This was great! Please do more real-life situational/intervention videos like this! I think the biggest challenge for me as a student nurse is applying my knowledge to a clinical situation, plus things like knowing when to call the doctor is what students get the least amount of experience with, so this was so helpful!
That is so true! I remember as a new graduate freaking out about everything!!! You definitely learn 80% of how to be a nurse on the job :) I will do my best to keep the scenario's coming! Thank you so much for letting me know that it helped!! Looking forward to hearing from you again soon! Much Love, - Caroline
Thank you for sharing Caroline. The information you share to us are priceless, especially for nursing student as such myself. Please continue sharing your hospital experience in this channel, it could help us save a life someday. Thanks God Bless
Hi John! Thank you so much for this comment!! It means so much to me :) It really is my pleasure to share my experience with you guys! I never thought about it that way though... thanks so much for saying that :) Really looking forward to hearing from you again soon! Much Love, - Caroline
I haven't even started the Nursing Program yet, but I am SO excited for the upcoming prospect of helping people!! I LOVE watching your videos! I know that one day, if I am ever in a similar predicament...your words will come back to me! Keep up the good work! I am loving it!! :)
Hi LaVerne! Thank you so much for letting me know!! Honestly, I know that hearing other peoples stories is a great way to learn; because it works for me as well :) So I'm really glad to hear that these videos are helping you!! Thank you so much for letting me know and I look forward to seeing you again very soon!! Much Love, - Caroline
TY for sharing, and walking us through your plan & options and explaining the reasons for why you made certain choices. This critical thinking will gives us new RN’s an idea of what it’s like at the bedside as it’s happening! TY!!
Hi Jesse!! Congratulations for starting the nursing program in the fall!!! Please let me know if you ever have a video request :) I'm sure you are going to be an awesome nurse ;) Looking forward to seeing you again soon!! Much Love, - Caroline
+Sabrina Botelho Hi Sabrina!! Thank you so much for letting me know!! Maybe I will try to create more video scenarios :D By the way... I started on your video... but I'm not sure if I'm going to be able to finish by the time you start. I have the perfect idea though!!!!! And I'm super excited to make it for you!!! I will let you know when I post it!! Love you!! xoxo - Caroline
Hi Stephanie!! Honestly, it is not too difficult :) Sometimes it is tricky & we have to be careful... but it is that bad :) Nice to see you again!!! xoxo - Caroline
Thank you for your videos, I passed freshman year, taking pharmacology this summer. Looking forward to more advice and info to help get me through one more year :)
Hi Pamela! Thank you so much for letting me know!! Congratulations on your success :) I know you worked hard for that!! I will do my best to keep the information coming!! Let me know if you ever have a specific request!! Looking forward to hearing from you soon! Much Love, - Caroline
Interesting material. Thank you for taking the time to discuss the situation and give some insight into prioritization. Real-World examples help me learn better than just talking about random facts. Again, thank you! Your explanation of DA, however, confused me. I was taught to start with what the answer is looking for. In this case, it is ml/hr (or mL/hr =). So, if we start with mL/hr = we can plug in the numbers. mL/hr = 100 mL/100 mg [(1ml/1mg)] x 10 mg/1 hr [ordered dosage] = 10 mL/hr.
Hi Caroline, I came across your channel and completly feel like your are a God sent…I decided to enter my 2nd Career in Nursing. Can you do a video on how to find accredited schooling/programs for those confused on where to look?
Hi Shyera! So nice to hear from you!! I am so glad that you found me :) I love how youtube allows us all to connect! Since this is your second career, are you looking for accelerated BSN options? Accelerated BSN is a great option for peps who already have a bachelors degree. So you may want to look into that option... Just make sure they are either NLN or CCNE accredited... once you are looking into these accelerated programs... I believe they are all accredited :)Let me know if you have any more questions!! Much Love, - Caroline
oxygen. EKG. start a 2nd line and hang a bolus NS (always have one ready if you're going to start a dilt drip if pressure tanks) and cycle pressure q10 min. dilt bolus and start gtt at 5mg/hr and titrate while watching systolic pressure and HR. nbd. but this is why I work ER and not the floor.
Alexa Schroepfer nah don’t knock the floor (17 years on MS/Tele) knock the nurse and or dr. because when she was talking I said the exact thing and depending on the dr.,,,, it might of all been done prior to me calling... would’ve told them what I did....chill with that that’s why I work in ED because the department doesn’t matter it’s the nurse or physician
we have pumps that calculate for us, but this is useful, You forgot to talk about the HR goal rate order. They would usually say heart rate goal of 110, then also how often to monitor the BP, and heart rate.
