My unit is in the process of starting an observation unit. It will be detached from the ED, under our Internal Medicine service, catering to CP r/o MI, COPD, CHF, Cellulitis, Syncope and Pneumonia...
Spatialized replied to Lisa Schenker's topic in Cardiac
When we have someone who needs bicarb, they get another line. Easy to get around incompatibilities that may happen that way. Yes, it is inconvenient for the patient (and the staff who has to start...
Our image too often is formed based on the twisted stereotypes portrayed in the popular media. Sexy nurses, pillow fluffers and doctor's handmaidens is the image shown to the world and they all...
Spatialized replied to Courtney Nurse Writer's topic in Cardiac
The odds of developing a hematoma 3 days out is fairly slim, but if by chance the MD accidentally created a pseudo-aneurysm during the procedure it could manifest itself later like that. Usually a...
There are days I still don't feel like I have it together and December will be 3 years for me. If you really think about it, 6 months is not that long at all on an active cardiac floor. There's a...
Spatialized replied to silentRN's topic in Men in Nursing
I just smile and say, "Nope, I love poop too much!" Then in all seriousness I relate how that I wouldn't even be done with residency until my forties and would like to raise a family and lead a...
Spatialized replied to sonnyluv's topic in Oregon Nursing
Whatever y'all. Nearly everyone in PDX is a transplant of some sort or another. Sure, some have been here longer than others, but what does is matter? How long you have been somewhere makes no...
Spatialized replied to KristiePDX's topic in Oregon Nursing
'Tis the season for low census, that's for sure. We're getting canceled (or at least placed on stand-by) at least once a pay period at Good Sam. And as for hiring? Nothing. Nada. Zip. We had a...
My night shift co-workers rock, plain and simple. Not such a big fan of the day shift, but I don't hate 'em by any means. It's sad when it is perceived as "odd" or "strange" to like ones co-workers....
Yep, you've got it. Practice until you see strips in your dreams (uh, I wouldn't know anything about that...). Ask questions of more experienced nurses, bug the tele tech (if you have one) and if...
Spatialized replied to nursing_88's topic in Oregon Nursing
It is possible, but it isn't pleasant. Sleep is a foreign thing when you do so. I did it because I had to, working 2 jobs, combined full-time through the end of school having worked 1 job full time...
Spatialized replied to Chloe'sinNYNow's topic in Cardiac
:yeahthat: Pretty much what Dianah said. We don't use sandbags as studies have shown that the weight distribution is too large for adequate control of a bleeder. If you get a bleeder, direct...
Typically ST depression is indicative of myocardial injury, the myocardium is not getting enough oxygen due to blocked arteries, vasospasm, poor cardiac output and on and on. Yes, it's not a good...
Spatialized replied to sonnyluv's topic in Oregon Nursing
Hiring freeze it is. My floor usually hires a handful of new grads, usually due to turnover and people moving on, but there is none of that this year. Same thing goes for all the floors at Good Sam....
Yep, push away, you're really only going to help. I responded to a code on a post-op day 4 CABG and ended up doing compressions. They went to the Unit and came back. I was helping a nurse with...