Spatialized

Cardiac Telemetry/PCU, SNF

Member

All Content by Spatialized

  1. Spatialized

    Cleaning up poop

    Sure you're going to be cleaning up poop and somedays are better than others. There are going to be those days where you have the patient on lactulose (or "colon blow") or Mag Citrate or Go-Lytely...
  2. Spatialized

    What to wear to pinning?

    Our dress code was "wear something nice." Unfortunately, being in a mountain town that could mean anything from suits to jeans and everything in between. I understand the reason behind wearing...
  3. Spatialized

    Starting my ER Preceptor

    Having done my preceptorship in the ED I have a couple of thoughts for you. 1. Know when to say "I don't know." 2. Treat every patient as a chance to learn. 3. Be willing to jump into everything...
  4. Spatialized

    ADN vs. BSN (kinda long, sorry!)

    I too thought about the ADN vs BSN debate and ended up going ADN, mostly due to timing and completion of pre-reqs. I'm at CCC and didn't much like the reception I got at NAU. It was almost like they...
  5. As for pancreatitis, just did a teaching presentation for class on this so it's still fresh. The labs aren't too bad, they're in the normal high range. Here's what I can recall at the moment. ALT...
  6. Spatialized

    How Did We Survive?

    Broken Humerus, 1st grade: lots of money Broken ulna/radius, 3rd grade: more money Concussions, lacerations, knocked out teeth, ear surgery & counseling: even more money Surviving childhood in...
  7. Spatialized

    Bnp

    From my experience (which is still limited), checking the BNP is a good way of determining the level of exacerbation the patient is experiencing. Most of our CHFers come in and it is done on admit,...
  8. Spatialized

    Preceptorship!!

    :yeahthat: Had a couple of add... Don't be afraid to ask questions, seeming like a know-it-all will not impress anyone. Also be willing to admit you don't know. Ask for feedback, try to find a time...
  9. Spatialized

    Squeamish folks

    I've gotten so much better (we'll see how well after the senior rotation to ED, but that's another story)...used to be most things kind of turned my stomach. CDiff? it's ok. Vomit? I went to college...
  10. Spatialized

    interview questions

    I'm like Maolin(above), only a student but I'll stab at it too... 1. check cap refill warmth, pallor, sensation in legs to see if they're intact...have seen patients whose pedal pulses are very weak,...
  11. Spatialized

    Heparin therapeutic range?

    I agree with everyone above that there should be a aPTT drawn to match with the protocol, but I had just written up heparin for class and came across this tidbit (which may or may not be helpful);...
  12. Spatialized

    Things Patients Have Taught Me NOT To Do

    well, I just about died laughing reading this, so I thought I would share some of mine... do not use regular water for your peritoneal dialysis when you run out of solution. if you're looking for pain...
  13. Spatialized

    any tips for med-surg. clinical? confidence boosters?

    :yeahthat: in addition... know your labs (or at least have a handy cheat sheet) and what they mean, for example, elevated BUN & Creatinine usually signal renal failure, how high they are shows how...
  14. Spatialized

    You're going to Community College?

    I've been the 4-year route in a previous degree and could never imagine having nursing instructors like those I experienced in the first go-round. Many of the the professors I encountered in the...
  15. Spatialized

    Greatest code brown stories!

    My preceptor and I were giving our morning meds to our patient in a sitter room when we began to notice a very strong and, well, offensive odor (nothing really fazes me, but this was bad) coming from...
  16. Spatialized

    Work during Nursing School ?2 How Many Hours?

    Between the 2 jobs (regular job & externship) I average about 40 hours a week, plus school. I will say I wish it could be diffrent, but here up north, you have to have 2 incomes to even survive...
  17. Spatialized

    lab draws through central lines

    For blood cultures we take whatever is in the line, and don't waste. The rationale I was given was that in case something was growing in the line we would be able to get a culture of it instead of...
  18. Spatialized

    Help.. Math Question

    Ok, I'll bite... In reality it is simple stuff, perhaps only basic math, but I hope I can explain: 40mg is what you need, 15mg/5mL is what you have... 40mg * (5ml/15mg) = 13.3 mL mg cancel, leaving...
  19. Just real quickly here's a couple of general diagnoses I came up with... tissue perfusion, ineffective: cerebral r/t traumatic brain injury, AEB... nutrition imbalance, risk for: greater or less than...
  20. I'm pretty much in the same boat. 29, with 1 1/2 semesters left (May 12th! ). First change was when I realized in college that I no longer wanted to be a teacher. Finished a liberal arts degree...
  21. Spatialized

    Hospital Bloopers

    One once wrote, "call me for a stable arrhythmia" so the consensus was to call him for asystole...whcih BTW, never
  22. Spatialized

    Telemetry Monitoring

    Our tele unit is a 28 bed unit, but not all the patients are on tele (we get med-surg overflow). We have a tele tech who watches the rhythms for us, although we do have monitors to watch ourselves....
  23. Spatialized

    Nursing school making me sick

    You're for sure not the only one out there. My biggest problem has been insomnia. Even though I am dead tired from school, work and life I can't seem to sleep at night. But I'm dealing with it,...
  24. Spatialized

    Describe your last day at work in 50 words or less !?

    50 y/o, ARF/ESRD, DM, walky-talkie, crying in waiting room w/family 70 y/o, s/p hyponatremia w/"controlled" a-flutter, d/c back to Vegas 61 y/o s/p exp. lap, +lysis & umbilical/iguinal hernia...
  25. Spatialized

    Change with scrub design...

    2 things to add... 1. belt loops...yes, I could wear medical pants, but they don;t come in colors I need to have. It would be nice to put stuff in my pockets without worrying if I looked like a...