ccrnjen

Latest Activity

1. Endotracheal tube securement

   ccrnjen replied to findingmywayRN's topic in MICU

   I have to second the vote for the Hollister AnchorFast. We trailed several different kinds and this is by far the favorite. It is super easy to do oral care, prevents skin breakdown and does not need to be changed frequently. Our policy is to move...

2. Pay differential for ICU, CCRN, BSN

   ccrnjen replied to ccrnjen's topic in MICU

   That is awesome! This is the way I think the pay scale should look for RN's. Do you have any idea what departments are on each tier - particularly the 2nd and 3rd tiers? Just to know where I am coming from, the current hospital I work at has the sa...

3. Pay differential for ICU, CCRN, BSN

   ccrnjen posted a topic in MICU

   Along the lines of a previous thread, I am interested in whether your institution has additional pay or differentials for critical care nurses, ICU nurses, BSN, certifications (particularly CCRN), etc. It has always bothered me that some places hav...

4. Cardiology Conference Topic

   ccrnjen replied to amynahmed's topic in CCU

   Depends on the audience you are presenting to.... I have always found interventional cardiology fascinating. The technology involved, the advancements made, current trends and devices... I still think it is amazing to see a blocked or narrowed arte...

5. CVP readings

   ccrnjen replied to sazza's topic in CCU

   Monitors do not always provide an accurate reading, particularly when there is respiratory artifact on the waveform. In order to get the most accurate reading, CVP should be read during the end-exhalation phase of breathing, when intrathoracic pressu...

6. Carotids

   ccrnjen posted a topic in MICU

   I would like to know what everyone does with post-op carotid endartectomy patients. Do they always go to an ICU? Only the ones with high blood pressure? How long are their hospital stays? What about carotid artery stenting (done in radiology)? A...

7. Which weight with titration?? daily wt or dry wt?

   ccrnjen replied to jbp0529's topic in CCU

   Had this very issue come up at work today. I was always taught to base titrations on the dry weight - or rather - the pt's admit weight. Weight changes, particularly weight gains that we see so often, is usually a result of fluid and third spacing....

8. failed med test

   ccrnjen replied to gizelda196's topic in MICU

   I went from a hospital that used the Alaris pumps as well and was lost when I had to calculate out all my drips. Here's the equations I found that work: 1ml/hr = ? mcg/min = (mg in bag)(1000 to get mcg)/ (ml in bag)(60min) Divide the above by kg to...

9. triple reflex

   ccrnjen replied to goldentxnurse's topic in Neuro

   I believe you are talking about triple flexion: Flexion at the hip, knee, and ankle, in response to stimulation of the sole of the foot. Typical of lesions of the pons. It is sometimes seen in brain death, but does not mean the patient has brain ste...

10. eating our young?

    ccrnjen replied to happytobehere's topic in CCU

    After having spent a good amount of time as a preceptor for new nurses to ICU, the difference between a new grad and a more experienced nurse who is new to the ICU setting is huge. I feel that nursing school does very little to prepare you for what ...

11. HELP! Arctic Sun and Cryoamputation issues

    ccrnjen replied to Cynthia_S's topic in MICU

    Try doing a search on google - hypothermia cardiac arrest. you can also add protocol or policy to get more detailed info instead of just the research. There seem to be several that are available online. Hope this helps!

12. Staffing rules and regulations? HELP!!!!

    ccrnjen replied to RNforLongTime's topic in CCU

    I don't know about the specific legalities involved in this - I would check AACN's site to see if they have any guidelines as they are probably your best resource. Your BON may have something. From my experience, whenever the census is down, we had ...

13. Ideas for a New Unit

    ccrnjen replied to CCU NRS's topic in CCU

    Many of you have great ideas - a few more that come to mind: -Make sure they don't put carpet in the hallways!! Seems obvious, but to them, it reduces noise. To us - it's a back killer trying to push beds (esp those with our larger patients!) -Make...

14. Giving baths on CCU

    ccrnjen replied to NurseEcho's topic in CCU

    I completely agree! I'm healthy and I bathe once a day. If I'm sick, I'm lucky if I feel good enough to bathe once a day. Twice a day, even if someone was doing it for me, would make me miserable! I think changing sheets when they are wet or soi...

15. Visitation and staying the night

    ccrnjen replied to optimisticSRNA's topic in MICU

    I have worked in units with both strict visiting hours that were adhered to for all patients except the dying and peds and those with 100% open visiting. Also worked in a unit going through the transition from limited to open. The transition is a h...