echoRNC711

echoRNC711 BSN

cardiac CVRU/ICU/cardiac rehab/case management

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All Content by echoRNC711

  1. Sandy storm is en-route I feel it's strength echo in the wind that cautions me vigilance. My husband ,who is a Srgt.in the NYPD , has already been called in and is expected to be on duty for a...
  2. Do you by any chance work in a NH or LTC facility. They seem to have paperwork for everything. pretty soon you will be documenting the ,musical key, of a pt's
  3. Just today my boss was telling me about a 91 yr old pt that attended our cardiac rehab. We encourage them to set a goal.He was end stage CHF, pretty feeble but had a dream to one day still be...
  4. How Halloween was born

    I think I've met this
  5. LTC nurses-Are you worried about being fired?

    I have never worked LTC but I did have a manager who ruled with an iron fist and was always threatening we could get fired. She delighted in having meetings where she ranted on about minutia. It was...
  6. Sandy Storm whom do I serve?

    Well a quick update, I'm still employed! I discussed my ambivalence in coming in with my boss. She was incredibly supportive, She also told me that as we are on off site facility not only did the...
  7. yeah ,absolutely brian. nice job. All nurses' could do with a stat dose of
  8. Different Types Of Coworkers

    Loved,loved loved your article.We need to laugh more! The Documenter : The one who charts everything,does nothing and can't understand how she still ends up in court. The Beacon : The nurse who...
  9. And imagine all this happens even before breakfast is served
  10. In my practice I have noticed that the very best nurse's frequently are themselves the last to
  11. Hey, I'm 20yrs in and still waiting for that feeling!! Ok,ok, just kidding. If you are getting the job done, haven't killed anyone and can go home without feeling the need to high pitch ruminate you...
  12. Sandy Storm whom do I serve?

    Thank you so much to all who have posted. I especially appreciate those who were thoughtful and didn't assume. Thanks too to those who stuck to the topic, -What would YOU do when faced with choosing...
  13. Sandy Storm whom do I serve?

    Thank you that was helpful. Regarding the last question ,I'm inclined to agree with you that its case by case.When I worked in ICU's it was an instant decision to say yes.Now being off site ,with my...
  14. Stamps anyone?

    At our center the Dr. is too lazy to actually look or sign his name on pt charts and gets the charge nurse to stamp his name for him. I refuse to do it. I will not support laziness. Other than him I...
  15. Sandy Storm whom do I serve?

    Fortunately for me the bridge will be closed so the decision has been made for me. While I describe my own dilemma in arriving at my own decision my post goes on to ask more important questions...
  16. I didn't even know this existed!

    We use a massage therapist in cardac rehab . She is not an RN. However I teach meditation,stress management, give reiki as part of my job there as RN. If I had your skills I am confident they would...
  17. This is a topic for staff meeting where professionally you say...Thank you for recognizing the value of education. I appreciate your interest to keep us all well educated. I'd like to continue...
  18. Follow the rules. CS as ordered. Insulin/med as ordered , at time ordered Take c/s if pt symptomatic hypoglycemic. High-report it to MD. MD will decide if pt needs insulin drip then and...
  19. EKG/Arrhythmia Interpretations

    Oh forgot to include..... Forget memorizing. Focus on whats going on in the heart. It is much more important to understand what they mean rather than cramming (and then forgetting what it all means )...
  20. EKG/Arrhythmia Interpretations

    Hands down paramedics teach rhythms best. I have worked cardiac nursing for 15 yrs but I find paramedics can teach the things you really must Know,quickly,effectively and give you the confidence you...
  21. What made you decide to go into BICU?

    I have pretty much worked everywhere in the in the hospital ,other than BICU. I just want to take this opportunity to let nurse's in this field know I think it is the most difficult field. You have...
  22. Realizing how lucky I am

    Thanks so much. It is great to hear the positive side and more importantly that it CAN be done. Nice job! Hats off to you and your co-workers for a job well
  23. Rather than trying to avoid drama perhaps it to might helpful to figure out ,in the quiet of your own mind ,"what it is about drama that makes you uncomfortable." We can't control other's but we...
  24. Full Moon Syndrome: Fact or Fiction

    Hmmm....I really don't know, Yet, If the word lunatic has its origin in the moon itself (lunar ) then maybe it merits consideration. We used to buy a cake every Friday in CVRU and called it Freaky...
  25. The Disrespect Of Nurses

    The times that we have involved security for psychotic pts they invariably only speak to the patient , (like that's gonna help )but do little more. Meanwhile the nurses are left carrying a...