michlynn

michlynn BSN, RN

Cardiology

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All Content by michlynn

  1. This is just too much

    Oh my gosh! That is so unsafe! Have you ever thought about writing an email to the nursing director of the hospital or the doctor that oversees operations? I work on a tele floor and we also have step...
  2. Floating for 1st assignment?

    Wake Forest Baptist. I also know other people that have worked there and told me I'd most likely be overwhelmed having to float that
  3. Cardiac Telemetry

    Tele is a great place to start! No matter what floor you end up on everyone has a pulse (we hope!) and the majority of patients are on some sort of cardiac medication, so it's great to learn cardiac...
  4. New Travel RNs Can't Find Assignments?

    I've been having the same problem. I have 2 years in cardiac/tele and every hospital that I've been submitted for has turned me down because I don't have travel
  5. ICD off but not pacer

    All the magnet does is set the pacemaker back to default settings. If the family wants it off completely EP would have to come in and turn it off. I've had patients that have been changed to CMO with...
  6. No tax home

    Has anyone ever traveled without a tax home? I currently do not own a home or rent anywhere and was wondering if it was even worth it to travel not being able to get your stipend tax free. Anyone have...
  7. No tax home

    Any other advice
  8. No tax home

    I suppose I need to do more research, I currently live in PA and am not able to apply for a compact license. I would like to start traveling soon, maybe only for a year or 2. I mean I technically have...
  9. rhythm questions!

    I work on a tele floor where our patients are diagnosed with various arrhythmias all of the time. Anything new that is sustained even if the a fib is a controlled rate I would still call the doc bc...
  10. TAVR

    Our temp pacer wires are also transvenous and secured in the groin through a sheath secured with sutures. The site is typically covered with a 4x4 and tegaderm dressing, we've never really had any...
  11. TAVR

    Our hospital has been doing this procedure for a while now, about 2 years now and I've seen mostly positive outcomes. We've only had one person pass secondary to TAVR complications and the doctor had...
  12. Question on reacting to tachycardic afib

    This topic of holding medications, parameters or no parameters seems to be a pretty popular topic. I myself held a dose of lopressor the other evening because it was given in the morning and my pt...
  13. MI post heparin drip

    I'm curious as to why this patient didn't go to the cath lab either. Any time a patient has ST elevation and is actively having chest pain we cardiac alert them and the patient goes straight to the...
  14. Should a student nurse take ACLS?

    I was thinking of doing it before I graduated as well but it's really not going to help your chances of finding a job and it's really expensive. I waited until after I got hired and my place of...
  15. Tikosyn

    I despise tikosyn... This drug is very risky and has a tendency to prolong the QT which is why the doc requires an EKG 2 hours after administration. We keep our patients for 3 days and monitor them...
  16. Post care of a perclose?

    I take care of these patients on a daily basis, the floor I work on is the pre/post cath unit. Our cardiologists use various closure devices and Perclose is one of them. Every cardiologist is...
  17. How hard really is intermediate Care

    I work on a cardiac/tele floor that has "Intermediate Unit" beds and it really just depends on how sick these patients are. If you have IU patients we are only supposed to have a 4/1 ratio but that...
  18. New cardiac nurse--advice?

    The unit I work on is strictly cardiac/tele so we see all of the MI's, chest pains, arrythmias, pacemakers, etc. and I love it. The meds I work with most often are cardizem, amiodarone, lidocaine,...
  19. Fav places to travel/gen travel ??'s

    Hey everyone, I've been speaking with a recruiter from AMN for the past couple months to attempt to start traveling at the end of Sept. I don't want to venture too far away from home for my first...
  20. "Unstoppable" oozing from angio site.

    We keep Bupivacaine handy for oozing like that. Just inject around the cath site to stop the capillary
  21. Help with amiodarone drip

    I agree with Beverage. I work on a cardiac floor and we have amio protocol, loading dose goes in over 10 min then 1mg/min. Amiodarone isn't just to convert them it's also to maintain a stable heart...
  22. I think it depends on where you would like to find a job. If you want to work in a hospital setting then definitely go for your BSN. Most hospitals don't even hire LPN's anymore. The place where I...
  23. Failed NCLEX-RN... what now?

    I passed on my first try which shocked me because I thought it was incredibly difficult but this is what I did to prepare... I took all of the ATI final exams on their website, some of them I did more...
  24. ANXIOUS! PLEASE HELP!!!

    I pretty much took every ATI Final I could from their website, if you score above a 60% I guess that means that you should do pretty well on the NCLEX. I also did 50-100 questions a day from...
  25. What makes you want to vomit?

    I gagged once in nursing school when my instructor and I had to go in and cath a young woman who had a nasty yeast infection and some other funky stuff going on down there. And I can't listen to...