Suz_QRN

Hello, I think I originally posted this in the wrong area, I hope this is the right one. I am fairly new to the hospital setting on a tele unit. This may be a siI mple, should know, question, but I didnt know where else to ask it. I had a pt who had been running NSR for three days. Out of the blue, she had a 12 sec run of vtach 27 beats long. I work night shift and calling the docs in the night is allways a stressful thing for me. I was fortunate to have a strong nurse working with me that night, and helped me with calling. I guess most docs want to know in few words what is wrong and what you want. The problem being, most of the time I cant figure out what I want, I thought that was why they were the docs? Anyway, I called and explained she was asymtomatic, had been asleep at the time, vs were stable, her potassium was borderline at 3.6 and no mag had been checked since her admission. I also let him know whe was not on a beta blocker. He ordered a mag and x1 postassium 20meq po, he also asked me if she had any resp issues. Im not so sure why he wanted to know this except to decided on the beta blocker? She was in with bronchitis and has a hx of asthma. The mag came back good at 2.0, what other reasons for this sudden burst of vtach? Was the question for respiratory r/t beta blocker? I struggle to know what to know before I call, it seems no matter how much info Im ready to give, they allways find another question I didnt expect. Im sorry if this is so basic, but I am trying to learn the best I can. Any good interactive websites, pay or free, for cardiac knowledge/arrythmias? I learn best buy interaction... Thanks soo much!

Hello, Im not sure if this is the right place for this question, but here it goes. I am fairly new to the hospital setting on a tele unit. This may be a siI mple, should know, question, but I didnt know where else to ask it. I had a pt who had been running NSR for three days. Out of the blue, she had a 12 sec run of vtach 27 beats long. I work night shift and calling the docs in the night is allways a stressful thing for me. I was fortunate to have a strong nurse working with me that night, and helped me with calling. I guess most docs want to know in few words what is wrong and what you want. The problem being, most of the time I cant figure out what I want, I thought that was why they were the docs? Anyway, I called and explained she was asymtomatic, had been asleep at the time, vs were stable, her potassium was borderline at 3.6 and no mag had been checked since her admission. I also let him know whe was not on a beta blocker. He ordered a mag and x1 postassium 20meq po, he also asked me if she had any resp issues. Im not so sure why he wanted to know this except to decided on the beta blocker? She was in with bronchitis and has a hx of asthma. The mag came back good at 2.0, what other reasons for this sudden burst of vtach? Was the question for respiratory r/t beta blocker? I struggle to know what to know before I call, it seems no matter how much info Im ready to give, they allways find another question I didnt expect. Im sorry if this is so basic, but I am trying to learn the best I can. Any good interactive websites, pay or free, for cardiac knowledge/arrythmias? I learn best buy interaction... Thanks soo much!

I also work in a hospital, that the flu shot is being strongly recommended. We are to either get the flu shot or wear a surgical mask all flu season, for all of our shifts. Also when the H1N1 is available, the same rules apply. Its not a matter of taking a flu vaccine, its being mandated to do so. I also have strong reservations concerning getting a vaccination that hasnt been around long enough to truly know the real side effects. I also can not wear a surgical mask for 12 hours... I have to wear rx glasses and it foggs them up every time, not to mention it it is harder to breath. What else after this will they make manditory, its not fair!

Hello all, I just graduated and passed boards July 10, 2008. I am interested in furthering my education. I have six kids and this makes it impossible to take off anymore time for school. I was wondering if anyone has heard of a RN to BSN program that has podcast type lectures. I do not know if that is the right term I am looking for. I learn best by hearing and if possible seeing the information, rather than just reading it. I have seen colleges online that have podcasts of there lectures. I would like to find a online college that offers this type of learning enviroment....Anyone heard of this type of school??? Any advice will be greatly appreciated! Thanks in advance! Suzanne:redbeathe

