kool-aide, RN

I think nitroglycerin may actually work more toward venodilation. This would be useful in an RV infarct as not to overload the RV with preload.

If this statement is in reference to inspiration of room air, and not necessarily relating to pneumothorax as other posters are speaking of.... What I was taught in school is that when one takes a breath in, it's not truly the work of the pt consciously "breathing in" but it is the pressure in the atmosphere around us moving room air from an area of higher pressure(the atmosphere) to an area of lower pressure(the interior of our lungs).

Is this a cardiac pt? Stemi or nstemi with known heart failure? If so, they probably don't really care about the pts DBP. If the pt has HF they need the beta blocker to prevent remodeling post MI and for negative inotropic effect and they need the ace for afterload reduction.

I've worked with male nurses that are gay and it's never been an issue, at least that I was privy to....myself, being a man, I've never had any issues as far as discrimination.

I would tend to agree, however if this is an icu pt, potentially vented or septic, they maybe have hyperglycemia d/t those issues.

My hospital in Indianapolis has recently told us that diploma RNs cannot perform FSBG in critical care areas.....I've been told that this is a larger health governing body setting this precedent....but I don't know much more than that.

If you really want to be an advocate, talk to each individual privately and professionally about each of these issues. Don't be a martyr. Also, *HIPAA

Look up vasoactive drips/inotropes, know how they work, indications, teaching, side effects, etc. (Levophed, vasopressin, neosynephrin, epinephrine, dobutamine, milrinone, cardene, dopamine, nitroglycerin, nitroprusside) Be weary of your pts LVEF before you bolus them with IVF for hypotension, even if they're not there for cardiac issues. If your vented sedated pt becomes hypotensive, try turning down the propofol to correct it first. Write down normal ranges for hemodynamics numbers. Know the pathology of sepsis like the back of your hand. If you have a pt that isn't vented, expect to be intubating them on your shift. That way you're never surprised or caught off guard. Even our seemingly stable pts are very sick most times--their bodies can only compensate for so long.

I work in CCU and have vented pt all the time with OG/NGS tubes. I like to make sure the graduated cylinder and piston syringe we use several times a day to check tube placement, residual, and give Meds is changed daily. It just seems gross not to. They get kind of groady.

I think you're probably doing a great job, you just still need time to get used to this newer, higher acuity department. You can't be everywhere at once, if you were with a CVA pt while your septic pt got a pneumo, you can be happy that someone happened to be around and noticed something was wrong. That's why teamwork is important. I'm sure you'll be great!

Try sending to dry cleaner for laundering, heavy starch, and press.

My hospital would....

I like to keep my rooms tidy. My coworkers claim they do, also. My coworkers and I have differing definitions of "tidy." Haha

Wait for it...... .....wait for it......

Do what makes you happy, not what strangers on the Internet think you should do.

I think you'll find that once the aides are freed up from doing vs and getting report at the same time as the nurses, shift change(and the first few hours) will go much more smoothly. In my experience, the tasks that take the time in Medsurg are answering call lights, taking pts to the bathroom, and cleaning up incontinence. Another tip to make your first couple hours go more smoothly is to have a round during the hour before shift change. Make sure each pt is toileted, has snacks, something to drink, and pain relief. Explain to them the need for uninterrupted shift report.

I've found that sat monitors have a hard time reading on its in afib, also. Like others have said, use your clinical assessment.

I would be LIVID if a professor had locked me out, especially during a break. I would have knocked loudly--or I would be having a talk with their boss.

I think as a profession, we're very quick to criticize our peers and a lot of the time it isn't constructive. Yes, ideally these students should do what their professors tell them.....of course they should......but is interviewing someone via the internet vs in real life the end of the world? No. Is this one project for a brand spanking new RN student going to magically give them unlimited inside into our profession and the nuances of healthcare? No.

I'm searching high and low for a cushy prn job!!! Haven't found the right one yet

Take a Benadryl and get some rest. You'll probably know tomorrow. Waiting is killer

I googled and a link told me you need the CVP, map, and CO

Eventually, not doing the work in school will end badly for the student. They won't be able to pass NCLEX. Simple as that. In my opinion, the moderators can correct these posters if they choose to.

Who cares if it's against TOS? Are you the hall monitor? Just let it go.

We always stay at the bedside, the md may not, depending on the situation.