Spatialized

Cardiac Telemetry/PCU, SNF

Member

All Content by Spatialized

  1. Spatialized

    Your patient fell? You need to be disciplined!

    Spatialized replied to casperx875x's topic in General Nursing

    Another wonderful example of good ideas turned back by the Joint Commission. We have so much to be thankful for: especially TJC for making our lives soooo much better. Yes, it is a good idea that...
  2. Spatialized

    What is Telemetry nursing?

    Spatialized replied to ummwhome's topic in Cardiac

    On my units we are all ACLS certified. We go through yearly refresher training and updates for arrhythmias, meds, 12-leads and other things. We take a 2 day initial EKG course to start us off. But...
  3. Spatialized

    morphine,dilaudid,demerol

    Spatialized replied to EJSRN's topic in Patient Medications

    Demerol has issues with toxic metabolites, plus a nasty addiction profile. Many places have phased it out as pain control, although our PACU still has it for post-op shivering. I can only recall...
  4. Spatialized

    Tele Floor

    Spatialized replied to Crux1024's topic in Cardiac

    Take a second and breathe. Better? OK. Don't be nervous. People get so freaked out and stressed out about tele without realizing that we're still nursing. Yes, we have telemetry monitoring, our...
  5. Spatialized

    patient ratio

    Spatialized replied to **LaurelRN's topic in Cardiac

    First thought? Run. Run away. 7 patients in that environment is not safe. Plain and simple, not safe. In our IMCU we run 3:1 primary, no techs with much of the same stuff, plus we pull arterial...
  6. Spatialized

    Hypotension and antihypertensive meds

    Spatialized replied to Eirene's topic in Cardiac

    I would have given the Coreg, not the Imdur when the BP stabilized. It's the whole beat-blockade/reduced workload-thing that we're working towards with chronic HFers. We're trying to maximize the...
  7. Spatialized

    Sinus Brady vs. Junctional?

    Spatialized replied to Virgo_RN's topic in Cardiac

    In junctional the PR will be .12 or less, inverted, buried in the QRS or retrograde (post-QRS), but the QRS should still be narrow as the beats are rising from the junction. The wide monomorphic...
  8. Spatialized

    Do you feel that you have lost alot of knowledge since NS?

    Spatialized replied to chenoaspirit's topic in General Nursing

    I wouldn't say lost per se, it's just shuffled back in the files, you just know how to access it. I would venture to say that I've learned quite a bit more; more specialized knowledge, better...
  9. Spatialized

    In 10 years...

    Spatialized replied to CainRN's topic in Male Nursing Students

    Rich, famous and delusional. I mean, still working, raising a family, owning a home, relatively debt free and loving life. As for nursing I have no idea where I'll be. ICU, Trauma, still on...
  10. Spatialized

    What to expect on a CVSU floor?

    Spatialized replied to SweetNSassyRN2B's topic in Cardiac

    I can't generalize for other places, but I'll give you a quick rundown on what we have on our unit: pre/post-open heart (valves, CABGs), post-op are usually day 1-2 depending on how they're doing, off...
  11. Spatialized

    Rythym question

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

    Without a visual, it's hard to wrap my mind around it, but, I'll have a go at it. It doesn't sound too much like 3d degree HB, the 2nd beat shouldn't be a PVC. Sound like a sinus beat followed by an...
  12. Spatialized

    Advice for inactive RN going back to Cardiac with only 1yr Med/Surg experience

    Spatialized replied to RN28MD's topic in Cardiac

    Welcome back! Sounds like you really will be starting all over again, but it is sort of like riding a bike, it comes back. I would bone up on rhythms, ACLS, standard procedures for your unit (PCI,...
  13. Spatialized

    Step down differs from Tele..How?

    Spatialized replied to BrklynNYgal's topic in Cardiac

    I guess in some places it is semantics, except I've never thought it so. As an example, here's what we have. Upstairs is a 20+ tele unit, down is a 20+ step down unit. Tele Patients: post-pacer,...
  14. Spatialized

    Troponin question

    Spatialized replied to sweetsmiles10363's topic in CCU, Coronary, Cardiac

    I kind of disagree, the time frame seems all wrong. If it was going to be positive as a result of the surgery you would see the bump in the first 4-6 hours, not 24 hours after the fact. I understand...
  15. Spatialized

    Pronouncing someone with a pacemaker

    Spatialized replied to nerdtonurse?'s topic in Cardiac

    You will still get spikes and QRS complexes as it is still doing its job. So what you will actually have is PEA. My suggestion is this: call the cardiologist, have them come around to turn off the...
  16. Spatialized

    Pe

    Spatialized replied to Goozgog's topic in Cardiac

    Amen.
  17. Spatialized

    Charge Nurse

    Spatialized replied to NurseyPoo7's topic in General Nursing

    I was a lucky one and actually did get oriented to the job. When I started being charge, we were a large 46 bed unit, just too much to do as charge without taking patients. We recently split and...
  18. Spatialized

    Pe

    Spatialized replied to Goozgog's topic in Cardiac

    Just out of curiosity, where were your coworkers, charge nurse? When things go south, the help of those around you can turn a "OMG!" moment into an "OK, this is not good, but I have help moment."...
  19. Spatialized

    What's the most pain meds you've ever seen ordered?

    Spatialized replied to blondy2061h's topic in General Nursing

    No way I'll win, but I'll throw mine in: Dilaudid PCA at 8mg basal w/1mg q10 min (yes folks, 14mg/hr) 2 Fentanyl lollies q6 100mg Phenergan q6 It was impressive. Nothing says good buzz like drooling...
  20. Spatialized

    Resistant Strain Bacteria's

    Spatialized replied to Misty1334's topic in Patient Safety Issues

    It could just be bad luck, or a natural variant, or a result of bad practice. Some days we have isolation row, others it feels like nearly everyone is on some sort of precautions, but it ebbs and...
  21. Spatialized

    3 12's - in a row or break them up?

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

    I do my 3 12's in a row. Have pretty much since I started and it works for me. Once did Mon., Weds., Fri., 12 hour nights, but that was in another life. Looking back, 3 in a row doesn't seem so...
  22. Spatialized

    Resistant Strain Bacteria's

    Spatialized replied to Misty1334's topic in Patient Safety Issues

    I'm guessing that it should be Acinetobacter. Here's a Wikipedia article on it. Brief terms, is gram-negative, usually found on skin or in soil. Various forms can cause pneumonia, bacteremia and...
  23. Spatialized

    tele/step-down nurses pulled to ICU

    Spatialized replied to fusster's topic in Cardiac

    We've had nurses pulled to ICU, but they only get the patients with floor orders - i.e. the ones who are hanging out in the unit until a bed opens up on the floor. Usually they are patients that would...
  24. Spatialized

    MDs you love?

    Spatialized replied to SaraO'Hara's topic in General Nursing

    I'll add mine: Dr. T who even when on-call for a colleague, is always pleasant and accommodating, even when paged for the 3rd time in a night. And he always says, "Hello" in the morning when he...
  25. Spatialized

    You know your pt is a jerk if........

    Spatialized replied to traumamomtx's topic in General Nursing

    2 hours after nearly being coded for respiratory distress, and swearing to you that he isn't going out to smoke again...out he walks to smoke. Ungrateful jerk.