JenHRN

JenHRN has 3 years experience.

Latest Activity

1. When to call a code

   JenHRN replied to JenHRN's topic in General Nursing

   So this is the exact dilemma I'm referring to. Are you checking a pulse during these episodes? Because if it's longer than 10 seconds without a pulse, aren't we doing our patient a disservice by not...

2. When to call a code

   JenHRN replied to JenHRN's topic in General Nursing

   Again, these responses are very helpful. Thanks! You all are confirming everything I've been

3. When to call a code

   JenHRN replied to JenHRN's topic in General Nursing

   Both were witnessed. The second patient literally collapsed in my arms. But there was a small delay getting her safely to the ground. Good thing she was

4. When to call a code

   JenHRN replied to JenHRN's topic in General Nursing

   Ok thanks. This feedback is helpful. I think the primary reason I'm asking this is because in both situations, the general response I got from more experienced staff was that the code was...

5. When to call a code

   JenHRN posted a topic in General Nursing

   On two occasions I've had my patient lose pulse during a syncopal episode. With the first patient, three nurses could not find a pulse for 10ish seconds and compressions were initiated. The pt...

6. Hyperkalemia a ticking time bomb?

   JenHRN replied to JenHRN's topic in CCU, Coronary, Cardiac

   The doc on call that night ended up ordering Kayexalate. It had not been ordered

7. Hyperkalemia a ticking time bomb?

   JenHRN replied to JenHRN's topic in CCU, Coronary, Cardiac

   This shift we happened to not have a charge nurse scheduled. We're a small hospital in a rural part of the state, so that happens occasionally. My only supervisor on premise was the house supervisor....

8. ICU advice needed please!

   JenHRN replied to LittleMissVixen410's topic in MICU, SICU

   What sort of ICU will you be working in? That makes a huge difference on what you will be frequently dealing with. I work in a small hospital on weekends only... so the main diagnoses I see are COPD...

9. Hyperkalemia a ticking time bomb?

   JenHRN replied to JenHRN's topic in CCU, Coronary, Cardiac

   Acute renal failure, not a dialysis patient. I asked my director if I was permitted to crack the crash cart in this situation, and she said "It's probably best that you didn't." They figured out the...

10. How is your ICU staffing done?

    JenHRN replied to cmp424's topic in MICU, SICU

    I work in a 10 bed ICU in a rural hospital, and we currently take 2-3 patients. Three is definitely exhausting and can be very unsafe depending on acuity. Our director just had it approved to drop our...

11. Clots related to fast afib

    JenHRN replied to maloneys's topic in CCU, Coronary, Cardiac

    I would also be concerned that rapid afib would mask the signs of a post-op bleed. How are you going to know if the pt is bleeding internally when they are already tachy and hypotensive :/ The...

12. Hyperkalemia a ticking time bomb?

    JenHRN posted a topic in CCU, Coronary, Cardiac

    I have been a critical care nurse for less than a year, so I am looking for advice from nurses who have more experience with this situation. I admitted a patient with a potassium of 6.4, BP 200/100,...