brainkandy87

brainkandy87

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All Content by brainkandy87

  1. ECG leads for echo stress test

    Well I've never worked in the stress lab, but I'd assume it's like every other ECG or tele monitor on the planet. So...
  2. Nervous about new tele job!

    Defibrillator.
  3. What is the most interesting case you've seen in the ER?

    My nursing career has been far too short to top any of the crazy stuff here, but so far, this is my most interesting pt: Forty-two year old female comes in with CP radiating to her back 8/10, with no...
  4. Time Management

    One of the big things that helps wait times in our ER is float nurses. We generally have 1-2 at any given time. I've heard strong opinions for and against these, as some nurses absolutely do not want...
  5. When is a patient your patient?

    In the ER I work in, each nurse has four assigned rooms and there's usually 1-2 float nurses (20 bed ER). If anyone comes in with CP, they are taken straight back without being triaged like everyone...
  6. Waiting a year to take TNCC?

    So there's a TNCC new provider class in March I was wanting to get in on at my hospital, but I was told that I had to wait until I'd been in the ED a year before I could take it. I knew CEN needed a...
  7. Worst doctors orders ever received

    I do hope you asked him if he meant 0.8 mg before you told him "if he wanted to kill the baby go
  8. Waiting a year to take TNCC?

    Yeah, I agree fully, there's always something to learn. I'm just a huge nerd and like being a proactive learner. If I'm not getting new education I get bored. God, that makes me sound like a huge...
  9. Nervous about new tele job!

    Don't blindly give medications just because they're scheduled. When I worked a tele floor, I don't know how many times I had a pt hypotensive or bradycardic because the day nurse had given a beta...
  10. What is CEN, or CCRN?

    Love this. I've never met a CEN I wouldn't trust with my
  11. why and how can people abuse the ER?

    I just worked twelve hours and am far too tired to get into a health care debate, but I will restate what I originally said: we wouldn't have as many people coming to the ER for silly reasons. I am in...
  12. Coding

    It just comes with time and experience. However, always be confident in yourself and what you're doing, even if your skills aren't quite developed yet. Those will come eventually. However, being the...
  13. New Grad on Tele Floor-- ADVICE?

    Cardiac was my absolute worst subject in nursing school (ok, second worst.. my hatred for OB spilled over into my grades) and so when I got my first job on a step down/tele floor, I was kind of...
  14. Drawing blood from central lines

    Ah, good point I guess. I'd still just be so hesitant to return a 20 ml syringe of blood into a pt, even if they were heparinized. I mean, at most I'm wasting 120 ml a day, but in reality you don't...
  15. Drawing blood from central lines

    Maybe my brain isn't working from working all day and night, but I'm not understanding the rationale behind returning the waste when drawing from a central line. To me, the risk far outweighs any...
  16. Yep. I'm always straight up with them. I don't care what anyone does, I'm here to take care of them. Managing their life choices is not my job and I let them know that. I nearly always get them to...
  17. Would appriciate advice to a new ER RN

    Prioritize, prioritize, prioritize. This involves knowing what the pt needs and will need (what's the presenting problem? abd pain? chest pain? know your basic set of things that need to be done),...
  18. why and how can people abuse the ER?

    Meh, I'm a liberal and a universal health care proponent. I don't mind people "abusing" the ER at all. I think humanity has evolved to the point where health care is no longer a privilege, but a basic...
  19. Don't you hate those bad IV days?

    Well, I've gotten out of my slump and am batting a thousand this week. I even hit an IV drug user with total venous sclerosis and a dehydrated paraplegic that a CRNI couldn't hit. I'm holding up a...
  20. Don't you hate those bad IV days?

    So I just had to let off some frustration/depression, even though I know these days come every once in a while, but still.. hitting .000 for the day in ER is roooooough. I couldn't get a cath to...
  21. Don't you hate those bad IV days?

    Well, I'm a guy. I really need a new, masculine username. I've just had this one for over a decade, so I've got memories. Thanks for all the comments
  22. Don't you hate those bad IV days?

    Hahaha. Awesome. I had a lot of baseball references in my original post, before I decided to retype it. Here's to hoping a hit for the cycle on
  23. Bored in the ER?

    I don't think I could ever be bored in the ER. At the very least, I'll never be as bored as I was on the floor. There's always interesting stuff, even with the primary/urgent care stuff. I'll give you...
  24. New ER RN job/ worried because of my random hypoglycemia.

    I was dx as a non-DM hypoglycemic when I was a kid and I was worried about it when I started clinicals in nsg school. The last thing you want is a hypo fit and not even be able to create a sentence...
  25. Womens interest in male nurses

    Yeah, I've found being a nurse helps when it comes to women. Especially with the RT's at my hospital. Cough. None of the gf's I had during nursing school found it interesting at all though. In fact, I...