ambersky004 BSN, RN

10 hrs Post pci, pt develop a vfib but was self limited when night nurse check on her. Night doc said it was torsades though mg level is normal. Still was given 2 gm of magnesium. Now, cardiologist said pt needs a life vest. Due to 40% LVEF. Has anyo...

Thank you dianah

How does retroperitoneal bleed develop after post pci? What are the possible causes of it developing? I was assisting in removal of arterial sheath with my co-worker, I was not able to monitor the patient constantly on our medsurg floor but was ...

We usually follows our hospital protocol to sit up the HOB of the patient not greater than 30 degrees. I usually check the pt's incision site every time we adjust the HOB or turn pt to side if they needed a bedpan. 😁

What are your techniques in removing femoral arterial sheath removal? If you are about 90 lbs in weight, does it matter or not when applying manual pressure to the femoral artery? Do you all have certain techniques on how to ace femoral sheath remova...

Thanks for that description! Pt was tender to the touch in her inner thigh area while she pointed the site. Do you think the venous sheath was causing it? Anyway, I pulled arterial sheath then the venous sheath after when her aPTT was about 51. ...

Thank You wedgepressure. What is retrograde and antegrade stick? Can you describe it? I always feel doubtful when I pull sheaths because I am small but if I do have obese patients, I let a larger nurse pulled it. We pull sheaths on our cardiac-s...

I have worked for 6 yrs now in cardiac stepdown/tele progressive care unit. 2 yrs ago, I posted about my burnout. But I thrive and stick with it again for couple yrs. Last yr covid pandemic, our floor was shut down, floated to med surg floor then bac...

Libra nurse Thank You. I do enjoyed being at the bedside. But for the past 2 yrs I have been more depressed. I have never tried changing jobs. So this is my first time moving to a different department. More of a specialty. I am just worried if a...

Libra nurse Thank You. I do enjoyed being at the bedside. But for the past 2 yrs I have been more depressed. I have never tried changing jobs. So this is my first time moving to a different department. More of a specialty. I am just worried if a...

I have worked for 6 yrs now in cardiac stepdown/tele progressive care unit. 2 yrs ago, I posted about my burnout. But I thrive and stick with it again for couple yrs. Last yr covid pandemic, our floor was shut down, floated to med surg floor then ...

I am also going for an interview in GI las/outpatient surgery. I have been a nurse in a cardiac stepdown unit for 6 yrs now which I enjoyed and enhanced my assessment skills. But I am feeling rot in that place. I am concerned of giving up my 12 hours...

I have worked for 6 yrs now in cardiac stepdown/tele progressive care unit. 2 yrs ago, I posted about my burnout. But I thrive and stick to my unit again for couple yrs. Last yr covid pandemic, our floor was shut down, floated to med surg floor, I...

Thank you.

I worked in a busy cardiac step-down unit/progressive care unit. For some reason over the weekend our unit was closed down due to low census. I came in the next morning and started my routine. We have ICU overflows, Post cath/post pacemakers, transf...

Thank You.

Here is the steps on application by examination in California Board of Nursing. Maybe it will help you start the process. ? https://www.rn.ca.gov/pdfs/applicants/exam-app.pdf

Have you visited the CGFNS website? It They help you do the credentialing of your nursing transcripts from the Philippines. You do not need to take the Philippines NLE if you plan to work as a nurse here in the US.

My Easter Sunday at work was unfortunately quite challeging. I came in to work that morning, had a patient that became lethargic and in respiratory distress even with bipap support. She was given a low dose of Ativan to help her relax and a 1 unit of...

Don't be too hard on yourself. I know it takes a toll on you or might even feel like a nightmare. It is hard when your patient dies on your shift. You have questions. Instead of ruminating those thoughts and feelings, learn from it and let go of thos...

I have been a nurse for almost 5 yrs now in a cardiac step-down unit/progressive care unit. This year, i feel like I am in a rut. I love being a nurse but lately at work, I am more grumpy and just feeling lost in my purpose. I don't know where to go ...

The topic of workplace incivility calls to mind. Our beloved profession can be taxing on the body and spirit. With all of the pressures we face in our units every day as we take care of patients with increasingly complex comorbidities, there is no r...

Nightnerd, what you wrote just summarizes about what I am feeling and thinking. Sometimes, I come to work happy and confident, sometimes I come to work questioning my worth and feeling like I am not supported or feel like not part of the team. I trie...

I feel the no tolerance sometimes on their unrealistic expectations. I am trying to use some of my PTO hours for some break away from work.