NurseCollins799

NurseCollins799

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All Content by NurseCollins799

  1. Triple Lumen Cath anatomy

    NurseCollins799 posted a topic in CCU, Coronary, Cardiac

    So I have a question... I'm pausing Lido and heparin gtts to draw lido and ptt levels off of a tlc. Lumen 3 is clotted off. I d/c'd heparin gtt because it had best blood return. Our policy says...

  2. when to start compressions?

    NurseCollins799 posted a topic in CCU, Coronary, Cardiac

    I was just told a story about a patient who went into torsades. the patient was conscious with a pulse, mental status intact, but I can't tell you about pressures. at what point does a ACLS protocol...

  3. why so many puncture sites with tavr and ablations?

    NurseCollins799 posted a topic in CCU, Coronary, Cardiac

    can somebody explain this to me? More specifically, what are they using them all for? If they end up with a right IJ, right radial, and bilateral venous sites, what are they using each site

  4. Diagnosis help and priority with renal failure

    NurseCollins799 replied to tnstudent21's topic in Nursing Student Assistance

  5. Would you hold Metformin fot a BS level of 149

    NurseCollins799 replied to Nola009's topic in Patient Safety Issues

    Agree, although if a nurse refused to give metformin because they thought 149 was too low, they better have really solid evidence and be able to articulate this to the team, because on face value this...

  6. Preventing phlebitis with Amiodarone

    NurseCollins799 replied to baylordave16's topic in CCU, Coronary, Cardiac

    What rate do you run the nss? Is there any concern with dilution decreasing efficacy? I wish I could make the picc team appear every time I needed to emergently start amio! We run through piv's all...

  7. why so many puncture sites with tavr and ablations?

    NurseCollins799 replied to NurseCollins799's topic in CCU, Coronary, Cardiac

    Thanks Jonathan, I figured it wasn't missed sticks because I see approximately one post ablation patient per week and they almost always have multiple bilateral venous sticks. Your explanation helps...

  8. Any known connection between urination and VT?

    NurseCollins799 posted a topic in CCU, Coronary, Cardiac

    I work in a CCU stepdown, almost everyone has an electrical problem. I've been on the unit for almost a year (new to practice) and I can't count the number of times someone has a run of non-sustained...

  9. Any known connection between urination and VT?

    NurseCollins799 replied to NurseCollins799's topic in CCU, Coronary, Cardiac

    In my experience, it's more men than women that get the "pee-tach" (love that) and in many cases the patients are merely sitting up in bed, not necessarily standing to pee. As an aside, brushing...

  10. when to start compressions?

    NurseCollins799 replied to NurseCollins799's topic in CCU, Coronary, Cardiac

    I just want to add that compressions were started by the attending, this us at a major university hospital in Philadelphia. I take ACLS next month, so can someone walk me through the thought process...

  11. Early prandial administration to hyperglycemic patient?

    NurseCollins799 posted a topic in General Nursing

    Hello all, I have a scenario I'd like to run by all the great nursing/medical minds here. A patient with DM I, post MI and major open heart VAD installation has a blood glucose of 332 at 1700...

  12. Early prandial administration to hyperglycemic patient?

    NurseCollins799 replied to NurseCollins799's topic in General Nursing

    Hi Sara, So it's not about convenience for the CNA's. They are required by nurse management to do fingersticks at 0800, 1200 and 1700 during my shift. The problem lies with Food Services, whose...

  13. Early prandial administration to hyperglycemic patient?

    NurseCollins799 replied to NurseCollins799's topic in General Nursing

    Hi SaoirseRN, You would give them together...but would you wait for the trays? Policy is "15 minutes before or during

  14. Early prandial administration to hyperglycemic patient?

    NurseCollins799 replied to NurseCollins799's topic in General Nursing

    Hi turn, They are not always delivered at 1830. Thats the problem, they are always inconsistent. I am new to this major university hospital, but I asked the same question you did and apparently the...

  15. What really happens to applications submitted online?

    NurseCollins799 replied to SuzieVN's topic in Job Search, Interview, Resume

    If you have been a nurse since the 80s, you know a lot of nurses. The best bet is to use those connections. Online applications are generally a waste of time. It's all about telling everyone you...