MilliePieRN

Biggest things we look for in coworkers is attitude, work ethics, and drive to learn. I'd like to hear why you want to work in the cath lab. It's extremely tough to learn all required and teamwork is so much more important than in floor nursing. We work so closely together we avoid negative people like the plague, which is why we have an awesome lab. Highlight your relevant experiences (pulling sheaths, ekg skills, dealing with difficult situations, and doctors..)

If you're not participating and no one is messaging you, I believe it's really no concern of yours. Parents/patients can't violate their own hipaa rights. You don't really know what was shared. It's even possible to keep someone somewhat updated and it not even be a hipaa violation. "hey, that pt is doing well" or "they man you were concerned about came through his sx ok." I just don't believe in someone looking for and causing trouble for no reason. If someone asks you to share pt information, just say no. Easy peasy.

Would you mind sharing your resource suggestions with me? Things beyond insertion are where my training has lacked. Thanks!

It really just depends on the number of piccs you'll get to put in during those 2 months. Our method of teaching is pretty much: do online training, watch 3, do 3 with someone watching, then solo depending on comfort level. My first several solo piccs I made sure someone that does them was in the building so I could have them come help if I needed it, made sure to let them know I was going to do one and for them to watch for a phone call. I feel that was sufficient "orientation" on them. Anyone who is training you should know it will take you a while to be proficient at it and should plan on continued support past the orientation period.

I don't think it's legally possible to work as an LPN in L&D. What about a ob/gyn Dr's office? That would be a possibility. We have some lpn's that work mother/baby at our hospital while working on their RN.

Any Rn's taken the RCIS exam? I'm considering taking it early next year and going to get started studying now. I also plan to take the Glowacki and Summers review course. If you've taken it how hard was it and how did you prepare? How long did it take to get the test approval/date? I'd appreciate any experiences and advice you have to offer. (I'm a cath lab nurse who scrubs, monitors and circulates. Have 1.5 yrs experience in the lab)

Depends on your policy. Our policy on sick time makes it not in our best interest to try to come in to work when we possibly may have to miss work if we end up being sicker than we think. We must use 2 PTO days before our sick pay starts. If we clock in even for a small portion of a shift and then find that we are too sick to work it becomes a new occurrence. And we would have to burn 2 more pto days before we get sick pay. Always good to consider... if I'm ever calling in sick, I make sure I'm 100% recovered before I come back. Common sense doesn't prevail in the hospital policy book.

He was counseled about the first incident and it doesn't sound like he did anything wrong the second. Some people are very touchy without realizing how it could make someone uncomfortable. Since he knows now, he should never lay a hand on you again. Even so, your issues really shouldn't force him to constantly walk on eggshells around you. No problem with being clear that you are uncomfortable with him touching you, but working civilly beside him shouldn't be an issue. If you're looking for advice: tell him you have some personal issues that cause hypersensitivity in certain situations and you like to maintain your personal space. Also you can apologize for acting weird, if you see fit. I'm sure that would be appreciated.

If you're scheduled to work, go to work. Why are you calling off? Better things to do? If you value your job at all (even if you don't), be a good employee and don't screw over your coworkers.

I hate that people with no experience in patient care wearing suits with business degrees make decisions about how we do our job.

I've worked 0630-midnight several times. But I work in Cath Lab (single shift) and we have no relief coming. We work til we're done.

Yeah, bradycardia/and the like is much more common than ventricular arrhythmias with injection of the right. Great thoughts, you may be right.. I just know I hold my breath a little with initial injections of the right.

RCA injection is much more likely to cause ventricular arrhythmias (still rare). I just think irritation (contrast) of the electrical system (fed mostly by the right) is the cause, disruption in the electrical pathway causing the disorganized activity. Just makes sense to me, I haven't researched it in depth. It's very common to have some ectopy with the irritation of passage catheters through the ventricles, but these stop with moving the catheter away from the sensitive spot. I'm not an expert by any means and don't have scholarly evidence to give you :).

I would never hold amiodarone without a specific "this time, this patient" order. I would be very surprised to hear any cardiologist wanting a single dose held for a one time low hr/bp. I wouldn't even call a dr over it.

The sa and av node is supplied by the right and much more likely to cause arrhythmias, from what I've witnessed. The conus branch can be cannulated and cause us nurses to have some arrhythmias, too. ������ We did just have a complete heart block with injection of the left though. Fun times..