delphine22

delphine22

Quality, Cardiac Stepdown, MICU

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All Content by delphine22

  1. Agency earning opportunities

    delphine22 replied to vhern246's topic in Agency Nurses

    I work per diem with an agency, there is another nurse from the same agency who works at the facility with me, she drives about an hour and a half. I ask why she would come so far, and she says they...

  2. Seriously thinking of doing agency work. Pros and cons?

    delphine22 replied to LTCNS's topic in Agency Nurses

    Yes yes yes!! They are billing you out for much more than they are paying you. Use this to your advantage if they are in a bind and really need you. When my recruiter calls and says "please please...

  3. Seriously thinking of doing agency work. Pros and cons?

    delphine22 replied to LTCNS's topic in Agency Nurses

    Keep in mind that the hospital pays the agency nearly twice what the agency is paying you (and what the hospital would pay a staff nurse). Facilities that employ a lot of agency nurses by definition...

  4. Do you get called when your shift is cancelled?

    delphine22 replied to TajoRN's topic in Agency Nurses

    Mine calls both to confirm and to cancel shifts. It's annoying because they call a good two hours before the shift starts to confirm I'm coming, and sometimes I'm still

  5. good nursing agencies

    delphine22 replied to moniqueg3's topic in Agency Nurses

    I work with Medical Staffing Network. They staff lots of hospitals in Florida. I am per diem so I can't speak to benefits but it's good to have lots of options as far as

  6. Is it ever full time work?

    delphine22 replied to amzyRN's topic in Agency Nurses

    I work PRN for an agency and have only been canceled once, they have a lot of needs and I'm usually turning them down. I work with one nurse who drives quite a distance to work one shift a week at...

  7. First job! cardiac step down, med surg, tele, GI floor mix

    delphine22 replied to Nurse J1112's topic in Cardiac

    Just like in clinical, know what every med is/does before you put it in your patient. Especially now that HCAHPS (the customer satisfaction surveys) ask if you give medication education. The worst...

  8. Acute Care Cardiac Unit vs. Cardiac Specialty Unit

    delphine22 replied to Wms28's topic in Cardiac

    Either of those could describe a "chest pain unit," meaning a quick turnaround place for chest pain obs pts holding overnight for stress tests. I've heard these units are terribly boring. .

  9. patient on IV Amidorone and PO Amiodorone at the same time?

    delphine22 replied to raindrop's topic in Cardiac

    We just had this the other day and I confirmed with the cards and he said he wanted the drip to stay on for 48 hrs past the initial PO

  10. does this sound extremely unsafe or is this typical??

    delphine22 replied to raindrop's topic in Cardiac

    Unfortunately, all I can say is time to leave. Once management decides to go one way, no amount of begging or pleading (or poor outcomes or tragedies) can convince them to hire more

  11. Cath lab vs ICU

    delphine22 replied to lah130's topic in Cardiac

    I was considering cath lab, but a friend who worked there (and then left to rep for Brillinta or one of those) said the call was MURDER. Even with many rooms and a large staff, he felt like a slave...

  12. Patients who are allergic to the contrast dye in an angiogram question

    delphine22 replied to Mrsjonesgilbert's topic in Cardiac

    Our protocol is Benadryl, Solucortef and Pepcid, all IV. Agree with MunoRN, though I did have a pt once that reported a true anaphylactic reaction to contrast dye, he coded in the cath lab due to

  13. Pacemaker interrogation

    delphine22 replied to spdaydream's topic in CCU, Coronary, Cardiac

    We call St. Jude or Medtronic. Usually they come early the next morning, but if it's something needed stat I'm sure they have someone on call. I do not believe they have RN

  14. New CCU RN-Do I need to purchase a cardiology stethoscope?

    delphine22 replied to JLHCCURN's topic in CCU, Coronary, Cardiac

    I love my Littman Cardiology III. I can hear murmurs and odd breath sounds really well. I got it on Medisave and got my full name laser engraved on the bell for free, it was really nice and nearly...

  15. sheath removal P&P (femoral)

    delphine22 replied to crsparks's topic in CCU, Coronary, Cardiac

    Usually we inflate the Femstop to MAP or maybe 10 above MAP. At our facility we actually had CNAs pull the lines and hold pressure but of course an RN had to be present with atropine. Now we have a...

  16. More $$/hr for CCRN?

    delphine22 replied to cabgnurse's topic in CCU, Coronary, Cardiac

    Mine gives $2.50 for PCCN and $3.00 for CCRN per hour, plus reimburse the cost of the test if you pass. They also used to give $0.75/hr for ACLS but they just quit (I am grandfathered in thankfully)....

  17. Best way to get to cath lab?

    delphine22 posted a topic in Cardiac

    I'm a fairly new nurse. I worked one year in a PCU telemetry unit at a smaller hospital, then moved to a larger hospital in their Interventional Cardiac PCU unit. We take all the chest pains, the...

  18. Floated to Tele, no experience...

    delphine22 replied to RNewbie's topic in Cardiac

    We often have float nurses on our floor, it's hard to give report to them bc they are pretty clueless about post-cath orders, groin assessment, etc. Though when I floated to ortho I was just as bad,...

  19. Cardiac Monitor Tech

    delphine22 replied to Dexorosorous's topic in Cardiac

    You mentioned your clinical skills: are you already an RN? If so, I hate to say it, I'd find a new job ASAP. Monitor teching is great while you're in nursing school but not if you've already passed...

  20. "Unstoppable" oozing from angio site.

    delphine22 replied to TopsDrop's topic in Cardiac

    Our magic powder is called stat seal, we keep it on the floor. It has a little adhesive ring you put around the puncture site, you sprinkle the powder in, as soon as it hits blood it congeals. Works...

  21. New Tele Nurse

    delphine22 replied to BosSM22's topic in Cardiac

    Hang out with the monitor techs. If you see a weird rhythm or they tell you something you don't understand, ask! They love to argue (in a good way) and explain how they came to a conclusion about a...

  22. new grad position want Certs?

    delphine22 replied to BlueEyedGuy's topic in Cardiac

    AHA does an online-only Basic Dysrhythmia course, that's probably what they mean. It's quite good. How did you do with your rhythms on ACLS? If you are good with your rhythms ask if you can test out...

  23. Pushing a Cardizem bolus

    delphine22 replied to queenjulie's topic in Cardiac

    If you needed to push something that slowly you'd hang it -- like an amio bolus. I'm sorry but it's not humanly possible for me to push something that slowly. I struggle with 2 minutes. The slowest...

  24. Post cath/pacemaker teaching

    delphine22 replied to MedicWifeRN's topic in Cardiac

    Some of our cardiologists have strict preferences about when people can shower/lift their arm/remove dressings/etc. Check with the cath lab, they often have different post-procedure orders for each...

  25. ACS vs CAD?

    delphine22 replied to Twisted Nurse's topic in Cardiac

    I consider CAD to be chronic. ACS is acute (it's in the name): acute MI/STEMI/NSTEMI. Our facility usually reserves that term for STEMI, not NSTEMI, though I can't really say why. We don't use it...