Spatialized

Cardiac Telemetry/PCU, SNF

Member

All Content by Spatialized

  1. Spatialized

    EKGs.....I think I'm screwed!

    Spatialized replied to nursekatie22's topic in Cardiac

    Reading EKGs is both art and science. The best thin you can do is practice, practice and practice some more until you literally dream strips. It just takes time. As you do this here's a couple of...
  2. Spatialized

    Step Down Unit/Telemetry Cardiac Drips

    Spatialized replied to tanner1334's topic in CCU, Coronary, Cardiac

    I'm on a cardiac tele/PCU floor here's our drips: Titrated: Diltiazem, up to 15mg/hr Nitroglycerin, up to 50mcg/min Lasix, can titrate to UOP Insulin Set doses: Amiodarone, per protocol Dopamine...
  3. Spatialized

    After cardiac cath

    Spatialized replied to lever5's topic in CCU, Coronary, Cardiac

    Never seen this. We don't even use sandbags, weight distribution is too general. Plus, if they use a closure device, there shouldn't really be a need for pressure unless you have oozing. Then direct...
  4. Spatialized

    A Flutter irregular, it is A Fib?

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

    It can be regular, if the conduction rate is stable. For example, if it is a 3:1 flutter. But in cases where the block is variable, your ventricular rate will be variable as well. It also helps to...
  5. Spatialized

    Pt post CABG changed in mental status

    Spatialized replied to meimeiy's topic in General Nursing

    Pump head? I like it. Haven't heard that one! 2 that jumped out at me were anoxia or ETOH. How about irregular rhythms? I know our docs liberally prescribe metoprolol post-op that even with...
  6. Spatialized

    Should I be THIS freaked out over vomit????

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

    I think every nurse has their bodily fluid that grosses them out. Some it's poop, some renal failure urine (y'know that dark syrupy kind - yeah, mine), some it's sputum - one of my charge nurses...
  7. Spatialized

    Night Shift & Depression

    Spatialized replied to Montessori Mommy's topic in General Nursing

    My depression came back after starting working nights, not to mention the load of life issues prior to me starting in nursing. SO it was kind of a chicken vs. egg scenario. I understand what you...
  8. Spatialized

    Why is the first year like a prison sentence?

    Spatialized replied to Curious1alwys's topic in First Year After Licensure

    It's funny, we were just talking about this the other night at the nurses station. We all felt in a way that we were doin' time. Joking around like, "I've 92 days and a wake up." That's more...
  9. Spatialized

    A Father's Tears

    Spatialized replied to Elvish's topic in Ob/Gyn

    Your story brought memories and just touch of a tear flooding back. I felt that father's pain and know the raw torment. I went through that twice in 2 years. First with our son who was 20 weeks...
  10. Spatialized

    Had a rough shift...need some input please!

    Spatialized replied to al7139's topic in Cardiac

    You did a great job with the tools you had...those tools were a little lacking though (no thanks to the docs). Luckily in my facility we have both a rapid response team and a code team. You call for...
  11. Spatialized

    Am I taking too much time before I see pts? HELP!

    Spatialized replied to mrod's topic in Cardiac

    RN1989 covered the bases in an awesome way . You will find your rhythm, it just takes awhile. I found that by trying to be organized from the get-go, my shift goes better. I rarely look up labs...
  12. Spatialized

    Recommendations for getting EKG training?

    Spatialized replied to westcoastgirl's topic in Nurse Practitioners, NP

    While not an NP, I see a lot of 12-Leads on my cards floor, so I've been using "12-Lead ECG: The Art of Interpretation" by Garcia & Holtz to at least start the more in-depth learning (beyond the...
  13. Spatialized

    Night shift giving breakfast insulins w/o tray

    Spatialized replied to findingmywayRN's topic in General Nursing

    I wish that I could print this discussion off and show to our managers, so they would see that what we are doing is both dangerous and not part of the norm. We do our fingersticks between 6 & 7....
  14. Spatialized

    Alternatives to Pajam...I Mean, Scrubs

    Spatialized replied to NursingAgainstdaOdds's topic in General Nursing

    Before I was a nurse I worked as a cargo loadmaster and was required to wear slacks, shirt and tie. After hours of sliding around cargo compartments, helping the crew load and being outside my...
  15. Spatialized

    Looking for an assesment sheet

    Spatialized replied to Gr8Vines's topic in Cardiac

    I've got one that's pretty free-form, easy to just fill in the necessary stuff. If nothing more it is a prompt to jog my memory. PM me if you're interested.
  16. Spatialized

    Diagnosis Wenckebach- YouTube video

    Spatialized replied to agent66's topic in General Nursing

    Wow. Now I'll be singing this in my head whenever I get someone in wenckebach...thanks.
  17. Spatialized

    Radio frequency ablation

    Spatialized replied to Toby's mum's topic in CCU, Coronary, Cardiac

    It's been a mixed bag. We get these kind of frequently, but I cannot remember the average success rate. Seen some work early, then drop back into afib later on. Our cards docs usually go for...
  18. Spatialized

    1st Time a pt went bad

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

    Sounds like you did great. Only other thing I would have been doing is checking on HR and BP - looking for sepsis with a temp. that high. I think you always remember the first one to go south, but...
  19. Spatialized

    Had My First Night Off Orientation Tonight...Need a Little Support Please!

    Spatialized replied to al7139's topic in Cardiac

    You'll have good days and bad days. I too would have given the Lopressor and Lasix, BP wasn't too low to start with. Many of our cards folks write to hold lopressor only for SBP>90, so I would...
  20. Spatialized

    Advice for New Nurse On Tele Unit

    Spatialized replied to al7139's topic in Cardiac

    Kind of seen something similar to that. Patient w/endocarditis, coded. woke up gasping and cursing us all. Sent to the Unit for monitoring. Came back up 2 days later and went home 5 days after that....
  21. Spatialized

    Suggestions for Supplies

    Spatialized replied to cns48's topic in Cardiac

    Littmans are good. I wouldn't drop a huge amount on a fancy cardiology stethoscope yet. Besides, though seem to walk off if you let them out of your sight... Here's what I always carry, in my pack...
  22. Spatialized

    Help!

    Spatialized replied to socks341968's topic in Cardiac

    First, before you bail, talk to the NM. See if you can get more orientation. Two weeks is not nearly enough, especially on a high acuity floor. If they are unwilling, then you bail. At least you...
  23. Spatialized

    do you give good report?

    Spatialized replied to MoopleRN's topic in General Nursing

    Give me the basics: are they A & O? Trying to crawl out of bed? Are they breathing? Anything I need to get done before they go to bed? Any trends I need to be aware of? (runs of unstable...
  24. Spatialized

    Flagstaff Nurses; feedback please

    Spatialized replied to catlover314's topic in Arizona Nursing

    I'm in metro Portland. I should place a caveat on the salary though, that does include differentials (I work nights), but even at base I'm making a substantial amount more than I would have in...
  25. Spatialized

    Flagstaff Nurses; feedback please

    Spatialized replied to catlover314's topic in Arizona Nursing

    I went to nursing school in Flag and worked as an extern at FMC for a year. Mind you, this was over a year ago, so my info may be a little dated. I thought, adn now looking back, it was a pretty...