DabearsDitka

It's not only because of Joint Commision and hospital based policies but because there is a big change in the healhcare reform models that we are starting to see such as Value Based Purchasing and pay for performance and penatly for poor performance as hospitals will recieive higher reimbursements if they can show they do a better job than other hospitals in the area. I agree its a pain but some computer systems are better than others. I can't stand mckesson but love EPIC!

I'm an ACLS & BLS instructor. It is a myth that you have to take the 2 day course the first time, however is is highly advisable. I took the 2 day course when I first certed and again the 2 day for my renewal since my job would pay for it and I did not feel I knew the information well enough yet. But as stated by other some training centers will in fact not allow you to take the 1 recert class if not already in good standing

the AHA has a book that they usually give with the class, somtimes you have to pay 15-20 for it fromt he training facility. I'm sure you can do a google search and come up with info. I'd start with the American Heart Association website.

AACN is the best! Tons of ceu's and free journals. I always felt the ANA charged to much and personally think the AACN handals policitcal agendas better than the ANA!

If the patient was alert enough to drink OJ I think you made the right decision. Obviously you monitor to make sure the BS goes up appropriatley otherwise you could have given your patient glucose gel 15-30 grams. IV 1 amp of D50% (25 grams of dextrose in an amp) If patient has no IV you can give glucagon sub Q (not the gel kind you have to reconsitute the powder in sterile water) If they we're unresponsive on the floor call in RRT/CODE blue and give D50 ASAP. Again if they we're alert enough I would have waited to see if giving the patient enough simple carbs would have done the trick. A BS of 21 is awfully low. I'm going off the information you've provided though. In an emergency situation any ACLS certified individual is expected think of H's and T's and hypoglcymia is one of those. Check your hospitals policy. At mine I work in the MICU and we can override and give those med's while waiting for an MD to show up, we can decide to defriblate or cardiovert based upon on interpretation of the rhythm. Make sure you have a good strip of the rhythm before so you don't have anybody questioning after the fact. Our floor nurses can not do this even if ACLS ceritified they can only use the AED mode on our defib. Hope this helps.

I've worked at Weiss in the past and can provide some insight into the facility.....

Chicago!

Stick with it! It sounds that this hospital needs to formalize a model for primary preceptorship!

I interviewed at the beginning of Nov and am also waiting to find out!!! Does anyone know how many spots they accept each year and how many people we're interviewed?

Just found out today that I did not get an interview and was rejected via email. Sent an email asking what I could do to make myself a stronger applicant for next year.

Just found out today that I was not offered an interview! Rejected. Sigh. Sent me via e-mail. I emailed to see what I could do to make myself a stronger applicant for next year just now.

I agree with many of the things that have been already posted, someone with an ejection fraction of 10-15% would normally run in the 80's and I can assure you the cardiologist doesnt want to get a call everytime I different nurse comes on shift:no: