kgirl22

At the hospital I work in, we are mandated/held over fairly regularly. If I am held over I end doing a 16-hour shift. The last time I was held over I did not clock out until 2 am because I was waiting for my replacement.(she was a float nurse and was finishing on her floor). I contacted our house supervisor and she allowed me to come in at 11 am the next day. This happened about a year ago. I have been mandated multiple times since but fortunately have not had to be back the next day. We received an email yesterday stating that if we are held over we are still expected to come in at the normal time the next day. We can make arrangements with the house supervisor to come in later but it will not be considered a holdover at that point but will be considered a shift swap. Which basically means they would be able to hold us over more frequently. I feel like this is so unfair and borderline illegal. Any thoughts? I feel like we should at least have 8 hours in between and if it's only 8 hours it should still count as a mandate.

How about words you love....I love to say amiodarone, intertriginous, and pheochromocytoma!

I realize many times we don't have the opportunity, but if you do I feel pre-op teaching is paramount. I feel as if in my experience when I get to really go over the weaning experience pre-op the patients do so much better. I always tell them what to expect and to always listen listen carefully to what their nurse is telling them. Reassuring them that I will not leave the room and will remain with them constantly through the process. It definitely makes a difference.

New a-fib a couple days after postop cabg. UOP good. Was just wondering about the amiodarone because of BP. Was another nurses pt. and amiodarone was ordered. I am not sure if a bolus was given. Was just wondering if this is typical. I was thinking cardizem would be appropriate. Thanks everyone for input. I am new and trying to put it all together. I had this pt. several days later, but when I get a minute I try to read history and learn from it. I like to have an idea of what type of tx I want before I call Docs.

Low BP due to the A-fib.

New nurse here. Question with treating A-Fib. If heart rate is high say greater than 120 and bp is low, SBP 80's. What would a typical tx be?