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 of the PICC (only single/double lumen, boo), have ...
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 get our patients to the chair on day of transfer a...
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 scheduled three (due to severe staffing issues) a...
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 I am awaiting my blood work for a suspected latex ...
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 off.
raskol replied to dizzyray822's topic in New Nurse
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 them in sinus rhythm?
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 admitted with chest pain. However, she was 22 wee...
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 AM.
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 whatever reason. When I took report from the ED, t...
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 wondering if anyone had any last-minute online res...
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 like a paramedic (where you don't know their backg...
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 have EMTs... who cannot really do much. They can cal...
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 in... in addition to these basic nursing skills). I ...
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 more compliant that others with this policy. Hourly r...
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 experienced an LPN was doing EMS at the nursing homes....
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 education.
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 administration bog them down. Are they motivated b...
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 did get TNCC a week after I passed my boards and m...
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 handmade and needed to form to my foot. They don't...