AgentBeast BSN, RN

Cardiology and ER Nursing

CEN, CPEN

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All Content by AgentBeast

  1. There is no crying in baseball! Seriously though you have to walk a fine line between caring enough to be effective and caring too much to be unable to function as a nurse. You aren't doing anybody any good bawling your eyes out in the staff break ro...
  2. AgentBeast

    Mr. Harry the Excessive Hair Patient

    Get the Cath lab clippers
  3. AgentBeast

    Two Narc Discrepancies, One Night

    Maalox (Or whatever antacid) and Lidocaine aren't controlled substances.
  4. AgentBeast

    Reasons to lose nursing license?

    Drugs and gross negligence
  5. AgentBeast

    PCCN certification - Should I expect a pay differential?

    One place I work paid nothing. The place I currently work pays $500 per initial certification and $100 a year for each year you maintain the certification up to a combined yearly max bonus of $1000 in addition to getting paid more for being higher up...
  6. AgentBeast

    Amiodarone

    There are no mistakes in codes only mistakes in documentation. The patient is dead you can't make them more dead. You push meds as fast as they will go in with a dead patient.
  7. AgentBeast

    IV hub clotting up!

    Are these iv's in the AC or across a joint? Whenever the patient bends his or her elbow or moves the joint a little saline is shot out and when the elbow straightens blood gets sucked in. See it all the time.
  8. AgentBeast

    How to become a CNA while in nursing school?

    https://www.cdph.ca.gov/pubsforms/forms/CtrldForms/cdph283b.pdf
  9. AgentBeast

    Digoxin twice a day?

    Digoxin is a maintenance medication there is no point splitting a single daily dosage in half to get two doses per day just like there isn't any point in splitting a patient's 5mg once daily dose of warfarin up into a BID dose of 2.5mg. Depending on...
  10. AgentBeast

    Digoxin twice a day?

    That's more like carvedilol dosing. Digoxin is dosed in micrograms (mcg). Maintenance dosing is once a day or once every other day in doses generally up to 250mcg. 6.25mg is 6250mcg 25-50x the typical daily dose and that discharge med list says to t...
  11. AgentBeast

    Max dose for humalog?

    Hell I've given 280 units of Humalog to a patient before.
  12. AgentBeast

    Actively bleeding patient

    With someone who is bleeding profusely enough to cause his or her heart to stop beating it's highly likely that no matter what you do this person will die. That doesn't mean you shouldn't try to save them though. Chest compressions, stopping the blee...
  13. AgentBeast

    If I had a million (or more) dollars...

  14. AgentBeast

    Nurse license plate

    Need to collect 500 signatures and then have a bill pass the legislature for the nursing license plates to become a reality. Anyone could get these plates. Much like the various University License plates the funds raised by the sale of these license ...
  15. AgentBeast

    What's your favorite floor

    I love the dance floor.
  16. AgentBeast

    Ventricular tachycardia

    Um you mean adenosine? Atropine will never slow a patients heart rate down.
  17. AgentBeast

    Status on BON says "current"?

    Probably be more appropriate to say what state you are in and post this in the appropriate forum.
  18. AgentBeast

    Solutions for Tired, Achy Feet

  19. AgentBeast

    IV bolus ordered because pt hypertensive

    Sepsis. The first thing that happens is the heart rate goes up. Then after a while blood pressure starts to tank. Management of sepsis starts with fluid bolus and broad spectrum ABX.
  20. AgentBeast

    Air to Bladder

    It's not harmful, but it's not effective either. Air is a gas and gasses compress. So if the catheter is clogged up good all the air is doing is compressing in the catheter. Fluids do not compress.
  21. AgentBeast

    to hold or give insulin?

    You do NOT hold sliding scale insulin just because a patient is NPO. Sliding scale insulin is correctional insulin to get the patient back down into a normal range whatever that might be for this patient. It is appropriate to hold prandial insulin an...
  22. AgentBeast

    Cleveland Clinic RN assessments

    You pay income tax at the city of Cleveland Rate of 2% (or if at one of the regional hospitals at that cities rate.) Then at the end of the year you "pay" income taxes to your municipality. I put pay in quotes because the amount you end up having to ...
  23. AgentBeast

    fall 2014 4520

    Yeah no 15 page actual assessments. Week 1 was 1 DB post 2 replies, a 15 question quiz, and the health history on the virtual patient. Weeks 2-4 1 Reflective journal on that weeks readings, a 15 questions quiz, and 2 systems assessed on the virtual p...
  24. AgentBeast

    fall 2014 4520

    Yeah I'm in this class. It isn't that bad. I sort of like the virtual assessment lab thing.
  25. AgentBeast

    Tikosyn

    Sotalol isn't a sodium channel blocker.