Hey Caroline. can u do a heparin drip (weight based) and amioderone drip. I'm a new tele nurse, any help/advise would be great! love your videos :)) thank u 😚
NurseMurse Thank you Patrick :) I like your channel by the way :) Keep up the good work.... we need more positive people in the nursing profession & sharing your voice socially is a great thing :) See you soon! xoxo - Caroline
+Michael Roche Yes, especially with Cardizem, if you have the wrong rate you can have the heart beating too fast or too slow. I hope this helps! - Caroline
Hi Brianna, great question.... I was referring to the resting heart rate 😊 of course when you work out or exert yourself it is normal for the HR to increase 😉
You’re story was to long and didn’t get to the point until the end. I didn’t find you explanation helpful. What would have been helpful would have been sticking to the topic and going deeper into how applying the formula or concept to drip rates or IV pumps. Enjoyed your enthusiasm and clearly you’re very knowledgeable. Thank you.
You're hardworking ma'am I guess, and observant of the patient just don't overthink unless you have some lateral thinking Y'know, Medical knowledge, Scientific, distinguishing between fake and true behavior, Psychology on the patient and Psychology on you etc. Good computation lecture though.
wtf @ all these misogynistic comments?! YES NURSES HAVE ALL SHAPES SIZES AND LOOKS she is worth much more than just a pretty face! Shes very smart but also a little airheaded and should work on her public speaking skills. But shes still awesome and doesnt need to be objectified and disrespected by perverts commenting on here!
A rapid response for an anxious patient??? And the anxious patient's heart rate was fast....but BP was fine and the mean arterial pressure was normal (MAP measure for perfusion). BP= 110/60 or (60*2=120+110= 230/3= 76.66 or 77 MAP). It sounds like you overreacted to the situation. What you should have done was to calm her down and recheck her vitals in 15 min. Obviously the doctor's news was too overwhelming. However, you are pretty so most people wont care.
Cindy Ro. Hi Cindy! Each situation is different, maybe I did over react... definitely possible. But that is what I love about working in a hospital... extra help is just a call away :) Thanks for the comment! Much Love, - Caroline
***** Hi there, thanks for the reply. Of course I'm not forgetting about the true goal of your site and that is to empower. Feel free to contact me for any expert advise. Ciao!
Overreacted? A sustained heart rate like that is not stable. Yes, you got good BP but that only tells you that the tachycardia is not caused by dehydration from diarrhea, nor sepsis. Caroline did the right thing and called for help. Like the cardiologist said, patient looks like she is having an afib. A dose of Ativan or Xanax would have not help that heart rate, and patient could have shot a clot if this was not resolved. Good job *****!! You saved a life! And oh, youre not just another pretty face. Keep up the good work!
MIMC90 Actually, a tachycardia must be treated by it's underlying cause and dehydration from diarrhea is a good one...that's why doctors order boluses and the like. No one said give the patient Ativan and Xanax, that would just be pill pushing. I've been doing this long enough to know that, yo. In any case, good job Caroline! You go girl! Save that patient. In the end, that's all that matters. Keep your eyes open and be open to learn new perspectives every day.
You are correct that the treatment for SINUS tachycardia is to fix the underlying cause. However, it sounds as though this patient described in the video was likely in Atrial fibrillation with rapid ventricular response. A STAT ECG is warranted to decide the next course of action. Treatment for A-fib is usually Amiodarone or Cardizem gtt.
This was great! Please do more real-life situational/intervention videos like this! I think the biggest challenge for me as a student nurse is applying my knowledge to a clinical situation, plus things like knowing when to call the doctor is what students get the least amount of experience with, so this was so helpful!
That is so true!
I remember as a new graduate freaking out about everything!!!
You definitely learn 80% of how to be a nurse on the job :)
I will do my best to keep the scenario's coming!
Thank you so much for letting me know that it helped!!
Looking forward to hearing from you again soon!
Much Love,
- Caroline
Thank you for sharing Caroline. The information you share to us are priceless, especially for nursing student as such myself. Please continue sharing your hospital experience in this channel, it could help us save a life someday. Thanks
God Bless
Hi John!
Thank you so much for this comment!! It means so much to me :)
It really is my pleasure to share my experience with you guys! I never thought about it that way though... thanks so much for saying that :)
Really looking forward to hearing from you again soon!
Much Love,
- Caroline
I haven't even started the Nursing Program yet, but I am SO excited for the upcoming prospect of helping people!! I LOVE watching your videos! I know that one day, if I am ever in a similar predicament...your words will come back to me! Keep up the good work! I am loving it!! :)
Hi LaVerne!
Thank you so much for letting me know!!
Honestly, I know that hearing other peoples stories is a great way to learn; because it works for me as well :)
So I'm really glad to hear that these videos are helping you!!
Thank you so much for letting me know and I look forward to seeing you again very soon!!
Much Love,
- Caroline
I really enjoyed your video!! Your good at explaining things in a way that is easy to understand and your enthusiam is contagious :)
Hi Jessica!
