Spatialized

Cardiac Telemetry/PCU, SNF

Member

All Content by Spatialized

  1. Spatialized

    What kind of electronics are you packin?

    Spatialized replied to biltz's topic in Men in Nursing

    Luckily our nursing school was technologically illiterate and the only requirement was a home PC with Internet access. No PDAs or anything like that. I used an old Palm for scheduling my life but...
  2. Spatialized

    monitor change with respiratory variation

    Spatialized replied to 9309's topic in Cardiac

    Kind of sounds like she's got multiple foci firing causing the change in p-wave size and morphology. Whether or not this is related to respiration is hard to say. Could be a weird WAP/MAT...
  3. Spatialized

    Question about Telemetry

    Spatialized replied to luv2shopp85's topic in Cardiac

    After placing leads on literally hundreds of time, you can do it in your sleep. Here's how I remember, and teach new folks: smoke over fire (black over red) sky over forest (white over green) with a...
  4. Spatialized

    arterial & venous sheath

    Spatialized replied to boknoy26's topic in CCU, Coronary, Cardiac

    That's exactly how I learned it. I guess too you could palpate for pulses, or aspirate blood. Cheers.
  5. Spatialized

    Debunking the night shift myths

    Spatialized replied to abbaking's topic in General Nursing

    Yes, maybe not that crazy...for a tech or phlebotomist, try it as a nurse, it's whole new ballgame. What I wanted to say is this: trying to compare day shift and night shift, in terms of busy-ness,...
  6. Spatialized

    Felt stupid for calling Doc..

    Spatialized replied to tampaflrn6's topic in First Year After Licensure

    Don't feel stupid, you did the right thing by mentioning the elevated cardiac enzymes. He was just being a jerk. You could have said, "It's not in my scope of practice to diagnose if the patient is...
  7. Spatialized

    You know when your hospital orientation is terminated when...

    Spatialized replied to CaLLaCoDe's topic in General Nursing

    When you walk into the report room and the charge nurse hands you the night's assignment and says, "Sorry, we're way short. So you're officially off orientation now...here's your 5. Oh yeah, we have...
  8. Spatialized

    Boy Nurses!

    Spatialized replied to Wanna_BA_Nurse's topic in Male Nursing Students

    Every now and all of us guys that work the night shift are on at once. We call 'em "Testosterone Nights" and they're far and few between. Those nights are surprisingly mellow. The only one that...
  9. Spatialized

    First patient death, first Code Blue!!!!

    Spatialized replied to pddk87's topic in First Year After Licensure

    First of all, take a deep cleansing breath and blow it out. Feel better? Now like "rbezemek" said, we're trying to avoid codes, sometimes though it's not possible. As you get further into practice...
  10. Spatialized

    Confused...please help

    Spatialized replied to NUguyinCrew's topic in Men in Nursing

    To answer some questions... As bad as pre-med? Nope. Driven like mad? Sure, we all were. But snobby/snotty about it we were not. We had our moments of fun, our moments of stress and moments whee...
  11. Spatialized

    Safe administration of anitcoagulates

    Spatialized replied to ddoosier's topic in General Nursing

    Would say you've got it covered. I think making sure you have a pump for heparin (or other anti-coags, Integrillin, Reopro et al.) is essential. It may not have to be a separate pump, but for sure a...
  12. Spatialized

    What's with telemetry????

    Spatialized replied to WindyhillBSN's topic in Cardiac

    Actually no. It's the combination of docs (cardiologists and heart surgeons are not always the most pleasant people to work with), the patient population we serve and the high acuity of the patients...
  13. Spatialized

    MICU/SICU - why open heart patients have high blood sugar?

    Spatialized replied to telefloornurse's topic in MICU, SICU

    At least in the patient population we deal with, there is a pretty high incidence of undiagnosed diabetes and pre-diabetes. That's why the surgeons always check a HbgA1C pre-op. Add that to the...
  14. Spatialized

    Do the shifts at your hospital "get along"?

    Spatialized replied to jessi1106's topic in First Year After Licensure

    I don't generalize a whole shift, just particulars. There are always those nurses who you get a patient from that you dread. The patients are wet, IVs running dry, mountains of paperwork left to...
  15. Spatialized

    New Grad on Cardiac/Stepdown Floor

    Spatialized replied to BrayaRN's topic in Cardiac

    It's a mixed bag. Having different preceptors can be a wonderful thing, or a nightmare, depending on the people involved. Like others above have said, positive thinking is a big thing. Try to find...
  16. Spatialized

    Sheath pulls

    Spatialized replied to jesshopper12's topic in Cardiac

    My very first pull was the "worst". After trying to get the ACT to a acceptable level for hours and hours, I finally had to call the doc to get the order to pull the sheath regardless of the ACT....
  17. Spatialized

    EKG Strips

    Spatialized replied to pagandeva2000's topic in General Nursing

    It's all about time and practice. There are differences though between 12-leads and rhythm strips. In 12-leads, yes you can have multiple things going on, but the biggest thing as nurses we're...
  18. Spatialized

    Head to toe assessment....how long does it take you?

    Spatialized replied to CareBayer's topic in General Nursing

    I should make a caveat: I usually don't end up charting assessments until much later. I write plenty of notes, more stuff to jog the memory than anything else, and come back to it. I think this...
  19. Spatialized

    Head to toe assessment....how long does it take you?

    Spatialized replied to CareBayer's topic in General Nursing

    First assessment takes about 15 minutes per patient, give or take, including vital signs (yes, we do the VS not our aides). But usually during the VS I can chat with the patient (those who are with...
  20. Spatialized

    Have you ever said something so dumb...

    Spatialized replied to 1jazzynurse's topic in General Nursing

    Just the other night at a dinner meeting/presentation hosted by one of the cardiology groups I made a wonderful slip. We were introducing ourselves to the group and as they were going around my table...
  21. Spatialized

    Wondering what Portland's like?

    Spatialized replied to MovingRN's topic in Oregon Nursing

    Like any state, you just ahve to go to the Board of Nursing. Here's the link to the Oregon BON licensure page: http://www.oregon.gov/OSBN/RN-LPNlicensure.shtml Best of luck!
  22. Spatialized

    New Grad 5 months in...

    Spatialized replied to Tuddy's topic in Cardiac

    At 5 months in you're still getting into the flow of things, especially as a new grad. You feel like you're getting there, then a patient throws something at you that makes you feel totally...
  23. Spatialized

    pt. acuity/ratio on tele floors?

    Spatialized replied to surferbettycrocker's topic in Cardiac

    Yes, we have a nurses aide, but like you they can rarely be found. They can have up to 23 pts. at night, but they also have found ways to do as little as possible and get away with it. Oh well.
  24. Spatialized

    Share Your "Brain" Sheet

    Spatialized replied to nurseJ88's topic in Cardiac

    For what it's worth. I do a lot of fill in in the areas without actual headings that way I can tweak it on the run. The far right column is to make sure I get all the required charting done. Tom...
  25. Spatialized

    Chf & Nsaids

    Spatialized replied to jordangregory's topic in Cardiac

    Quickly, 'cause it's late...or early... Nephrotoxicity. ACEIs have effects on the kidneys, hence monitoring of renal function, contraindication for use in patients with elevated Cr levels and using...