jmgrn65 RN

cardiac/critical care/ informatics

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All Content by jmgrn65

  1. jmgrn65

    Please walk me through a code blue

    jmgrn65 replied to blackIrish's topic in General Nursing

    help should come, a code team, and they usually will take over, you become tired quickly while performing cpr. They will need to know info on your patient if you don't know get the chart. Don't leave...
  2. jmgrn65

    Brachial and Popliteal Pulse

    jmgrn65 replied to Couch30's topic in Nursing Student Assistance

    Brachial is palpated along the bone, medially, also antecubital same side as little finger. Popliteal is best if you use both hands and palpate with both sets of fingers, I think that one is hardest....
  3. jmgrn65

    ER Dept Scrub Color

    jmgrn65 replied to blufoxtrot's topic in Emergency

    We can wear what we want that is the same through out the hospital except OR and areas like OR. I think that as an RN, that you wear your name badge and identify your self to your patient than they...
  4. jmgrn65

    Nursing Duties ??

    jmgrn65 replied to MsLaura022's topic in General Nursing

    Here is more less dirty, starting iv, giving meds, orally and IV. Assisting Doctors with bedside procedures, some take blood samples, read EKG's, and still lots more. But depending on how much you...
  5. jmgrn65

    ER Nurses Treated Different in my Hospital!

    jmgrn65 replied to Jen2's topic in Emergency

    Does make you wonder, we have the exact same thing happen to us also, but we aren't allowed to say no admits between a certain
  6. jmgrn65

    O2 therapy - need Dr's order?

    jmgrn65 replied to moshimoshi's topic in General Nursing

    How High is the co2, and how low is the sats? Is the patient alert and oriented? Starting 2l nc may make things worse with the copd, usually is not a problem to start o2 and then call the MD, it is...
  7. jmgrn65

    Oral care protocol

    jmgrn65 replied to wendyp72's topic in MICU, SICU

    Green swabs q2hours and prn brushing thier teeth bid, this protocol was developed by a bunch of nurses and is evidence based. However I don't have thier
  8. jmgrn65

    funniest thing you saw a nurse do.......

    jmgrn65 replied to cre8tivRN's topic in General Nursing

    I was giving report on a patient that was on a cardizem gtt, for rapid atrial fib. anyways i had said the patient was on an atrial gtt at 10cc hr.
  9. jmgrn65

    Informed Consent

    jmgrn65 replied to mak2's topic in General Nursing

    We are always the ones to get the consent, however the MD should have discussed the risk and benefits to the patient. If the patient doesn't understand then he/she doesn't sign it, I then call the...
  10. jmgrn65

    Right Ventricular Infarct--thing I thought I knew...

    jmgrn65 replied to papawjohn's topic in CCU, Coronary, Cardiac

    I think you are right, maybe there is something missing? Is her Na increased? Have you tried simply asking the docs why not, ask them to help you understand that way they won't get offended. cause we...
  11. jmgrn65

    End of life care

    jmgrn65 replied to 07student's topic in General Nursing

    If they are alone no family or friends I try to spend as much time as they want, if they are in a coma I still spend time with them talking to them letting them know it is ok to let go. If family is...
  12. jmgrn65

    Does this sound good?????

    jmgrn65 replied to CardioTrans's topic in CCU, Coronary, Cardiac

    sounds good to me almost too good.
  13. jmgrn65

    nurse locater devices

    jmgrn65 replied to SWAT_RN's topic in General Nursing

    You use the call system to talk to them that is where the draw back is you have someone yelling into the patients room and if they are sleeping you just woke someone
  14. jmgrn65

    nurse locater devices

    jmgrn65 replied to SWAT_RN's topic in General Nursing

    yes i do
  15. jmgrn65

    nurse locater devices

    jmgrn65 replied to SWAT_RN's topic in General Nursing

    That is not what they are used for as I said if you are off the floor it doesn't know where you are it is connected to the call light system, It is designed to locate you while you are on the floor so...
  16. jmgrn65

    Caring for Jehovah's witnesses

    jmgrn65 replied to cu-n-hvn's topic in Patient Safety Issues

    The only difficulty is that they don't use blood products and yes that can be a big problem if their hgb is 5, but it is thier belief so you do what you can for them whether you agree or not. I don't...
  17. jmgrn65

    Help!!! Brown Recluse or What???

    jmgrn65 replied to mkuethe's topic in Wound, Ostomy, Continence

    Brown recluse spider bite tend to get bad very quickly within 48 hours, if they are going to be bad. They can cause alot of damage to your skin and go deep also. So being that it has taken that long,...
  18. jmgrn65

    nurse locater devices

    jmgrn65 replied to SWAT_RN's topic in General Nursing

    We use a Hil Rom system we have what is called a locater badge it only picks up on the floors, if you enter a patient's room and thier call light was on then it will automatically go off. There is a...
  19. jmgrn65

    obtaining orders before manual disimpaction

    jmgrn65 replied to babsberry1958's topic in Ohio Nursing

    I have never have gotten an order or heard of any my fellow nurses getting an order. Our doctors would laugh at us if we asked for an
  20. jmgrn65

    MIL getting procedure - info?

    jmgrn65 replied to Mommy TeleRN's topic in Cardiac

    yes they will inject dye so that they can see the coronary arteries, and usually check the pumping action of the heart, depending on what they use she could be oob in 2 hours or 6hours if stent is...
  21. jmgrn65

    charge nurse duty

    jmgrn65 replied to lifejourney's topic in General Nursing

    I think that at least a year if possible not all places give you a choice. Also it is important to feel comfortable with
  22. jmgrn65

    question about insulin, heparin injections

    jmgrn65 replied to leopold's topic in General Nursing

    We use to dble check with another nurse for insulin injection but have never with heparin we give it twice a day. on the majority of our
  23. jmgrn65

    Real nurse vs. TV nurse.

    jmgrn65 replied to MyBlueSky's topic in General Nursing

    I think ER for the most part is fairly accurate, they have real nurse on staff, But House is totally inaccurate they have doctors transporting patients to ct scan, and going to patients homes, I have...
  24. jmgrn65

    Can anyone tell me what the difference is between a STNA and a CNA?

    jmgrn65 replied to niklsix's topic in General Nursing

    I believe STNA is a state certification, I think usually both interchangeabe but not 100%
  25. jmgrn65

    Whattabout MRSA and C.Diff?

    jmgrn65 replied to Danianne's topic in General Nursing

    In my facility once they have 2 formed stools they don't have to be in isolation for c. diff because they will remain positive for a long time. MRSA in the nares alone is probable not needed to be in...