Thank you so much for letting me know!!
I really appreciate it!!
Looking forward to hearing from you again soon!!
Much Love,
- Caroline
TY for sharing, and walking us through your plan & options and explaining the reasons for why you made certain choices. This critical thinking will gives us new RN’s an idea of what it’s like at the bedside as it’s happening! TY!!
That was pretty awesome to me. Coincidentally it is exactly what I'm learning in algebra right now.
Thank you so much!
Awesome!!
Thank you so much for letting me know!!
Looking forward to seeing you again very soon!!
xoxo
- Caroline
You are awesome! I'm starting nursing school in the fall and I hope I am half the nurse you are some day! Thanks for the video!
Hi Jesse!!
Congratulations for starting the nursing program in the fall!!!
Please let me know if you ever have a video request :)
I'm sure you are going to be an awesome nurse ;)
Looking forward to seeing you again soon!!
Much Love,
- Caroline
Love hearing scenarios. Thanks fir sharing Caroline
+Sabrina Botelho
Hi Sabrina!!
Thank you so much for letting me know!!
Maybe I will try to create more video scenarios :D
By the way... I started on your video... but I'm not sure if I'm going to be able to finish by the time you start.
I have the perfect idea though!!!!! And I'm super excited to make it for you!!!
I will let you know when I post it!!
Love you!!
xoxo
- Caroline
its okay Caroline. you know I appreciate it and I will still be beyond thankful even If you make it a year later. you are the best. love you :]
awesome video! you explain the math really well and make it seem very easy. can't wait to start the nursing program! Thank you for this video!
xoxo
Hi Stephanie!!
Honestly, it is not too difficult :)
Sometimes it is tricky & we have to be careful... but it is that bad :)
Nice to see you again!!!
xoxo
- Caroline
Thanks for the real world example. This was excellent.
Hi Quiqui!
Your welcome :)
Thanks so much for letting me know that you liked it!!
Looking forward to hearing from you soon!
xoxo
- Caroline
Thank you for your videos, I passed freshman year, taking pharmacology this summer. Looking forward to more advice and info to help get me through one more year :)
Hi Pamela!
Thank you so much for letting me know!!
Congratulations on your success :)
I know you worked hard for that!!
I will do my best to keep the information coming!!
Let me know if you ever have a specific request!!
Looking forward to hearing from you soon!
Much Love,
- Caroline
Good stuff. Learned a lot, like the critical thinking and the real life experience to learn from!
Awesome!!
Thanks so much for letting me know :)
See you soon!!
- Caroline
thanks so much for the video this actually helps alot ..........real life experiences help me understand so much better!
Thank you so much for letting me know!!
I really appreciate it!!
Looking forward to seeing you again soon!
Much Love,
- Caroline
thanks for the video, it was really helpful
That was very educational. I enjoy your lecture.
Once again great video Caroline!
Thank you so much Justin!
I really appreciate it!!
Looking forward to seeing you again soon!!
Much Love,
- Caroline
Interesting material. Thank you for taking the time to discuss the situation and give some insight into prioritization. Real-World examples help me learn better than just talking about random facts. Again, thank you! Your explanation of DA, however, confused me. I was taught to start with what the answer is looking for. In this case, it is ml/hr (or mL/hr =). So, if we start with mL/hr = we can plug in the numbers. mL/hr = 100 mL/100 mg [(1ml/1mg)] x 10 mg/1 hr [ordered dosage] = 10 mL/hr.
Was the medical team also focused on getting lab draws for possible septicemia?
Thank you so much for this video EmpowerRN!
Hi Caroline, I came across your channel and completly feel like your are a God sent…I decided to enter my 2nd Career in Nursing. Can you do a video on how to find accredited schooling/programs for those confused on where to look?
Hi Shyera!
So nice to hear from you!!
I am so glad that you found me :) I love how youtube allows us all to connect!
Since this is your second career, are you looking for accelerated BSN options?
Accelerated BSN is a great option for peps who already have a bachelors degree.
So you may want to look into that option... Just make sure they are either NLN or CCNE accredited... once you are looking into these accelerated programs... I believe they are all accredited :)Let me know if you have any more questions!!
Much Love,
- Caroline
Thank you so much .. You are very informative
Sasha Jenkins Hi Sasha!
Thanks so much for letting me know!
I really appreciate it!
See you soon!!
- Caroline
oxygen. EKG. start a 2nd line and hang a bolus NS (always have one ready if you're going to start a dilt drip if pressure tanks) and cycle pressure q10 min. dilt bolus and start gtt at 5mg/hr and titrate while watching systolic pressure and HR. nbd. but this is why I work ER and not the floor.
