MendedHeart

MendedHeart

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All Content by MendedHeart

  1. Trach dislodged

    I was called into a non vented trach patients room by another nurse on the floor....neither of us knew the patient except his pulse ox was 83%. His cuffed trach was lying on his chest. It was covered...
  2. Trach dislodged

    Thanks for responses. My boss was cool. She said I did fine. The patient actually pulled his trach out and did it again half way the next night. Needless to say, he got a
  3. Epic vs Cerner EMR

    Just switched to epic from Cerner. Prefer
  4. Trach dislodged

    Thanks for all the input. Ill update when it comes to a head probably tomorrow mornimg when my boss comes
  5. RN Salary Survey 2013: Post here!

    -Nc -1.5 years -Cardiac surgery -$21.50 -$5/hr nights $10/hr weekend diff. -no union Cost of living - my 3bd/2bath home
  6. Trach dislodged

    Oh btw it was holding there. It went from 85% to 83% in like 30 seconds. The first nurse heard the pulse ox beeping. She went in and came out for help. I then went in and his sats were
  7. Trach dislodged

    Well...place the old one back in or the correct size one however the old one was still inflated and the patients supplies were a mess thrown all over the sink. I just assumed that the correct size was...
  8. False positive EKG

    @ghillbert. Some structural heart issues actually can be seen on EKG such as right and left atrial enlargement and
  9. why nursing is a mess. three simple facts

    Yep..sure do
  10. CNA work - no certificate

    Is it illegal for a person to be hired private duty to do CNA and Nurse duties but not actually be a CNA or RN? It seems crazy that it wouldn't
  11. TAVR

    We have been doing TAVRS for a good while now. Most of the patient outcomes are good. There have been a few that didn't do so good. One thing to remember is that this procedure is donE because the...
  12. Why do we wrap and isolate pacing wires?

    Exactly right to the above posts. They must stay grounded. We cap ours and gauze wrap them..If they are connected to the external pacer...we rubber gloves them..remember to keep them accessible when...
  13. Diagnosis help and priority with renal failure

    90 years old with confusion...not
  14. I do know that the Birth center is on the othe side of the building from the main OR. They have their own OR. So, I guess Its strictly Birth center. Not sure about other question. ALL I know is that...
  15. help please :)

    Its almost impossible to formulate your statement without either a care plan book, or textbook with specific Nursing diagnosis criteria, etc.... Impaired gas exchange r/t ...what is happening inside...
  16. help please :)

    Your number one priority here is Gas exchange if this patient needs supplemental oxygen. Remember
  17. help please :)

    We have some assessment data, and could use more if you have it. I would also be interested in CXR or Urinalysis results as well. She definitely has qualifying symptoms on sespsis screen. Are you all...
  18. patient on IV Amidorone and PO Amiodorone at the same time?

  19. Priority Help!

    School questions teach you how to answer NCLEX. These questions MUST be answered on the info given, nothing more. These are on NCLEX. Im not talking about thinking critical while on the job, thats a...
  20. Priority Help!

    Well first off just because the HR was up to 98 that doesn't really mean much, could just be pain. But you cannot add "what ifs" or other possible info to this. You have to go off what is given. That...
  21. Priority Help!

    Yall are certainly entitled to your opinions, but the resection is stable, the fem pop may not be, he would die FIRST over the man who needs encouragement and reinforcing of pulmonary toilet. You...
  22. Priority Help!

    I do not see any trrending down vital signs. Circulation over fluids definitely first
  23. Priority Help!

    Im sorry, but that is incorrect. Normal NG tube output is 2L or less per 24 hours=333mL per 4 hours, therefore it is not tons. Plus the fem pop has only voided 125 over 7 hours...not
  24. Priority Help!

    I would probably do it as you stated. I believe your reasoning is also pretty correct. The lung patient first(impaired gas), the fem-pop second for sure(perfusion), the resection...
  25. Patho is no longer