hellonurse36

I can only speak for Datascope (now Maquet) as that is the one I use. If a pt codes you DON'T CHANGE ANYTHING with the machine...focus on the pt. As soon as the machine no longer senses an EGK to use as a trigger for inflation/deflation it will AUTOM...

Our criteria in Eastern NC is a pt presenting to an ED with STEMI (ST elevated MI) should be on the cath lab table with balloon opened in culprit lesion withing 90 min of presentation. If pt presents to facility without ability to do interventional c...

I spoke with our medtronic rep last week about this scenario. This is what he told me. All the newer MEDTRONIC pacemakers have AICD components (he stressed that this was how medtronic devices worked, but he couldn't vouch for other brands). If a pt...

I have a whole setup that new RNs can "play with" and practice setting up. I also have a display board with the inside of the heart on it that I have glued a swan catheter in the correct position. Below I have a pict of the stages of the swan being ...

[ How long does the AICD have to be exposed to the magnent before it stops? I am not sure how long the magnent has to be exposed before the AICD stopped.] I believe it stops immediately. "The reason for this is because there is a small magnetically ...

I work in an ICU and we do report at the desk and then go into the room for bedside rounds. I agree that bedside report is not approriate...although I will repeat something to the oncoming RN in front of the pt if it is something I told the pt I woul...

Hi everyone. I am a CICU RN who may be taking on a nursing student this fall for several shifts and I wanted to ask your advice on what a nursing student might really want to learn most. I plan to meet with the student before our first shift (or may...

Tazzi, I went to a woundvac class and it was great. It was a lecture about skin breakdowns, staging pressure ulcers, treatment for different stages etc. Then there was a hands on part where we go to play with the machines - even practiced putting dre...

My hardest week ever was 5 on, 1 off then 4 on! Night shift! Not fun. Great paycheck! Terri

Yup. I am sitting at home today enjoying call pay due to low census. Not sure what's going on, but here (Eastern North Carolina) we have had several beds closed for over a month now when usually we are pushing to move pt's to an intermediate bed so ...

Our protocol states that a pt with 2 consecutive FSBS > 140 be started on an insulin gtt managed by the glucommander. "The Glucommander is a computer based system for controlling blood glucose by directing an intravenous infusion of insulin in res...

What a great story. I think we need to hear about the good instructors more often. They can really make a difference. I hope you day goes better. Terri

What kind of complications are you looking for? Do you mean how can things go wrong? What are bad outcomes? Are you speaking about in hospital or in general public CPR? -broken ribs/sternum are just about a given if CPR is done correctly. -pt's heart...

Beth, These goals look good, I can't think of anything better. I forgot how the "Nursing School Instructor's mind works!!" Boy am I glad those days are over...sounds like you are pretty close to being through with it all to!! YEAH!!! Good luck. Ter...

Hmmmm. Not sure I agree with your instructor. The time spent in clinicals INTRODUCES a student to all of these things, but one can always continue to improve them - in fact....that is what most new nurses are working on during their orientation! What...

Not sure what you are looking for or what type of unit you will be on, but I'll give it a try. 1. Learn how to program and run pumps, including (if they have this), using programable features for different medicines. 2. Learn how to do an effective h...

Here is a simple explanation (sounds like you have it all figured out now, but thought I'd add my 2 cents). To help you understand what is the systolic vs diastolic it helps to know how a BP cuff works and understand WHAT you are hearing and WHY you ...

We have a palliative care team (MD and several FNPs) that are consulted. They review the case, meet with the family and try to establish appropriate goals of care. Most families find this very beneficial as these experts know how to communicate about...

British Columbia has a program called Cops for Cancer http://www.cancer.ca/ccs/internet/standard/0,3182,3278_367929__langId-en,00.html "What is Cops for Cancer? The Canadian Cancer Society's Cops for Cancer is a partnership between the Canadian Canc...

I believe it is a risk benefit decision. Most patients who receive thrombolyitics get it because they have ST elevation and present to a facility without a cath lab. They get the lytics and are sent to a facility with a cath lab for higher level of c...

Last night I saw an order I have never seen before and I was hoping someone (Pawpaw John?!), could enlighten me. s/p code pt was very hypotensive - on Levophed @ 80 mcg/min, Dopamine @ 20 mcg/kg/min, Epinephrine @ 1 mcg/min and still kept dropping to...

I went to an excellent class on IABP put on by a Datascope rep. They have a great website at datascope.com Click on cardiac assist at the top, then on the page that appears click on Educational Resources on the L column. then E learning resources an...

Jen - There is a top and bottom for both males and females. Our garments are a constant reminder of the promises made with the Lord in the temple to live righteously and strive to follow His example, as well as a symbol of our modesty in dress. Ther...

Good question. I am an endowed Latter day Saint (Mormon who has been to the temple and thus wear the garment you speak of - there are several styles/fabrics). I would say to leave it on if possible, if not, remove it and put it in a patient belonging...

Dear BlueEyedRN First...I am sorry for your difficult night! Hopefully you are processing this. Do you have chaplains at your hospital? Our chaplains are available for staff too, what about employee counselling? Next, you did NOT kill your pt!!! You...