candyndel

candyndel

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All Content by candyndel

  1. I freeze up when the big traumas/CPRs come in

    candyndel replied to vampireslayer's topic in Emergency

    Sounds like your preceptor is a jerk and needs a lesson

  2. Certification exams AANP vs. ANCC

    candyndel replied to JACKMAC's topic in Nurse Practitioners, NP

    I took the ANCC exam and found Fitzgerald to be the biggest help. I didnt even need all the other study aides (but only know that

  3. Right Ventricular Infarct--thing I thought I knew...

    candyndel replied to papawjohn's topic in CCU, Coronary, Cardiac

    what do/did her right and left ECGs look

  4. Anyone hate the ER at first?

    candyndel replied to Happy-ER-RN's topic in Emergency

    5 weeks!!?? Your NM sounds like a typical, tough, old bag who luckily doesnt take care of pts

  5. Documentation

    candyndel replied to ernrs579's topic in Emergency

    Documentation is such an important part of the ED RN's role that I wouldnt want to shorten it by any means. I am trying to get our nurses to document more bc some charting reads like a scribe just...

  6. Anyone hate the ER at first?

    candyndel replied to Happy-ER-RN's topic in Emergency

    I hated everything you mentioned, which isnt really hating it, its hating feeling stupid and out of control. (But med-surg/tele was so predictable (you knew at 900am you'd being doing meds, etc) that...

  7. man holding wife still during epidural dies!

    candyndel replied to smk1's topic in Ob/Gyn

    Because if the patient is impaired (cognitive &/or behavior) we have a duty to keep them safe. They can not refuse medical treatment if they have any impairments in judgement. That's why when...

  8. ER vs ICU nursing

    candyndel replied to JohnRN04's topic in Emergency

    Don't forget... in the bed...out of the bed....in the bed...out of the bed. Sometimes you get to spend all day going to CT/MR, too!! Seriously, you'll learn a lot at first, then be bored. Just like...

  9. man holding wife still during epidural dies!

    candyndel replied to smk1's topic in Ob/Gyn

    Right, we know a negligence suit is also a civil suit (obviously its not criminal), but it is not medical negligence. There was no professional duty to treat. Just like when somone asks for a...

  10. man holding wife still during epidural dies!

    candyndel replied to smk1's topic in Ob/Gyn

    Maybe you could afford then to raise your child (children even?) by yourself for 18 years and by that time college will be 50k per

  11. man holding wife still during epidural dies!

    candyndel replied to smk1's topic in Ob/Gyn

    It wont be a negligence suit- it will be a civil suit. (The man was not the patient, so their was no duty.) Just like if he slipped on a wet floor, hit his head, and died - all while in KMart- you'd...

  12. atelectasis

    candyndel replied to nu570's topic in MICU, SICU

    The tricky part, though, is that you can and will get a low grade temp with atelectasis. I think it might even be the #1 cause of post op

  13. Mixing multiple iv drugs in one syringe

    candyndel replied to student_nurse_07's topic in MICU, SICU

    Never mix IVP meds in one syringe. IM, yes. IV, no. Also, dont ever feel stupid asking questions. I'd feel more stupid not asking and getting it wrong!! UOTE=student_nurse_07]Hi, all. I had a...

  14. CVP and SV02 monitoring in the ED

    candyndel replied to Kireri's topic in Emergency

    No, no staff from ICU/CCU ever comes to the ED to care for the pts, even if they are "holds" bc they have no beds/staff on the units. Not only that, but we frequently hold critical care pts without...

  15. Neurosurg Private Practice Salary negotiation

    candyndel replied to Neurosurgery NP's topic in Nurse Practitioners, NP

    Is he going to pay your malpractice and what type of malpractice is it? You are wearing many hats and should be compensated accordingly. $50/hour is way too low in my opinion. Staff RNs make that....

  16. Order Clarification

    candyndel replied to Cqc_Cqb's topic in MICU, SICU

    Those are called blanket orders and are not allowed in our hospital either. Same thing applies with the blanket post-op order ("Resume all pre op meds")... We also do not accept non-urgent verbal...

  17. Opinions needed!

    candyndel replied to JahbingRN's topic in CCU, Coronary, Cardiac

    I listened to "them", too and did MS for a year, then step down for another year and hated both. (It was worse than clinicals in nursing school!!) We get brand new grads who kick butt in the ED, but...

  18. nurse practioners and surgery

    candyndel replied to nev's topic in Nurse Practitioners, NP

    Good question! Besides the obvious training differences (one is a nurse, one is not, one needs a Graduate degree, one does not) I have no idea. Maybe there is an OR forum that could

  19. nurse practioners and surgery

    candyndel replied to nev's topic in Nurse Practitioners, NP

    NPs training and practice focus on providing primary health care to pts while making health promotion and illness prevention of utmost importance- thats what makes us a unique discipline. (Or so we...

  20. ER NP and jobs in the field

    candyndel replied to cadency's topic in Nurse Practitioners, NP

    Something to think about... You do not need to graduate from an ENP program to work in an ED. The presence of NPs in the ED (yet lack of ED programs) is proof of that. However, should you decide to...

  21. Work while in school for NP?? Possible??

    candyndel replied to DaisyRN, ACNP's topic in Nurse Practitioners, NP

    I worked full time in one place and per diem in another and finished my degree in 3 years. I did have to give up the per diem job when clinicals began. But, I dont have any children, which makes a...

  22. Transcutaneous pacing

    candyndel replied to VAC's topic in CCU, Coronary, Cardiac

    Yes, all you can see is the spike sometimes.... Remember the TCP has to permeate tissue, bone, fat, etc to get to the heart, so the mA you need to capture with is much greater than that of a TVP. mA's...

  23. Question about PEA

    candyndel replied to DustinRN's topic in CCU, Coronary, Cardiac

    Even if you dont like A, choices B, C & D all have you waiting for lab results while your patient is pulseless....never a good first option. TE=DustinRN]This question is from the ACLS provider...

  24. Transcutaneous pacing

    candyndel replied to VAC's topic in CCU, Coronary, Cardiac

    Sounds like Sick Sinus Syndrome to me... pt needs a DDD pacemaker asap. She actually needed a TVP. I like TVPs much better, although the risk of complication is higher. The pt was very symptomatic...

  25. Milranone and B/P

    candyndel replied to MacNurse's topic in CCU, Coronary, Cardiac

    Gotta watch those RV infarcts though! Its all about the