candyndel

still doesnt make sense because if he can not gain access with the site marked, he has to use another site (which contradicts the purpose of laterality). its not like the surgery is going to be done on the wrong side....

that is silly...the heart is unilateral....

It sounds like u have a silly case scenario (non-realistic). But u are correct. ST elevations meet diagnostic criteria for a STEMI if they are >1mm in TWO OR MORE CONTINGUOUS LEADS. Why would they give u STE in just one lead? TWI are non-specif...

U do not need to do anything with the pacemaker...like we say in the ED...u cant pace meatloaf! What will happen is u will have a flat line with pacer spikes. Not a big deal. Dead is dead and the pt will be pronounced. If u place a magnet over a pac...

I have noticed the many differences amongst various cath labs and am surveying... Please let me know what your institutional policy is re: ambulation/DC time in hours after a manual hold vs closure devices. THANKS IN ADVANCE!!! If anyone has a policy...

dont forget about the effects NSAIDs have on prostaglandins... ps this DOES NOT INCLUDE ASA. They should still take ASA....The AP benefits far outweigh the risks....

I am an ACNP and work as a hospitalist....its the perfect position for an ACNP.

WOW- That must be some book if you have a policy on every task a nurse does! Here's the JCAHO reg on nursing policies... Elements of Performance for NR.3.10 1. The nurse executive, registered nurses, and other designated nursing staff members write...

Very well seasoned nurses also share your opinions and frustrations about charting, too- so know you are not alone. If it was so easy, there wouldnt be lectures, conferences and books on it, right?? I actually began ED nursing when our charting was d...

Always, always, always do a head-toe at the beginning of your shift (and I dont mean on the new ankle that just got here an hour ago...) then prn. Especially if you have the 'hold' problem that we do (usually about 20 every morning with over half for...

Generalized nursing tasks...like bed baths? Why would one even need a policy for generalized nursing tasks? That's what our generic nursing programs were for! If I am administering the MEDICATIONS then I am deciding (and I say that collectively) the...

Any NPs out there working as a hospitalist?? What can you tell me about it? Thanks!!

Gotcha. I like 'Acute Care NP' anyway....

Does hospitalist carry a negative connotation I didnt know about? "Hospitalist" is a term generally regarded as doctor that works exclusively in the hospital. I myself only work in the hospital. No clinic office. I work in a small ER and also adm...

I cant even believe what I am hearing (seeing?) on this post. Do some of you really believe that a Nursing Policy shouldnt be written by a nurse? This is a nurse-driven, collaborative effort and she seems to have the right team together.

Of course you could write a policy- think of all the administrators (who dont touch patients) that do!! If it is your first time, I will give you a couple of pointers... 1- Do your homework- (do a thorough lit search). It is important to use current...

I plan on getting my DNP, but not because i fear the ANCC will make it mandatory. Look at how long ago they tried to say every nurse was going to have to have their BSN....and we all enrolled in school....and still no set entry-level education....

Thanks for being so kind, but I have never heard of hyperkalemia as a differential for ST elevation. Pericarditis, myocardial infarction, coronary vasospasms, even early repolarization, yes. Nor can I locate a resource that notes the same J point eff...

Did you consider an on-line degree? Then you can go to class at whatever time works for you. There are MANY reputable schools that offer on-line graduate degrees. I highly recommend on-line learning, it is the epitome of adult education!!

You will have PLENTY of time to study and should have no problem (if you are a decent test-taker). GO FOR IT!!

ST depression yes, but I was asking about elevation...

Which electrolyte imbalances cause ST elevations?

Cardiac Cardiac Cardiac If you have already choosen Neuro, then you know what I mean!!

Was your ICU getting them fresh post-op? If yes, you could arrange ICU RN(s) to come to the PACU to train your staff, for OT, of course. Or If neurosurgery is new to your facility, you could consider reaching out to another faciltity for training. (...

You should move this to the peds forum....