turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    ER learning thread (part 2)

    turnforthenurse posted a topic in Emergency

    Can we start a new learning thread since the last one has been closed? There was a lot of good information. I would like to keep that going! Here is something I learned just the other night...
  2. turnforthenurse

    Triage complaints- the good, the bad, and the shocking.

    turnforthenurse replied to canoehead's topic in Emergency

    That reminds me...I was floated to ICU one night and we had a patient that was very similar to the one you described - they swallowed razor blades. They were able to take them out. All of us were...
  3. turnforthenurse

    Minors staying with patient during hospitalization...

    turnforthenurse replied to TaylorMaidRn's topic in Medical-Surgical

    If the child is under 18, they cannot stay overnight. Hospital policy. And our visiting hours are over at 2100. If something were to happen to that child it would totally fall on the
  4. turnforthenurse

    tele unit vs. progressive care

    turnforthenurse replied to NurseyB's topic in Cardiac

    That's how I always described it to my patients, also like an ICU step-down. They seemed to understand. PCU Fact Sheet from
  5. turnforthenurse

    Incorrect 12 lead interpretation

    turnforthenurse replied to nursej22's topic in Cardiac

    It isn't a HIPAA violation unless you use specific patient identifiers, i.e. their name, MRN#, etc. I never rely on the machine's interpretation. I do my own but of course the provider is the one...
  6. turnforthenurse

    Does these steps of an IV start sound okay?

    turnforthenurse replied to curlsrocck31's topic in Infusion, Intravenous

    That's what I'm thinking. We have these at work. The click locks the needle in place as a safety
  7. turnforthenurse

    Were you guys allowed the use of a calculator when you took your dosage test?

    turnforthenurse replied to Wannabe_Doc's topic in General Students

    We were allowed to use them on every dosage test except for the IV calculations one, where we had to figure out mL/hr and gtt/min. Talk about a lot of long
  8. turnforthenurse

    From CCU to MedSurg?

    turnforthenurse replied to BusyRN00's topic in Medical-Surgical

    I went from PCU to ER. We would have a lot of MS overflow patients on PCU so some nights felt like I was working on a MS floor. I hated those nights. With that said, I would never go from PCU/ER to...
  9. turnforthenurse

    Searching for Report Sheet!

    turnforthenurse replied to erobbins's topic in Cardiac

    To help learn basic dysrhythmias, check out Skill Stat's 6 Second ECG Simulator. A good EKG book is nice to have, too. I personally like ECG Workout by Jane Huff but I have also heard great things...
  10. turnforthenurse

    What would you have done?

    turnforthenurse replied to bendyprissy's topic in Patient Safety Issues

    I agree, when in doubt you should always call. That's what the MDs are for and that's why they make the big bucks. Sure, they may get annoyed if you call them in the middle of night over "seemingly...
  11. turnforthenurse

    tele RN certification?

    turnforthenurse replied to KaksRN's topic in Cardiac

    There is an RN-BC (RN-board certified) exam for cardiovascular/telemetry nurses offered through the ANCC. They also offer a lot of other RN-BC exams in various specialties. There is also the PCCN...
  12. turnforthenurse

    Ever have a patient complain about you?

    turnforthenurse replied to love lilacs's topic in Patient, Colleague Relations

    I recently had a patient complain about me. I don't really want to get into specifics but it all boils down to the patient being ****** off for waiting for 4 hours...which, I agree, is a long time to...
  13. turnforthenurse

    I Need a Stethoscope

    turnforthenurse replied to Elizabeth Renee's topic in General Students

    Absolutely not, I had quite a few classmates with that color. I love the rainbow bell/diaphragm but they didn't have that option when I bought my stethoscope. The Littmann Classic II is a great...
  14. turnforthenurse

    Searching a Patient's Belongings

    turnforthenurse replied to cheethaj's topic in Emergency

    If I need to go through belongings (usually for documentation purposes), I simply tell the patient the reason why I am doing it and basically tell them to make sure that everything is accounted for....
  15. turnforthenurse

    Indications for bed alarm use

    turnforthenurse replied to guest112's topic in General Nursing

    We use the Morse Fall Scale...and if there are any other reasons for me to think that this patient is an increased risk for falls that aren't established on the Morse Fall Scale (like the reasons you...
  16. turnforthenurse

    First Job - Not A Great Facility, Take It Or No?

    turnforthenurse replied to BrooklynRN11201's topic in Emergency

    Take the
  17. turnforthenurse

    Triage complaints- the good, the bad, and the shocking.

    turnforthenurse replied to canoehead's topic in Emergency

    We had one of those the other day. Ended up being heat exhaustion so the patient ended up getting a couple of liters of
  18. turnforthenurse

    rapid response on new admit

    turnforthenurse replied to PaigeRN90's topic in Medical-Surgical

    Even if you didn't have orders for a continuous pulse ox, I would have stuck one on the patient. I also would have called the MD for orders for tele and an ABG. Where I work, any patient with...
  19. turnforthenurse

    Is it a MUST to be able to drive once you start nursing school?

    turnforthenurse replied to futurenursekl's topic in General Students

    If you live within walking distance of campus then you could just walk to class...otherwise you'll need a car to get yourself to and from clinicals. A lot of schools have nursing students do clinical...
  20. turnforthenurse

    PCCN - I failed by 10 questions

    turnforthenurse replied to ChineseNurse's topic in Cardiac

    I forgot to mention that I used AACN's SAE practice exam, too. It really helped. And in fact, I had some very similar questions on my PCCN
  21. turnforthenurse

    PALS class

    turnforthenurse replied to turnforthenurse's topic in Emergency

    Yes I did the preassessment, it's actually a requirement for our ACLS and PALS classes. Thanks for your input!
  22. turnforthenurse

    EBP in the ER

    turnforthenurse replied to Belle2013's topic in Emergency

    Interesting, because I thought the purpose of drawing 2 sets was in case of contamination in one
  23. turnforthenurse

    Barcode scanning

    turnforthenurse replied to emtb2rn's topic in Emergency

    I like how only that particular patient's EMR/EMAR pops up and not somebody else's. I've seen nurses leave computers in the rooms with the entire tracking shell up for viewing when they run out to go...
  24. turnforthenurse

    Tasks that are left for the floor

    turnforthenurse replied to friendlylark's topic in Emergency

    I would have definitely started the heparin gtt before the patient goes to the floor. If the patient is on a heparin gtt chances are they really NEED it. As for the vanc, that could have definitely...
  25. turnforthenurse

    What is the difference?

    turnforthenurse replied to Kaligirl02's topic in Cardiac

    Progressive care is defined as a critical care area by the AACN but on the lower end of the acuity spectrum (ICU being higher, obviously). I used to work on a progressive care unit and was there for...