RescueNinjaKy

RescueNinjaKy

Cath/EP lab, CCU, Cardiac stepdown

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All Content by RescueNinjaKy

  1. AF or AFL or Artifact

    I think it's sinus rhythm with pac/pvc and some compensatory pauses.
  2. Patient's "right" to abuse nurses...I need your opinion

    We've all had that challenging patient and certainly it can be testing, but make no mistake. Patients do not have the right to abuse you. Nobody does. And if any management tells you different then they need a reality check and a visit from HR. I wou...
  3. I need a million dollars, you have two days.
  4. Unprofessional to mention you have other patients?

    It certainly isn't unprofessional. It's all about providing education. As nurses we are taught to prioritize our patients and care and that is exactly what I tell my patients. If I'm busy with something If my patient wants to ambulate now and I need ...
  5. Should I work as a CNA prior to Direct Entry NP Program?

    You should be thinking of np education like pa education. Pa students are required to have a certain amount of hours and medical knowledge whether as an emt, paramedic, nurse, or whatever before they can apply to the program. Anyone who is a nurse kn...
  6. Transitioning from Med/Surg to CVICU

    I second the brain sheet. It helps a lot to get organized. I like to show up a little earlier before work to research my patients. I have it labeled from 7-19. Then I circle each hour that I have meds. If it's something special that requires longer p...
  7. PVCs on monitor

    And I think on the monitors you can select paced and it might be able to read the pacer spikes better. Also if nothing works switch the wave that's being shown.
  8. Question about Cardiac Caths

    Was it the internal med doc that said that or was it the interventional cardiologist that said that? If it was the IM med then he should've gotten a cardiology consult to determine it. But otherwise, I can't see why it would be contraindicated.
  9. TTM Exclusion Criteria

    I think the exclusion criteria is if the patient is verbal post rosc. So yeah the patient should've been placed on therapeutic hypothermia.
  10. ADN vs BSN : Is getting an ADN a waste of time?

    I do not believe that getting your ADN is a waste of time. I worked in a cardiac icu with my associates and got the same pay as bachelors degree nurses. Right now I am on orientation for cardiac cath lab which falls under critical care in my hospital...
  11. an ICU nursing book please?

    Have you tried getting the ccrn prep book?
  12. Albumin and DKA

    off the top of my head the body uses protein as the source of energy which produces ketones, ketoacidosis. Which is why you have that fruity breath and rapid shallow breathing. It's the body's attempt to get rid of and to correct the imbalance.
  13. Fentanyl is a narcotic that is used for pain. It also has a synergistic effect with sedatives. Typically a patient should be on a pain control drip in addition to their sedative. It is inhumane to just sedate a patient that is having pain. Propofol ...
  14. What are your NP clinical rotations like?

    I too am very curious what clinical rotations are like for nurse practitioners. Keep it coming !
  15. whether you finish your health science degree, you need to get into a nursing program to become a nurse. You can either apply now for the one in school, but you seem opposed to that idea. So your other choices include transferring to another school t...
  16. Eating Their Young

    I didn't realize that the prerequisite of a nurse is to be a perfect being. Do you honestly think that just because I'm a nurse, I'm expected to be nice to everyone. We are humans not saints. Yes, my calling is to be compassionate to my patients, but...
  17. Eating Their Young

    The primary reason why I have an issue with the phrase "NETY" is because we are led to believe that this phenomenon is localized with nurses. The simple and pure answer is this: there are *******s in every single profession. This generalized statemen...
  18. Nurses Eating Nursing Students

    Don't you feel like you're talking to a brick wall at times.
  19. RN to PA

    Hmm, what about in terms of switching specialities. I mean with a PA, isn't it quite easier going from outpatient clinic to inpatient hospital care. I've heard that certain hospitals are now requiring an acnp specialization for those that want to wor...
  20. ER rushing patients to the floor

    I agree with many about how it is often times the Attending's fault for accepting a critical patient onto the floor but sometimes I find that the ED nurse is at fault too. I remember once when I was doing charge, and the ED nurse did not give an appr...
  21. Only charting?

    On a side note, once had a schizophrenic patient. Got him some water, and he poured it out. Requested bottled water. Add that on to the rest of my assessment, I could tell that his paranoia was getting worse. Well just like how I am "just a nurse" I ...
  22. New Grad ACNP Thinking about changing jobs

    I don't know. I feel like you would be burning bridges leaving so soon, unless you know for certain that you ain't ever gonna revisit that bridge. Just like with any career, I feel that having a short duration job on your resume is a negative.
  23. Nurses Eating Nursing Students

    Nursing students need to realize this point. Even if you act all eager to learn and help, you aren't always helping. Having a nursing student "helping" me actually translates into the task being done slower than I would have done it, not to mention t...
  24. Disappointed with Nurses at first job

    As an RN I feel that I have plenty of appropriate patient contact and interaction. I've worked in cardiac step down and icu, and for both I have had plenty. Whenever I do something I like to utilize distraction by asking them questions. Especially wh...
  25. Precedex vs. fentanyl/versed vs. propofol

    Is it due to elevated CK and triglycerides. Those are signs of propofol syndrome and it calls for switching from propofol to another sedation. At least this is what I have seen at my work place.