heart queen

heart queen

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All Content by heart queen

  1. Filter needle when drawing from vials or not?

    Only use them for the ampules. I'm sure there are other instances where I'd need
  2. Dress or scrubs? Females ONLY!!!!

    I have one caribbean blue dress, the first time I had to hike it up to my waist to climb on a bed to do CPR, it went in the
  3. Eat Before You Get Here!

    Just last night I was fumed because all our diabetic late night snacks were "missing". So I posted a sign on the fridge that said .. "Attention, fridge only stocked once a day in the am, If you are...
  4. Chest compressions on open heart pt/sternectomy?

    we do compressions until the surgeon arrives and usually cracks the
  5. feelings about double rooms

    A recent run of c diff and MRSA. you never know who's infected. BP cuffs, you accidently touch B bed without washing hands , the tech taking vitals does not wash hands in between each patient... it...
  6. Problem tech- she keeps telling pts she's a nurse.

    After approacing the tech and telling her NO more, and that this conversation would be shared with NM due to it's severity, I would follow up with my patients each shift by introducing self as RN and...
  7. Floating all the time, very low census

    When I worked a PURE CCU late april into may way always low census. In fact we had closed the 10 bed unit several times, a few days each time. I now work in a mixed CCU/micu, 28 beds, only 14...
  8. Fluid Overload questions

    stevierae, yup, No manual transducing unless your in an older facility, yes, sorry to say, back with 80's technology. For some ungodly reason, this is considered a higher level of care, fewer and...
  9. Dealing with MD's

    also, "If I was to grab another nurse to hear your response... would you want to repeat it?" My favorite with the ultimate butts', "can you please repeat that so I can quote you
  10. Dealing with MD's

    I may be in the minority, but I just keep getting nicer and nicer and nicer. It displaces their alter EGO and they just end up looking like an orifice. NO I NEVER take abuse, that's when I cut 'em...
  11. I wish I'd have known....B4 nursing school

    That there are NO patients who have read "the book", and follow some obscene clinical course undescribed by any nursing or medical book. That you have to have the thickest skin, the softest heart and...
  12. "Gone Postal"

    T-tom, you're such a mess, where' ya been all my nursing career :rotfl: Now there is something called EAP, employee assistive program where I work. Not every angry, abusive nurse needs to be fired,...
  13. What patient phrase today made your day great?

    I'VE HAD TWO TODAY! I've taken care of these two older guys for the past 4 nights in a row... on day two one requested me for every shift that I worked saying "not only do I enjoy you taking care of...
  14. Fluid Overload questions

    I think you did GREAT! I agree that CVP monitoring is especially helpful, drop a central line and transduce it.. but this patient was most likely on the floor, not even a tele unit... from what I've...
  15. sick nurses

    It took me several years to wise up and stop being a martyr comming in sick. Once I was STUPID enough to allow a coworker to give me an IM of compazine because my vomiting was so intractable... in 30...
  16. ER and defibrillators, what the deal?

    The most experience the ER gets is responding to the codes on the floors. In the ICU, we code and especially the CCU, we defib quite a bit, at least one of six shifts, and then it seems ALL night...
  17. Use of peripheral inserted central catheters ( PICC )

    Now I'n not 100% sure what type of ultrasound, but is is a cmall portable one that PICU nurses use to find
  18. Do you arrest abusive patients?

    My old facility's secutity had that hand's off approach. They were NOT allowed to TOUCH any patient, period. Well, here I am in the ICU with a 2PC (2 psyc. docs. legally commit them for 24 hours,...
  19. Use of peripheral inserted central catheters ( PICC )

    Our unit is long term, heart transplant, we use ALOT of PICC's. we have IV team who are credentialed in inserting them, just call a consult. They use ultrasound to determine vein flow and assess for...
  20. chest tubes

    Are you referring to having the patient to walll suction, then the h2o suction? Now our CVICU did this first. no matter how high you turn up the wall suction, the patient will receive only the...
  21. If ONE more person tells me......

    My experience is ICU, but I have worked a limited few ER shifts via floating. But regardless, this is the same argument that any nurse wanting to goto ICU needs 1 year of floor exp. I could say the...
  22. I have never found it to take more time to make my patients laugh or smile. I feel better about myself, my shift and have a blast with my patients, even during those bad nights. But I did not leave...
  23. Our automated time clock automaticaly punches you out after 16 hrs., Imagine the ruckus when payroll had to adjust it to 22 hrs because there were two crashing patients for several hours, one call in...
  24. pulling rank

    I have pulled rank to the point of calling the administrators on call, several times. You just keep on going up that ladder saying, okay, just letting you know I'm not satisfied and I'm calling ........
  25. 4 year old bipolar????????

    Tom,wouldn't even know where to begin, so I'm hesitant to make you defensive and even firmer in these beliefs. :uhoh21: While my experience had the psyc. hesitant to give a formal diagnosis until age...