cardiacmadeline

cardiacmadeline RN

cardiothoracic surgery

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All Content by cardiacmadeline

  1. Caring for amputees...post op and in general

    Never elevate an AKA on a pillow. This can cause contractures making it difficult for a prosthetic. We don't do this at my hospital, but laying a patient prone helps stretch out those muscles in the...
  2. Would you have given the meds??

    I would have given the meds. If I was unsure of the insulin dose, I would call the MD. I never hold scheduled insulin without an MD order. The physician sounds like he was out of line. Guess he...
  3. Change of shift admissions

    We take ER patients whenever they come up. It has never been a problem during report times. Our report consists of about 20 minutes of looking at your patient's charts (computerized) and then a 10...
  4. Just hate those navy blue scrubs

    That is soooo depressing!! Imagine being a resident and having all of your caregivers wearing black! I think health care professionals should be banned from wearing black, it is too depressing. As...
  5. Patient or Client?

    My patients are my patients. The term client is used for customer service industries. I am a nurse, not a customer service
  6. What would make you say "I could never do that"

    Anything associated with kids and babies. I also hate orthopedic patients. Neuro scares me, but I could do it if I absolutely had
  7. The things you absolutely cant stand about nursing.

    There are a lot of little things that bother me at work, but I think the biggest thing is the fact that healthcare is now a customer service industry and that hospitals are so focused on their patient...
  8. Advice Please?

    Here is my honest opinion---If I worked with a CNL that had no previous nursing experience, I don't think my coworkers would give him/her as much credibility and respect. How can you be an effective...
  9. How long to find your "niche"?

    Started out in cardiac, still working in cardiac and don't plan on leaving it anytime soon! It is definitely my
  10. if you ever leave nursing

    I would do something with
  11. Really Bad Code...

    I was once told if doing compressions on a post CABG to place a bedpan over the sternum, place your hands in the bedpan and do compressions that way. Fortunately, I have never had to do
  12. what is your biggest pet peeve while at work?

    A messy patient
  13. how long do u get for lunch?

    Hmmm.... I am not sure what lunch is either, but maybe someday I will find
  14. Reference

    I need some advice. A CNA asked me if I could be a reference for her. I really didn't want to, but I said yes anyways. Well, I have been hoping no one would call me, but I got a message from a place...
  15. DNR question

    Yep, DNR does not mean do not treat. I would have done the same thing. If they did not want the patient treated, she should have been on comfort
  16. accurate I&O's possible??

    I don't think it is possible to have 100% accurate I & O's, unless they are strict NPO with a foley. I think our CV docs look more at the daily weights than
  17. Acute Care CNAs, patient ratio.

    Day shift-5 PM shift-6 Noc shift-1-2 CNA's for the whole
  18. I'm working TWO full time jobs, crazy??

    I think two full time jobs is a little too much. Yes, the money is nice, but there are many more important things than money, things like your physical health and your sanity! If you keep working...
  19. New grad with no clinical skills

    Did this nurse graduate from a 2 year or 4 year? I am assuming a 4 year. I have a BSN and when I graduated, I started with 3 other ADN nurses. I looked like a complete idiot compared to them. I...
  20. Doctor as a patient

    In the past year I have taken care of 3 patients that were doctors. Every one of them was an absolute pleasure to work with. None of them were demanding and all of them always said thank you. I...
  21. hospitalists increasing your census?

    We have hospitalists 24/7 at our facility. They don't admit people for silly reasons. Once in a while, we will get an admission that makes you wonder why they were admitted, but for the most part I...
  22. Collapsed veins. Can someone explain?

    Collateral circulation is when your body develops a way around an injured/damaged vessel. It is circulation that bypasses your injured vessel. Working on a cardiac floor, we have had patients that...
  23. Good advice: Never forget what it is like to be a student/new
  24. There won't be any raises this year

    Reading this thread and some of the other threads on this website sure make me thankful for where I work. We got our raises this year. They were only 0.10 less than last year (not sure what the...
  25. How often do you get sick?

    Never sick, get a bad cold maybe once a year, but that is about it. I don't recall ever having the flu in my life. I never get the flu shot either (I know that is really bad of me) I don't do much...