there might be alot of med/surg rn's who disagree but, i would feel the same way as you if i worked med surg, it seems that med surg at most hospitals are very poorly staffed, when cuts need to be made med surg is usually the first on the chopping bl...
I think most of us have had horrible days, try to calm down step back, breath, learn and dont let it happen again. My personal worst was about 6 years ago. First week out of new grad orientation on a step down icu, 3 of my fellow staff memeber were n...
CCRNCCU2008 replied to aCRNAhopeful's topic in CCU
we do not wedge (often) at our hosptal do to one of our cabg pt's dying from pa rupture when wedging. Also a wedge doesnt really give you a bigger picture compared to the rest of your numbers
I say go for it. If you dont want to do charge then your not going to like it. I think if your unhappy where your at and you think you will be more happy else where then go for it, dont wait. Atleast thats what i would do.
st elevation is caused by delayed/altered conduction through dying or 02 deprived tissue (the part of the heart that is dying). that's what the ekg is picking up.
You are being way too hard on yourself. Or at least it sounds like it. Hanging an antibiotic a few hours earily or late is no med error in my book. That is low on the priorty list of things to get done... Keep them alive ABC's hanging a antibiotic is...
We (RN's) on our unit pull the IABP, the md is not even required to be in house. This has been done like this for many years. It is with in the scope of the RN as long as they have been signed off on it (atleast in the state of NC) We have never had ...
I actually have been on this unit for several years. I like how we can do most anything without bothering the MD. It is really others (from other departments) outside looking in who are thinking we are doing way to much (out of our scope). I dont thi...
On our ccu we get anything cv related now with our cv surg docs (ie cabg, valves...) for our patients we have about 120 different standing orders. Ie: Draw any labs any xrays, ekg's. Start amio for afib, start lopressor if needed, neo, nipride, mag, ...
BEDSIDE RN's (CCU) always pull them without an MD present if its at night the mds that deal with iabp are not even in house... never had a problem (matter of fact pulled one last night)