Spatialized

Cardiac Telemetry/PCU, SNF

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All Content by Spatialized

  1. Spatialized

    Caring For A Family Suffering A Fetal Demise

    Spatialized replied to mother/babyRN's topic in General Nursing

    This tale restore my faith, at least a bit in OB nurses. You see, we lost child, a son at 20 weeks due to a placental abruption. The nurses were cold, distant and unyielding in their intention for...
  2. Spatialized

    I feel like a PHONY

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

    You're not a phony. Straight up. No one who can get through nursing school, pass the NCLEX and land a job in a high-aucity unit could be considered a phony. Green? Yes. Phony? No. It takes time...
  3. Spatialized

    Cardiac Tele/Stepdown

    Spatialized replied to richtam97's topic in Cardiac

    No Aquapheresis, yet. I've got a funny feeling that after the slpit they may try to bring it on. NM wants to make CHF a core focus of the non-SDU portion. So we'll see. As for ratios, I think it...
  4. Spatialized

    pt. acuity/ratio on tele floors?

    Spatialized replied to surferbettycrocker's topic in Cardiac

    A bit much? Are you doing primary care or part of a team? If it's primary I am very sorry. It sounds a lot like my floor, but they've really worked to drop our ratios, they were finding (I...
  5. Spatialized

    Cardiac Tele/Stepdown

    Spatialized replied to richtam97's topic in Cardiac

    Our unit sounds very similar to "AlexisRN46". But here goes: We're a 46 bed cardiac/cardiac surgery unit. Our motto pretty much is: if they've got a heart they can come to us. That said we get...
  6. Spatialized

    does your lab call elevated cardiac enzymes to the floor?

    Spatialized replied to MIRockstarRN's topic in Cardiac

    OK, after I posted I had a case that trumped previous experience. Lab did call with a major bump, from 0.0 to 0.28, more than anything though, they were making sure the sample was OK, not that it was...
  7. Spatialized

    Mucomyst iv

    Spatialized replied to msn2008's topic in CCU, Coronary, Cardiac

    I've heard (and seen) it for tylenol OD, but renal protection post-cath is a new one. Very interesting. Usually the docs order it PO, with a bicarb drip. Hmmm...have to file that one away. Thanks!...
  8. Spatialized

    Monitor and IV pump Alarms, I hear them im my sleep

    Spatialized replied to Morettia2's topic in CCU, Coronary, Cardiac

    Yep, I hear the "oh ****" binging in my sleep especially on those nights where everyone is bradying down, upping the rate. It could be worse, I used to dream the sounds of the call lights at the...
  9. Spatialized

    Nubain Problems in chronic pain pts

    Spatialized replied to HollymedicRN's topic in Cardiac

    It's not surprising. Nubain is an opioid agonist/atagonist (chemically related to Narcan by the way), so it does knock the other opioids off the receptors putting them into a near rapid-detox -...
  10. Spatialized

    does your lab call elevated cardiac enzymes to the floor?

    Spatialized replied to MIRockstarRN's topic in Cardiac

    I would think that some context would have to be used in order to not inundate the floor RN with information. For example: patient is admitted to the floor with rule-out ACS, negative EKG changes,...
  11. Spatialized

    does your lab call elevated cardiac enzymes to the floor?

    Spatialized replied to MIRockstarRN's topic in Cardiac

    Yep, that's us too. If a patient is having Q6 enzymes, I'll try to set an alarm on my PDA - doesn't always seem to work out right though. Now if we could only get our lab to post those results in...
  12. Spatialized

    Question on MAZE procedure

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

    Our surgeons have only been doing a MAZE if the patient is open to begin with. They're not going to open them up just for a MAZE. Besides, our EPS guys would cry foul if they started doing that....
  13. Spatialized

    patient to staff ratio in CICU?PCU

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

    We're considered a PCU with 46 beds. Usual staffing is 4:1 at NOC and 3;1 on days. Most of the time it is a mix of medical patients in need of tele monitoring (history of a-fib, pneumonia, etc.) and...
  14. Spatialized

    Heparin Protocol

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

    We'll run heparin into another line, say nitro, as a Y, but always on a pump. I would think it would be protocol to run it thru a pump. Our pumps will actually do the calculations for you, but I'll...
  15. Spatialized

    What's Your Nursing Christmas Wish?

    Spatialized replied to nurseJ88's topic in Cardiac

    I wish that a particular day shift nurse would not give Senna, Colace and Miralax to the patient who is a 2 person assist up at 1800, just before shift change. :trout: Seriously though... I wish this...
  16. Spatialized

    Wondering what Portland's like?

    Spatialized replied to MovingRN's topic in Oregon Nursing

    Weather's a little more predictable here than San Francisco, I believe. But compared to the Midwest, it's not that bad at all. It does rain here, a lot. Finding the sun in winter is a bit...
  17. Spatialized

    OHSU & Legacy Good Sam...

    Spatialized replied to reflex99's topic in Oregon Nursing

    My bad...I now know where you're coming from. As for Mt. Hood, I don't know too much. They're expanding as they are the only hospital in that general area so anything from the outlying towns in East...
  18. Spatialized

    Question from a Soon-to-Be Student Nurse

    Spatialized replied to lifesacomedy's topic in Oregon Nursing

    I did the CCC route. It was a good program, they were still trying to work out the kinks though (I was in the second class to finish). I felt prepared though to head into the work force. Totally...
  19. Spatialized

    Question from a Soon-to-Be Student Nurse

    Spatialized replied to lifesacomedy's topic in Oregon Nursing

    It's a mixed bag. I had a hard time getting the right job. Sure, there are a ton of jobs in LTC/SNF, and if that's for you, great, more power to ya! I found though getting a hospital job was...
  20. Spatialized

    OHSU & Legacy Good Sam...

    Spatialized replied to reflex99's topic in Oregon Nursing

    Don't be too sure about OHSU being the only one serving un/underinsured in Portland. Both Good Sam and Emmanuel do a large amount of that. Emmanuel is a unique beast mostly due to...
  21. Spatialized

    A case of DKA & chest pain

    Spatialized replied to poppy07's topic in MICU, SICU

    Headache is more than likely from the nitro. Seen it many, many times. May have also been a synergistic effect with the vasodilation from the nitro and fluid shift. Since you said she was mentating...
  22. Spatialized

    Troponin and CABG

    Spatialized replied to Tele_Nurse4u's topic in Cardiac

    Troponins would not be elevated 2 months post-CABG. An increase in troponins like that wold be a bit worrisome, especially in the light of concurrent chest pain. They should not be going up - that...
  23. Spatialized

    Chito-seals

    Spatialized replied to cardiac.cure03's topic in CCU, Coronary, Cardiac

    Sounds kind of iffy. I thought I had heard the Chito-Seal is more of a battlefield dressing used to contain severe bleeding in major trauma. I could be wrong though. Sounds like it provides surface...
  24. Spatialized

    I'm moving to Portland, OR. What's the salary range in the area?

    Spatialized replied to rookie_rn's topic in Oregon Nursing

    At Legacy, I think starting wage for no experience is around $28/hr as well. Night diff is $5.30/hr and weekends is $2/hr. As for experience, I have no idea. I do believe that expecting close to...
  25. Spatialized

    How many of you work 3 days /12 hrs shifts?

    Spatialized replied to AspiringNurse7's topic in General Nursing

    While I'm worn out by the end of my 3 in a row, it's become my favorite way to schedule myself. I tried 2 on, then another here, tried changing it up, tried to get a set schedule of 3 days on, 4 days...