JeffTheRN

JeffTheRN has 8 years experience and specializes in ICU/CVU.

Latest Activity

1. Continuous ST segment monitoring

   JeffTheRN replied to enterprisern's topic in Critical

   I am interested in the responses to this as well. We have ST monitoring capabilities, however, it is not utilized in our facility.

2. Alaris pumps?

   JeffTheRN replied to Tantorium's topic in Critical

   Not a fan of Alaris pumps. We use Alaris pumps in the CTICU and we use Baxter in our ICU. I prefer the Baxter, just more user friendly. The Baxter has its "upstream occlusion" issues similar to the Alaris "air in line" issues though.

3. Why don't you just read the chart?

   JeffTheRN replied to Guest219794's topic in Relations

   We have the exact same issue in our hospital (or should I say Customer Service Center) as well.

4. Titratable drips

   JeffTheRN replied to nurs1ng's topic in Critical

   Our ICU has a small 3 ring binder in every room that has Excel sheets that lists our most common medicated drips with a lot of info including titration protocols. JCAHO wanted it, or should I say "recommended" it.

5. Why don't you just read the chart?

   JeffTheRN replied to Guest219794's topic in Relations

   Ok....my turn....why do you ED nurses hold my admission right up until the change of shift and then send it when I only have 20 minutes left to go home? What, oh, when I read the EMR it says that patient was ready to be admitted 4-5 hours ago!?! Oh...

6. Does your ICU have CNA's?

   JeffTheRN replied to Rose44's topic in Critical

   Connecticut - 16 Bed MICU/SICU. 8 bed CTICU. 1 CNA (PCT). They do all the blod draw sticks, temps and finger sticks. They also help with turns and general patient care.

7. OGT securement in intubated patients

   JeffTheRN replied to JeffTheRN's topic in Critical

   I agree with everyone and we still continue to tape to ETT's until my boss tell's me not to. When anesthesia drops off a post op CABG or valve in the CVU, the OGT is free floating and not secured in any way, but they're usually extubated within a fe...

8. Levophed and the CVP

   JeffTheRN replied to BonnieLass's topic in MICU

   Most of the attendings in our ICU do ultrasound IVC compressibility to assess fluid volume status.

9. PPM Question

   JeffTheRN replied to Wheaties1974's topic in Critical

   Technically speaking, epicardial leads to an external pacemaker is not a PPM. But that's really just splitting hairs.

10. Charge Nurse Pay

    JeffTheRN posted a topic in Management

    Just a general question...if you are a nurse that does charge duties as well, how much extra do you get paid to do so? Here, at my hospital, staff RN's only do charge on the weekends and have an assignment as well. We get an extra $0.75/hr to hand...

11. OGT securement in intubated patients

    JeffTheRN posted a topic in Critical

    We usually, as a standard, tape the OGT to the ETT (still being able to visualize cm markers and tube size markers etc...). Anesthesia, now, does not want anything taped directly to the ETT. My question for everyone is, what is your standard for se...

12. New in Cardiac/Telemetry Nursing

    JeffTheRN replied to NurseMaricel's topic in Cardiac

    Know your rhythms and practice good time management. Tele units can get BUSY BUSY. Other than that, enjoy yourself and congrats on the NCLEX!

13. New to CVSICU...cardiac gtts

    JeffTheRN replied to Stormy8's topic in CCU

    In our ICU/CVU we have our specific hospital policy and protocols (thank you State of CT for your constant visits and citations) for EACH and every titratable gtt (begin infusion at .... titrate by .... max infusion rates, etc...) Each room has it's...

14. What would you say to this shocking patient statement?

    JeffTheRN replied to aboucherrn's topic in Relations

    Nope. I'm just not naive and don't think everything needs to be seen through rose colored glasses. I don't see the problem with calling a spade a spade. I'm also quite content in my career choice and fairly darn good at what I do.

15. What would you say to this shocking patient statement?

    JeffTheRN replied to aboucherrn's topic in Relations

    "Anxiety, depression, fibromyalgia, chronic back pain, migraines etc..." = "blah blah blah I'M A MED SEEKER blah blah blah" Take it somewhere else, I'm not here to supply your habit and take your abuse.