Kssrn404

Kssrn404 has 9 years experience and specializes in Cardiovascular recovery unit/ICU.

Latest Activity

1. What's In A Name Badge?

   Kssrn404 replied to TruvyNurse's topic in Professionalism

   I worked so hard for my BSN. My dad, and my best friend, had just died from heart disease at 50 years old. My mom and I didn't have the money for my school and my dad's company did not give him his retirement. Still, we didn't qualify for grants or o...

2. How do nurses keep current with up to date information?

   Kssrn404 replied to Shillelagh's topic in General Nursing

   i am in ICU/CVR and studying for the CCRN this year hoping to take it when I have enough hours logged in. I think that's the best way to go.

3. What are your biggest pains/ problems as a nurse?

   Kssrn404 replied to dma13's topic in General Nursing

   "Trach and PEG" over and over again. Why would a surgeon schedule an open heart surgery for a pt in ESRD, Malignant HTN, low EF requiring IABP post op (which the pt never comes off of) and COPD??!!!!! They will spend weeks in ICU then on to LTAC if ...

4. What are your biggest pains/ problems as a nurse?

   Kssrn404 replied to dma13's topic in General Nursing

   and somehow when these "clients" who don't care about their health for the last 30+ years and completely abuse their bodie suddenly want to know why we can't make them well and are the ones most likely to sue.

5. Nursing stereotypes. You MUST SEE THIS!!! It will either make you mad or make you laugh.

   Kssrn404 replied to Kssrn404's topic in General Nursing

   well, not sure why the photo is so large. Sorry guys

6. Nursing stereotypes. You MUST SEE THIS!!! It will either make you mad or make you laugh.

   Kssrn404 posted a topic in General Nursing

   The old stereotype of a female entering into the nursing profession just to snag a cute wealthy doctor has long loomed over us. You would think by 2016 we would have come a lot farther, but to my surprise things haven't changed all that much. Below ...

7. Terminated After Two Months!!

   Kssrn404 replied to Nurse Beth's topic in Nurse Beth

   I looked for a grad "internship " program and went into critical care right out of school. We were in the classroom for 4 months and had to pass all of our exams. Then we were in an empty unit with "hands on" from r another months. When we finally go...

8. Administering opiates

   Kssrn404 replied to Emergent's topic in General Nursing

   Absolutely right. There are receptors in the pain control section of the brain called "mu" receptors. Using dilauded as a first line takes up and binds to these receptor sites and tolerance builds. That's why so many addictionologists use bupenorphin...

9. Administering opiates

   Kssrn404 replied to Emergent's topic in General Nursing

   We too have a camera in our Med room. We also are required to draw up the marcotic in the Med room before going to the bedside. We have a finger print system. When doing a bedside procedure and sedation is required you sometimes have to draw up the ...

10. Administering opiates

    Kssrn404 replied to Emergent's topic in General Nursing

    ABSOLUTELY!!! When you're assisting a trach or PEG insertion at the bedside there's no time to "dilute" Versed or Narcuron or morphine. I may dilute in a 10 ml syringe depending on how much the physician gives with each dose. IVP is all we do with th...

11. Calling report to the floor.

    Kssrn404 replied to CardiacDork's topic in General Nursing

    yep and tamponade too. We have to "crack" the chest back open and the surgeon digs out all of the clots around the heart while I'm prepping them for emergency surgery. Beating heart exposed and all. Sometimes you just have to deal with it.

12. Hard Truth of Nursing

    Kssrn404 replied to Mr.Bill RN, BSN's topic in General Nursing

    i am an ICU nurse also work in CVR. I too feel administration does not help nor understand us in any way. HCAPS are breaking us for sure. We do everything possible to ensure our patients are well cared for and still receive low scores for petty thing...

13. Who Should Clean Up, Offgoing Shift or Oncoming Shift?

    Kssrn404 replied to Kooky Korky's topic in General Nursing

    AMEN!!!!! Do it together. While I(being new to ICU) am not as fast as the other nurses on the unit , always strive to leave the room restocked, clean and clean patient, there are times where a mess can happen at shift change. Such an example is diar...

14. showering: before or after work

    Kssrn404 replied to peachypurple's topic in General Nursing

    i have hypothyroid also and I bathe when I come home I work days. My skin would fall off is I showered twice a day.

15. CABG recovery ratios?

    Kssrn404 replied to brook0224's topic in CCU

    I had a tamponade as a new grad. It was terrifying to say the least. But I was able to stay focused and order stat labs, CXR and page the surgeon. We cracked the pts chest at the bedside and the liver looking clots were removed and the patient was ru...