Spatialized

Cardiac Telemetry/PCU, SNF

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All Content by Spatialized

  1. Spatialized

    24 Hour Observation Unit & Charting

    Spatialized posted a topic in Emergency

    My unit is in the process of starting an observation unit. It will be detached from the ED, under our Internal Medicine service, catering to CP r/o MI, COPD, CHF, Cellulitis, Syncope and Pneumonia...
  2. Spatialized

    Tips for Surviving Cardiac Telemetry

    Spatialized posted a topic in General Nursing

    It's like a nursing nightmare. Not the kind where you end up in front of the school body naked, but close. There's a patient in rapid atrial fib who keeps climbing out of bed in room 23. A new admit...
  3. Spatialized

    Medication Incompatibilities with Sodium Bicarb

    Spatialized replied to Lisa Schenker's topic in Cardiac

    When we have someone who needs bicarb, they get another line. Easy to get around incompatibilities that may happen that way. Yes, it is inconvenient for the patient (and the staff who has to start...
  4. Spatialized

    No respect...or...our profession's public image sucks

    Spatialized replied to Dinith88's topic in CCU, Coronary, Cardiac

    Our image too often is formed based on the twisted stereotypes portrayed in the popular media. Sexy nurses, pillow fluffers and doctor's handmaidens is the image shown to the world and they all...
  5. Spatialized

    How long post cath is there risk for bleeding at the site?

    Spatialized replied to Courtney Nurse Writer's topic in Cardiac

    The odds of developing a hematoma 3 days out is fairly slim, but if by chance the MD accidentally created a pseudo-aneurysm during the procedure it could manifest itself later like that. Usually a...
  6. Spatialized

    Not really "feeling it"

    Spatialized replied to SC ANP's topic in Cardiac

    There are days I still don't feel like I have it together and December will be 3 years for me. If you really think about it, 6 months is not that long at all on an active cardiac floor. There's a...
  7. Spatialized

    Don't you want to be a Doctor?

    Spatialized replied to silentRN's topic in Men in Nursing

    I just smile and say, "Nope, I love poop too much!" Then in all seriousness I relate how that I wouldn't even be done with residency until my forties and would like to raise a family and lead a...
  8. Spatialized

    What the heck is going on in Portland right now?

    Spatialized replied to sonnyluv's topic in Oregon Nursing

    Whatever y'all. Nearly everyone in PDX is a transplant of some sort or another. Sure, some have been here longer than others, but what does is matter? How long you have been somewhere makes no...
  9. Spatialized

    New grads: hows the job hunt going?

    Spatialized replied to KristiePDX's topic in Oregon Nursing

    'Tis the season for low census, that's for sure. We're getting canceled (or at least placed on stand-by) at least once a pay period at Good Sam. And as for hiring? Nothing. Nada. Zip. We had a...
  10. Spatialized

    I actually like my coworkers

    Spatialized replied to Jules A's topic in General Nursing

    My night shift co-workers rock, plain and simple. Not such a big fan of the day shift, but I don't hate 'em by any means. It's sad when it is perceived as "odd" or "strange" to like ones co-workers....
  11. Spatialized

    ok ekg?????

    Spatialized replied to erin01's topic in CCU, Coronary, Cardiac

    Yep, you've got it. Practice until you see strips in your dreams (uh, I wouldn't know anything about that...). Ask questions of more experienced nurses, bug the tele tech (if you have one) and if...
  12. Spatialized

    Is it possible to go to nursing school and work full time?

    Spatialized replied to nursing_88's topic in Oregon Nursing

    It is possible, but it isn't pleasant. Sleep is a foreign thing when you do so. I did it because I had to, working 2 jobs, combined full-time through the end of school having worked 1 job full time...
  13. Spatialized

    Same post, different Specialty

    Spatialized replied to Chloe'sinNYNow's topic in Cardiac

    :yeahthat: Pretty much what Dianah said. We don't use sandbags as studies have shown that the weight distribution is too large for adequate control of a bleeder. If you get a bleeder, direct...
  14. Spatialized

    ok ekg?????

    Spatialized replied to erin01's topic in CCU, Coronary, Cardiac

    Typically ST depression is indicative of myocardial injury, the myocardium is not getting enough oxygen due to blocked arteries, vasospasm, poor cardiac output and on and on. Yes, it's not a good...
  15. Spatialized

    What the heck is going on in Portland right now?

    Spatialized replied to sonnyluv's topic in Oregon Nursing

    Hiring freeze it is. My floor usually hires a handful of new grads, usually due to turnover and people moving on, but there is none of that this year. Same thing goes for all the floors at Good Sam....
  16. Spatialized

    Really Bad Code...

    Spatialized replied to al7139's topic in Cardiac

    Yep, push away, you're really only going to help. I responded to a code on a post-op day 4 CABG and ended up doing compressions. They went to the Unit and came back. I was helping a nurse with...
  17. Spatialized

    Completely panicked and failed to react appropriately to an emergency situation

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

    I second the others thoughts above, don't beat yourself up, we've all been there before. One of the first codes I responded to I walked (well, ran) in with the code cart and went completely blank. I...
  18. Spatialized

    How many patients are you expected to take report on?

    Spatialized replied to AnnaMary's topic in Medical-Surgical

    When I started on a 43 bed unit, we got abbreviated report on ll the occupied beds, the idea being you're able to help out easier and by aware of who might be in line to crump. We no longer do that,...
  19. Spatialized

    BP meds and parameters

    Spatialized replied to jam2007's topic in Cardiac

    Many of our docs write parameters to ensure the meds get given, not held. When you have a CHFer on the "cocktail" (ACEI, B-blockers, lasix, et. al.) many times they need the meds, even when it seems...
  20. Spatialized

    Lack of male role models and excess of estrogen

    Spatialized replied to Crossfit SRNA2b's topic in Male Nursing Students

    Just because you're a bedside RN, doesn't mean it's all changing beds, cleaning poop, rubbing backs and whispering comforting words into the ears of LOLs. Sure, when necessary I'll do that, but also...
  21. Spatialized

    Fellow Nursing DUDES

    Spatialized replied to ORhopeful's topic in Men in Nursing

    You just have to find your niche, like someone stated above. Don't go into the experience with pre-conceived notions of where you want to work - you may be surprised where you end up. I thought for...
  22. Spatialized

    ECG: Confused about calculating rate of irregular rythm

    Spatialized replied to HeartsOpenWide's topic in General Students

    You've got it right, take the number of QRSs in 6 seconds and multiply by 10. Because the rate is irregular you're not going to get an exact rate. That is unless you print a minute of strip and...
  23. Spatialized

    Things you would like the ICU to understand

    Spatialized replied to I_LOVE_TRAUMA's topic in Emergency

    Actually, blood cx prior to ABX is a core measure for pneumonia. It is not required, but it goes into audits for our friends at the Joint Commission and reported on the hospital compare website. So...
  24. Spatialized

    MI: when to go to cath lab

    Spatialized replied to dingbiscuit's topic in Cardiac

    If someone develops a STEMI while on the floor, we can call in the cath lab team who are on-call 24-7. We've had a couple of times where the patient comes through the ER with mild symptoms and they...
  25. Spatialized

    Lasix gtts

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

    If a patient is being admitted under our CHF order set then they get q6 basics and potassium replacement protocol. Any other patient who is placed on a Lasix drip is left up to the MDs discretion for...