Alexa Schroepfer nah don’t knock the floor (17 years on MS/Tele) knock the nurse and or dr. because when she was talking I said the exact thing and depending on the dr.,,,, it might of all been done prior to me calling... would’ve told them what I did....chill with that that’s why I work in ED because the department doesn’t matter it’s the nurse or physician
@@rho690 exactly
we have pumps that calculate for us, but this is useful, You forgot to talk about the HR goal rate order. They would usually say heart rate goal of 110, then also how often to monitor the BP, and heart rate.
Hey Caroline. can u do a heparin drip (weight based) and amioderone drip. I'm a new tele nurse, any help/advise would be great! love your videos :)) thank u 😚
+penny alonso Sure thing :) here you go :) czcams.com/video/BAI4hJDwui4/video.html
Excellent!!!!
I really enjoyed this video. it learn my so easy!!!
Hi Neta!
Thank you so much for letting me know :)
I really appreciate it!!
Looking forward to seeing you again soon!!
Much Love,
- Caroline
we love and appreciate you so much with each video Caroline :')
I really liked the story Caroline!
NurseMurse Thank you Patrick :) I like your channel by the way :) Keep up the good work.... we need more positive people in the nursing profession & sharing your voice socially is a great thing :)
See you soon!
xoxo
- Caroline
***** Aww that's super cool of you! Your so rad! :) haha. Thank you! xo
Omg thank you so ssooo much
thanks
does the drip rate matter at all in this sinario?
+Michael Roche
Yes, especially with Cardizem, if you have the wrong rate you can have the heart beating too fast or too slow.
I hope this helps!
- Caroline
I’m a tele nurse transitioning to PACU
HR should be bellow 100 at all times? What if you're working out? What if you're anxious?
+Brianna Hildreth *below
Hi Brianna, great question.... I was referring to the resting heart rate 😊 of course when you work out or exert yourself it is normal for the HR to increase 😉
thanks for the answer :) !!
You’re story was to long and didn’t get to the point until the end. I didn’t find you explanation helpful. What would have been helpful would have been sticking to the topic and going deeper into how applying the formula or concept to drip rates or IV pumps. Enjoyed your enthusiasm and clearly you’re very knowledgeable. Thank you.
cross multiply? ????
rapid response - hr 170 - won't perfuse well for long
Eye candy for a teacher I see .
You're hardworking ma'am I guess, and observant of the patient just don't overthink unless you have some lateral thinking Y'know, Medical knowledge, Scientific, distinguishing between fake and true behavior, Psychology on the patient and Psychology on you etc. Good computation lecture though.
wtf @ all these misogynistic comments?! YES NURSES HAVE ALL SHAPES SIZES AND LOOKS she is worth much more than just a pretty face! Shes very smart but also a little airheaded and should work on her public speaking skills. But shes still awesome and doesnt need to be objectified and disrespected by perverts commenting on here!
:)
just finished nursing and wondered what type of male nurses do female nurses find attractive lol?
You are very beautiful
A rapid response for an anxious patient??? And the anxious patient's heart rate was fast....but BP was fine and the mean arterial pressure was normal (MAP measure for perfusion). BP= 110/60 or (60*2=120+110= 230/3= 76.66 or 77 MAP). It sounds like you overreacted to the situation. What you should have done was to calm her down and recheck her vitals in 15 min. Obviously the doctor's news was too overwhelming. However, you are pretty so most people wont care.
Cindy Ro. Hi Cindy! Each situation is different, maybe I did over react... definitely possible. But that is what I love about working in a hospital... extra help is just a call away :)
Thanks for the comment!
Much Love,
- Caroline
***** Hi there, thanks for the reply. Of course I'm not forgetting about the true goal of your site and that is to empower. Feel free to contact me for any expert advise. Ciao!
Overreacted? A sustained heart rate like that is not stable. Yes, you got good BP but that only tells you that the tachycardia is not caused by dehydration from diarrhea, nor sepsis. Caroline did the right thing and called for help. Like the cardiologist said, patient looks like she is having an afib. A dose of Ativan or Xanax would have not help that heart rate, and patient could have shot a clot if this was not resolved. Good job *****!! You saved a life! And oh, youre not just another pretty face. Keep up the good work!
MIMC90 Actually, a tachycardia must be treated by it's underlying cause and dehydration from diarrhea is a good one...that's why doctors order boluses and the like. No one said give the patient Ativan and Xanax, that would just be pill pushing. I've been doing this long enough to know that, yo. In any case, good job Caroline! You go girl! Save that patient. In the end, that's all that matters. Keep your eyes open and be open to learn new perspectives every day.
You are correct that the treatment for SINUS tachycardia is to fix the underlying cause. However, it sounds as though this patient described in the video was likely in Atrial fibrillation with rapid ventricular response. A STAT ECG is warranted to decide the next course of action. Treatment for A-fib is usually Amiodarone or Cardizem gtt.