cardiacmadeline

cardiacmadeline RN

cardiothoracic surgery

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All Content by cardiacmadeline

  1. EKG strips!?! All I see are lines and stripes!!!

    I always recommend Dale Dubin's "Rapid Interpretation of EKG's" (it has a bright orange cover) for nurses learning EKG's. The book teaches you how to read strips and the physiology behind the...
  2. What is your "Dreams" for the rest of your life!!

    My dream is to work as little as possible. But until that happens, our dream (my husband and I) is to sell our house, move to Oregon and live as simply as possible and save lots of money so we can...
  3. Carpijet?

    Oh, I see. Thanks for clearing up my
  4. Carpijet?

    I'm confused. Why do you use a separate syringe if you are not giving the whole dose? I just squirt out what I don't want to use with the carpuject. Just wondering. Everyone at our hospital uses...
  5. Dislikes

    1) Press Ganey 2) Rude and unrealistic family members 3) Working every other
  6. Blood Glucose + GT + Lantus question

    I would have given the Lantus. You should never hold Lantus without a doctor's order. I have had endo tell me to give it (a lower dose then ordered) with a patient's blood sugar in the high 60's....
  7. I feel for your patients....

    Yep, some nurses make you wonder, don't they? I just have to ask because this stood out to me, you only had three patients for night shift? I want to work where you work! Just curious, how many...
  8. Hospital Changes Attendance Policy

    What if you are late to work? If we are even one minute late, it counts as half of a sick day. Of course, this doesn't count for salaried employees since they don't have to punch
  9. KUDOS to LTC nurses

    I went out to lunch today and there was a group of nursing home residents with a couple members of the nursing staff out eating lunch. I just thought it was a very nice thing to see. I love my elderly...
  10. Things you don't want to hear your Aide say

    Actually, this is possible. I have charted a diastolic of 0 once or twice in my 6 years of nursing. If you are doing the blood pressure manually, sometimes you can hear it all the way down to 0. I...
  11. What type of family member drives you craziest?

    The RN family member who has worked in psych or L&D for the last 20 years telling you how to take care of their family member post-CABG. The pain controller-The family member who rates the...
  12. Pre-pulling Medicatons

    Facilities use bar code scanning for safety reasons. How can being "extra safe" be considered
  13. How often do you work short?

    One more reason I like where I work-I have never worked a shift where we were short. However, since our staffing isn't based on acuity, sometimes it seems we are working short if we have heavier...
  14. Pre-pulling Medicatons

    My mom is a CNA in assisted living. She was ready to pass meds to one of her residents, but the resident was busy. So she got the meds ready for her next resident. By that time her first resident...
  15. Take that, cell phone!

    We use cell phones and I love them. I think they work great for us. The US calls us for a call light and can tell us what the patient wants. It makes it easier to prioritize when you are busy if...
  16. Your Favorite and Your Weirdest

    I like to suction trachs. Is that
  17. Chest Tube dressings

    We also just use 4 X
  18. Dressings for CABG/Valve patients

    We clean and redress our sternal incisions after 24 hours and then leave them OTA at 48 hours. Our rate of sternal wound infections is fairly low. We also use on insulin gtt protocol for blood...
  19. Want to live in Oregon

    Hello Oregon nurses, My husband and I want to relocate to Oregon sometime in the future. I was wondering what the average pay is for RN's compared to the cost of living. I have 6 years of experience...
  20. We're number one! We're number one! (For falls)

    Aren't there studies out there saying that staffing is related to falls? It makes sense to me. What are the reasons for the falls? (besides staffing) Medications, confusion? Management should be...
  21. Want to live in Oregon

    Thanks for your reply. We were looking at houses for sale in Oregon and were a little concerned because they seem a little more pricey than where we are from. But it sounds like you are doing OK, so...
  22. easy way for charge nurse to assign patients?

    I agree, I think the easiest and best way to do assignments is to use your brain, not a computer. Someone will always complain about their assignment no matter what you
  23. Nursing=Abuse?

    The doctors I work with are pretty good. They are for the most part respectful of the nurses. The doctors are the least of my worries at work. Most of the abuse nurses get is verbal abuse from...
  24. Do family members know how annoying they can be?

    I would pleasantly respond, "Oh, I am a nurse too!" Maybe that would give them a reality check. I don't work in LTC, but this thread reminds me of a family member who told the nurse if her 98 year...
  25. The small pleasures you get out of your job.

    I once had a little old lady call me in her room because her arm hurt. Turned out it was tape pulling on her fragile skin, so I fixed it. She was so happy after that and said I was "a sweet little...