dandk1997RN MSN, RN

Cardiology

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All Content by dandk1997RN

  1. dandk1997RN

    Something funny

    I definitely try not to assume the worst (ie I don't generally assume you're holding pts)- I just wish I would get the same respect. If I say I'm busy- I really am. If I don't answer my phone by the...
  2. There are jobs to be found where I live and I don't intend to leave the one I have until I have another, but I am being forced to look for a new position. The background: I've been with my employer...
  3. dandk1997RN

    guidelines for BP

    Love the info here. I'm curious- do you typically get an EKG and interpret it before you treat? I'm definitely not experienced enough in reading EKG changes to differentiate anything but STEMI vs...
  4. dandk1997RN

    NCLEX pass/fail and GN status

    I wanted to add two things- I'm pretty sure they Didn't process a single GN form for anyone in my class- they just cashed our checks and tossed the paperwork aside. Also, no GN status in this state if...
  5. dandk1997RN

    NCLEX pass/fail and GN status

    I think this would be very dependent on the state. My graduate nurse "license" was never even processed before I got my RN license (two months after graduation and sending in the paperwork for my...
  6. dandk1997RN

    guidelines for BP

    I wouldn't hesitate to give SLN at 110. (We don't have a written policy with parameters for SLN- just nursing judgement and "if the BP tolerates it.") I would probably not do Trendelenburg, though....
  7. dandk1997RN

    guidelines for BP

    And if it is for emergent chest pain,we hook them up to a bedside and give it...get another nurse in the room to grab a bolus, call the cardiologist and get their opinion.... I didn't read carefully...
  8. dandk1997RN

    Tragically idiotic

    We don't get the trauma pts where I work (trauma hosp down the street gets them) but we get a lot of addicts. Recently had a stretch of infected addicts, r/o endocarditis, on contact precautions,...
  9. dandk1997RN

    guidelines for BP

    The parameters should be written into the med orders, and if not, you should call and get them added. It can be different for each pt. Generally, we don't hold meds until the
  10. Looking for input from experienced ED nurses. I find myself in a position where I need to seek new employment (system-wide pay cuts that I can't afford. I do realize that this will make it harder to...
  11. dandk1997RN

    Book recommendation?

    My Name Is Mary Sutter- civil war novel, main character was a midwife, worked as a nurse in the war, wanted to be a
  12. As a NY nurse working intermediate care taking on 6-7 patients, I applaud this. All it takes is one of my pts to be slightly unstable (not uncommon in intermediate cardiac care!!!) and the others...
  13. dandk1997RN

    Something funny

    You say at the end of the quote that you understand both jobs are hectic and chaotic. Right after you say we floor nurses are playing games. Have you considered that maybe we actually ARE busy? I...
  14. dandk1997RN

    What would you do?

    We can code or RR anyone in the hospital so that is what we would
  15. dandk1997RN

    Top 10 Nursing Supplies

    So sorry- I forgot all about this thread and the chart. I won't have time the next two days, but will look at my old computer on Wednesday. If y'all don't hear from me, someone send me a
  16. dandk1997RN

    I'm Losing hope in finding a Job

    Um, Albany is pretty safe. You just need to stay away from certain bad neighborhoods. I live about 40 minutes away, commute every day, used to walk around outside the hospital during my lunch...I...
  17. dandk1997RN

    New RN

    This has definitely not been my experience. My coworkers have been great (I'm just about a year in.) The only nurses who were a challenge have been some of the older ones. I talked to my OM about...
  18. dandk1997RN

    What should an Angio site feel like?

    As others have said, soft, not puffy, a little tender maybe but if it is very sore, assess further for pseudoaneurysm and hematoma. Sometimes I can't feel anything but the pts severe pain on...
  19. dandk1997RN

    I'm Losing hope in finding a Job

    Have you considered upstate as other people have mentioned? I work with docs who commute from the city via the train. Apply to hospitals in Albany and see what happens. Wait- are you RN or LPN?...
  20. dandk1997RN

    Unit Design Blamed for Increase in Falls

    I forgot to mention that we are lucky enough to be able to sit confused pts in the recliners next to a secretary or the monitor tech. They are being stretched too far when this happens (the monitor...
  21. dandk1997RN

    Unit Design Blamed for Increase in Falls

    I wouldn't go so far as to say it is way understaffed unless this is day shift. On nights, we get 6-7 in intermediate card tele, which should generally get fewer pts than med surg. If this is days,...
  22. dandk1997RN

    What the recovery time after a severe hypoglycemia

    If the pt was unresponsive at 88, I would question either something else going on or the validity of the draw. My last shift, I watched a situation unfold with a new grad/ preceptor combo and their...
  23. We have this problem with a particular doc all the time. The hospital has begun limiting his admitting privileges and we can contact our hospital coverage if we can't get him (and he is addressed...
  24. dandk1997RN

    When did you....

    You are correct that you definitely should not be giving meds without the MD ordering them. That is outside the scope of your practice except in certain rare situations (like an emergent situation If...
  25. dandk1997RN

    Question about taking the NCLEX-RN

    As long as you maintain your license after passing the NCLEX the first time, you should not have to take it