nursingpower

nursingpower

Cardiac Critical Care

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All Content by nursingpower

  1. Girl it's not worth it. This conversation has gotten personal. We don't need to use our personal experience to prove the research is correct. It's embedded in our countries history and current events....
  2. This is not bashing. She specifically spoke on maternal childbirth mortality rates. In general studies show that the profession of medicine and nursing have not effectively closed the gap,...
  3. I will keep this short as possible. I am in my last semester for my AGNP program. I am with a physician who is 65-75 yrs old. During my rotations the doctor enjoys talking about so many off topic...
  4. CABG recovery ratios?

    It seems to be dependent on your facility, level of nursing training, availability of staff physicians and policies. I am at a large hospital and the only ones are 1-1 are patients on devices (ECMO,...
  5. Sliding scale insulin...give or hold?

  6. ICU RNs floated to floors?

    I don't know. I feel like ICU nurses can pretty much work anywhere if they are oriented to the unit. It just can't happen the other way around
  7. Sliding scale insulin...give or hold?

  8. Sliding scale insulin...give or hold?

    a lot of people forget the whole glucose metabolism piece. Great
  9. Sliding scale insulin...give or hold?

    Exactly. In this case, some continue to support disregarding physician orders despite knowing that the next BG level was worse. It seems very clear that the patient should have gotten the 2
  10. Sliding scale insulin...give or hold?

    I think it's more important to treat hyperglycemia as the physician orders state to prevent worsening hyperglycemia. The patient's blood sugar went from and untreated 159 to 228. Don't seem that...
  11. Sliding scale insulin...give or hold?

    Yep, your rationales explain why the patient's next BG level was 228. Go figure. I hardly think getting D5 1/4NS constitutes as as diet. Again...the patient's BG nearly doubled because the patient...
  12. Sliding scale insulin...give or hold?

    I just seen this after I typed my reply. So this could have been prevented had they treated the first hyperglycemic event. SMH. Poor patient was hyperglycemic all day. Wonder how many days of this...
  13. Sliding scale insulin...give or hold?

    159?? Fasting glucose? That is high for a fasting glucose. 1. What does the orders say? If the physician orders state to give 2 units for 159 you should give it. YOU ARE CORRECT! Sliding...
  14. Difficult patients?

    I've come to the conclusion that I may not know how to adequately deal with what I call difficult patients. Setting: ICU with 2 patient load. I had a 71 y/o woman who was A+Ox3 that complained she...
  15. Saw a nurse yelling at a patient in ICU

    Just what I was thinking. Also InspiredbyNavy, as a nurse you will have to tune in not ignore. Pay attention to detail and gather all the information you can get before you make a decision. In my...
  16. Shocked by facial piercings at work

    After careful consideration I've decided to reply to the OP. I can careless what anyone else think of MY OPINIONS. I work at a very large Magnet/teaching Hospital. Upon my hiring over 4 years ago and...
  17. Shocked by facial piercings at work

    I thought the same thing. Then I started liking comments for some
  18. Shocked by facial piercings at work

    SMH.. Lol. I'd have probably Googled this before
  19. RNs pulling pleural chest tubes

    In our ICU we pull mediastinal and pleural chest tubes. They teach us while orienting in the unit. Only difference is that if we have mediastinal and pleurals, we are to pull the mediastinal chest...
  20. place: cardiac icu scenario: bob is working an 8 hr shift and has two patients. one pt is expected to transfer to stepdown unit. the charge nurse tameka just learned that an patient must be placed...
  21. What can nurses do to be more happy in their career?

    I make sure I take my 1 hour lunch break every workday. In 3 yrs this happened less than 10 times I know for sure. When I take lunch I LEAVE THE UNIT. Play games on my phone, call friends, browse...
  22. LOl. I typed the "off" next to the colon Mon: off and it made
  23. I don't even like working 3 days in a row...lol. I know a Nurse Practitioner who will work 6-7 days in a row just to have more consecutive days off in which she does in conjunction with her vacation...
  24. I looked a little side eye at this too. The correct spelling of the President's name is Obama. Also the correct term for it is The Patient Protection and Affordable Care Act. "Obama care" was...