robinbird

robinbird

Emergency Nursing, Cardiology

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All Content by robinbird

  1. Nursing as a Second Career

    There are many of us who are second career nurses. I was in the criminal justice field as my first career, then I was a stay-at-home mom. I know of a veterinarian, a lawer, a spanish teacher, a...
  2. nights are killing me!

    For me exercise is the key. I wake up at around 11am in the morning before my first of three 12 hour shifts. I go for a 30 min. run (or to the gym for 30 min) at around 2pm. I go in to work that night...
  3. Plan to transfer from tele to er

    I am a tele/cardiology nurse and have applied to the ER. I'm very nervous about making the change because I'm comfortable where I am now. Still, I feel like I need to do ths, to learn how to manage...
  4. Another Outrageous Visitor Thread

    It was another busy night shift. Had a patient going for open heart surgery the following morning. Daughter flies in from somewhere across the country. She walks into her mother's room pushes the call...
  5. Another Outrageous Visitor Thread

    Had a patient with decompensated heart failure. He was a "frequent flyer". During his previous visits we educated him and his family about salt and fluid restriction, etc. So on one of his...
  6. My facility is doing away with priming blood tubing with saline. The policy basically says to prime the tubing with the blood, infuse the blood and then we have the option of following the blood with...
  7. Priming blood tubing with...blood??

    1) There is no waste of precious blood product while trying to rid (prime) the tubing of bubbles 2) You can pinpoint the moment that the bood actually started infusing into the pt which leads to 3)...
  8. Priming blood tubing with...blood??

    What about the blood that is left in the tubing when you are finished? Its so interesting to hear about these different methods of practice. In nursing school (I graduated in 2006), we learned to...
  9. What was your favorite...

    a)what was your favorite experience in nursing school? finishing nursing school. b)what was your favorite experience in your nursing career? recognizing and successfully treating someone in pulmonary...
  10. bolus insulin for meals

    Oh, I didn't really answer your question. I definately would NOT cover a CBG of less than 70 (or less than 149, for that matter), even when the patient will be
  11. bolus insulin for meals

    I would go by the sliding scale insulin order for the patient. Usually you cover a CBG (capillary blood glucose) above 150. The scale was designed to take into account that the patient would be...
  12. Three things...

    Never again: 1. Guiac a C-Diff stool... 2. Clean under porifice folds that haven't been cleaned in weeks... 3. Over-bearing, well meaning family members who do more harm than good. Like to do: 1....
  13. If You Think You Haven't Heard It All...

    This wasn't my patient but I laughed when I arrived for my shift and heard this story. A patient was due to be discharged late in the day. The nurse was doing rounds and she walked into the...
  14. Nursing License

    NC stopped issuing a license that you can carry in your wallet. (I think in 2007.) The idea is that any potential employer can to the NCBON website and verifiy your license online. Luckily, I...
  15. Will I find my place?

    I always thought I wanted to work in mother-baby or pediatrics. I had three kids and breastfed them all successfully and even taught other new mom to breastfeed in La Leche League. When I had those...
  16. measuring pulsus paradoxus

    Pulsus Paradoxus or (pulse parodox) is an art. The person who taught me how to do it said if you want to get really good at pulse paradox, do it as part of your assessment on every patient. I've...
  17. exercising/working out on work days

    I normally work three night shifts in a row. I usually go for a run at around 2pm before my first night shift (of three) and don't work out on my second and third night. I've tried working out after...
  18. The things you never forget...

    Our tele tech was watching the monitors. She announced on the overhead system, "check [Room 415] now!" I ran by the monitor bank on the way to the room and yelled, "What do we have?" "V-fib!" She...
  19. What does 1:1 sitter mean to you?!

    I had a sitter once that would be on her cell phone each time I walked by the room. She would scoot out of the room when I came in to check on the patient or to do procedures, then not come back right...
  20. What if men dominated the Nursing profession?

    Many of us are second career RN'S and would not have considered nursing if it required 4 more years of college...I know I would not have gone gone through 4 more years. Much of first part of 4 year...
  21. BLS or ACLS?

    ACLS (Advanced Cardiac Life Support) and BLS (Basic Life Support) are two different certifications. ACLS does not take the place of BLS. I need to have both on the cardiac stepdown floor where I...
  22. leaving

    This doesn't happen where I work, either. Nursing is my second career and I found the situation you describe in all of the other jobs I have had before I became a nurse. It is so refreshing to work...
  23. Being a patient where you work

    I was a patient in I the same hospital where I work, when I was diagnosed with MS(multiple sclerosis). I knew it was the best hospital in our region so there was no question that's where I would go...
  24. Multiple Sclerosis

    Hi Everyone, Its now been 18 months since my diagnosis and I feel like it's time for me to step outside myself and MY diagnosis and start helping others with MS. I've started a Blog as a first step. I...
  25. Multiple Sclerosis

    " I was on Rebif from June '07 to December '07 when I was switched to Copaxone due to my liver enzymes showing consistent elevation and beign 3-4x the norm. Copaxone doesn't hurt nearly as bad as...