ambersky004 BSN, RN

CardiacStep-down/Progressive Care Unit

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All Content by ambersky004

  1. ambersky004

    If the QT Is prolonged wouldn't the QRS Always be widened?

    The QT interval is the time from the start of the Q wave to the end of the T wave. From the time taken for ventricular contraction and relaxation. How fast the ventricles recharged for the next cycle. While the QRS duration is how fast the ventricles...
  2. There was this experience that I will never forget in my nursing career. Patient N came back with Afib with RVR. She converted to SR during shift change. The night nurse said she had episodes of chest pain. From her report she said the Pt N was more...
  3. ambersky004

    Nclex June 2016

    Congratulations!
  4. ambersky004

    Pacemaker and irregularity?

    There are many causes of Afib and there different types of Afib. First priority is rate control because some people will always have an Afib rhythm. They call it chronic Afib. Some of these people are on Anticoagulant med. Just like PVC's, they appea...
  5. ambersky004

    Revived when there was a DNR/AND code status

    Thank You for your kind words. I am trying to be gentle with myself.
  6. ambersky004

    Revived when there was a DNR/AND code status

    What have I learned are 1. I know i failed the patient 2. I should have documented the event. 3. I shouldn't point fingers because I know everyone in that room does not know her code status until I came in and told them she is a DNR/AND. 4. You have...
  7. ambersky004

    Revived when there was a DNR/AND code status

    I know, i was focus on my next admit and its documentation. I told the nurse who activated the rapid response to document what she did. But i forget to make my own note. I did make a late entry note after 5 days.
  8. ambersky004

    Revived when there was a DNR/AND code status

    Yep, so much in my hands that day. The only thing I was upset about is that they did not listen to me when I was the patient's nurse, they did not even listen to the attending doctor who was also in the room. The problem was the nurse and the nursing...
  9. ambersky004

    Revived when there was a DNR/AND code status

    On initial admission, if the patient has a AND code status, we should put a blue bracelet on the pt.
  10. ambersky004

    Revived when there was a DNR/AND code status

  11. ambersky004

    Revived when there was a DNR/AND code status

    You have a point. I break the pt's advocacy. I was thinking about why i didn't yell at the doctor or in the whole room to hear me. I told him she is a DNR but told me to call the doc. So the hospitalist came and she also said she is a DNR. The hospit...
  12. ambersky004

    Revived when there was a DNR/AND code status

    I might look at our hospital policy regarding this. Thank You.
  13. ambersky004

    Revived when there was a DNR/AND code status

    What if the patient did not have any complications following survival? She consented to get a cardiac cath the next day.
  14. ambersky004

    Revived when there was a DNR/AND code status

    I did not since Saturday. Tomorrow, I will be back to work. Appreciate you for telling me about this. I was so tired and did't really care that day. Just want to go home. I feel a failure to my patient and didn't think about it 'coz I had to finish m...
  15. ambersky004

    Revived when there was a DNR/AND code status

    Thank You.
  16. ambersky004

    Revived when there was a DNR/AND code status

    I know this was a huge mistake, didn't even documented that day. So i didn't get to sleep and keep worrying about it.
  17. ambersky004

    Revived when there was a DNR/AND code status

    Yes you are right. I told the heart doc and the team and also the hospitalist. I even asked my co-workers and they've heard that she is a DNR, "but why is doctor so and so continued? that's what i did not understand. Doctor so and so told doctor so a...
  18. ambersky004

    Revived when there was a DNR/AND code status

    Will it be an issue for lawsuits if we break her code status and she is alive and she decided to get a cardiac cath? I should have documented that I told the rapid response team that she was a DNR/AND. But I did not. And the nursing supervisor let me...
  19. ambersky004

    Revived when there was a DNR/AND code status

    Will it be an issue for lawsuits if we break her code status and she is alive and she decided to get a cardiac cath? I should have documented that I told the rapid response team that she was a DNR/AND. But I did not. And the nursing supervisor let me...
  20. ambersky004

    Eligibility to take the NCLEX

    How have you been fmay?
  21. ambersky004

    Eligibility to take the NCLEX

    Hi everyone!! I would like to ask a few questions. 1. how to know if you are eligible to take the NCLEX? 2. I applied in Minnesota board of nursing and is waiting for their response. I'm living and working here as a CNA. And i want to begin proces...
  22. ambersky004

    AF RVR + levophed

    So i had an experience where I came in to work and the patient was on Amio drip. The pt had a BP that is slightly low. She complains of chest pain when I came in and short of breath. HR was still afib with RVR in 136s. so I told the doc she consulted...
  23. ambersky004

    Eligibility to take the NCLEX

    Thanks! I'm planning to retake the English exam again. But i am hoping to hear from the BON soon. :) Have a Good Day!!
  24. ambersky004

    filipino nurse already in US

    hi everyone!:) i'm an RN in the philippines and just got here in US on a fiancee visa. I was planning to take my nclex exam but still undecided on what state to apply without CGFNS and IELTS or TOEFL. My state is Minnesota. I already went to their BO...
  25. ambersky004

    filipino nurse already in US

    thank you so much ginger's mom and sir juan de la cruz :). Godbless you all!