BriGuyRN

Latest Activity

1. Pt sent to cath lab for NSTEMI

   BriGuyRN replied to tg982's topic in Cardiac

   I've only seen integrilin gtt once, and yeah it's quite costly. It's made from snake venom, which I thought was pretty neat

2. Patients who are allergic to the contrast dye in an angiogram question

   BriGuyRN replied to Mrsjonesgilbert's topic in Cardiac

   Allergic reactions to contrast dye typically involve inflammation (such as anaphylaxis), so prednisone could be given to prevent or decrease the amount of inflammation. Unfortunately there aren't many alternatives to an angiogram when it comes to dia...

3. rapid response team

   BriGuyRN replied to murse1015's topic in Med-Surg

   You did the right thing. Remember, you are the patients advocate, you're there for the patient, not the doctor. My facility uses computer order entry and a lot of doctors have order sets that include narcan

4. tachycardia

   BriGuyRN replied to samjoe's topic in Cardiac

   Is this "narrow complex tachy" the same as supraventricular tachy (SVT)?

5. Outift for an interview??

   BriGuyRN replied to Axm611291's topic in Men

   You're venturing into a professional career, your appearance and demeanor should represent that.

6. Day 6 on orientation

   BriGuyRN replied to Tammy901's topic in New Nurse

   Talk to your preceptor, manager and/or clinical educator. You are inexperienced, just like every new grad is. If you are overwhelmed then maybe your preceptor needs to slow down with the orientation. You should enjoy your work, not dread it.

7. IV site rotation

   BriGuyRN replied to BriGuyRN's topic in Infusion

   So since posting this, I had a pt with a right forearm 20g that I started 4/2. After a week I got him as an assignment and when I assessed his IV, to no surprise, was the same IV I started - only redressed and reinforced with tape. The site looked go...

8. IV site rotation

   BriGuyRN posted a topic in Infusion

   Throughout nursing school, I was learned that IV sites were rotated q72h. Recently, my hospital has a new policy that they do not need to be rotated based on time, but condition instead. Field starts do not get changed unless the site is bad. If the ...

9. Took my relative to the ED

   BriGuyRN replied to CP2013's topic in Emergency

   At my facility physicians start peripherals in jugular and feet. To OP: nothing wrong with the AC, just harder to maintain.

10. Rhythm interpretation a fib

    BriGuyRN replied to lolakbolak's topic in Cardiac

    Irregular, without a distinguishable P wave. Don't trick yourself into "seeing a possible P wave".

11. Best way to break into cardiac nursing

    BriGuyRN replied to sugarmagnoliaRN's topic in Cardiac

    I did the same, your clinical time is really a good time to network and show your work ethic. Keep in mind though, you are there to learn...

12. Weepy arms

    BriGuyRN replied to laderalis's topic in Cardiac

    Sounds like CHF decompensation. The heart can compensate in early heart failure by thickening the myocardium and stretching (increasing preload->increased cardiac output). Eventually, the heart cannot continue compensating because it has stretched...

13. Networking during clinicals

    BriGuyRN posted a topic in Job Hunt

    Use your clinical rotations to your advantages! Take time to meet and introduce yourselves to charge nurses and nurse managers during clinical rotations (when appropriate!). If the unit you are doing clinical rotations on interests you, let them know...

14. Is it easier for guys to get a job as a new grad??

    BriGuyRN replied to NorCalKid's topic in Men

    Although they say, "Equal opportunity", being male is definitely a plus in nursing. First step is landing an interview with a good resume and cover letter. Since your resume/cover letter shouldn't specific gender, they can only base their judgement o...

15. The Do's and Don'ts of Sternal Rubs

    BriGuyRN replied to Delaney Schick's topic in General Students

    Anyone can preform a sternal rub, it's a part of assessment (think Glascow Coma Scale). If a patient appears to be unresponsive and does not awaken to sound or shaking, illicit a pain response with a sternal rub.