MendedHeart

MendedHeart

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All Content by MendedHeart

  1. Can an NP work 2 different specialties at the same time?

    Yep. We had one who did Cards and GI at the same time.
  2. Pay at Rex, wakemed

    I live on the outskirts of Raleigh, called knightdale. It's about 15 minutes from the hospital. Most of the outlying towns are cheaper except for Cary, which tends to be more expensive. There are certain areas of Raleigh that are reasonable as well ...
  3. Pay at Rex, wakemed

    That pay is correct. I work at Rex, and love it. If you take the CVICU, we will have a brand new Heart hospital ready next year. It's awesome. The weekend shift diff is $10 The night shift diff is $5 Rex is an amazing place to work, WakeMed...not s...
  4. An NCLEX question for you.

    Tachycardia causes alteration in Cardiac output therefore it does have to do with circulation. The sickle cell is complaining of some pain, not severe. Yes Sickle cell can cause circulation problems but the scenario doesn't say anything about that, j...
  5. The patient should have a Dysphagia screen. It's actually a requirement post CVA along with the NIHSS. The bedside RN can do this, however the patient may then need a swallow study and in that case, a Speech therapist is needed.
  6. Nursing Hell.

    In NC, CNA can get a Med Tech certificate and a SIC ( Supervisor In Charge) certificate for Assisted Livings not Acute Care. A RN only has to be present a day or two a week. The Med techs pass meds and the SIC not only passes meds but supervises th...
  7. Nursing Shift Report

    My report, most done at the bedside.... This is Mr. Smith, 55yo male. Admitted for chest pain, CA Pmh: HTN, HPL, hypothydroid, smoker x 15 years Dr. Johnson is attending Procedures: LHC: yesterday, 3 vessel disease Cardiothoracic surgery consult for...
  8. According to NANDA, unless it has changed, it certainly is a determinate of ineffective tissue perfusion Anemia was definitely on that list last time I looked. What is the purpose of blood flow? To carry OXYGEN to cells, tissue, organs etc....
  9. If she has data to support i.e assessment data, then Ineffective tissue perfusion R/t decreased oxygen carrying capacity aeb low H and H would work but it better be pretty low and the patient should have s/s as well.
  10. Oxygenation should be priority if this patient is not normally on supplemental oxygen. Ineffective gas exchange R/t ......2° to COPD, and anemia AEB....vs, labs, pt assessment data
  11. What nursing task do you loathe???

    Hunting down a piece of coconut cake all over the hospital that didn't come up on the patients tray after the cafeteria shut it's doors. Not even my patient, but this patient asked to see the CHARGE Nurse about this problem, so there I scurried, tr...
  12. What nursing task do you loathe???

    Yep. Me a few weeks ago. Removing TEDS on a Direct admit. Feet flakes airborne and in my mouth and down my scrubs. I think I ate a bleach wipe behind it. Lol.
  13. NURSING CARE PLAN

    Well, not much information, these types of scenarios have been loathed around here because they are so exclusionary. That's not your fault though. Do you have any resources such as NANDA? The one you have works. Chronic pain is obvious. We were neve...
  14. Does this violate hipaa?

    Yea I agree, I was just wondering if HIPPA followed a person in death.
  15. NURSING CARE PLAN

    How many do you need? Do you have any other assessment data?
  16. Does this violate hipaa?

    Rest in Peace but if they have passed away, does HIPPA continue?
  17. An NCLEX question for you.

    Would hemorrhage, hematoma, or thrombus kill you before lack of using IS? Although adequate oxygenation is priority, this question does not state anything about this patient being in any kind of respiratory distress, and even if they were, and IS is...
  18. An NCLEX question for you.

    I'm pretty sure it's number 4. Education comes after assessment usually Key words- MOST important
  19. Migraines and nursing?

    That only like 6 months of working full time, then they can get it. But you don't have to tell the employer about the Migraines
  20. Migraines and nursing?

    Uh how would they even know....its protected health info
  21. An NCLEX question for you.

    What do you think?
  22. An NCLEX question for you.

    It's only CAB concerning CPR. Nurse prioritization is still ABC
  23. Rex Nursing Open House

    Great place to work!!!!
  24. What to do when u find an unresponsive patient

    You should have begun chest compressions immediately when a pulse was not found.
  25. RN Diagnosis Chronological order

    Me too. Just goes to show PhD means nothing.