Nurse Kyles BSN, RN

Cath Lab & Interventional Radiology

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All Content by Nurse Kyles

  1. Nurse Kyles

    sheath removal P&P (femoral)

    I can't imagine a CNA pulling the sheath! At my facility we only pull sheaths in CCU, Cath lab or PCU. The other hospital in town only allows CCU and Cath lab to pull sheaths. I work in PCU and this...
  2. Nurse Kyles

    Discussing medication side effects

    We are struggling with medication side effect education as well. I like the pop up idea. That is the lowest area on our HCAHPS
  3. Anywhere you can get a job is good. I think med-surg or telemetry is a good place to start. You can basically get a job anywhere with some telemetry experience. My former coworkers have moved on to...
  4. Nurse Kyles

    No more glucose checks by CNAs/PCTs

    This is how it works at my hospital. The aids do the blood sugars most of the time. We use the Precision XceedPro. We always treat blood glucose based on POC glucose listed in the labs in
  5. Nurse Kyles

    Skin Assessment Question

    We use meditech, but it sounds like ours is configured a little differently. The only time I chart tattoos is in the Pre-operative intervention that specifically asks if the patient has
  6. Nurse Kyles

    Last semester

    I just precepted a student, and she had the same experience as you. She had not done really any nursing skills. I don't think she had ever hung an IV piggyback, started an IV, or inserted a foley....
  7. Nurse Kyles

    New Cardiac Nurse

    I had to LOL a little at your post, because pulling sheaths is my LEAST favorite part of working in progressive care! I think it is good to get more familiar with all the different procedures, and...
  8. Nurse Kyles

    Schools misrepresenting competitiveness?

    There is usually more seats for lecture than clinical. I agree with the previous poster to look at clinical slots. A lot of those extra lecture seats could be for people who have previously failed a...
  9. Nurse Kyles

    Goals while working with a preceptor

    i would definitely include improving report skills, so you are able to give concise, thorough report. Prioritization, time management and delegation skills are very important too. I just see that...
  10. Nurse Kyles

    Please allow one quick interview?

    OP, I know that it really feels strange putting yourself out there. You probably feel very uncomfortable asking a real life nurse that you have not met for an interview. Please know that nurses WILL...
  11. Nurse Kyles

    Care plan & clincal question

    What you describe is pretty much how it works. At least this is how I remember nursing school. You go in and prep the day prior to give yourself some time to think it through, because you are...
  12. Nurse Kyles

    What does S.R. stand for?

    I honestly have never seen an abbreviation of SR that means sleep and rest. I would definitely take GrnTea's advice and look up the abbreviation in the
  13. Nurse Kyles

    documentation

    We can go in and edit charting in meditech for 4 days. I suspect that the length of time can be customized by the
  14. Nurse Kyles

    Lost patient belongings

    We do have a checklist that is part of the admission set on the computer. It has check boxed for really common things like cell phone, upper dentures, lower dentures, full set, bilateral hearing aid,...
  15. Nurse Kyles

    POLL: nurse-to-patient ratio

    Crazy!!! We take post op day 1 open heart surgery patients, and I couldn't imagine having up to 6 of them!!! Three seems like too many at times. I work on a split med-tele/PCU Absolute max on...
  16. Nurse Kyles

    Bitter Cold

    I usually pull through or back in my parking spot. This makes it easier to get a jump start if need be. Actually I think that wind chill only effects living things. Inanimate objects will only get...
  17. Nurse Kyles

    If a person codes at Walmart..

    The EMS will resuscitate if there is no Community DNR bracelet present. A DNR order is required to obtain a community DNR bracelet. This is how it works in my
  18. Nurse Kyles

    Staffing gaps and gaffs

    I work in a non-union hospital. RNs do not float. This was changed several years ago, and RN job satisfaction improved. We assess staffing and make changes at 7am, 3pm, 7pm & 11pm. I think not...
  19. We are required to work every other holiday. Christmas Eve/Day & New Years Eve/Day are each considered a pair holiday. If it is your turn to work, you work both days. The new people on my unit...
  20. Nurse Kyles

    Best way to get to cath lab?

    In my hospital, the nurses that work in cath lab all came from PCU or CCU. Although our PCU sounds like a mesh of your interventional PCU & CV PCU. We pull sheaths and run titratable cardiac...
  21. Nurse Kyles

    New to the medical field question...

    Behind the bed there is a lot of outlets. There is also a plug in for oxygen on either side of the bed. There are multiple locations where suction can be plugged in. The call light and bed are...
  22. Nurse Kyles

    looking for another job while on maternity leave (RN)

    It probably depends if you are getting a paid maternity leave or STD. Several coworkers of mine have left after maternity leave. They had to work a specific amount of time after maternity leave,...
  23. Nurse Kyles

    RISK FOR diagnosis

    I would really tread lightly with this one. Personally I would just talk to the instructor about what she wants, and try to do my assignments her way. I really do not think it is wise to try to get...
  24. Nurse Kyles

    cheaper alternative to greys anatomy tops

    I really like butter soft by uniform advantage. They are super comfy, and they come in tons of colors and styles. I get lots of compliments. They are also much cheaper than the scrubs I used to...
  25. I would not accept a position as a PCA when you already have an RN license. I would apply anywhere and everywhere to try to obtain an RN position. Even though you are working as a PCA, legally you...