NurseyB

NurseyB

progressive care, cardiac step-down

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About NurseyB

NurseyB has 3 years experience and specializes in progressive care, cardiac step-down.


Latest Activity

  1. Asked about citizenship during triage

    I may be wrong, but I think this might be one of the questions on the Ebola risk screening questionnaire. A "no" would prompt more questions about travel, family members with whom you've have contact,...
  2. My ADN program did this, and I actually liked it because it puts everything in context. Instead of learning pathophys, management, and pharm separately, we did it all together by disorder. Learning...
  3. ICU. 1:2 is normal, we'll flex to 1:3 on occasion if we're short, and usually 1 or 2 of those will have transfer orders waiting for a bed, or be likely to transfer within 24 hours. 1:1 for CRRT,...
  4. What is the grossest thing that's happened to you???

    As a new grad I had a pt that needed to be straight Cathed. I'd never done it, but had placed plenty of Foleys so I thought I'd be ok. I wasn't. Face full of urine. I was giving PO acetylcysteine...
  5. Any advice on must haves for nursing school

    Get a decent stethoscope. It doesn't need to be top of the line, but you need decent acoustics to learn to differentiate between normal and abnormal lung sounds and heart tones. I started with the...
  6. When patients keep calling 911

    My facility has it set up so 911 calls from inside lines go to in-house security, which includes fully qualified police officers who carry weapons. They place the call to fire or city police dept if...
  7. Controversial Patient Odors in Nursing

    I think the "fat people smell" that you refer to is the yeasty odor that is found in the skin folds. It is a different smell than what is found in the underarm and peri areas (hot spots). An obese...
  8. Serum bicarb - CO2?

    thank you for explaining this so simply. It's one of those things I "knew" but could never articulate.
  9. High dose insulin for Beta blocker OD

    I'm still fairly new, and have never seen this therapy used, but I think q15 titration needs a 1:1 if it's primary nursing. If you have techs that can check the sugars and report to you, it may be...
  10. Nurses who don't have the "passion"

    Like many PPs, I chose nursing for stability and a living wage. After graduating with a liberal arts degree in a crappy economy, I needed something that I could do quickly (2 year ASN), that would...
  11. CVP/ BP and mechanical ventilation

    I'll take a stab in the dark, though I may be wrong. Just thinking out loud here... For CVP, they are probably taking more, and shallower breaths (due to pain and the loss of ventilatory support),...
  12. Did a low test grade discourage you?

    My worst two tests in school were cardiac (76) and respiratory (80). I passed boards first try, spent three years working telemetry, passed the Progressive care and cardiac medicine certification...
  13. I have 3 years of progressive care experience, with the last year and a half on a very high acuity cardiac step down unit at a large teaching hospital in a fairly large metro area. I will be...
  14. I am starting a new job in a few weeks, and I am really nervous about going to night shift (7p-7a). I'm very much a morning person, and I started my career on days for about a year and a half, and...
  15. Funny & Cute Things Our Demented Patients Say

    96 yo F with advanced dementia wouldn't take her pills from the new grad I was orienting because she needed to ask her mother first. I advised the nurse to tell her something along the lines of "these...