canned_bread

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All Content by canned_bread

  1. canned_bread

    Tell me about your first pt to code...

    canned_bread replied to MrsICURN14's topic in CCU, Coronary, Cardiac

    I work in a cardiac cath lab, and we had a patient last week who had V-tach for 2 days! Conscious, BP systolic ranging between 90-120, happy sitting up and chatting. Said he felt fine, a bit dizzy...
  2. canned_bread

    Tell me about your first pt to code...

    canned_bread replied to MrsICURN14's topic in CCU, Coronary, Cardiac

    Pulseless V-tach is when there is no "pulse" (ie you can't feel the beat at the wrist or carotid) however there is V-tach showing on the machine, because ventricular tachycardia is actually happening...
  3. canned_bread

    Tell me about your first pt to code...

    canned_bread replied to MrsICURN14's topic in CCU, Coronary, Cardiac

    Chances are, the colostomy bag will explode, or the tube dislodge, during CPR. It just happens. It's not the priority, and can be fixed afterwards. It means poop everywhere. If you are a "spare hand",...
  4. canned_bread

    Tell me about your first pt to code...

    canned_bread replied to MrsICURN14's topic in CCU, Coronary, Cardiac

    When I was a new grad, my work put me through an advanced life support course as I am in a cardiac cath lab, so needed the skills. This enabled me to learn a) recognising a code, b) what to do during...
  5. canned_bread

    Question on reacting to tachycardic afib

    canned_bread replied to DatMurse's topic in Cardiac

    The risk of throwing a clot is well under 1%, and usually happens when a patient goes from AF to sinus (ie
  6. canned_bread

    EKG tips and tricks in the ER?

    canned_bread replied to alliecatrn10's topic in Emergency

    Just so you know, those "computer interpretations" are very very often wrong. They are most certainly not to be relied on. Frequently I get "AF" when it's really flutter and vice versa. Incorrect lead...
  7. canned_bread

    Burned out and hate nursing

    canned_bread replied to RN1023's topic in Health, Stress Management

    I felt like that myself, I intensely disliked the ward and in fact during nursing school I questioned whether I wanted to be a nurse at all. At the end of nursing school, as a new grad, I was then...
  8. canned_bread

    Cath lab vs ICU

    canned_bread replied to lah130's topic in Cardiac

    I love the CCL. It's a faster pace than the ICU!! The on call depends on teh facility, and we don't have that much on
  9. canned_bread

    Difference between apical pulse and pulse monitored on display

    canned_bread replied to redeyelpn's topic in Cardiac

    Monitors can be fooled by you shaking one of the heart
  10. canned_bread

    Acls and pals course

    canned_bread replied to thomas76's topic in Critical Care

    Really important to have a hands-on course. The one we did required a physical test at teh end to make sure we could handle CPR, and do it properly. We verbalised when to give each drug, what to do...
  11. canned_bread

    PPM Question

    canned_bread replied to Wheaties1974's topic in Critical Care

    I don't know what type of machine you are using, so can't advise you. However, I hope you realise how important it is to know how to use one of these. If the pacer stops working (or you program it...
  12. canned_bread

    MI post heparin drip

    canned_bread replied to RNbubu's topic in Cardiac

    If a patient is on heparin and we need to reverse it (which is very rare), we could reverse the heparin. Actually, in the cath lab, we usually GIVE
  13. canned_bread

    Question on reacting to tachycardic afib

    canned_bread replied to DatMurse's topic in Cardiac

    I don't see what the concern is. If the patient is asymptomatic all that needs to be done is trial of amioadorone or something similar, and to be put on anti-coagulants if they aren't already. The...
  14. canned_bread

    A Nursing Student with Epilepsy?

    canned_bread replied to GlitterFaerie's topic in General Nursing

    2 years for a drivers license here in Australia. And I have
  15. canned_bread

    A Nursing Student with Epilepsy?

    canned_bread replied to GlitterFaerie's topic in General Nursing

    I am a registered nurse and have well controlled epilepsy. I struggled to get through nursing school a fair bit due to memory issues, and even now struggle with memory issues (side effect of epilepsy...
  16. canned_bread

    Brain lesions and excessive sleepiness.

    canned_bread replied to Supercandy131's topic in Neurological

    I would wonder if this "sleeping in mid sentence" is related to a seizure? Has the patient had an EEG? It's odd that that occurs. Lesions can cause epileptic-like
  17. canned_bread

    Post care of a perclose?

    canned_bread replied to rng2013's topic in Cardiac

    I work in a cath lab. Post care is checking the groin every 15 minutes afterwards (like a normal groin post cath, with no perclose). We instruct the patient of normal care of the groin afterwards. You...
  18. canned_bread

    Cath Lab on call schedules?

    canned_bread replied to graft's topic in Cardiac

    We have 2 labs and are a fairly busy lab. We rotate with an EN and an RN on (or two RNs) each on call, and have an appropriate skill mix. It works out that we are on call about every 3rd...
  19. canned_bread

    Didn't get into new grad program - what next?

    canned_bread posted a topic in Australia, New Zealand

    So I didn't get into my new graduate program (no surprise, I KNEW I stuffed the interview up!) and so now I am looking at nursing jobs... and they all require experience. The only places that seem to...
  20. canned_bread

    Central line dressing question

    canned_bread replied to schnookimz's topic in General Nursing

    I would also be concerned about skin intergrity from repeated dressing
  21. canned_bread

    Pediatric Psych?

    canned_bread replied to uds16's topic in Pediatric

    I used to work in a paeds psych unit that was within a major childrens hospital. We primarily had eating disorders and mood disorders. Occasionally we would also get early-onset psychosis. We had 2...
  22. canned_bread

    Allergy to epi

    canned_bread replied to T-Bird78's topic in Patient Medications

    Frequently my patients say they are "allergic" to a medication, when in actual fact their symptoms were side-effects, not allergies. The most common is nausea and vomiting from drugs (not actually...
  23. canned_bread

    Lesbians (LGB) in OB Nursing

    canned_bread replied to PunkRockRNLA's topic in Ob/Gyn

    I've never had a problem, and am a lesbian. I don't shout it out to the hillside, but if someone asked (which they haven't), I wouldn't hide it. It's my private business, and my colleagues respect...
  24. canned_bread

    Sydney public hospitals

    canned_bread replied to leekiss's topic in Australia, New Zealand

    There is more applicants than positions. Don't be choosy, go for them
  25. canned_bread

    What exactly is covered by 'medical conditions that may impact on their ability...

    canned_bread replied to hulde's topic in Australia, New Zealand

    I have epilepsy and still ticked no. Reason being, as long as I sleep and take all my precautions, chances are low. It's simply an indemnity