raskol

raskol

cardiac stepdown, pre-hospital

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All Content by raskol

  1. PICC Lines - To clamp or not.

    raskol posted a topic in General Nursing

    I am at a new facility and had a few questions regarding PICC lines. I have consulted with my fellow nurses and looked at my policies, but still wanted some other opinions. Where I am now, the lumens...

  2. Pain management post open heart surgery?

    raskol replied to twinkletoes53's topic in CCU, Coronary, Cardiac

    My unit takes hearts post op day 2. We rely on percocet 5 or 7.5 q4 (1 tablet) or q6 (2 tablet). If that is not adquate, we get IV morphine, dilaudid, toradol, or talwin depending on the surgeon. We...

  3. Stupid things doctors do?!

    raskol replied to healthstar's topic in Patient, Colleague Relations

    I had a vascular resident ask me what VICU was. I must have made a look because he went, "It's vascular icu isn't

  4. Nurses working overtime

    raskol replied to Brian's topic in Nursing Humor

    Just came home from another shift. Nurses who are already scheduled overtime this week will be mandated to stay past their eight hour shift because we have TWO NURSES for 28 beds. Because we were only...

  5. Nurses working overtime

    raskol replied to Brian's topic in Nursing Humor

    On average I work 48-52 hours a week. My status is full time 40 hours, however my unit is at mandated overtime and has been since

  6. Gloves & Allergies

    raskol posted a topic in General Nursing

    I've been in health care for about 5 years both EMS/hospital. Up until last summer, all the places I worked had nitrile gloves. However, since the summer I've been using non-powdered latex. Well, now...

  7. Ops! Things that make you go huh!

    raskol replied to 9livesRN's topic in General Nursing

    I was getting a telephone order to test for possible HIT. The surgeon said to order HIPA.. well, I was tired and said, "HIPAA? Test for privacY?" He just laughed and told me I needed a day

  8. When to hold cardiac meds?

    raskol replied to dizzyray822's topic in First Year After Licensure

    I find it helps to know why they are on each medication. Is the EF low? Am I trying to increase cardiac output or coronary perfusion? How have they tolerated the meds in the past? Am I trying to keep...

  9. Need a new perspective here....

    raskol replied to ChinupBSNRN's topic in General Nursing

    You asked what you could do differently. And now you know where to find stupid buried old labs. no big

  10. 22 weeks on a cardiac floor.

    raskol posted a topic in Ob/Gyn

    I had a question regarding fetal heart tones. I work on a cardiac step-down floor (our population is most commonly cardiovascular surgical patients) however the other day I had a 30 y/o female patient...

  11. Is there a difference between a cordis and TLC?

    raskol replied to patientadv's topic in General Nursing

    my floor gets a lot of post-op CABG patients.. they often come with a cordis...that I love for selfish reasons.. mainly I have great access and I don't have to worry about nurse collect draws in the...

  12. 22 weeks on a cardiac floor.

    raskol replied to raskol's topic in Ob/Gyn

    Yeah, we don't have L&D. The hospital had different campus and mother&baby is on the other side of town. We did try the ED, waited half hour to borrow their doppler...they won't loan it for...

  13. attending vs resident PhD

    raskol replied to ading's topic in General Nursing

    The order you call the physicians is dependent on your hospital and shift. You'll learn it on the

  14. Preparing to observe cabg surgery

    raskol posted a topic in General Nursing

    Hello fellow nurses, I'm a cardiac step-down nurse and my floor has all their nurses observe a CAGB due to the large amount of open-heart patients we get. I'm scheduled to go in the morning, and I'm...

  15. A hospitalist's clash with a PA and NP

    raskol replied to TheSolemnHospitalist's topic in General Nursing

    I'm mostly bummed because that wasn't even a good

  16. PICC Lines - To clamp or not.

    raskol replied to raskol's topic in General Nursing

    Thanks guys you have been so

  17. Giving Report to Medics... What do they know?

    raskol replied to casi's topic in General Nursing

    Quick mention... even though the EMT has less training than a paramedic, they deserve a good report. They are still responsible for that patient during transport and need to know whats going on. Just...

  18. A few questions:

    raskol replied to felineRN's topic in Emergency

    In regards to your first question, EMS is so specific to the state office. In my EMS experience (in New England), they make it incredibly difficult to not bring a code into the hospital. First you...

  19. I hate being a tech. will I hate being a nurse too?

    raskol replied to K nurse-one-day's topic in General Nursing

    I hated being a tech. Absolutely never wanted to go to work. Not because I had to do turns, and incontinence care, and sitting, etc. But because that was all I did. I knew I could be doing more (as...

  20. Is this backwards or is it just me?

    raskol replied to abbaking's topic in General Nursing

    At my old hospital, as a way to cut expenses, we were not to stock the room. This included linens, alcohol swabs, gauze, anything. It pretty much sucked. Especially as a float, as some floors were...

  21. Why are so many new nurses having problems?

    raskol replied to okchug's topic in General Nursing

    I have a echo this sentiment as a new nurse. I moved out of my state, even region, for my first nursing job. Where I am from, LPNs are completely phased out of the hospitals. The only time I ever...

  22. New to ER and getting CEN?

    raskol replied to bbie17's topic in Emergency

    I took TNCC free from my hospital. I don't even work in the ED, I'm on a cardiac step-down floor. My hospital has many faults but they do strongly advocate for nursing

  23. Why are so many new nurses having problems?

    raskol replied to okchug's topic in General Nursing

    I have to question the type of students coming into nursing as perhaps part of the problem. Are they compelled by a strong desire to "help" people. Perhaps the reality of documentation and medication...

  24. New to ER and getting CEN?

    raskol replied to bbie17's topic in Emergency

    I would suggest working towards TNCC first. I want to get CEN, CTRN, CFRN certification and all the nurses I highly respect encouraged me to wait until I have more experience in those specialities. I...

  25. Ouch!

    raskol replied to MJB2010's topic in Scrubs, Uniforms, Gear

    My feet never really hurt wearing them. Only because the girl I bought them from was great at explaining them to me. She told me.. these were shoes that took time and I had to break because they were...