All_Smiles_RN

All_Smiles_RN

Cardiology

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All Content by All_Smiles_RN

  1. Had a rough shift...need some input please!

    it appear to me that you are looking at a panic attack as being the culprit here. like others have said, she was having a tachy arrhythmia and the panic that ensued was a reaction to that situation. read up on the thyroid and arrhythmias. learn from ...
  2. CHF ( Left or Right Failure)

    http://www.nlm.nih.gov/medlineplus/ency/article/000154.htm http://www.nlm.nih.gov/medlineplus/ency/article/000152.htm Medline is a great source to give you a quick idea. These articles are just a start. Good luck.
  3. ancef 1g reconstitution

    Ancef can be given IV push at my hospital over 3-5 minutes in 10cc of NS. I never do this for the first dose though.
  4. Florida nursing salaries - seriously????

    Fresh out of nursing school as an RN in central FL, expect $18-$21/hr base pay.
  5. Profit Hosp vs Not for Profit Hosp

    I've both worked. I agree with Tweety that the not-for-profit hospitals are a better match for me.
  6. Calling for an RRT vs calling a code

    Wow suemom. I hope what you encounter with your hospital's RRT is not the norm. The RRT is wonderful where I work.
  7. Stethescope, penlight, bandage scissors, and plenty of pens come to mind. At the beginning of the shift, I grab a handful of alcohol wipes, red caps (to cap off IVs and fluids), tape, 2x2s, and some saline flushes. Other nice things to have are calip...
  8. Is there any hope for a new grad??

    All of my friends that I graduated with went to the depts that they wanted to go into. Whether it be PCU, neuro, med-surg, cardiac, a few to ICU, and 1 or 2 to the ED etc. What I have not seen though is new grads in cardiac rehab. The cardiac rehab n...
  9. Quick little rant about the tele room here.

    My hospital has a 3 week training class to get the monitor techs started. They don't need to be nurse or paramedic.
  10. Nursing Shortage and Competition??

    I've never heard of a nurse in my area not being able to find work. If you have trouble, come to Florida ;-)
  11. RNs with Bad Credit

    I have so-so credit from some hard lessons learned a few years ago. My current employer did a credit check one year ago and I got the job. I don't think this will affect the average staff nurse. By the time you are applying for an executive level pos...
  12. interview questions for new grad

    Typical question may be "how will you handle a situation when a pt complains of CP?". O2, 12 lead, nitro, morphine. Aspirin, vitals and MD call would be appropriate too ;-) Depending on the presentation of the pt, you may proceed in a different order...
  13. Types of MI's

    Have you taken 12 lead ECG yet? A key point in this class is the different MIs, how they present on the ECG, and the specific arteries involved. 12 lead is a good place to start building your knowledge around the different MIs.
  14. titrating cardizem

    Typically a cardizem gtt is started at 5cc/hr. I monitor BP every 5 mins for the first 15, with me at the beside. Many pts tolerate cardizem just fine, other's their BP goes in the toilet quickly. I'll move up to every 15 min BP checks then for the r...
  15. Nursing Students' Uniforms

    Can you buy the patches and just sew them onto generic uniforms? That way you can make sure the uniform fits.
  16. IV fluid for a PT on a Fluid restriction? ! ? !

    Acute renal failure? Sounds like the lasix may have been taxing her kidneys. Hydration can and often does improve kidney function.
  17. "Did you report her?"

    I reported a nurse who continually made errors and did not know pertinent information. Just plain scary! Ran iron dextrose wide open. Another pt had a PE that she failed to mention in report. I don't expect to be spoon fed my report, but come on now!...
  18. Moving to Palm Coast, FL

    Palm Coast is such a beautiful area. I wish I could afford to live there. You'll take a pay cut going to a Dr's office or LTC most likely. Hospice seems to pay similar to hospital wages. Hospice of Volusia Flagler has a branch in Palm Coast: http://...
  19. Benefits???

    in my experience, the health insurance is crap. I've worked for two hospitals. For a family, I've paid $170 or $195 every 2 weeks. After that there is a $500 deductible per person (up to $1000 max). After the deductible is met, insurance paid 70% and...
  20. Hospital jobs for future nurse?

    After you complete your first semester of nursing school, some hospitals will hire you on as tech, which is basically a nursing assistant, just a new name for it. It all depends on where you live as to pay. When I was a tech maybe 2 or 3 years ago, I...
  21. hoW??

    I didn't want to shell out $400 either for the Kaplan review or any of the others. I just reviewed from my nursing school notes and texts. I took the test June 2006 and passed the first time. If you're a good test taker, maybe you could consider the ...
  22. Slightly OT: Lasik

    I had high-def lasik done roughly 3 months ago. I drove myself to my post op visit the next morning, 20/15 vision in both eyes! I went back to work 2 days after that but could have sooner.
  23. What disciplines make up the Rapid Response Team?

    RRT's are great. An ICU nurse (does not have pts), an RT, and the Nsg Supervisor respond at my hospital. The more heads, the more likely you'll figure out what's going on and how what to do! You might call might call them for sudden tachy or brady rh...
  24. cardiac case senario(not a real patient)

    Symptomatic vtach? Synchronized cardioversion. Drug of choice: amiodorane. Asymptomatic vtach? Crash cart ready, pads on chest, calling MD STAT.
  25. I'm a genuine, caring person and I believe my patients and coworkers pick up on that. After I've made quick rounds and I come back for a more thorough assessment, I say, "I understand you came here because you were having chest pain. Can you tell me ...