SCNuttyMeg

SCNuttyMeg

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All Content by SCNuttyMeg

  1. Is Anyone PCCN Certified?

    Hey There! I'm PCCN certified and have been for over three years now. When I studied, i actually used the ACCN CCRN Dvd'd (because It was cheaper to borrow than buy PCCN), I went to a two day class...
  2. Insulin drips on the floor!

    Hi, A little over a year ago we started doing insulin gtts on our telemetry units for our post open hearts. We were told a 3:1 ratio for those nurses with the gtts but lets just say it was 4:1 days...
  3. peritoneal dialysis pts in hospital

    This week I had my first PD patient. I have never had any clincal training on these machines when I was in college or nor in the hosptial setting. This was the first time I had seen the machine etc....
  4. Insulin Gtt

    Within the last month we began using insulin gtts pre and post op on our surgery patients. When we were inserviced on this gtt we were informed our pt ratio would be 3:1 and the floor would only have...
  5. Reopro on Step-down unit

    We use reopro occasionally for our post intervention cath patients. Most of the time we use integrillin. We have a 5:1 or 6:1 ratio on nights. We do the frequent vitals and observation with pts on...
  6. Littmann Master Cardiology III or Ultrascope?

    I have the master cardiology III and I absolutely love mine. I have no problems picking up murmurs,rubs, and lung sounds. I must say I havent even heard of the ultrascope, I might have to check into...
  7. Blanket Orders

    On our standard post op orders it states to continue previous orders. We do not rewrite the previous orders as written before we just continue what was already written. Pharmacy continues all meds...
  8. New Grad question

    Hey, I graduated almost 2yrs ago and I started on a cardiology floor. We take post open heart pt's once off the vent, post cath, MI's, Strokes, CHF, plus anything else the cardiac surgerons operate...
  9. troponin question...

    This is a stupid question but what is NSTEMI??? I could tell you my guesses but I think Ill pass. Okay I will....Non ST Elevated
  10. Type Of Pts Accepted on Telemetry??

    We had an issue over the weekend and I was curious to what type of patients do other telemetry floors accept on the floor. Do you accept patients with positive cardiac enzymes?? What is the highest...
  11. Vaso Depressive Syncope???

    I had a pt last night who was +for decreased BP and HR according to the tilt table test. The doctor wrote he had vaso depressive syncope and started him on clonidine. I asked very experienced nurses...
  12. I'm a new grad and I wanted to work nights. I had worked two year of nights while as a tech and Its an adjustment to your body. When I work I try to stay up late the night before my first shift so...
  13. Study of delegation tips?

    If your studying for the nclex....Kaplan RN study book had a whole section on how to determine if a certain thing can be delegated. I used it for when i took the nclex in june and it helped me. Good...
  14. Question For Cardiac Nurses

    I work on a cardiac floor and hand out amiodarone like its candy. He really needs to take it, it usually converts the rhythm back to SR. The main effect ive seen is extreme nausea if not taken with...
  15. Where are all you SC nurses?

    Hi TwinRn, I saw that you were interested in the columbia area and specialty in pediatrics. Palmetto Richland Memorial Hosptial has a Childrens Hospital within it. They have the pediatric floor and...
  16. Sucking Chest Wound???

    I am a cardiac nurse and I was taking care of a post CABG. During the day shift the pt developed a sucking chest wound on the lower part of the inscion. It was pressure dressed but continued to drain...
  17. Sucking Chest Wound???

    Of course the doctor was called, vasoline guaze applied, 4x4s and spongefoam tape applied. The patient was sitting up in the chair when this happened and his chest tubes and wires were pulled the day...
  18. NCLEX Review Course

    Congrats on Graduating in DEC. Before I graduated I took a review course by sylvia rayfield. She goes all over the US teaching a 3 day review course and once you pay you can attend again for free. I...
  19. Transporting Telemetry Patients off the unit

    This Topic has raised questions in my head!!!! Im a new grad and really never gave this much thought till now. We send our patients to xray, ctscan, mri, for caths, to surgery WITHOUT a monitor on....
  20. Have you found your calling?

    I went to work on a cardiology unit in july after i passed my boards. As more and more I work I realize hosptial isnt for me. I have a passion to work in the community and work with prevention...
  21. deposition

    Usually Family Memebers who sue dont go after the nurse, they go after the hosptial. Who can they get more out of?? A hosptial. We had a case where Im from when a Nurse gave blood to a patient with...
  22. Prozac for PMS

    I was taking sarafem for a year straight every single day for PMS. It seemed to work better than just doing it before my period. After a year I began to have periods 24/7. Instead of just changing my...
  23. What classes are needed?

    To Become an OR nurse you still have to go through an accredited nursing program. My friend just graduated in May and went directly into the OR with no exp. She was required to take a surgical tech...
  24. Where are all you SC nurses?

    Hey SC, Just wanted to say hello to all the fellow nurses and future nurses. I'm a new nurse. I just graduated with a BSN in May. I see that most of yall are from the charleston area, any one in the...