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nursesaideBen

nursesaideBen

Medical Telemetry, LTC,AlF, Skilled care
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nursesaideBen specializes in Medical Telemetry, LTC,AlF, Skilled care.

nursesaideBen's Latest Activity

  1. nursesaideBen

    Did I do the right thing? *long*

    That'd be nice except that the company I work for doesn't believe in discipling physicians and buys into the whole MD=God mentality.
  2. nursesaideBen

    Did I do the right thing? *long*

    Thanks for all your support guys! I've been brooding over this all week.
  3. nursesaideBen

    Did I do the right thing? *long*

    This cardiologist is about to retire, some of the nurses have told me that he's adopted an "I don't want to be bothered" type of attitude.
  4. nursesaideBen

    Did I do the right thing? *long*

    This past weekend I had an oncology patient who was a full code. In the early morning hours about 0500 I was getting qshift VS and this patient's heartrate was 41. I looked at his chart and he was typically running in the 50's. B/P was normal. Patient denied, SOB, dyspnea, dizziness, palpitations, and CP. I spoke with my charge nurse and we decided to put him on tele to keep an eye on him. Well, it wasn't long until he started dipping down into the 30's and staying there. I called the attending which was his Oncologist and he ordered 1mg Atropine IV, I administered the drug and his heart rate came up into the 60's but by the time I was giving report to the dayshift nurse he was starting to dip down into the low 40's again. That day he had a cardiology consult, the cardiologist ordered a BNP and cardiac enzymes. That night I recieved report, labs hadn't come in yet and he was maintaining a HR of about 40. A couple hours into the shift his heart rate was averaging 25, labs came back his BNP was 970, suggesting CHF, and his enzymes were normal. Patient again was asymtomatic, B/p WNL etc. I paged his attending and notified him of the situation, he was going to order Atropine again, I told him it had been minimally effective last time so he told me to page the cardiologist. I did so, and he became very agitated with me stating, "He's asymptomatic, so I don't know what you want me to do." I stressed to him once again what his HR was, what his BNP was, that he was a Full code, etc. Finally he told me to call the oncologist to see if we could transfer him to PCU and the oncologist agreed. We immedidately transferred him he had a scheduled 2100 of Oxycodone which I did NOT administer because my charge nurse and I both felt it could cause his HR to drop even more. Once he was transferred I get a call from the PCU nurse, chewing me out for not giving this 2100, stating "He has cancer and is in pain he NEEDS his pain medicine, I don't understand why you didn't give it to him." I explained to her why, she continued to rant, until I cut her off and told her he was her patient now she could do what she wanted. Of course I didn't want him to be in pain but at the same time I didn't want to kill him either, was I in the right?
  5. nursesaideBen

    Question about lpn jobs

    If you aren't able to get a job in a hospital, you should have no problem getting one at an Urgent Care Center, most like to staff themselves with mostly LPN's and CMA's.
  6. nursesaideBen

    I.V pushes

    I do IV pushes where I work. On my unit LPN's can push everything accept drugs like vasotec and adenocard unless an RN, MD, or PA is in the room. We don't typically flush our lines with Heparin unless it's to lock off a port-a-cath. If we have a PICC or other type central line to get "clogged" the RN supervisor has to deal with it.
  7. nursesaideBen

    Work, classes and clinicals? How to do it all....

    I would just lay your cards on the table with your NM if she can't accomidate your schedule than she can just do without you PERIOD! No job is worth sabotoging your education and future over. I hope you'll be able to get the sleep, rest, and time with your family that you deserve.
  8. nursesaideBen

    Sometimes I Miss Being a CNA

    Yeah I've realized this here the past couple of months, and it scares the *#$@ out of me! One day it just donged on me that hey one day when I get a blood sugar reading of 546 I won't be able to just "tell the nurse" cause I might be the nurse :trout: :trout: :trout:
  9. nursesaideBen

    Sometimes I Miss Being a CNA

    I've been a CNA for about a year and a half now and graduate ns this may. I recently switched to day shift and right now I'm just very frustrated with my job. I work as hard as I can and run the entire shift and yet it seems like there's ALWAYS something I'm not doing "fast" enough. I guess I just haven't learned how to be everywhere the nurses need me all at once.... just frustrated
  10. nursesaideBen

    All in charge of hiring please look here!!

    One thing that I've always done is send a thank you card to the person(s) that interviewed you, it really helps to make you stand out.
  11. nursesaideBen

    FELLOW Nurses please help with this dilema. I am so upset!

    Sounds like that place is a toxic enviroment, I would suggest leaving that place as soon as you can find another job. Look for positions in hospitals, LTC, ALF, hospice, home health, psychiatric hospitals, since you have good phlebotomy skills you might want to try with the American Red Cross, I know several LPN's that work for them and they love their jobs. Best of luck to you and your family!
  12. nursesaideBen

    What do I tell her?

    I agree with the poster that suggested she speak with her DON, I understand she that she must have felt lost but she must realize that once she's there performing patient care of some sort, she can't just leave. Hopefully if she can work it out with the DON and get back in her good graces, and not walk out anymore, she won't be reported to the BON. Best of luck to you both, and keep us posted!
  13. nursesaideBen

    Thoughts on Maternity nursing.

    Right now we're doing OB in school, and while I don't care for it, I have nothing but respect for the nurses that have chosen it as their specialty. Anyone telling you that OB is not real nursing, is a fool pure and simple.
  14. nursesaideBen

    Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    You know, this is SO TRUE! So many folks in healthcare are quick to judge others on their performance. I can see both points of view in this situation. Right or wrong it sounds like this patient was heading towards a vent and I doubt the Paramedic's actions negatively affected the pt's outcome. It sounds like She did what she had learned and been taught through experience and training was right, and for that I don't think she can faulted. I can appreciate the OP's concerns, but I think at some point we all in healthcare need to realize that sometimes it's just not our call.
  15. nursesaideBen

    I have a new job!

    Congratulations and just in time for Christmas :)
  16. nursesaideBen

    Destruction at work: What have YOU broken?

    Thank goodness I'm not the only one who has done that Well, I haven't broken too many things yet but on incident I did have happened about 2 months ago in clinicals, my patient had an 02 tank in her room that I accidently knocked over, I was so afraid it was going to explode or something lol it sounded like a bomb had been dropped when it hit the concrete floor the patient's nurse ran into the room "What happened is everyone okay!?" The nurse about died laughing and my instructor when I told her what happened (she had heard the noise) just shook her head and said "Oh lord Ben." Luckily she didn't take points off my clinical grade :smilecoffeecup: