RescueNinjaKy

RescueNinjaKy

Cath/EP lab, CCU, Cardiac stepdown

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All Content by RescueNinjaKy

  1. students charting Assessments

    Part of precepting is teaching how to use the charting system. If the school doesn't allow the student to do so then that's fine, I'm not gonna tell the student to do so if it's not allowed by their...
  2. students charting Assessments

    I have no issues with students charting their assessments. If the hospital has granted them that access and privilege then go ahead. But as a nurse who he student is following, I am going to review...
  3. 0200 BP's - Dealing with Tired Rude Doctors

    Well patient placement is based on medical necessity. If they're on my floor, a cardiac progressive care floor, you can bet it's a medical
  4. 0200 BP's - Dealing with Tired Rude Doctors

    Well vitals are every 4 hour so yeah nothing magical about 0300. As for the symptoms of stroke. When I was taking the patient's blood pressure her arm dropped when I was trying to put the cuff on....
  5. So as a little background, I am a new grad with roughly 6 months of experience now in a cardiac progressive care. I was wondering how many of you ccu nurses started in a step down unit first? How was...
  6. 0200 BP's - Dealing with Tired Rude Doctors

    Telemetry only shows their heart rate and rhythm. That is only one part of the picture. Not to mention I've caught someone having a stroke during my late night/early am vitals
  7. Adenosine patient

    Ha, I thought the same thing too but I couldn't quite remember my acls algorithm
  8. I want a new word.

    Can we use batman or
  9. Transition from step down to ccu

    In your opinion, what kind of personality do you think is best suited for critical care. I have my own opinions of course, but I was just wondering what the perspective is like from someone in the...
  10. 0200 BP's - Dealing with Tired Rude Doctors

    Well in a telemetry, progressive care, intermediate care, step down care, or whatever, the patients can go south suddenly. Early identification is important in just about
  11. Entitlement/ superiority attitude of some nurses?

    Well let's look at this situation. A RT decided it was his place to tell one of the nurses that the patient needs to get up and move around and He proceeds to get the patient up by himself and sits...
  12. Not enjoying clinical

    Honey I am caring and open at work too, and ain't nobody thinking lowly about me at work. So I would dig further into a different personality trait of yours that might be ticking others the wrong
  13. Prejudice Teacher

    Well it's interesting that you would say that he's making you into a racist. I'm a Chinese American nurse and I found what you said to be offensive, but surprisingly I only find you offensive, and not...
  14. Amiodarone

    Are you acls certified? Because if you work in ED you should get certified asap. Giving an amio bolus via drip is different from giving an amio bolus in a code situation. The code requires a rapid...
  15. Paramedic School before i start my BSN?

    If that is your goal I don't see the point in doing paramedic. You can learn critical thinking in nursing school and you can get more valuable experience that is pertinent to your goal by becoming a...
  16. 6th nursing job in 4 years?

    I feel that you will always struggle with these issues the way that you're doing things. You have the habit of avoiding the issue instead of dealing with it. You keep feeling overwhelmed but what are...
  17. Frustrating start to Nursing - ICU to SNF to ???

    I want to say that it takes a certain personality to make it in the icu. I personally believe that icu nurses need to be assertive and direct in what they want. And since your husband spoke to the...
  18. Giving report on med/surg floor

    My report consists of what they came in for/diagnosis. Procedure that we did, like stent or cabg, rhythm, vitals ok? If not I say bp runs low in the blah, asymptomatic, how they get up,...
  19. Peds, PACU, Emerg, OR?

    That's not very polite. Maverick does not recommend the pacu if you're looking to gain skills knowledge and listed the potential barriers for new grads, such as yourself. So now you know where you...
  20. Any Nurses open to doing Preceptorship?

    What kind of program are you in? You should have clinicals available in your program and they will find placement for you. As for your final semester capstone, that is ways to
  21. Unsafe ICU staffing/ patient ratios! Please help!

    Put in a safety report every time ratios are
  22. 0200 BP's - Dealing with Tired Rude Doctors

    Amen, my cv surgeon would rip me a new one if i didn't notify
  23. 0200 BP's - Dealing with Tired Rude Doctors

    I agree with this. My policy is also q4h and we skip the 0300 one unless they're unstable, seems off, or wakes up to use the bathroom. Normally tho if it's an elevated bp and its their baseline or...
  24. 0200 BP's - Dealing with Tired Rude Doctors

    Hydralyzine or labetalol
  25. Med Surg or Tele? How is it decided

    But it sounds awfully inefficient in patient flow to transfer a patient to icu just to have a cardizem or amiodarone drip, which is why I ask about the step down. I've had patients convert to afib rvr...