HiHoCherry-O

HiHoCherry-O

CVICU, ED

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All Content by HiHoCherry-O

  1. Please help me interpret this ECG strip

    HiHoCherry-O replied to chillax's topic in General Nursing

    Are you thinking the width of the QRS or if they evenly march out? Sometimes it is hard to tell when uncontrolled a.fib is in fact a.fib versus a sinus tach (especially when the rate gets into the...

  2. Please help me interpret this ECG strip

    HiHoCherry-O replied to chillax's topic in General Nursing

    Looks like A. Fib to me. I also do not really see any ST-depression. You will encounter A. fib a lot during your career. There are many reasons it starts: post-operative, infection, heart attack, just...

  3. When do you intervene when food is lodged?

    HiHoCherry-O replied to BumblebeeinNC's topic in General Nursing

    It sounds as though the lollipop was somewhere lower in the throat and not occluding the trachea in any way (since you mentioned he was still breathing, talking and coughing and when he threw up, out...

  4. Career advice please

    HiHoCherry-O replied to MJB2010's topic in General Nursing

    As you will learn early in your career. . . go with your gut instinct. Especially if they are not willing to put it in

  5. in-home Heparin injection for family

    HiHoCherry-O replied to *jojo*'s topic in General Nursing

    Are you worried your grandmother will sue you? People give family members injections all the time (lovenox, heparin, insulin). I am guessing that the heparin is pre-drawn? I am also guessing you were...

  6. Are smart pumps smart?

    HiHoCherry-O replied to tokmom's topic in General Nursing

    I actually really like the smart pumps. The drug library is "tailored" to the unit i.e. ICU drug library, ED drug library, Med-Surg etc which is managed by our pharmacy. Pharmacy can add drugs if we...

  7. PACU nurse applying for CRNA

    HiHoCherry-O replied to ReeseW's topic in Certified Registered Nurse Anesthetist, CRNA

    Who knows, maybe with strong GRE scores, CCRN behind your name and strong references, this may be enough. Go for it. Why

  8. Tell me someone else has felt like this....

    HiHoCherry-O replied to NurseMegh's topic in General Nursing

    Considering this is what the institution you work for is going to hold you to, it would be wise to be FAMILIAR with them; not have them memorized. In the beginning I found it helpful to look at a...

  9. Tell me someone else has felt like this....

    HiHoCherry-O replied to NurseMegh's topic in General Nursing

    You do this by familiarizing yourself with policies and gaining experience; tincture of

  10. staffing

    HiHoCherry-O replied to icunurse1955's topic in General Nursing

    Wow! I sure hope you let your nurses know they are awsome!! Frequently!! The ICU I work at nursing to patient ratio is 1:2 UNLESS, the patient has a balloon pump, on CVVH, fresh post op (usually for...

  11. Does this follow ACLS guidelines?

    HiHoCherry-O replied to aCRNAhopeful's topic in CCU, Coronary, Cardiac

    No, heart transplant patients do not need a pacemaker. Had a patient a couple of months ago that had had a heart transplant 1-2 (??) years prior. The patient had more than one p wave for each QRS....

  12. Duty to catch 'em?

    HiHoCherry-O replied to Music in My Heart's topic in General Nursing

    This sounds great and all, but I highly doubt it would be very effective when attempting to lower a 300+ lb patient, especially when in the process of falling. My facility has lifts in all the rooms...

  13. Getting assigned to the ED

    HiHoCherry-O replied to ImThatGuy's topic in Emergency

    HaHaHa!!!! I am originally from New Mexico. Was just there over the last weekend; stuffed my carryon with as much green chili as I could! Not to mention shipped some red chili, posole, and chicos....

  14. New Job (FINALLY)!!! PBDS Testing??? Anyone know about this?

    HiHoCherry-O replied to Laurie Ann, RN's topic in General Nursing

    Explain in as much detail as possible, even down to swabbing the medication port with alcohol before giving medication. Detail, detail, detail. At one of the hospitals I worked at a few years ago, if...

  15. need a name for ICU's softball team

    HiHoCherry-O replied to TigerGalLE's topic in General Nursing

    The

  16. Moving out of hospital bedside nursing

    HiHoCherry-O replied to Simply Complicated's topic in General Nursing

    Evaluate what it is specifically about the ICU you do not like. If it is something universal to bedside nursing, it may be time to step away from the bedside. If it is something related to the ICU...

  17. So I made a med error....

    HiHoCherry-O replied to blessedmomma247's topic in Geriatric, LTC

    I'm so sorry you had a bad day!

  18. What is your splurge?

    HiHoCherry-O replied to Otessa's topic in General Nursing

    So many good posts!! I don't think I've read one yet that doesn't sound like a splurge I give in to on occasion depending on the mood. Barnes and Noble :redpinkhe, new something for my iPod, movie,...

  19. work part time as a CPR instructor?

    HiHoCherry-O replied to Ace587RN's topic in Emergency

    Why not. . .go for it. Never know where it will

  20. nurse abuse

    HiHoCherry-O replied to fungez's topic in General Nursing

    AWSOME!! We had a similar situation in the ED I worked at a few years ago. This pt, who played herself off to be "frail and decrepit", started wailing (and I mean wailing) on the tech who was drawing...

  21. nurse abuse

    HiHoCherry-O replied to fungez's topic in General Nursing

    I can sympathize that it really sucks to lay around in a hospital room, sometimes for days or even weeks at a time. However, that does not open the door for abusing others. I am all for telling...

  22. Texas air ambulance crash..2 flight nurses killled

    HiHoCherry-O replied to CT Pixie's topic in General Nursing

    All that time, training and dedication. . . A great loss for

  23. Can't always listen to the hype

    HiHoCherry-O replied to Simply Complicated's topic in General Nursing

    Its too bad that some NMs would rather spend time writing someone up than using that time to discuss what alternatives to the situation could have been implemented. This would be especially beneficial...

  24. Happier With Your Second Career?

    HiHoCherry-O replied to morphed's topic in General Nursing

    1. what was career #1?paramedic-firefighter 2. are you happier with nursing as a career than you were with career #1? not a big leap but enjoyed working for the fire department better. i have yet to...

  25. Dopamine drips in SNF?

    HiHoCherry-O replied to mercury7's topic in Geriatric, LTC

    I would have to agree with prior posts. Why does the patient require "renal perfusion"; is the patient's blood pressure low? H/H low? If so, then those issues need to be fixed. Sounds like there is...