• ACLS #11 Tachycardia w/ pulses American Heart Association
• Drug of the Day: Cordarone (aminodarone)
• Podmedic: Musings of a Nursing Student
• Subscribe via iTunes
• Voicemail: 206-337-0822
• Email: NursingStudio@gmail.com
• Music: Booty Voodoo by Lee Coulter

• Emergiblog - When a patient threatens to shoot you
• Emergiblog - The Five Rights of Nurses
• ACLS #10 American Heart Association
• Drug of the Day: Cellcept
• Podmedic’s Musings of a Nursing Student
• Myspace http://www.myspace.com/tatianamik
• Voicemail: 206-337-0822
• Email: NursingStudio@gmail.com
• Music: Froggy Went Courtin by David C. Owens The Veiled Prophet

• Music: Wasting My Time by Matthew Ebel
• News: Phenergan Alert from ISMP
• ACLS #9: Scenario for Acute Coronary Syndrome American Heart Association
• Disease of the Day: Necrotizing Fasciitis
• Podmedic: Musings of a Nursing Student
• Subscribe via iTunes
• Univ of Tennessee Internal Medicine Podcast
• Drug of the Day: Prograf (tacrolimus)
• Voicemail: 206-337-0822
• Email: NursingStudio@gmail.com
• Nursing Spectrum Audio CE
• Music: Old Dun Cow by Brobdingnagin Bards

• Music: Title & Registration by Death Cab for Cutie
• ACLS #8: Scenario for Pulseless Arrest: VFib/VT American Heart Association
• Podmedic: Musings of a Nursing Student
• Voicemail: 206-337-0822
• Email: NursingStudio@gmail.com
• My experience with Disaster nursing
• Music: Liberty Jones by The Shakes
• Subscribe via iTunes

]]> http://www.nursingstudio.net/2006/09/17/nursing-studio-podcast-15/feed/ http://www.nursingstudio.net/2006/09/12/nursing-studio-podcast-14/ http://www.nursingstudio.net/2006/09/12/nursing-studio-podcast-14/#comments Tue, 12 Sep 2006 09:47:03 +0000 Tanya http://www.nursingstudio.net/2006/09/12/nursing-studio-podcast-14/ Nursing Studio Podcast #14

• ACLS #7: Scenario for Witnessed VF with CPR & AED American Heart Association
• Voicemail: 206-337-0822
• Email: NursingStudio@gmail.com
• Music: Liquid Sunshine by Zero Co
• Subscribe via iTunes

One of the 5 people interviewed is a nursing professor from Seaton Hall who has been helping with 9/11 grief counciling. I’d encourage everyone to post thier rememberance of 9/11 in the comments.

On the morning of 9/11/2001, I awoke early. I don’t know why I just couldn’t sleep anymore. I was living in Memphis at the time. I decided to go ahead and go into work (UT Memphis research on preventive medicine) and get some things done before anyone else arrived. I was there by 7:30 AM local time (CST). I remember I was in the Pulmonary Function Testing (PFT) room doing calibrations and heard the news on TV in the breakroom across the hall about a plane flying into the World Trade Center. So I went across the hall into the breakroom. I was watching live TV when the second plane hit the World Trade Center.

I guess it helps you understand how unusual this day was for me if you knew some of my personal habits.

1. When working a day job I usually have problems waking up in time to make it to work on time.
2. I never turn on the TV in the morning.
3. I rarely watch the news.

I was working with one of the reasearch participants when the 3rd plane hit the Pentagon and the towers fell. I came out of a test and asked about the towers and was told that they had fallen. And about the plane hitting the Pentagon. And about the bomb on Capitol Hill (which turned out not to exsist).

Many people I talked to said that they were up early this morning, many even before thier morning alarms. This may sound strange coming from someone who’s strongly into science and what can be proven/disproven, but I believe in energy fields. I believe that Memphis has experienced such a negative history and that is why the area has such a strong negative field. I believe that the negative energy fields were so charged that those of us sensitive to it were experiencing insomnia. Because otherwise you have a hard time prying me out of bed.

Watch for it tomorrow on Change of Shift.

