Jubei

dumb NOC nurses.

That's sheer stupidity. If you're going to sign a legal document, you better give the med or circle your signature and explain in the back of the sheet why you didn't give it (of course antibiotics should be given at all times). On a side note: The resident was alert too!? dummy.

That's sheer stupidity. If you're going to sign a legal document, you better give the med or circle your signature and explain in the back of the sheet why you didn't give it (of course antibiotics should be given at all times).

We get an average of one ulcer occurance per month. Not bad, but could be better. I've seen worse in other LTC homes.

Are you treating your LVN's nice?

That sucks. I hope she doesn't sniff that wrong drug and go into an allergic shock. I'm personally allergic to certain meds.

bullcrap! we use the same crusher and I see particles floating out from those bags when you pour the 10 odd drugs you just crushed into your souple cup.

Phones? Man I wish I could just phone the nurses rather than having them blow me off face to face. I'd rather be a fascist tech than an old battle ax nurse.

That's what I'm doing! then you get these RN's and intern doctors (sometimes residents) who think they know everything and blow you off because I'm just a tech. We have one long time doctor who can't tell the difference between freq PAC's and a 1st AV block.

This is what I found (and from reading my med surg/ekg books): Elevated Potassium can Produce Pseudo Heart Attack When a man appeared in the Emory Hospital Emergency Department with nausea, vomiting and abdominal pain that had persisted for eight hours, an electrocardiogram (ECG) was performed. The test revealed an elevated ST-segment -- the tell-tale sign of a major heart attack (also called a myocardial infarction, or MI). But this patient was only 20 years old. Was he really having a heart attack? In an "Images in Cardiovascular Medicine Case Study" presented in the May 17th edition of the American Heart Association journal "Circulation", Emory physicians Laurence Sperling, MD, and Daniel B. Sims, MD, explain how their medical detective work showed the patient was having a "pseudo infarction". Instead of an actual MI, the man's cardiac and other symptoms were the result of hyperkalemia, defined as a serum potassium level greater than 5.3 millimols per liter(mmo/L). "The ST-segment elevation on the ECG was so extreme that some people might have overlooked other findings which indicated a pseudo infarction' pattern caused by excess potassium," explains Dr. Sims, a resident physician in the Emory Department of Medicine. "But we also saw a widened QRS, peaked T waves, and absent P waves on the ECG and those findings are not seen in heart attacks. This helped tip us off that the patient was in serious trouble because of hyperkalemia."

It's their (my) JOB to tell you that the leads are off. You disliking it DOESN'T matter. Would you rather have us tell you that the pt is in V-fib when it could just be an artifact. Of course, if all 5 leads were on, we could distinguish the strip better. As for for the batteries, I think your charge nurse, nursing manager, and MD WOULD WANT YOU TO REPLACE that battery....You know, just in case the pt codes and FOR LEGAL purposes, your unit's covered.

Google it ! You'll find the answers. :)

Cuz', I hate being told I'm wrong about a strip WHEN I know I'm right concured by a 12 lead EKG reading. :)

Did anybody mention ASA? That's common with 9am med rounds?

I never took any of the above mentioned drugs or have those illnesses....atleast I don't think I do (I better schedule a physical).