datalore

datalore

Cardiac/Tele

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All Content by datalore

  1. "Am I going to have to chart this as patient
  2. Not just seen on TV!

    Among other things, we've all joked before about how doctors only ambulate patients on Grey's Anatomy. We have a surly, nurse-frightening, House-esque doc that not only regularly ambulates our elderly...
  3. Can I be a nurse with an anxiety disorder?

    I've had an anxiety disorder basically from the moment I popped out the womb! I had to wait til I got mine under control enough to finally follow my passion. Sounds like you're working hard. My only...
  4. I think it's appropriate on a group-by-group basis; my current work team does it well, but I've seen it crash and burn with other worksites. I go out for dinners when it's a large,...
  5. Interview as New RN Grad for Tele position Tomorrow

    Most of the questions I got asked (I work tele) were about patient safety, willingness to accept feedback, how you'd handle an emergency, handling difficult patient situations etc, and way less about...
  6. I can't get "poop" taste out of my mouth?

    You're going to see many a coworker do things in a way that you don't prefer and/or that gets bodily stuff on you. It's not always carelessness or being incorrect. I've seen everything on that...
  7. Don't wake that patient!!

    I work in cardiac intermediate care (stepdown) and I'm only "ordered" to do q2-4 vitals and assessments - sick enough that they are moderately septic, bipap-requiring, titrating cardiac drips,...
  8. Question from a Pre-Nursing Student

    For me it was undeniable interest in an area long before nursing school. Significant family history of strokes and heart failure makes me think that hearts, lungs, and kidneys are cool... so for me...
  9. In the grand scheme of things, a NICU preceptorship is not likely to be the resume line-item that gets you directly into a NICU after graduation. So, although it's a serious disappointment as you...
  10. Good on you for quitting! Watching my hubs do the same and you about-to-be-former-smokers are warriors I swear. Kudos. Hang in
  11. Hypoglycemia on night shift -- advise please

    I keep a ziplock baggie in one pocket of my scrub pants, one that is covered by my top anyway, but I hide a granola bar or something in there for when I'm on hold on the phone for a minute or charting...
  12. For the heart muscle portion of this... Hypokalemia (and/or hypomagnesemia) prolongs the QTc -- in less wonky terms, it increases the absolute rest period of the heart muscles; the time during which...
  13. How much do YOU think nurses are worth?

    Wage/salary-wise, I can't give a number because the cost of living is so vastly different all over the US. I make peanuts compared to what other states pay their RNs, but I feel like I have a ton of...
  14. Is 35 too old to start from Scratch?

    You're going to age anyway, might as well be a nurse when you get
  15. Should Obama care be repealed?

    As long as HCAHPS is GONE!... I'm open to options. But not "no"
  16. IV medication that can not run fast

    Furosemide, ototoxicity means you can cause hearing damage if pushed too
  17. That's exactly what I mean! A warranted heads up is great so I don't walk in and create problems. But I don't need to know that grandson Billy's cousin's sister is a park ranger in
  18. I had one nurse tell me 10 minutes worth of stories about the patient's family dynamics (which weren't anything out of the ordinary, just who does what for work and life stories), and get annoyed with...
  19. Help a new grad understand?!

    Because he was taking more diuretic than recommended, the patient (a) was probably (vascularly) very dry, which can (b) cause mild kidney dysfunction and/or acute kidney injury. Both things increase...
  20. Help a new grad understand?!

    Yes! Definitely practice and exposure -- the repeated exposure reinforces the concepts. And, if you have good physicians around you they'll teach you more nuances as they prescribe certain things for...
  21. Help a new grad understand?!

    Think of the fluid compartments your body has: 1. inside the cells, 2. between the cells, 3. inside the vascular system. You can be dry in one and overloaded in another at the same time. You can be...
  22. Daily huddles

    Same for me as kejRN- the night charge nurse runs it, and all day staff and most night staff attend, but nights are expected to be finishing tasks and answering bells. (And then vice versa at night...
  23. Advice for newbie RN

    1. I'm 8 months into my first year -- I'm JUST starting to feel like I know what I'm doing, even though I've been doing "great" all along. Don't feel like you're not meant to be a nurse because you...
  24. The flowers look more alert and oriented than I
  25. Fun with Residents

    They will (hopefully, eventually) learn enough to make their own decisions... humility can never be taught! Unless they're creating unsafe situations by simultaneously not knowing AND not acting on...