dandk1997RN MSN, RN

Cardiology

Member
  • Content

    361
  • Visitors

    10,419
  • Followers

    0
  • Likes

    15

All Content by dandk1997RN

  1. dandk1997RN

    Need stethoscope help/advise

    You've already gotten some good advice- I just wanted to add that you should be hearing fabric rubbing against your scope because you shouldn't be auscultating over fabric, and you should give your...
  2. dandk1997RN

    Nurses: How often do you...

    1. In a year in intermediate care cardiac tele, never, if you don't count when we code them and bring them back long enough to transfer to the unit. 2. I primarily see ACS/MI, dysrhythmias, CHF and...
  3. dandk1997RN

    Lidocaine uses??

    I saw your note above and concur (you are def. way more knowledgable than I am and I love reading your replies) but if the instructor said it was not in relation to the intubation then I'm not sure....
  4. dandk1997RN

    Lidocaine uses??

    I'm a cardiac tele nurse. It's never used at our hospital for dysrhythmias, and it is no longer indicated in the ACLS algorithms. Not sure what the use is
  5. dandk1997RN

    Nursing Diagnosis

    I write care plans based on ND on a daily basis. I work cardiac tele in a good-sized hospital in a small city. The care plans I write are based on my assessment of the pt, and at our facility, they...
  6. dandk1997RN

    Noc Ox?

    Agreed. Could mean continuous overnight oximetry, could mean apply O2 at night...needs clarification and possible RT
  7. dandk1997RN

    No rapid response for a DNR?

    Very bad call on the MD's part. I received a DNR/DNI as a transfer from med surg the other day d/t hypotension (90s on 50s.). When I got her and assessed her, I realized her 60s on 40s and what...
  8. Insulin timing has to be an issue. We don't do this at my hospital, but one of my clinical sites did. If you have a heavy pt load, a less-than-with-it pts food might get overlooked. I mean, I had...
  9. dandk1997RN

    New hospital gown design

    I'd have to get a better look at it to tell if I like it. I need to be able to easily access my pts' groins post-procedure. I hate it when they are still on bedrest and the gown is tied up behind...
  10. Broken record here saying it depends on the hospital. I had 13 years phleb experience when I became an RN and I'm not allowed to use it at all as we only draw from central lines and IV starts. Are...
  11. She's been this way as long as anyone here can remember. There just hasn't been consistency in who follows her until recently (it has been lots of float nurses) so there wasn't one person dealing with...
  12. I am at my wits end and need advice. I work what is considered, in nursing, to be an unusual shift. As such, I typically follow one of two nurses. Neither one of them is fabulous to follow for...
  13. Thanks for the input. My daughter is my main priority, always, in my life. My husband and I have worked very hard to keep her as minimally in the care of others as possible. Right now she has to be...
  14. dandk1997RN

    Patient Hides Needles in Bathroom

    We just have the geniuses getting high in he bathroom. Because we're definitely not going to pick that up on tele or
  15. dandk1997RN

    Home med lists make me crazy.

    Our system allows us to free text a med with unknown dosage or timing and then it is up to the doc to address it. Got super lucky Monday when a pts PMD, who happens to be one of our hospitalists, did...
  16. dandk1997RN

    Decisions to make regarding 2 job offers

    I agree with GrnTea. If it were me, I'd be trying to figure out a way to do both, since neither is full time. Then you can drop one later if it doesn't suit you and the other does. You'll get...
  17. Just wanted to add that while I was in nursing school, I was a school all day, supervising a staff of 25 a evening working full time, and only ever getting 4-5 hours sleep. That was before I lost my...
  18. I don't recall ever saying I don't need a life. I said that I will have more of a life working nights than I currently do. I'm not sure why everyone is so down on nights. I am absolutely a night...
  19. dandk1997RN

    New Grad 5 1/2 months in wanting to quit!

    I was where you are. All first year jobs are hard, but in my hospital, the floor I work on is called the hell floor for a reason. Guess what? It's intermediate cardiac care. I had chest pain, I...
  20. Thanks for all the input. I don't think on overnight shift will be isolating for me. I don't have any social contact at all right now M-F because of the crappy shift I already work, and I will be...
  21. dandk1997RN

    Help. Please. Studying/Testing.

    I think you've already taken your exam, but a nursing instructor friend taught me to apply ADPIE to my test questions . I didn't have to do it often, but on the questions where I was stumped, it was...
  22. dandk1997RN

    Whats your favorite montra or saying?

    Try not. Do, or do not. There is no try. Not a Star Wars fan, but this scrolled across the screen of the computer I used for school to remind me the only option was
  23. dandk1997RN

    med error

    Agreed that I don't understand holding a long-acting insulin under those circumstances. We only hold if our pt will be NPO for surgery or has been
  24. dandk1997RN

    Shoes, shoes, shoes

    I've always had problems with my feet. I like Skechers clogs and Dansko clogs for work. I brought extra shoes to work with me while breaking the Danskos in, got tired of it, and didn't wear them...
  25. dandk1997RN

    Top 10 Nursing Supplies

    I don't remember if I made the chart on the computer. (The first one I made was paper and pencil during a boring psych ER rotation.) If you give me a couple days, though, I could probably look on my...