• ACLS #6: Drugs American Heart Association
• Voicemail: 206-337-0822
• Email: NursingStudio@gmail.com
• Interview with blogger Jen, RN from IntoTheUnit.com
• Music: Cloudless Rainy Day by Zero Co
• Interview with blogger Third Degree Nurse
• Subscribe via iTunes

• Writely
• ACLS #5: Electrical Therapy & Vascular Access; Source: www.americianheart.org
• Voicemail: 206-337-0822
• Email: NursingStudio@gmail.com
• What nursing blogs do you read?
• Looking for recent NCLEX test taker to interview….
• Music: My Love by Zero Co
• Subscribe via iTunes

1. Another of Modern Medicine Horror Stories Tardive Dyskinesia from Knowledge of Health
2. Nursing in Israel from it’s a nursing thing
3. What Would Florence Nightengale Do? from emergiblog

The first one is a essay on TD and what causes it. Very informative. I found it on digg. Follow this link and digg it to get it higher in the web site so more people learn about it.

Second article is about an arab male nurse who lives in Israel. He’s one of the nurses who cared for Israeli Prime Minister Ariel Sharon when he had his CVA. Go read it. It’s inspiring.

Third article is about disaster nursing. You plan for disasters, but you never really know how you’ll respond until you are there. Kim is an ER nurse in SF which is on the fault line.  Myself I’ve worked the night after a disaster. So here’s my story….

=================

3rd week of July of 2003 “gale force winds” came through Memphis, TN around 9 or 10 am. I was in my very last semester of nursing school (I graduated July 31, 2003) and was working as an extern in the ER of one of the downtown Memphis hospitals from 7 pm to 7 am. Traffic lights and trees were down all over town.  Power was out all over town. Water was out to some areas. Temperatures were OVER 100 degrees. City goverment declared a 10 pm curfew for the entire town to prevent late night rioting.

My hospital lost water and power. The generators were running. We were on ambulance diversion because the OR had to be shut down from lack of water to scrub.  But it seemed like every psych case in the city showed up for our ER that night because we were still open to walk in traffic. (I think they assumed we had air conditioning, which we didn’t because we were on generator, and came in to have TV which was playing in the lobby and lights.) We had a few patients in the ER who’s chief complaints were “we can’t take care of momma/daddy at home in the dark.” And then lots of abd pain and shoulder/arm/leg pain from cleaning up debris. Which required x-rays/CT scans. Now the CT scanner was in the same tower (this hospital had 5 towers, each tower had it’s own generator) as the ER, the ER xray department and NeuroTrauma ICU.  So we were sucking some major power from our generator. Well around midnight we blew the generator. So we go scrounging for the flashlights. We find 3 for the whole department. I get all the nurse’s keys and a security guard and I go to the employee parking garage and go through all the nurse’s cars and get thier personal flashlights out of thier car so we have enough flashlights for everyone to have ones to round on our patients.

After I get back I’m told to go to NeuroTrauma ICU that they are having to move out of their department into another tower because thier ventilator batteries are failing. So I track up to NeuroTrauma which is almost black up there. They have 6 patients. 5 vents, 1 who was supposed to go to stepdown in the morning. All 5 vents are continiously alarming. The CV ICU census was down so they had consolidated to the A pod, the B pod was 5 beds and that’s were NeuroTrauma was relocating to. So we get the patients packed up and moved over 2 towers into the closed CV pod. The 1 who was supposed to go to stepdown got moved to stepdown a few hours early. (They called the doc and told them they were moving her and had no other choice and he was okay with it.)

I get back down to the ER after moving NeuroTrauma and the lights are still out in the tower we are in. The power has been off so long that our heart monitors that we had patients on went dead. BTW have you ever charted by flashlight?  The 102 year old Momma decided that given being in the hospital in the dark and at home in the dark she would rather be at home. Our MD’s discharged her and off they went. And I’m sure Momma was a lot happier at home.
Anyway, about 30 minutes after I returned from NeuroTrauma, several of us smelled smoke. So the fire department got called to search for a possible hidden electrical fire. I tell you THAT is scary. We were still in the department. We still had patients in the department and fully suited firemen with oxygen tanks are searching for a FIRE. They didn’t find one, but that’s an experience I never want to experience again.

