Shari

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1. angioseal

   Shari replied to Shari's topic in CCU

   Thanks Aggie! I don't know about PACU, but we do have a recovery room for heart cath patients. I believe it is utilized more for the outpatient versus inpatient.

2. angioseal

   Shari posted a topic in CCU

   Our cath lab started using angioseals. They bring the patient up to us then cut the suture and remove the clamp. We have had several complications with bleeding from these. We also have recently received two patients from the cath lab after "faile...

3. 09:31 AM

   Shari posted a topic in MICU

   No, we still treat them as a critical patient until a bed is ready. I would rather be able to treat them as a non-critical patient especially when you have 3 patients to take care of.

4. Troponin testing

   Shari replied to alvrn's topic in CCU

   In the ED at our hospital they only use troponin testing. If the patient is admitted then the cpk with isoenzymes are done. Usually two sets of cpk's. We also use myoglobin testing which in a sense is silly to me to do all three. But like I said ...

5. CCU - Removal of Femoral Sheath by Registered Nurses

   Shari replied to CWhite's topic in CCU

   At our institution we have standing orders for morphine 2-5 mg or Valium 5-10mg for sheath pulls. After we draw ACT levels we do not flush the line unless it is connected to a fast flush device with pressure bag. Sometimes our patients come back wi...

6. Any CCU nurses want to talk

   Shari replied to Brian's topic in CCU

   Hi! My name is Shari. I have been in critical care for 10 years. The last year I switched to CCU. It was a weakness for me so I took the plunge to learn more about it. I'm in a large teaching hospital where we do several caths and interventions ev...

7. CCU respect

   Shari replied to Shari's topic in CCU

   Aggie, Yes, we do round with the cardiologists and all of the doctor's. Our medical director seems very pleases upfront with us. Later we hear negative comments he has made in other units about us. This in turn gets the ball rolling in the nursing...

8. CCU - Removal of Femoral Sheath by Registered Nurses

   Shari replied to CWhite's topic in CCU

   We pull femoral sheaths where I work. The policy varies as far as the way in which you pull the line. Manual, Compressar, and Femostops are what we use. On our standing orders there are paramaters that have to be met in order to pull the lines. F...

9. CCU respect

   Shari posted a topic in CCU

   Our CCU is in quite a large hospital. About three years ago we moved from a regular unit setup to an actual critical care setting. We now accept more critically ill patient with balloon pumps, vents, etc... Even though we have changed, our image a...