delphine22

delphine22

Quality, Cardiac Stepdown, MICU

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All Content by delphine22

  1. General ICU test

    delphine22 replied to frobinson's topic in MICU, SICU

    Glad you got the job, and welcome to AN! Just a tip, though, it is STRONGLY discouraged to use your own name/personal photo with your profile. We discuss a lot of sensitive stuff on here, and you...

  2. ECG Strip

    delphine22 replied to CMStryzak's topic in General Nursing

    Beat me to it. This is the best one, hands

  3. Butinski

    delphine22 replied to SusanMann's topic in Patient, Colleague Relations

    Well, if she's told to leave an area and refuses, she's insubordinate. Being Army, she should know what that means. One private, documented counseling session or write up should fix that. If not, I...

  4. So Frustrated I Could Cry..

    delphine22 replied to NurseQT's topic in General Nursing

    Unfortunately, you are in one of several professions (police, firefighters, nurses, others) that require 24-hour coverage or people literally die. You knew this when you signed up. It was confirmed...

  5. Butinski

    delphine22 replied to SusanMann's topic in Patient, Colleague Relations

    Not sure I follow. Is she adding her two cents on a pt she did not take care of? Doesn't she have her own report to give elsewhere? Is her insight valuable? ("Hey, your pt converted into afib, you...

  6. General ICU test

    delphine22 replied to frobinson's topic in MICU, SICU

    Hmph. I'm sorry you didn't make it, but a place that expects you to be an ICU expert without ever having worked in one, sounds like a place that doesn't want to teach you anything. I'm sure you will...

  7. What is my role?

    delphine22 replied to EMEddie's topic in MICU, SICU

    You, as the primary nurse, are the expert on your patient. Everyone who walks into the room is going to want to know what happened, what the pertinent history is, etc. That is your job. Any time a...

  8. General ICU test

    delphine22 replied to frobinson's topic in MICU, SICU

    If you've never worked ICU before, I can't imagine they'd expect you to ace the test. They have an orientation program, don't they? They probably just want to see where you are. Answer what you...

  9. Emailing MDs for orders

    delphine22 posted a topic in HIPAA Challenges

    We have a system where we can "airmail" the nocturnist when we have a question, and it's basically an email to their phone that appears like a text message. I am told this is a secure messaging...

  10. Emailing MDs for orders

    delphine22 replied to delphine22's topic in HIPAA Challenges

    Maybe I need to do more research into the system. It's called My American Messaging and it's a service we subscribe to, it's web based. Looking at their site and the part that I use, it turns out to...

  11. blood transfusion and first 15 minutes

    delphine22 replied to valsalvamanuever2's topic in MICU, SICU

    In all floors of both hospitals I have worked at it's initial vitals, stay with the pt first 15 minutes, then another set of vitals, then q1h until transfusion is finished (sometimes another one 1 hr...

  12. How is your ICU staffing done?

    delphine22 replied to cmp424's topic in MICU, SICU

    If you find you have a lot of PCU acuity pts in the ICU, have a PCU nurse floated up to your unit to take care of them. I worked in a hospital as a PCU nurse where any pt with a chest tube had to go...

  13. Question about "stories"

    delphine22 replied to beccaboo617101's topic in HIPAA Challenges

    My rule of thumb is, if the patient him/herself could read/hear what you are saying about them, and know you are talking about them, stop. Even with no names or identifiers, like another poster said,...

  14. Do I have a right to a copy of my employee health file?

    delphine22 replied to Clovery's topic in HIPAA Challenges

    I started a new job recently and had all my titers done, etc. I requested a copy of the results from occ health right away. I needed them anyway to avoid duplicate testing from an agency I was also...

  15. Pt's FB pictures of me

    delphine22 replied to rse3's topic in HIPAA Challenges

    Obituaries are paid announcements. They are placed in the paper because the pt's family WANTS the general public (including former caregivers) to know the person is deceased. The same with wedding...

  16. Help! Forgot to waste narc

    delphine22 replied to cheji13's topic in HIPAA Challenges

    This is absolutely not true. Discrepancies are what get you unwanted attention from pharmacy, not wasting what you're supposed to. And as a later poster mentioned, if a nurse comes back on a later...

  17. Hipaa violation and interview

    delphine22 replied to Edubs1023's topic in HIPAA Challenges

    My facility has tiers for unauthorized access of records. I don't recall them exactly but the punishment varies whether it was intentional or unintentional, benign or malicious intent, a family...

  18. Cardiology III vs. master cardiology stethoscope

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

    Remember, you can deduct the price of your stethoscope on your income taxes, in the same place where you deduct your uniform and other work-related expenses. (Of course, check with your tax...

  19. ECCO tips

    delphine22 posted a topic in MICU, SICU

    Hi all, cardiac PCU nurse transferring into MICU, will be starting floor orientation plus ECCO soon. Any tips for the computer stuff? I will be doing it in two 6.5-hr shifts a week, bc my manager...

  20. Call coverage for medical units?

    delphine22 replied to Nik.S.RN's topic in Medical-Surgical

    I don't really get the point of having a nurse on call 24/7. Our situation is like what you described in your second paragraph: if census is low, someone is put on call. This is done on a rotating...

  21. Time between Meds

    delphine22 replied to bear14's topic in Medical-Surgical

    IMO (and what I was taught) it is not my place to decide if the pt's pain is "real," since I can't feel what they feel. People who have been living with chronic pain for years are often able to talk,...

  22. Stepdown vs PCU

    delphine22 replied to mochajchips's topic in Cardiac

    Even in one region it varies widely. In my town I work at two hospitals, one won't allow bipap anywhere but in ICU, the other (of similar size) will allow trachs with vents in the surgical PCU. You...

  23. 1750 hours for CCRN exam?

    delphine22 replied to ONE-TWO--'s topic in CCU, Coronary, Cardiac

    According to the handbook, hours during orientation count if you are the primary caregiver for the pt (basically, if you're taking the team instead of just observing). This is because in some places...

  24. Cardiology III vs. master cardiology stethoscope

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

    I have a cardiology III and love it. I got it from medisave, they laser engraved my name on the bell very beautifully for free. I did end up getting a cloth cover for it, I never used one on other...

  25. protocol for post CABG patients

    delphine22 replied to LASD95's topic in Cardiac

    Not silly at all, I had to ask too, the first time I had postop pts. (And someone please jump in and correct me if I miss/misstate something!) Each pt will have a pillow (or in our case it's a...