queenjulie

queenjulie RN

Step-down, cardiac

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All Content by queenjulie

  1. Asking all nurses...need a consensus!

    I'm still a fairly new RN, but I don't think I've ever seen a PRN scheduled as BID or TID for exactly this reason--they are always Q8H or Q12H or whatever, so there is no question about the spacing...
  2. Drinks at nurses station/desk

    Why on earth is it 80 degrees in your facility? Maybe you should ask maintenance to adjust the A/C. :) Seriously, though, drinks and food have never been allowed anyplace other than the nurses' lounge...
  3. The most outrageous excuses from patients.

    How about, "I don't do cocaine! My girlfriend was snorting it off our coffee table, and I slipped and fell, and my face landed in a pile of it."
  4. V-fib refractory to an initial/second shock

    Oh, now it makes so much more sense! I have never heard anyone say "refractory to" when they mean "wasn't fixed by"--that's really odd. Thank you so much for clearing that
  5. I would think that yes, some religious facilities would have a problem with that. On the other hand, do you want to work for a place that would not provide medical care that you believe is important...
  6. starting a nursing career in late 30's

    Don't worry! You certainly won't be the only one. I became an RN in June at age 34 with no previous medical experience except for some time as a hospital volunteer (I had a previous career in another...
  7. Fired new nurse; what to do now

    I cannot imagine getting fired for not administering a single medication. That seems absolutely insane, especially for a new nurse. At the absolute worst, I would think you *might* get written up. I'm...
  8. GI cocktail

    I'm a new grad working on a step-down unit, and we recently had a patient who had an active MI while he was with us. During the RRT, the charge nurse had me call the pharmacy for a stat GI cocktail,...
  9. Cardiac Cath Lab... What's it like??

    Good Lord, that was obviously an exaggeration. I meant that she is actually doing the insertions, not just getting supplies, circulating,
  10. Who draws the blood at your hospital?

    RNs do all a.m. blood draws?! How on earth do they have time for that? At my hospital, RNs only do draws from PICC lines or Mediports. Phlebotomy techs do all the routine blood draws, thank
  11. Cardiac Cath Lab... What's it like??

    I've got to disagree with CCL RN, at least for my hospital's cath lab. They hired a new grad from the class before mine directly after graduation, and a year later, she is now doing caths herself and...
  12. Super-early, but don't go in until ten minutes before! I planned to arrive an hour early for a job interview right out of college, thinking I would sit in my car and read a book and focus after I got...
  13. New cardiac nurse--advice?

    I'm embarrassed to say that I have never once had a patient with a chest tube. Not a single time. I know virtually nothing about them--that is definitely going to be a learning experience. Our...
  14. New cardiac nurse--advice?

    'We never covered them in school either. In fact, we only barely mentioned cardiac catheterizations at all. The only reason I know about them is because I was assigned to the Step-Down unit for...
  15. New cardiac nurse--advice?

    Thank you! It's nice to know I'm not the only one. :) I'm excited about how much I'm going to be learning, although I imagine it's going to be overwhelming at first. I'm glad you're starting to see...
  16. New cardiac nurse--advice?

    Ah, now I know why I haven't heard of the sheath removal--our cath lab uses Mynx closures almost exclusively. I've seen at least a dozen patients after their cardiac caths, but none of them had the...
  17. New cardiac nurse--advice?

    thank you! we do get post-pacemaker insertions (that's what post-op ppm means, right?), but i've never heard anyone talk about sheaths on cath patients, so i doubt we do that. what is
  18. New cardiac nurse--advice?

    Our floor does do cardiac drips, but not a ton of them; we're a small, local hospital, so if people have a ton of drips, they tend to go to ICU or transfer to the big, urban hospital in the nearest...
  19. Disappointed in pay

    Holy cow! I hire CNAs at $8/hour every day at a home health agency in rural North Carolina. The most I've seen them paid around here is
  20. must haves for lecture and clinicals

    We don't either--it's totally bizarre. The director of the program is convinced that someday a professor is going to be telling us about a case study and accidentally say, "Joe Smith, of 14 Main St.,...
  21. De-bining Books???

    That's probably to prevent theft and re-selling books. If a book has the cover missing, a store cannot sell it. A very common thing for crappy bookstore employees to do is tear the covers off books,...
  22. must haves for lecture and clinicals

    I'm jealous! We aren't allowed to tape-record lectures (our school is insanely paranoid about possible HIPAA violations), and we can't bring anything except water into the classroom. Nevertheless,...
  23. It's all in the resume!

    My sister is a human resources executive (she used to be the HR director for Blue Cross/Blue Shield of California), and I've asked her about the one-page resume issue before. She says that for a basic...
  24. Nursing School Exam Questions Research

    Virtually all of our ADN exams are 60 questions; finals are
  25. My Goodness

    What on earth are you going to do with a six-foot-long tape measure? Good Lord! I spent almost $2000 before starting nursing school on all the books, uniforms, and other stuff, and we didn't have to...