cardiacmadeline

cardiacmadeline RN

cardiothoracic surgery

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All Content by cardiacmadeline

  1. AAA repair and post op course

    cardiacmadeline replied to KatieNoelLPN's topic in General Nursing

    There are two ways to repair AAA-open or endovascular. Endovascular--They go in through the groin and repair the aneurysm. Post op they are typically on bedrest for a few hours and then they can be...

  2. Your Pet Peeves in Nursing..

    cardiacmadeline replied to Katie5's topic in General Nursing

    Calling me honey/sweetheart doesn't bother me unless they say it repeatedly, then it starts to get on my nerves. What has been really bothering me lately is when patients ask me where I am from. I...

  3. Restraints and JCAHO standards

    cardiacmadeline replied to fsaav's topic in General Nursing

    This is off the top of my head, I could be missing something, but this is what we must document when we use restraints. I am assuming these are JCAHO standards. There must be an order for the...

  4. Trouble With Understanding VT scenario

    cardiacmadeline replied to mlbdestined's topic in General Nursing

    Per ACLS guidelines--V-tach is a regular wide complex. If the pt is in V-tach and has a pulse, but they are unstable, you need to cardiovert. If they are stable, try amiodarone while preparing for...

  5. Advice on Chest Tube & mistakes by colleague

    cardiacmadeline replied to Magsulfate's topic in General Nursing

    We don't use vaseline gauze on our chest tubes either, but of course there is always the exception. I too redress them the way I found them. As far as labeling the chest tube the way he did, we...

  6. Gum Chewing

    cardiacmadeline replied to NinetyNine's topic in General Nursing

    i think this is true. i remember reading somewhere about some study they did with patients who had abdominal surgery and were npo-they found that chewing gum did help to get their bowels moving...

  7. Items You Carry Daily in the Hospital

    cardiacmadeline replied to studentdan's topic in General Nursing

    My pockets have--lots of alcohol wipes, a small pad of paper, couple of pens, sharpie, scissors, pen light, carpoject, gum, chapstick, and a few dollars for when I crave a soda. To the student nurse...

  8. So who do nurses marry or have as civil partners???

    cardiacmadeline replied to snoopy29's topic in General Nursing

    I met my husband at our previous jobs at the same company, before I went to nursing school. His boss kind of set us up, turns out we were the perfect match! He went back to school for machining, (he...

  9. A dedicated charge nurse?

    cardiacmadeline replied to SoundofMusic's topic in General Nursing

    There are a couple of nurses on day shift that do charge all the time, and evening shift has about 3 that do charge all the time. If none of them are working, others that have done charge before are...

  10. IV piggyback

    cardiacmadeline replied to buttons4's topic in General Nursing

    If we need to hang an antiobiotic and don't have an order for a primary infusion, we can write an order for normal saline to run as the primary per hospital policy. I would want a primary line to...

  11. Telemetry overuse = ED overflow...Can anyone relate?

    cardiacmadeline replied to blessings2nurses's topic in General Nursing

    I am not an ER nurse so I won't be able to respond to your last two questions, but I would like to say a couple of things. Admission criteria for tele-If the MD feels it is needed, they will order...

  12. Surgery Center cuts IV lines

    cardiacmadeline replied to rovergirl's topic in Patient Safety Issues

    I'm confused. After you cut the IV, isn't it useless anyways? This is one of the strangest things I have ever heard. I would refuse to do it too. And what do they use to cut the IV, sterile scissors?...

  13. NP Autonomy: Are MD's hating it ? ...feel stupid asking question

    cardiacmadeline replied to Laboratorian's topic in General Nursing

    This makes me think of some of the coworkers I work with that are going to school to be NP's. The thought of one in particular going into independent practice is a very scary thought to me. I...

  14. Too many nurses/chiefs in the room?

    cardiacmadeline replied to F.E.R.N.'s topic in Emergency

    I am not a trauma nurse, but I can kind of understand being in codes/rapid responses when everyone comes running in the room and there are so many people you don't have room to do anything and...

  15. Patient doesn't know he's terminal

    cardiacmadeline replied to AmericanChai's topic in General Nursing

    We have had a couple of situations like this and I am rather uncomfortable with it. I too think it raises ethical questions. If a patient is alert and competent, I don't think the family has any...

  16. flexing for major holidays

    cardiacmadeline replied to matrjety's topic in General Nursing

    We are divided into two holiday groups-X-mas Eve and X-mas and Thanksgiving, New Years Eve and New Years Day. We go by seniority as to who gets called off with low census. But if you take X-mas Eve...

  17. White Boards

    cardiacmadeline replied to Zippy Head's topic in General Nursing

    The nurses's name and CNA's name, date, diet, how they move (1 assist, 2 assist, bedrest until ...). Sometimes therapy writes stuff on there too. I also disagree with years of experience, more...

  18. Misguided Charge

    cardiacmadeline replied to LifelongDream's topic in General Nursing

    I totally agree!!! This frustrates me too. Same thing with having newer nurses precept new nurses/student

  19. What have other nurses done that have freaked you out?

    cardiacmadeline replied to texas_lvn's topic in General Nursing

    Coreg is a nonselective beta-alpha blocker given in HF to block SNS effects like increased heart rate, contractility, and peripheral constriction, all of which increase oxygen needs and increases the...

  20. Gold Star Stickers For Nurses??

    cardiacmadeline replied to Nurse!Nurse!Hello?'s topic in General Nursing

    Look on the bright side-at least they are attempting to recognize you and focus on good things, because sometimes all we hear are the bad things. Of course, going about it a different way may be...

  21. no wash cloths!!!!

    cardiacmadeline replied to NurseEmRN's topic in General Nursing

    That sounds absolutely

  22. "Borrowing" one patient's med for another.

    cardiacmadeline replied to Katie5's topic in General Nursing

    I am a bedside nurse, and in 6 years it has never once crossed my mind to borrow meds.. If the med is needed soon, we will take it out of Pyxis or call pharmacy to send it up

  23. What have other nurses done that have freaked you out?

    cardiacmadeline replied to texas_lvn's topic in General Nursing

    I once got a post-op that had a bronch done during surgery. PACU tells me that they had to put him on CPAP because of breathing difficulties. He comes down to me, I listen to his lung sounds, and he...

  24. Medical vs Surgical Cardiac Floor: which one?

    cardiacmadeline replied to **All Heart RN**'s topic in General Nursing

    I have only worked on a surgical cardiac floor, but I will try to help you as much as I can. Surgical Cardiac Floor - My unit gets all cardiothoracic surgeries in addition to vascular surgeries....

  25. The Concerns of My Loving Wife

    cardiacmadeline replied to JohnWatson's topic in General Nursing

    but i too would also suggest that if you think you want to be a doctor, then bypass the rn route and go directly to med