candyndel

candyndel

Member

  • Content

    100

  • Visitors

    2,856

  • Followers

    0

  • Likes

    0

All Content by candyndel

  1. Drawing ABG's

    candyndel replied to newfloridaRN's topic in Emergency

    Dont worry- its very simple. Your hospital policy and procedure should walk you through it. Just make sure you assess (and document) collateral ciruculation first (Allen's Test- you have to occlude...

  2. Question about Mitral Valve Stenosis

    candyndel replied to jnette's topic in Cardiac

    An S3 is a gallop, its not really a murmur at all. Its an extra heart sound and yes, u hear it with the diaphragm (i dont even have a bell!). It sounds like the S2 is almost stuttering (is how i...

  3. Question about internal defibs

    candyndel replied to Antikigirl's topic in Cardiac

    AICDs are put in to prevent a pt from dying from a lethal rhythm. Period. They dont fix the problem,they prevent SCD (which patients dont like he he.)So the fact that she might have been in a lethal...

  4. Pulseless patients: shock or drugs

    candyndel replied to EricTAMUCC-BSN's topic in Emergency

    Remember doing alternating abdominal compressions

  5. Pulseless patients: shock or drugs

    candyndel replied to EricTAMUCC-BSN's topic in Emergency

    That's what we used to call fine Vfib... the unhappy VFib. And that's why people used to shock asystole- to r/o occult vfib. Now its a big no-no, of

  6. RN Functions

    candyndel replied to nocturne716's topic in Emergency

    Loose his job and RN licensce? I'd sue the hospital for wrongful termination. I would have already called a lawyer and started researching past employment suits and med-mal cases. A)What were the...

  7. Pulseless patients: shock or drugs

    candyndel replied to EricTAMUCC-BSN's topic in Emergency

    Its mos def more than appropriate to defib as the first, second and third lines of tx in vfib/pulseless vt. You can read all the studies if you'd like. There were thousands and thousands of studies...

  8. Pulseless patients: shock or drugs

    candyndel replied to EricTAMUCC-BSN's topic in Emergency

    Not only would you shock them three times, but if the rhythm is still the same and meds arent readily avail (say, in the field), you could shock them a 4th. (Dont forget, only 10% of all arrests...

  9. Assessing Acute Coronary Syndrome

    candyndel replied to gwenith's topic in Emergency

    We have had similar cases to those. Except when we go back and look at the first 'normal' ECG, it is usually diagnostic, but unfortunately

  10. Emtala education

    candyndel posted a topic in Emergency

    What EMTALA information is given to the nurses during orientation and then annually? I am trying to determine how other EDs keep the staff informed of the latest guidelines and their implications....

  11. Emtala education

    candyndel replied to candyndel's topic in Emergency

    Do you know the website or have a link?

  12. HELP!!! with ACLS Drugs!

    candyndel replied to Town & Country's topic in Emergency

    ONEAL can go down the ETT. (O2, narcan, epi, atr, lido). Vasopressin is not in the ACLS text for ETT usage yet. Not that people arent using it off label... PEA?? Push Epi & Atropine Brady?? All...

  13. Assessing Acute Coronary Syndrome

    candyndel replied to gwenith's topic in Emergency

    I am not sure what you are asking for. People present very differently, women especially, and if we pick and choose who we think is a true ACS, we are headed for disaster. Chest pain protocols should...

  14. Justice Rape Document Blasted for Omission

    candyndel replied to rhon91's topic in Emergency

    I think we all know why EC was left out. (Its because of the way it works and actually, EC is a misnomer.) It is comforting to know that the state guidelines can vary by state, and our new guidelines...

  15. i have a chance to triage...

    candyndel replied to SnowymtnRN's topic in Emergency

    I think a HUGE problem with hospital administration is their belief that "a nurse is a nurse is a nurse". This is evident in such practices as putting any nurse in any situation and expecting her to...

  16. Anferior MI and NO order for NTG drip...

    candyndel replied to LPN47331's topic in Emergency

    Actually, collaterals are present at birth but not yet functioning. They are stimulated and develop gradually by either coronary artery disease, myocardial hypoxia or myocardial hypertrophy (AACN, p....

  17. i have a chance to triage...

    candyndel replied to SnowymtnRN's topic in Emergency

    Our staff has to have spent 6 months in the ED as a full time RN. You dont need to pass an ACLS, PALS, etc test to be able to triage as you wont be coding people out there. You do however, need the...

  18. Anferior MI and NO order for NTG drip...

    candyndel replied to LPN47331's topic in Emergency

    Why would you be so mean? Perhaps it was a spelling mistake. Even if it wasnt, there is no reason to belittle him/her with that

  19. TV in the ED

    candyndel replied to RNCENCCRNNREMTP's topic in Emergency

    Face it, healthcare is also about customer satisfaction. Our last speaker here was a VP of DisneyWorld talking about making it a more pleasant expierience for the pts!! We have TVs in certain rooms...

  20. Anferior MI and NO order for NTG drip...

    candyndel replied to LPN47331's topic in Emergency

    oops You meant inferior (anferior? ), correct? (RCA=inferior) Pts that infarct their inferior wall are more likely to expierence the hypotension caused by NTG, as well as be bradycardic. They almost...

  21. anyone using tPA for acute ischemic stroke in the ED?

    candyndel replied to dewp_63's topic in Emergency

    We've been using it for at least 8 years (when i came here). It isnt used that frequently because it is hard to pipoint the exact time at which the symptoms began (3 hour window of safety. Why do they...