cardiacmadeline

cardiacmadeline RN

cardiothoracic surgery

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All Content by cardiacmadeline

  1. Holding Antihypertiensives

    cardiacmadeline replied to jamiejohnson2007's topic in Patient Medications

    That's so sad! It amazes me how many nurses, including seasoned ones, don't understand how medications work and why their patients are receiving them. I see this too many times with beta blockers...

  2. Bedrest post angio?

    cardiacmadeline replied to LilMissAlwaysCurious's topic in General Nursing

    Bedrest time can also vary based on the type of closure device used--Angioseal, Perclose (?), manual pressure, etc. I've seen a patient bleed a week after his

  3. Coreg med and no heart rate parameters?

    cardiacmadeline replied to amber7591's topic in Patient Safety Issues

    I agree with psu, one of my biggest pet peeves is when nurses hold Coreg based on BP and HR and not seeing the big picture. I see his baseline HR was in the 50's and that he had been on it for...

  4. Coreg med and no heart rate parameters?

    cardiacmadeline replied to amber7591's topic in Patient Safety Issues

    What was the patient's baseline heart rate? Was the coreg a new medication or had the patient been on it

  5. Medication Errors?

    cardiacmadeline replied to Monica08's topic in General Nursing

    I have seen a nebulizer med given iv. It wasnt a common drug, I can't remember what it was. I don't recall anything happening to the

  6. Bedside Reporting starting Monday :(((

    cardiacmadeline replied to 2bTraumaRN2008's topic in Nursing Professionalism

    I have tried to have a positive attitude about bedside report, but I hate it! I waste time looking for the offgoing nurse, and then I am told what I already know because I just read the chart! Now,...

  7. How to stop visitors from using empty bed???

    cardiacmadeline replied to AJPV's topic in General Nursing

    What if the patient coded? We have allowed a couple of people to sleep over and bring a cot in the room, but I tell them we need to have enough room in case something does happen like a code. I once...

  8. In honor of 9/11.... what was it like as a nurse?

    cardiacmadeline replied to A&OxNone's topic in General Nursing

    It was my first semester of nursing school. 9/11 was the first day my clinical group was to meet. I was home studying and had no idea what was going on. My husband came home because they had...

  9. range order rationale

    cardiacmadeline replied to MunoRN's topic in General Nursing

    If I was a doctor and received a phone call from a nurse asking to give a second norco to a patient still in pain after receiving one pill and there is an order that says you can give 2 pills, I would...

  10. Is EPIC coming to your facility??....

    cardiacmadeline replied to NYRN08's topic in Nursing Informatics

    You are logging on so much into EPIC throughout the shift, you will have many chances to see that you have new orders. The icon telling you there are new orders should pop up on the first

  11. The 5 things you love & hate about being an RN

    cardiacmadeline replied to Aly529's topic in General Nursing

    Love: 1) My cardiac and thoracic surgery patients 2) My coworkers (99% of them) 3) My pay and benefits, able to live comfortably 4) My elderly patients 5) The fact that I am not sitting behind a...

  12. What is the lowest HGB you have seen?

    cardiacmadeline replied to I<3H2O's topic in General Nursing

    2.4-patient totally

  13. Is EPIC coming to your facility??....

    cardiacmadeline replied to NYRN08's topic in Nursing Informatics

    Pretty much everything can be scanned in, including tele strips and 12 leads, making it very easy for a doc to interpret when they are elsewhere in the hospital. As far as new orders, an icon will...

  14. Never driving to work in snow again

    cardiacmadeline replied to NurseLoveJoy88's topic in General Nursing

    I live 45 minutes from work and drive a small car, nothing fancy. I have never had to call in for snow in the last 7 years. I stay up to date with the weather and road conditions. We shovel...

  15. asking for meds?

    cardiacmadeline replied to backatit2's topic in General Nursing

    I agree with you on this one. If my patient is taking prn pain meds every 4 hours, I will keep track of their next dose and bring it to their room so they don't have to call and ask for it. It's...

  16. Doctors That Give you "Band-Aids"

    cardiacmadeline replied to Caffeine_IV's topic in General Nursing

    I work on a stepdown unit and am curious what your criteria are. I know we have sent patients that we could take care of on our floor, but sometimes if they are one on one care it makes it difficult...

  17. Is Your Hospital Doing Something Similar?

    cardiacmadeline replied to peds_mike's topic in General Nursing

    If they are going to get rid of soda, they should get rid of all the other crap food. And I am not quite sure how I feel about that yet. My opinion is that some (and I emphasize some) parents should...

  18. How often do you take a vacation?

    cardiacmadeline replied to PAERRN20's topic in General Nursing

    I take about 5-6 weeks of vacation a year. I try to take time off about every 3-4

  19. ....and they had Dynamaps in every room!! (a nurse has gotta dream!)

    cardiacmadeline replied to Walden-Puddle, RN's topic in General Nursing

    Guess I am one of the lucky ones. We have a Dynamap mounted next to the bedside in each room, and all of the different sized blood pressure cuffs in the rooms

  20. medication time regulations

    cardiacmadeline replied to KittykeeperRN's topic in General Nursing

    I don't live in PA, but we are supposed to give medications within half an hour of the scheduled time because that is what medicare thinks we should do. I don't think most people really make much of...

  21. Did you choose....or were you chosen?

    cardiacmadeline replied to Lovelymo79's topic in General Nursing

    I have always wanted to do cardiac, even in school. I started in cardiac and don't see myself leaving anytime

  22. If Nursing doesn't work out,is Medical Lab Technologist ok for a "Prissy" girl ??

    cardiacmadeline replied to Back2Nursing09's topic in Nursing Career

    Oh my, honestly I think you need to get out of the health professions all together. Can't wait to hear Ruby Vee's

  23. Wow, is it really a zoo out there?

    cardiacmadeline replied to loving2's topic in General Nursing

    I think it depends on what hospital you work at. I feel very fortunate to work where I do. I like my coworkers, we have great teamwork on our floor. I feel for the most part that administration...

  24. Bed Alarms

    cardiacmadeline replied to LeloFallz's topic in Geriatric, LTC

    1) What kind of facility do you work for? (Hospital, Nursing Home, Assisted Living, Home Health Agency) Hospital 2) How often do you come into contact with bed alarms? Every day 3) On a scale from 0...

  25. Epidural Monitoring - Frequency of Assessment/Dermatone Levels

    cardiacmadeline replied to ABSTANDR's topic in General Nursing

    We assess vital signs, motor strength, site every 4 hours, everything you do. We don't assess dermatone levels. We document respiratory rate every hour for the first 15 hours. We also have them on...