mark_

I am sure you will do great......Good luck.. and i am sorry if i sounded bitter....

Find a good note taker and make friends.....best friends:paw:

And yes the preceptor has to be at the bedside when you give the med.

unfortunately, the facts are some nurses are better than others. i have seen new grads that walk circles around seasoned nurses. but good nurses, the really good ones learn from all. in the real world, we try to learn from each other. i understand that you are not particularly fond of the idea of having person x as your preceptor. unfortunately when you get to the work environment, you will find there are a few person x. team player? the person responsible for your education is you……the only person you can honestly change is you…i know my post may sound bitter but honestly. when you get to work as a nurse you will find that a lot of political play happens…bottom line is what will be your part…i don’t know you and honestly you don’t know me. o by the way every nurse class ever given has the one instructor or preceptor that few people like. why you should put up with her…what are your options. you can complain…then you become what you claim she is, a “backstabber”. you will find that in life you will not always like some of the people you work with and definitely not like some of the family you have to deal with. find some humility, speak up when you’re uncomfortable, but do it the right way. giving meds is not that hard. look it up. i know i don’t know person x and by the way i probably wouldn’t like x nether.

I definitely agree. And would just add find you a strong nurse on your rotation if you start in critical care.

hr rate of 50 wow i would really hate to see co/ci and their uop....

Proximal infusion port- CVP- cm h20 PA port- PASP/PADP- mm hg try this site if you would like to melt your brain some:-) http://www.edwards.com/Products/PACatheters/InvasiveHDMPhysPrincBookPDF.htm :paw:

obviously, the removal of femoral sheaths, iabp, ij, swan....etc all have unique problems with extraction. i hate to answer you question with another question but usually i find this a better method to respond. so what is the real difference in removing swan-ganz compared to removing iabp? anatomically the iabp does not actually go thru chambers of the heart. however, there is more pressure in the aorta compare to the pulmonary artery. what are the procedures for removing iabp. (nut shell- turn off the machine remove all air left behind in the tube via three way pit cock, remove slowly, hold pressure(manual/femstop)....possible complications - rupture of aorta..(you will see an immediate drop in pressure...i like to put my cuff on about q3min to watch trending/hopefully you already have an art line...you are there anyway holding pressure),bleeding (act/ptt-check pre removal...unless emergency), brady (atropine) pseudo (stat..doppler..call physician), loss pedal pulses (stat doppler....call physician), hematoma (hold pressure to express out...unsuccessful, stat doppler r/o pseudo call physician)..other complications related to electrolytes/dysrhythmias treat accordingly....labs to order h&h pre and post removal say two hours status post..close check on hr, bp, resp, pedal pulses, extraction site, and telemetry status post removal. i think most of the cv nurses have removed one or two swan-ganz j this particular line can/could cause problems too. this particular baby can cause v-fib, v-tach, and you still have the possibility of rupture, pseudo, damage valves etc..... so bjrn76, i would see this as an opportunity and check with state nursing board to see if you would be covered.