Spatialized

Cardiac Telemetry/PCU, SNF

Member

All Content by Spatialized

  1. Spatialized

    Violence against nurses

    Spatialized replied to sanctuary's topic in Oregon Nursing

    I noticed this thread was originally from 2007, any further updates? In Arizona where I went to school, it is a felony to assault a health-care worker. They have signs all over ERs there noting this....
  2. Spatialized

    hello

    Spatialized replied to GI-RN-PDX's topic in Oregon Nursing

    Welcome to the ranks! Believe me, you're lucky to have gotten the first job you applied for, especially in this market. If you have the desire to work in a particular specialty area, go for it....
  3. Spatialized

    Quinidine: Do most nurses measure QRS interval before giving drug?

    Spatialized replied to RealNurseMom's topic in General Nursing

    Never given it, but we do have a doc that has used it when other meds haven't worked for resistant ventricular arrhythmias (nothing like slow VT to make your night exciting!). I'm on a tele/step-down...
  4. Spatialized

    Please help with Cardio part of care plan. Really stuck!

    Spatialized replied to chevyv's topic in General Students

    Only thing that I could think of for a cardiac issue may be "risk for arrhythmias d/t electrolyte imbalance" but without a Mag, Phos and Calcium to look at hard to say. You can have really horrid...
  5. Spatialized

    Question about taking BP in lower extremities and forearms

    Spatialized replied to Bumashes's topic in General Nursing

    The further you get away from the heart, the lower the pressure is going to be, but pressure in the arteries should be fairly consistent through the body. Think about it this way: there's no extra...
  6. Spatialized

    massaging a hematoma post sheath removal

    Spatialized replied to msperkey's topic in CCU, Coronary, Cardiac

    :yeahthat: We too use clamps and Fem-Stops, mostly for the above mentioned reason. And we also use manual pressure for hematomas, unless it is a rapidly expanding one. my $0.02
  7. Spatialized

    new grad - worth taking ACLS class before being hired?

    Spatialized replied to birdgardner's topic in CCU, Coronary, Cardiac

    I'm going to go with those that say to wait. First, any employer who wants you to be ACLS certified will pay for it as part of your orientation. Sure, you can hell out the cash, but if someone else...
  8. Spatialized

    Chest compressions s/p open heart

    Spatialized replied to mcknis's topic in CCU, Coronary, Cardiac

    It is a little bit easier to do chest compressions on a fresh sternontomy... You do CPR just like normal, hard and fast. Better to perfuse and live to deal with the incision than end up dying. In...
  9. Spatialized

    staffing needs in 5 bed ICU with telemetry from M-S floor

    Spatialized replied to otterridge's topic in CCU, Coronary, Cardiac

    I'm with Nightcrawler on this one. Even at our lowest census, our unit, a tele unit, still calls for 2 nurses, plus a tele tech who watches us and the step-down unit. As for places to look, I would...
  10. Spatialized

    Anyone else start in tele?

    Spatialized replied to MOGA's topic in Cardiac

    :yeahthat: A couple of things I would add: Learn as much as you can. If presented with a disease process you have no idea about (happens a lot...) look it up. Learn to make yourself a better nurse....
  11. Spatialized

    RN Graduate Moving to Oregon from Ohio

    Spatialized replied to quick2k2ecotec's topic in Oregon Nursing

    Most places will not hire you until you have your license. This stems from a possible conflict between the 2 jobs, your role as a CNA and your new training as an RN I would think. When we were...
  12. Spatialized

    Telemetry nurse moving to Portland, Which hospital does Tele nursing well?

    Spatialized replied to CaLLaCoDe's topic in Oregon Nursing

    Yes, yes we do. (OK, I'm biased.) We have a great team, really good interaction/rapport with the docs and a kick butt manager. Our surgeons are really stepping into new areas like minimally invasive...
  13. Spatialized

    Reperfusion Arrhythmia?

    Spatialized replied to Virgo_RN's topic in Cardiac

    I guess it depends what kind of arrhythmia it is for the docs to be (un)impressed. Some myocardial irritation is normal, as is some residual chest pain, especially post-PCI/MI. The bigger question...
  14. Spatialized

    oh, so you're studying to be a "male" nurse...

    Spatialized replied to Deglynx's topic in Men in Nursing

    Used to say, "yep, studying to be a nurse." In a way it seemed to shut people up. I still say it too!
  15. Spatialized

    Ejection fraction and bolus

    Spatialized replied to Eirene's topic in Cardiac

    For our sheath pulls we can give a 500ml bolus per protocol for symptomatic hypotension, irregardless of EF. But I agree with ~Highland that sometimes you need to "fill the tank" to maintain adequate...
  16. Spatialized

    telemetry nursing organizations

    Spatialized replied to tma0312's topic in Cardiac

    Don't forget the AACN thru the PCCN certification.
  17. Spatialized

    Dic

    Spatialized replied to ItalianRN's topic in CCU, Coronary, Cardiac

    Yep, usually not on long-term, I know this from experience. The wife has a thrombophilia, discovered after a placental abuption. The docs said there was no need for long-term anti-coagulation, but...
  18. Spatialized

    conflicting information about ways to diagnose CAD

    Spatialized replied to oramar's topic in CCU, Coronary, Cardiac

    Logged into Medpage today and this was on the front page: http://www.medpagetoday.com/Radiology/DiagnosticRadiology/11927 Enjoy!
  19. Spatialized

    my pyxis nightmare..

    Spatialized replied to annreese's topic in General Nursing

    NS flushes are in the med room where we can grab them by the handful if needed. We keep heparin flushes in the Pyxis however so we can charge for them and control access to them. We keep almost all...
  20. Spatialized

    Charge Nurse on a 40 Bed Telemetry Unit

    Spatialized replied to brpediesmum41's topic in CCU, Coronary, Cardiac

    As a charge nurse in a similar situation, I would add these: -required to take patients? -independence to make staffing decisions related to shift-to-shift staffing levels (i.e. staffing up when there...
  21. Spatialized

    conflicting information about ways to diagnose CAD

    Spatialized replied to oramar's topic in CCU, Coronary, Cardiac

    It is a big debate in cardiology. While cardiac CT, and MRI for that matter, can be helpful in diagnosing CAD it's not 100% either. The imaging guys are enamored with their pictures and believe...
  22. Spatialized

    Change room, staff room, gym, locker room?

    Spatialized replied to woknblues's topic in General Nursing

    We have a locker room with 2 bathrooms plus a break room with a shower and TV. When I take my break off the floor I go there. It is nice to have a little bit of sanctuary!
  23. Spatialized

    Another New Grad

    Spatialized replied to Virginia Murse's topic in Oregon Nursing

    Legacy may be a tough nut to crack if you're looking for OR positions. They have a Peri-Op internship, but preference is given to folks who have completed a previous peri-op program or came from the...
  24. Spatialized

    first incident report

    Spatialized replied to law3576's topic in First Year After Licensure

    Why the doc wanted a incident report is beyond me. But when a patient is satting 80% or so on 8L I start looking to see what else is going on and trying to manage that. There has to be a reason that...
  25. Spatialized

    My first two months

    Spatialized replied to fil149's topic in First Year After Licensure

    That is a common misconception I feel. People think that because there aren't a million things happening that there is less of a chance to learn at night: wrong. Remember, these are the same...