All total I think we spent 3 hours in the dark before they got the generator back up. But it did get the TV watchers and psych patients out of the ER. Guess they didn’t like the dark. We did get to keep one older gentleman who was sent by his family because they couldn’t take care of him at home in the dark. He just wanted to curl up and go to sleep.

Most of the city was without power with temperatures over 100 degrees daily for the next week. Alot of what we were dealing with was heat stroke, COPD exacerbations from the heat and from attempts to clean up after, or injuries from the clean up.

So always keep a flashlight in your car. And be prepared to move your patients at any moment.

• News: New Communication Method Bridges Gap between Nurses, Physicians from NurseZone.com
• ACLS: Arrhythmias breakdown Resource: Americian Heart Association
• NursingStudio@gmail.com
• Voicemail: 206-337-0822
• 

• Beta testing Ubercaster for Mac
• Attempting Monday releases. Email me if I miss one and remind me.
• Looking for a recent NCLEX examinee to interview about that experience. Will need to interview via skype or phone. Email me if you are willing.
• Printable Nurse’s Notes now up.
• Second Life Nursing Meet Up Tues, Aug 8 at 5pm SLT (second life time) (don’t have Second Life? Join for Free. Please user referrer Tanya Book.)
• ACLS #3 Airway Skills Resource: Americian Heart Association
• NursingStudio@gmail.com
• Voicemail: 206-337-0822
• 

Nursing Studio Podcast was featured on the front page of the Medicine Section of iTunes’s Podcast Directory and I’m #7 in today’s top podcasts. Hope this helps in getting the word out to new subscribers!

ACLS Round 2: Primary and Secondary ABCDs

Resource: American Heart Association

Preparing for ACLS

Resource: http://www.americianheart.org

Podshow PDN {podshow-02a3104b738cfb76b0c4dedee757ecf0}

Nurse’s Notes

A promo from Podmedic & his Medic Cast, Just a quick update on my life and a song from the Podsafe Music Network, Stress by Jim’s Big Ego

I know I need to post another question & another podcast, but the hits keep on piling on one on top of the other. After the logic board replacement, I’ve moved 200 miles. And then will be moving again this week.  But I just had to share this link with you. It’s the Nursing Wiki. Add you knowlege. Students add your papers. Wikis are good sources of info because lots and lots of people add thier knowledge.

Don’t miss a post! For easy to subscribe options please visit to get everything to come to you!

A client is hospitalized for treatment of a fractured femur. Suddenly, he becomes pale, confused, and very short of breath. He complains of pain to his chest. The nurse also notes petechial hemorrhages on his legs and stomach. The nurse suspects that this client:

1. is having an acute anxiety attack
2. may have a fat embolism
3. may have a wound infection
4. is having a myocardial infarction

Podcast Class

Edited to add: I spoke with a eBusiness class at Virginia Intermont College about podcasts and how to do them. We created this podcast in class and I posted it for them

1. left atrium
2. right atrium
3. left ventricle
4. right ventricle

1. Assist the client to the bathroom
2. Palpate for fullness of the bladder
3. Apply manual pressure to the bladder as the client attempts to void
4. Insert an indwelling catheter

1. decrease the unit’s level of light every 2 hours
2. keep the neonate well covered to prevent cold stress
3. maintain the neonate’s position for 4 hours at a time
4. place an opaque mask over the neonate’s eyes

Source: Question & Rationale provided by Drexel University’s NCLEX EXCEL

1. “If his respirations are the normal rate and he isn’t retracting or grunting. I won’t need to bring him in for an oximeter reading.”
2. “His skin will have less chance of friction or pressure points from a sheet over the crib mattress than a sheepskin over the mattress.”
3. “When he stops sucking the nipple and falls asleep, he is telling me he has had enough to eat and is full.”
4. “The best time to provide exciting music, talking and stroking is during feedings when he is already awake.”

Source: Question & Rationale provided by Drexel University’s NCLEX EXCEL

Show Notes