HiHoCherry-O

HiHoCherry-O

CVICU, ED

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  1. Endoscopy Nurses!!!! Questions for you! :)

    I wont answer all of your questions. . .but a little advice: I would inquire as to what meds you will be expected to administer. Depending on the endoscopy center, you may be the only one...
  2. Dropping pressures with nitro. Anyone experience this??

    Did either patient have a recent history of taking Viagra or
  3. Medical Records

    To the OP: You may want to shop around for some EMRs. What kind of program are you using for your med documentation? Is it a software program that allows for other applications to be added such as the...
  4. IV Gauge for CT

    I participated in a study several years ago that measured the rate of fluid administration between a 14 gauge and a 16 gauge. The conclusion was that there was not much difference in how quickly fluid...
  5. Prescribing narcotics to drug seekers

    The ED I worked in a few years ago had pain contracts for certain patients who frequently came to the ED requesting narcotics. We were able to track how frequently they came, what resources were...
  6. wrong order

    It was a mistake. You could ask your CN or NM if there is a way to remove the charge to the patient since it was ordered by
  7. wrong order

    Anything pertinent come out of the tox screen? Otherwise. . .lesson
  8. Vent

    Some of the responses I like to use are: For those who tend to monopolize your time: "I need to check on my other patients, their needs are just as important as yours. I will return to check on you in...
  9. Pet Peeve: Poor Grammar by Nurses

    LMAO!! Glad to see I'm not the only one irritated by the use of this
  10. BSN needed to work in Texas?

    Now children. .
  11. Failing to carry out a stat order in timely manner

    I would have carried out the order. How long of a time frame was it from the time the order was written to the time it was canceled? An ABG can tell you many things. This patient had multiple problems...
  12. Just liked it and wanted to share

    Thank you so much for sharing this!! This is what I love the most when I am at the bedside; listening to life stories, places people have been, things people have done, wisdom and advice that they...
  13. Opinions welcomed

    You mention that "typical RN training is 8 weeks." To me this means that on average most nurses are relatively competent by 8 weeks, some sooner, some later. The next comment is that she is not even...
  14. CRNAs in New Mexico

    The ambulatory surgery center off of University (between Lomas and Menaul) has CRNAs. When I was in school at UNM, I did an OR rotation there. Spent most of my time with the CRNAs vs the OR nurses....
  15. How do you document telemetry in a paperless system?

    Same here as mentioned by the other posters. We document the rhythm in Epic i.e. NSR, ST etc. We also have space below that to chart the measurments. The tele tech prints out a strip on each patient,...
  16. College Student Looking for Career Advice...(RN vs EMT-P)

    Having been a FF/Paramedic and now an RN I say it depends on what REALLY interests you most. I loved the FD and being a medic. I LOVED the people I worked with. Some of the cons are limited upward...
  17. Sedation Vacation

    For most of our intubated patients we do a daily "sedation vacation." The RT's do a SBT (spontaneous breathing trial) every morning during which all sedation is turned off (or substantially...
  18. Low mag level

    I suspect it has to do with what values the lab looks at as "critical" hospital wide versus what is critical for ICU. I know in my ICU the surgeons like to keep the electrolytes a bit on the cushier...
  19. Career Pathing

    Hey!! There's only room for one of those and its gonna be ME!!! But on a side note. . . Pharm Tech -> EMT -> ER Tech -> FF/Paramedic -> RN -> Med/tele -> ED -> CVICU ->
  20. nurse certified coder

    TDCHIM and GRACERN47 have provided some great information. Another website you can check out is http://www.aapc.com/. Many community colleges also offer coding courses and with your LPN background...
  21. MCI Supplies List

    Triage tags. Suction. Stuff to make simple splints. Ice packs. These are very basic suggestions. Additional supplies if able and have personnel would be IV's and fluid. Need more info as to your...
  22. ER Warm Fuzzies

    One of the sweetest things I saw in the ED came from one of my nurse co-workers. He had a patient who was admitted to the hospital but had been waiting for a hospital room for a looong time. The...
  23. Info for senior students in the ED

    I would also include knowing some labs: Cardiac markers: what are they and what do they indicate? Why do they have to measured over a period of time? CBC: What are some things that may be going on...
  24. As thestrella mentioned, the fistula could be damaged. Fistulas are created surgically. If it is damaged, the patient would need to have a permacath placed (which may be difficult due to the...
  25. By the time I am 30 years old =(

    Cerda, I have the same problem! I have struggled with reading comprehension my whole life. Ironically, I graduated with honors not once but twice. I started working on my Master's degree, primarily...