canned_bread

Cath lab, acute, community

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All Content by canned_bread

  1. canned_bread

    diaper rash vs. burn and CPS case

    I just googled imaged for some diaper rash causing blisters like you described. I can't find any. Only masceration-like diaper rash, which is all I have ever
  2. canned_bread

    Showering with a central line

    This is ridiculous. Some of our patients have central lines for years (ie oncology)! I see no reason, with an occlusive dressing, why a shower cannot be had. Furthermore, chlorehexidine long term...
  3. canned_bread

    Baby Friendly- getting a tad over the top

    our hospital maternity is like a hotel. we are all about making mother and father happy, not baby happy!! after all, it's the parents who choose where they come back for the next
  4. canned_bread

    New Grad, 8 patients. HELP!

    You WILL get better! I felt overwhelmed when I was a new grad starting out. I really loved it when the other nurses helped me! It's normal to feel overwhelmed, but you have to remember you are still a...
  5. canned_bread

    Fall in the ED!

    By the sounds of things, you did everything that is correct. If someone wants to fall, they are going to fall. The ONLY thing I can see wrong is that initial patient you shouldn't have left alone (but...
  6. canned_bread

    New Pacemaker Implant Question

    Great question. One IV is for the drugs to be given, such as fentanyl and midazolam or whatever sedatives you may use. The other cannula site is for contrast (radioactive dye) that will be used to...
  7. canned_bread

    Cardiac Cath Lab heparin dosages

    Hi all, I found out today from an agency nurse working in my CCL that she has seen different cath labs using many different dosages of heparin in their premade heparin bags (we make up the bags for...
  8. canned_bread

    "Unstoppable" oozing from angio site.

    Have you guys got Fem-stops? We use those for bleeding that won't stop - they are a great invention. Maybe something to speak to the cath-lab about. What might have occurred is the pressure was being...
  9. canned_bread

    Cardiac Cath Lab... What's it like??

    A lot of people keep saying it's not a great place for a new nurse, and I completely disagree. I was a new grad direct entry into the cath lab (We do interventional and diagnostic neuro, vascular and...
  10. canned_bread

    Cath lab newbie

    Well - in recovery you need the normal recovery skills, such as airway management for post sedation and GA and neuro obs. You also need to know rhythm strips and be able to keep an eye on that for...
  11. canned_bread

    ughhh... Hail all the floor nurses

    I work in the cath lab, and occasionally work on the floor if we have low levels of cases or there is a need on the floor. Quite frankly, I find working on the floor a break. I have my set patients, I...
  12. canned_bread

    Incorrect 12 lead interpretation

    I work in a cath lab. Frequently our machine says incorrect things - it's a machine, and its parameters can be wrong and miss things. Just last week it said it was atrial fibrillation, and it was...
  13. canned_bread

    DNR help?!?!!

    I have only handled a few of these experiences, and it's hard on the heart sometimes. It sounds liek you have a lovely heart. I have never had a patient with a DNR ask me to save them at the last...
  14. canned_bread

    What do you say when calling out sick as a nurse?

    If I am sick, I say something like "Hi, I work in.... and I cannot come in today as I am unwell". Quite frankly, if they probed me I would find it rude and would say something like "diarrhoea, it's...
  15. canned_bread

    How good is your food?

    Our hospital, a private hospital, has delicious food that the staff can order too. We have a chef that is the head, and he has worked in multiple high-up places (hotels etc). I frequently ask the...
  16. canned_bread

    Hospital sued for faces drawn on surgical patient

    That's disgusting and embarassing and just...I am shocked. Just
  17. canned_bread

    Infection control question...

    Woah! Now, I don't think they could legally restrict PPE, but they can surely make your time hell. I would wash my hands, and cover all wounds with a new occlusive dressing prior. Chances of anything...
  18. canned_bread

    You're violating their confidentiality

    Identifying a patient is breaking confidentiality. Name, DOB, anything that can enable a person to track a patient. You did NOT violate a patients confidentiality, and whoever said that needs to go...
  19. canned_bread

    Precepting my first nursing student. Advice needed!

    I myself, a few months ago, recently had a day like that. I can sympathise, but it gets better! I would think the first day, give her 4 easy patients, and say "if you need me, call me" and offer help...
  20. canned_bread

    Signing your title in everyday signature

    only write RN for work paperwork, and would find it corny to do otherwise. I have had a few accidents (initials instead of signature etc), but yeah, seems a bit
  21. Woah! It sounds like your preceptor is young and a little immature and is finding professional boundaries a little hard. Some people love educating (I'm one of them) and some people simply don't. So I...
  22. canned_bread

    Smokers need not apply?

    Interesting comment you brought up. The previous hosiptal I worked at designated no smokers area for staff, so smokers had to go off campus (A bit of a walk during a 20 min break!) to smoke. My...
  23. canned_bread

    ekg certification worth the time and money?

    Kind of depends on where you work. I work in a cardiac/neuro cath lab, so knowing them is essential. Thus I did a course and researched myself until I had understanding. If I was you, unless you know...
  24. canned_bread

    Getting the hang of IVs...

    Thats awesome, you wrote that so eloquently!! I was told that the key to placing IV's/cannulas is
  25. canned_bread

    Tips for (nervous) OR nurse going into the cath lab please!

    Okay! Lots to cover! On call is large, in our hospital at least, because we require a senior nurse with each on call call out because the patient is often acutely unwell if they can't wait till the...