[TeleNurse_02]

Can anyone help me with finding some info/education modules on swans? We don't use them alot, but I feel somewhat clueless when I get a patient with one.

Thanks!

[TeleNurse_02]

I found some very useful info on www.icufaqs.org.

Any other useful websites?

[codebluechic]

www.pacep.org

[zambezi]

I agree with code blue chic...it is a very good site. Other than that, practice, practice, practice...that is the best way...for me it didn't make sense until I used it frequently (which sounds like a problem on your unit) but try as hard as you can to work with them as often as you can unitl you become comfortable...

[EastCoast]

i think it is beneficial to know about what a SG cath actually measures and what those numbers actually mean. Previous to high technology we actually had to manually calculate SVR's and CO's and i think it helped me in the process of learning about hemodynamics. About 8 yrs. ago i found a very good article that gave a good summation and would be happy to reference it for anyone or fax it. pm if i can help.

[TeleNurse_02]

Thanks for the replies!

[XIGRIS]

Hi,

Please don't be intimidated by PA caths. I would rather have one than none at all. Consider it as a friend. If you are in Texas you could attend my class. A few of my students who are still in nursng school are exposed to it and I always let them handle patients with PA caths. I am happy to say that these students can immediately go to CVICU.

Also, you need to have a preceptor that is knowledgeable about PA catheters and know their physiologic use of it. Not just someone whjo knows how to use it because it is a routine.

The preceptor will have to be able to explain to you which reading in you PA measurement is preload and afterload. Which correspond to contractility and be able to correlate this to hemodynamics.

Another important factor is that, the preceptor if you have any should know how to read and measure the waveform accurately. You know if someone knows PA catheter if he is able to locate a A waves in your CVP or PAOP to make an accurate reading.

Again, it takes practice and pracitice makes perfect.

[pinkfloydfreak]

Thanks codebluechic, the pacep website is really nice. I've shared it with my co-staff and they all loved it.

[ONSnrs]

index
Thanks for the info, this internet site rocks, i am going to definately buy the book.
ons

[gwenith]

Personally I cannot wait for technology to relegate the Swann-Ganz to the medical museums. There are some nice innovations out there at the moment.