no, men are "assertive". women...
  20. What is the maximum number of patients per nurse?

    our med surg telemetry in ny and the ratio is 8:1 pt's on dobutamine and or dopamine gtt less than 5 mcg. cardizem, heparin, post cath's and ablations 2 days post avr's, chf... kinda jealous of the...
  21. ASN vs. BSN

    getting rid of associate programs? I wish we could bring back the diploma
  22. thanks jessy that is exactly what i
  23. cant we all just get along anyway most jobs may say "BSN preffered" however they will usually hire new adn from an excellent school as they know the adn and bsn take the same NCLEX. I have hear lots...
  24. PCCN

    if you took the test from aacn that is 40 questions for $45 then yes that test is worse than actual test because they cram all the hard stuff. The actual pccn has 125 so some questions were very hard...
  25. Time for a change?

    dont know if leaving would be any better for you. tele med surg usually get a variety of pt's depending on the hospital.usually have 8 pt's. surgeries like ortho, gi, urologic, open heart,cath's (try...