1. How many questions did you take on NCLEX? 75 questions 2. What study materials did you use? Did you take a test review course? Hurst online review course, Kaplan question bank, Lippincott NCLEX book, Saunders NCLEX book 3. Did your SON offer any testing (ERI, ATI, HESI)? ATI 4. How long did you wait for results of the test, or are you still waiting? 48 hours to the minute, took it on July 10th at 5pm and got the results on July 12th at 5pm. 5. What were your thoughts coming out of the test (total disbelief, certainty you had failed, confident you had passed)? I was sure I had passed as soon as it shut off. I had gotten so many SATA, and had been told those were good because they are all higher level questions. By the time I got down to the car I was starting to doubt that I had passed because the questions seemed so easy and I figured they were the lower level questions. By the next day I cried off and on, and tried to tell my family I knew I had failed, but they wouldnt hear of it. Thank the Lord and my saviour Jesus Christ, they were right. I passed!!! The wait is the worst part ever!:yeah:I will never have to take it again! Was this your first attempt at NCLEX?Yes

I just finished my bridge program for RN and am astonished that the start pay is around 20 dollars. I worked as an LPN for five years in the KC area and the pay was between 15-18dollars an hour. Hope this helps! Good luck!

thank you for your quick response.... that clears it up a little for me. So would starting on a step down unit be wise if my goal is to work in ICU? I would appreciate any advice you all have.

Ok I am very interested in ICU and will be graduating from an RN bridge program in May 2008. I have a accepted to work in a hospital for tuition forgiveness program and will be applying for a job two months before i graduate. I have been talking to the nurse recruiter and she told me that ICU usually doesnt have any openings but as a new grad it would be a good idea to start in a step down unit. She said a step down unit would be a great place to start to be able to work in the ICU when there is a opening. So here is my stupid question.... Is a surgical step down unit the same thing as SICU and a medical surgical step down unit the same thing as MICU?? I know this is a basic question but I am confused on what exactly these are. Thanks to all in advance for explaining these terms to a confused nurse.

yeah I have been amazed at the pay and the lack of incentives.... I have a friend who also graduated from NAU and went to centerpoint to nights and hated it so she ended up in PACU and loves it I wonder if we are talking about the same person? PM me I would be interested to see if we know the same person

Hello all,:welcome: I am currently in an RN bridge program and expected (by the grace of od) to graduate in May. I am disappointed in the starting wage for new graduate RN pay. I cant believe they are only starting out at 19-20 dollars an hour. I was making 20.65 base pay as an LPN. I am currently living in Independence MO. I had several questions and was hoping for some advice and information: what is the starting out wage in the surrounding hospitals in MO? I would love to work in the ICU. What hospitals accept new graduate nurses into the ICU and provide excellent orientation? I am surprised that many of the hospitals do not have an tuition forgiveness opportunity's . Any advice would be greatly appreciated. Anyone with advice on what hospitals are new graduate friendly would be great to!!!! Thanks in advance for any information.

How many carbs are in each meal and snack in an 1800 cal ada diet? I have spent many hours researching this on the internet and multiple books. Please HELP, is there a web site anyone can help me with? The only information I have found says that there are 55-60% of carbs allowed each day? I would appreciate any help!!!!!!

Congradulations and good luck!!! www.educatedborrowers.com is a good play to try, you can borrow up to 60,000 dollars a year for health related degrees. I have received a loan from them last year and in the process of getting another one. I hope this helps.

Thank you all so much for the quick responses.... I am unable to try this stethoscope out in the stores before I buy it due to I cant find it available in stores. Due to the price of this stethoscope, I do appreciate very much any and all input! As you all know hearing is a big part of our jobs and I would be willing to pay a one time fee higher then most if it means I can do a better job for my patients. Once again thanks for all the quick responses and the continued answers I hope to receive. :balloons:

I was wondering if anyone had any informaition on the Littman 4100 electronic stethoscope. I have a mild hearing loss and am using the littmann cardiology 3 at this time but still seem to miss some sounds. I have been looking for any reviews or comparisons dealing with the littmann 4100, but havent found much info. I would appreciate any advice!!!!

:icon_biggrin: Hello, We just moved to Independence Mo, from kansas. I am an IV certified LPN. I hope I am wrong but it looks like the hospital jobs around here are all for RN's. I would sure like to find a job on a med surge floor. I have reading any info I can find on the MO state LPN licensing for IV certification. I hope I am mistaken, but in ks there are five classifications of drugs and lpn can push. It it true LPNs, with IV cert. cant push any drugs in Mo? If this is the case no wonder the hospitals dont want LPNs. I have worked in nursing homes, and orhto rehabs. I woulld sure like some hospital experience. Any advice would be greatly appreciated. Thank You suzanne LPN