nyrn5125

nyrn5125

pcu/stepdown/telemetry

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All Content by nyrn5125

  1. telemetry vs med surge

    everything is the same including ratio. my hospital is1rn to 7-8pt no monitor tech. we carry beepers. all same med surge issued but with ehart monitors. lots of afib
  2. New Telemetry Nurse

    If anyone can give me help on organizing myself in busy med/surg. I seem to confuse my patients with each other, and have trouble remembering off the top of my head what exactly went on in the day. I am constantly responding to alarms and feel overwh...
  3. BP Cuff Readings vs. Arterial BP

    A difference in the aline sbp 70 to cuff of 109 would lead me to believe she had subclavian stenosis. The aline measures pressure and the cuff measures flow. So the flow isn't there because of the stenosis. Our vascluar surgeons have us follow the a...
  4. CMC Cardiac Medicine Subspecialty Certification

    hopefully everyone taking it will pass. I found the cardiovascular nursing practice to be theonly book I needed by jacobsen and they have a cd rom with practice questions Cardiovascular Nursing Education Associates (CNEA) - Cardiac Nursing Review Cou...
  5. Nurse Ratched

    state politely " no need to roll your eyes they might get stuck"
  6. INR increasing...without anticoagulation?

    Exacly what I was thinking. Once had a patient that was getting multiple doses of vit k and the inr was still 13. He was on Cipro
  7. CMC Cardiac Medicine Subspecialty Certification

    I just passed within the last week and studied my you know what off on my own independantly and it was the hardest test I have ever taken. I had no one give me questions or tell me what is on the test. I studied from scratch over the past couple of m...
  8. Fired for giving Med late

    I feel for you because pcu can be hectic and you really cannot hold off taking patients, at least mine can't. We have to take pt's when we are swamped. To fire you for a late med. I think it's crazy. The money they just wasted to train you is gone. Y...
  9. Oxygen levels possibly hurt pt?!

    If for a few seconds he was getting 12l nc and not the NRB that is not something you should worry about. What you should be concerned about is that you are a student and a PCA is putting high levels of oxygen on a pt when their sats are in the toilet...
  10. Bedside Reporting starting Monday :(((

    My facility did it the way they wanted for maybe a few days. They wanted it done on 8 pt's. It was a nightmare and we changed it. The pt's do not understand the nurses job and what it entails. They cannot help but interrupt for water, toileting,want ...
  11. we don't know the history of the pt but a sodium of 131 is not that low and not going to change much after NS bolus. initially may go down but the real problem here is the hypotension which has to be corrected. then if the sodium is lowered less than...
  12. cdiff death?

    perforated colon, sepsis, renal failure are all possible
  13. As a clinical nurse working directly with pt in a stepdown unit I can tell you that what you are saying is only a dream. Wait until you get that masters and still work at the bedside doing the RN,aide,housekeeper,dietary job all the while not making ...
  14. ratio for fresh CABG pts

    at my hospital the LVAD are 2:1. fresh post op 1:1 pt awaiting transfer to stepdown and 1 critical then 1:2 Let your surgeons know about this as another post stated. They would not be happy. They can do something about it. Get the MD on your side
  15. PCCN - I failed by 10 questions

    So sorry you didn't pass. When I took the test it was shocking to find out from aacn that the pass rate was 60% the latest I saw was 62% at the site below. It is the lowest for all their tests.Why, partly because it is an extremely hard test, and th...
  16. You should complain about that counselor. First of all your license is granted at the associate degree level.Same test as the BSN program. Most RN get online degrees for BSN after becoming ADN. It means you take online classes and are granted a title...
  17. Need help..don't know if i should continue nursing

    It always aggravates me when nurses say "It's my license, I have to do this" meanwhile it's not that they are stealing narcs, but they didn't put the balmex on the pt behind. Nurses have a lot of pressure. On a daily basis you don't fear for license ...
  18. Critical Hgb value changed

    Give blood almost every day worked, never a reaction though. We transfuse at the number the MD wants, not the blood bank. They do call and ask for a reason why and they are not happy, but they do send the blood. Last week a pt was transfused at a 9.4
  19. Air in IV flush syringe??

    for the prefilled flushes I slightly loosen the white cap point up and flush out the air with the cap still on. also it would take a good amount of air to harm the pt. But be careful with micro bubbles. If a pt has a Patent Foramen Ovale you need to...
  20. Interruptions while giving report

    do you speak fast enough? maybe it's that you might take too long to give info and not that it's too much info. Depending on the kind of floor it sounds like the info you give is appropriate. However, report to me at least, is a conversation with my ...
  21. Fundamentals of Critical Care Support

    wait to get hired as an rn and it's free through your job most likely. you would have a better understanding of what they teach if you have experience as a nurse. it's a tough class. physician assistants and nurse practitioners , and experienced rn's...
  22. lvn = physical therapist assistant?

    physical therapists assistant is a 2 year degree as the rn is. as far as i know you can work under physical therapist only if you are a physical therapist assistant or massage therapist
  23. Heparin and Lovenox together

    "the weird part was i must have conferred with 4-5 other nurses on the floor including the supervisor and they all thought i was crazy for questioning the order. one nurse even said "they always give 2 anticoagulation meds like heparin and coumadin a...
  24. Chest tube policy at your hospital?

    ours are sutured too and if possibly pulled on we take dressing down to make sure suture is intact. daily xray is done as well. No measurement is used as far as length of tubing.
  25. Patients' perception of your demeanor.

    it's hard but you do have to be able to read certain people's personalities and how to adjust to them to see what they can handle. I try to be as compassionate and honest as possible. Many have unrealistic expectations about hospitalization and don't...