Spatialized

Cardiac Telemetry/PCU, SNF

Member

All Content by Spatialized

  1. Spatialized

    Adjusting to night shift--HELP!!

    Spatialized replied to Annebug's topic in General Nursing

    I've found having a routine/ritual in the AM when I get home really helps. I commute by public transit and bike so I'm a little keyed up when I do get home (although less than if driving). So I stay...
  2. Spatialized

    Post OH Surgery activity advice

    Spatialized replied to TXRN85's topic in CCU, Coronary, Cardiac

    Besides just getting them OOB, remember to enforce sternal precautions on those sternontomy patients. Y'know, no pushing up with the arms, hanging onto things to pull up, anything that will put undue...
  3. Spatialized

    Advice for New Nurse On Tele Unit

    Spatialized replied to al7139's topic in Cardiac

    Totally and completely normal. In fact (hate to do this to you, but) it will probably get worse before it gets better. The first time a patient goes south, the first code, the first rapid response,...
  4. Spatialized

    How to toggle between nights and days

    Spatialized replied to hbgwan's topic in General Nursing

    It kind of depends on how the schedule is. If I am on the rotation many of us have on my floor, it is a 3 on, 2 off, repeat 2 more times, then have 7-8 off in a row. If I am on that run, I rarely...
  5. Spatialized

    Hematoma post Angiogram

    Spatialized replied to AussieKylie's topic in Cardiac

    Usually, direct hand pressure works very well for helping the hematoma resolve, although there are times when no matter what you need to put the clamp or fem-stop back on. We've found on our unit...
  6. Spatialized

    Transporting Telemetry Patients

    Spatialized replied to mercyrn02's topic in Cardiac

    It depends on the patient and the doc. Most of the time, the MD writes that it is ok to come of for "x..." usually showers and tests off unit. Every now and then they don't. I recently had a...
  7. Spatialized

    Verbal orders vs Telephone orders

    Spatialized replied to DEB52's topic in General Nursing

    I've taken VOs in emerging situations, but gave the MD the chart right after saying, "Can you write that for me?" As a night shifter, while we have house officers in-house all night, they cover the...
  8. Spatialized

    Post CVA and Blood Pressure

    Spatialized replied to KulRN's topic in Cardiac

    Keeping the BP up in post-CVA pts. ensures adequate perfusion to the damaged areas. The goal is to minimize the damage and this usually entails making sure the blood flow is OK. Like in MI care,...
  9. Spatialized

    Staffing question & your cardiac floor

    Spatialized replied to laurenjarrod's topic in Cardiac

    Listen and repeat..."Run. Run. Run far away!" That is far too an unsafe situation to put yourself or your patients in, in my mind it is nearly criminal. Here I was whining about a night of 5:1 and...
  10. Spatialized

    Your Favorite one liner used with patients

    Spatialized replied to scaredofshots's topic in Nursing Humor

    I've got a few to add... To the post-ops worried about not having a BM, I say in my worst WW2 interrogator accent, "We have ways of making you poop..."
  11. Spatialized

    What have you done for yourself lately?

    Spatialized replied to Nvr2Old's topic in General Nursing

    The 3 R's...reading, writing and riding. First takes my mind away, second helps me vent, third helps me blow off steam (and get home!). Cheers,
  12. Spatialized

    For a Greener, Healthier Hospital

    Spatialized replied to AvaRN22's topic in General Nursing

    This is very cool. My DW and I were talking about this a couple of days ago. Being the cynic I am, I figured that this was a near impossibility, but seeing these sites really made me feel better....
  13. Spatialized

    Need some tips on cardiovascular nursing

    Spatialized replied to coles2's topic in Cardiac

    We hardly do any vascular surgery,we're mostly cardiac. I think things to bring in is critical thinking skills, openness to learning (I had a ton of extra education to complete after I was hired,...
  14. Spatialized

    externship question

    Spatialized replied to emtb2rn's topic in Cardiac

    Not at all, seems like a great way to go at it. Those were the 3 things (among others) that I took away from my extern program. One thing I would suggest is to try to get in on every procedure you...
  15. Spatialized

    Where do you buy your scrubs?

    Spatialized replied to Tony35NYC's topic in Men in Nursing

    I was looking at aviatorscrubs, but they're saying nearly everything is non-stock and takes 4-6 weeks for delivery. Is this really true? They look exactly like I'm looking for. But 4-6 weeks is a...
  16. Spatialized

    Amiodarone IV: needs an inline filter??

    Spatialized replied to tazski12's topic in PACU

    I've always run Amio with a filter, just one of those givens. As for others, I know Dilantin (as mentioned above), and if memory serves this morning, Mannitol requires a filter. Just my $.0.02,
  17. Spatialized

    Math involved in cardiac nursing

    Spatialized replied to Hoosiernurse's topic in Cardiac

    Most common would be drip calculations. For example, MD orders dobutamine @ 3mcg/kg/min, pt weighs 117kg, what is the rate to set the pump at? Things like that. Others would be calculating the...
  18. Spatialized

    2006 pass scores are out *and* broken down by college

    Spatialized replied to AZmom's topic in Arizona Nursing

    Looks like my alumni is doing OK. 90% isn't too bad for a 2 year old program. I wonder if this means that the accreditation will become permanent and not provisional. Guess I helped that pass...
  19. Spatialized

    Sodium Bicarb question!

    Spatialized replied to lysh7777's topic in Patient Medications

    Sounds like a protocol we have to prevent contrast induced nephropathy in our cath lab patients. The docs will order if based on the patient's labs, mainly their BUN and creatinine, but also age and...
  20. Spatialized

    out of state new grad license

    Spatialized replied to UNC_nurseL&D's topic in Oregon Nursing

    The info I got is that if you are never planning to practice in the state you are training at, just go straight to the state you are. So in your case, pursue the Oregon route. The BON website has...
  21. Spatialized

    I Never Remember....

    Spatialized replied to UM Review RN's topic in General Nursing

    To bring everything I need into the room before I get started...especially true when it's an isolation room.... Why make 1 trip when you can do 3 - 4 ? :smackingf
  22. Spatialized

    Nuva Ring questions

    Spatialized replied to texasnursingstudent's topic in Ob/Gyn

    Probably TMI, but it was the best birth control my DW ever used. No crazy ups and downs, little to none weight gain (in fact she lost...), out of sight and out of mind and it worked...the next...
  23. Spatialized

    Do you trust automatic "vitals" machines??

    Spatialized replied to Fairlythere's topic in Scrubs, Uniforms, Gear

    We use dynamaps and tele-mons on our unit. For the most I do trust, but like have been put out there, if the reading is odd, I'll check it by hand. One thing I did find is that the automated cuffs...
  24. Spatialized

    Codes against doing cardiac drips on a medical floor?

    Spatialized replied to J.R. RN's topic in Cardiac

    While I'm not on a medical floor, it is true tele, we run titratable drips. Most common is dlitiazem, which we will titrate to HR in AFib w/RVR, per MD orders. We also have Amiodarone a lot, but it...
  25. Spatialized

    Telemetry monitoring

    Spatialized replied to Bwick's topic in Cardiac

    I just joined a 46 bed tele unit, nearly every patient is monitored (there are a couple not on the monitor though). We have a monitor tech who watches all the patients and notifies the nurse by pager...