kaylee.

kaylee.

Stepdown . Telemetry

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All Content by kaylee.

  1. Need opinions please

    kaylee. replied to Caroline123's topic in General Nursing

    I agree, now that we know it was a missed toradol that this was overkill. The chain of events and the actions of the oncoming nurse were really intense. If it was a critical timed drug that if missed...

  2. Student Nurse HIPPA Violation

    kaylee. replied to MN17's topic in HIPAA Challenges

    sleep on it, don't rush into reporting it, especially when not thinking things through is what caused this to begin with (I say that because you realized right after what you did!). If the teacher...

  3. Young Nurses

    kaylee. replied to ashleyb868's topic in General Nursing

    Agree with pp! a) enjoy it! b) consider how your perception comes in to play. I think patients are more affected by how we are acting, which stems from our own self-perception. If you feel inferior...

  4. 1 year into nursing, still feel like things don't "click"

    kaylee. replied to TarheelGirlx3's topic in Patient Safety Issues

    My guess is you were in slightly unfamiliar territory with this particular clinical case, you dealt with it and experienced certain outcomes, and good or bad, this experience will help guide you...

  5. Best littmann stethoscope model for Nursing School?

    kaylee. replied to abarreto's topic in Scrubs, Uniforms, Gear

    I would get the classic ii, its like $80 but why spend 40 now on the cheap one if u plan on getting the $80 one in 2 years, when u could just invest in your scope that will last well into your career....

  6. FNP Essay Help Please

    kaylee. replied to christinaj54's topic in General Nursing

    If you don't have any specific roles on committees etc, think about some ways your practice has advanced nursing. Like the things you do every day as a nurse that help advance the profession. I see...

  7. Blood Transfusions Question??

    kaylee. replied to jk2185's topic in General Nursing

    Definitly depends on the many patient scenarios listed. Often our docs will order to give over 3 hrs. I usually start the 1st 15 min slow, our policy is 100 cchr then we can up it to 150-200 cchr. But...

  8. Med error...what to do?

    kaylee. replied to kh2013's topic in General Nursing

    As a new grad its definitely easy to get frazzled, especially when the patient is hysterical! I'm not sure the specifics on the scanner malfunction, but just take this as a learning experience to...

  9. Have GAD and Panic Disorder and am being told nursing isn't for me

    kaylee. replied to krysteeen's topic in Pre-Nursing Students

    The two posts directly above me so eloquently expressed everything I wanted to say! Listen to them! Besides the specifics of a given career, as a general rule, do not let a few dsm diagnoses and the...

  10. Is an accelerated BSN worth $87K?

    kaylee. replied to KJet5's topic in General Students

    The problem with the "for profit" programs is just that: their goal is to make profit for their corporation, at your expense. So the price is sky-high, promising you things like easier admission etc....

  11. How woud you treat this patient...

    kaylee. replied to zzyzx's topic in CCU, Coronary, Cardiac

    Just a thought, this patient is already unstable, given arrhythmia and cp with the blood pressure. First bp needs to be lowered rapidly, as this could be hypertensive emergency, by 25% in the first 15...

  12. New Grad Resume Question

    kaylee. replied to NurseCait220's topic in General Nursing

    Yeah I would list it. its too valuable not to. Likely the manager when referenced for your job application will be asked to fill out an online thing with a few questions. Even if she gives a mediocre...

  13. What do you think is the priority diagnosis or this patient?

    kaylee. replied to ital91's topic in General Students

    OP mentions that the patient is NOT on hospice. I think the priority depends on what the goals of care are for the patient, not what the nurse thinks should be the priority. If they are refusing...

  14. Question on reacting to tachycardic afib

    kaylee. replied to DatMurse's topic in Cardiac

    This is an old thread, but oh well...You have to look at the whole picture with this patient, which came out over several posts by the OP. But the post right before the one I am quoting hit the nail...

  15. didn't call about anticoagulation

    kaylee. replied to sweetstrwbrry1's topic in Patient Safety Issues

    So initially heparin order was deferred to GI to r/o possibility of bleed. At 3 pm this was the status you were given. I'll bet some doctor called the floor at 11 pm yelling at the nurses asking why...

  16. New Nurse feeling very down

    kaylee. replied to RNthenDoc's topic in PICU, Pediatric

    I feel like working with someone like this would automatically bump your performance down several notches just from the negative micromanaging! I agree with what everyone has said so far. I will just...

  17. New nurse getting passed over

    kaylee. replied to ramonaa's topic in General Nursing

    I agree considering pp's questions. It took me a year to get a job, but i spent that time making the best cover letter and resume. And i was getting interviews, and finally got a job. If u have been...

  18. I harmed my first patient today.

    kaylee. replied to starwarrior's topic in Patient Safety Issues

    You seem like a very sensitive person, I am the same way. I hate pulling tape off people! As you continue on you will discover many things you have to do that either directly or indirectly cause pain...

  19. 0200 BP's - Dealing with Tired Rude Doctors

    kaylee. replied to Jennifer in Cali's topic in Patient, Colleague Relations

    There are usually not other symptoms involved with a high BP, which is why many people live with it undiagnosed. An SBP of 170 is a reason to call the doc. This is not really a thing that requires...

  20. New Grad RN... is this patient load safe?

    kaylee. replied to new.grad.rn's topic in Medical-Surgical

    Having done nights and days (currently) on the same floor, I do agree that days can 12 hours of nonstop controlled and sometimes less controlled chaos. The ratio stays the same for both shifts on my...

  21. New Grad RN... is this patient load safe?

    kaylee. replied to new.grad.rn's topic in Medical-Surgical

    I don't get the rationale for night shift having higher ratio than days. Just because of the business of daytime? This seems unsafe for a med-surg unit to have 1:10 ratios!! What is that

  22. New Grad RN... is this patient load safe?

    kaylee. replied to new.grad.rn's topic in Medical-Surgical

    A unit like this would require good teamwork to survive. How are the other nurses you work with? Is everyone helping each other readily? That still seems like a tough assignment. It wouldn't entice me...

  23. Tube Feeding on Hold

    kaylee. replied to grace08's topic in Critical Care

    It wouldn't hurt the patient to turn off the feeding temporarily. So you might as well,

  24. Stop Interrupting

    kaylee. replied to Leanneo's topic in General Students

    There are a few nurses who do this and it is my # 1 pet peeve! (No offense!) its a good sign that you recognize this pattern and have sought advice! Kudos! It can be very distracting to have to stop...

  25. How do you deal with untherapeutic situations on the unit?

    kaylee. replied to RNdynamic's topic in Patient, Colleague Relations

    At first when I read the part about taking the 15 minutes to regroup etc, I thought it had some merit, then I reread the statement and realized what the OP is suggesting: that when his/her patients...