WalkieTalkie

WalkieTalkie RN

CVICU

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All Content by WalkieTalkie

  1. Questions on Nursing

    Hey, there's nothing wrong to going to community college. I started off at a private university, and I didn't do well (not really their fault, but still). I then finished my nursing pre-reqs at...
  2. Questions on Nursing

    Well, to start out, I wanted to be a doctor. My first experiences in the medical field were mainly as a "Medical Explorer" with the Boy Scouts, where I was able to observe different roles in the...
  3. RN to??? Suggestions on where to go from here

    OP, I was just curious, in what area are you working now? You could start off by beginning to study to be certified in your area (such as the CCRN exam). This will help you learn a lot about new and...
  4. RN to??? Suggestions on where to go from here

    really? this is going to open a can of worms, for sure. i could be a doctor, and i could go to med school. however, i don't want to. i have the grades, i could invest the time, but why? i like...
  5. I am a very young nurse. Will my patients be frightened?

    LOL, I'm 27, and I still get that "you're too young" thing every now and
  6. Palpable Dorsalis Pedis , but unable to doppler

    You know what's funny? I had this exact same thing happen to me last night... patient with ruptured AAA s/p endograft repair. Could palpate left posterior tib and pedal pulses but couldn't...
  7. Travel nursing -- is it dead?

    I have two good friends who started traveling last September and they both still have assignments in the Denver area. In addition, my unit just hired two
  8. I was shocked to see that a nurse I worked with had gotten a "censure" or whatever it's called for "prescribing drugs without a prescription" or something of that nature. Well, I found out that she...
  9. Absolutely. None of the ridiculous NANDA junk is really incorporated in our "care plans" because it's essentially worthless. We do have a few of them, like "self care deficit" and a couple of psych...
  10. Does anyone else do this?

    Yes, I've done this before, to avoid strangling that patient during my shift On the other hand, if I know I'm only going to be there one night and then off a few days before I'm back again, I'll...
  11. Here's how I use care plans: 1) in the computer under the care plans menu, select which diagnosis (medical) the patient is admitted with. 2) click on that order set and select the pertinent boxes...
  12. cvp

    Sign up for that PACEP link and it should walk you through Swan measurements. We use Swans all the time in my unit (we are a CVICU), but we rarely wedge a Swan unless our diastolic pressure is...
  13. cvp

    It should be the most distal port (usually the brown port on a triple/quad lumen). If you are using a swan, it's the blue port. Check out
  14. would like your opinion...

    I'd love to work with a CNA who can prioritize like you. Whoever wrote you up needs to get his/her head out of you know
  15. Max dose of Versed?

    I recently got to use Precedex on a patient for the first time, and I love it. Usually when this girl was having pain, she would wig out and 2 mg of morphine wouldn't touch her. With Precedex, the 2...
  16. med/tele orientee needs help with critical labs

    Our lab is notoriously bad at calling criticals. They're more than happy to call you a critical creatinine of 7.5 on a dialysis patient who has been in our hospital and had a creatinine level this...
  17. Prescription narcotics or benzodiazepines while working?

    With stuff like Xanax, it typically says on the insert "do not drive, operate machinery, yada yada, until it is known what your reaction to the medication will be." I see nothing wrong with someone...
  18. How do you know when a pt. is actively dying?

    Hospice has a really good book they give patients and families that explains the death process.
  19. Max dose of Versed?

    OMG! I think we've had someone on about 40/hr, similar situation. I don't think there is a true "max" on the drug, but obviously, at that high of a dose, a different form of sedation should be...
  20. Is your unit hiring new grads???

    Omaha
  21. Is your unit hiring new grads???

    We are hiring new grads all over our
  22. Elevated ALT, AST and ALP- acute renal failure?

    Amiodarone itself can cause
  23. Advice for a new preceptor

    I've been a nurse for a little over a year, but I have 10 years experience in health care, including being a CNA in LTC and a tech in the ICU and ER. I'm now an RN in a CVICU. I found out last week...
  24. My dad keeps telling me to save more money. Mind you, I put a great deal of it away. However, since I know I'm going to be applying to school within the next year or so, I plan to enjoy my "free"...
  25. iphone or palm?

    I've been using Palm since 1999, so naturally, I went with a Palm Treo the last time I got a phone. I'm a bit disappointed with it. The ease of use is simple enough, but it often lags in launching...