jbp0529

jbp0529 specializes in CVICU, CCU, MICU, SICU, Transplant.

Latest Activity

1. drips connecting at y-site

   jbp0529 replied to fiveofpeep's topic in MICU

   Here is another thing to keep in mind about y-siting drips: Lets say you have 4 drips all y-sited together (not with a "chicken foot", but one y sited with another, which is y sited with another and so on). By the time you have them all hooked up, th...

2. What Personalioty Does Best in ICU Nursing?

   jbp0529 replied to JMomBaby's topic in MICU

   Wouldn't have it any other way.

3. Rude Physician - Tips for Handling

   jbp0529 replied to Ihoplover's topic in Relations

   It's kinda like the sterotypical school bully. If you stand up for yourself, most of the time you will be left alone. It's even possible that you will make a new "friend" once the dust settles. I've seen it several times...the doc and nurse get into ...

4. what is the best/worst specialty docs to work with...

   jbp0529 replied to ErinDel's topic in General Nursing

   I hate to label people or specialties, but I would say surgeons. I work with them every day (cardiothoracic). They will use you for a doormat if they dont chew you out first. Once in a blue moon I run into a nice one and it's like a vacation. Seems l...

5. do you work with your significant other, or any family members?

   jbp0529 replied to ErinDel's topic in General Nursing

   I work in the same hospital as my significant other, his brother, and his mother. We all work separate units so there isn't an issue, except trying to coordinate times for all of us to meet for lunch :-)

6. Any one using Cleviprex in their unit?

   jbp0529 replied to jbp0529's topic in CCU

   My thoughts/feelings exactly. I'm hoping this falls out of style quickly. I dont know how expensive this stuff is, but I'm sure that being relatively new it isn't cheap. Coupled with discarding the un-used portion q 4 hours + the cost of a set of IV ...

7. Any one using Cleviprex in their unit?

   jbp0529 posted a topic in CCU

   Hello all: My unit just started using this new anti HTN drip (well, new to us anyway), called Cleviprex. It's a calcium channel blocker, looks like propofol, is run in mg/hr. Apparently someone has won over the minds of our surgeons on this drug and ...

8. Chest tube came out!

   jbp0529 replied to julieK's topic in General Nursing

   Julie, funny story: I had a similar thing happen to me several weeks ago. I work in ICU and its still a big headache and kinda stressful for a few minutes. My pt (who truly was AOx3 and appropriate), intentionally pulled all 3 of his chest tubes o...

9. Round of applause for nurses who dont tolerate negative behavior

   jbp0529 posted a topic in General Nursing

   Just wanted to vent a little, I apologize ahead of time... I recently moved to a smaller, private hospital in one of their ICU's, from a larger teaching hospital. I am appalled how a handful of the docs at this new place treat the nurses. They freq...

10. ICU Interviews do's and oh no she did not's!!

    jbp0529 replied to lpn2crna1day's topic in CCU

    Ditto that. If one of our prospective nurses mentions CRNA during the process, its automatically a big red "X". I'm not personally saying that having CRNA as a goal is good, bad, or indifferent...its just my unit's written/unwritten stance on the m...

11. "Is this patient abandonment?"

    jbp0529 replied to prn nurse's topic in MICU

    That's extremely unfair to you, the rest of the unit, the pts, and the student. The involved nurse and charge nurse should be questioned by management.

12. "Is this patient abandonment?"

    jbp0529 replied to prn nurse's topic in MICU

    Aside from the obvious pt abadonment issue, leaving a CNA in charge of an ICU pt, etc... I would also think (putting myself in the role of the hospital's legal dept), that if something happened to these nurses while they were clocked in and off hospi...

13. very old-school, behind-the-times CVICU

    jbp0529 posted a topic in CCU

    So here's my situation: a few months ago, I changed jobs from a teaching hospital CVICU (for personal reasons), and thought I'd try out another CVICU in a private hospital. Interview process went well, staff are friendly, facility is nice looking, e...

14. Help Please!!

    jbp0529 replied to ashleyjean3's topic in Emergency

    Very interesting (and heated) thread. I, too, work in an ICU, but would like to weigh in just the same. I can truly understand both sides of this discussion. The ER needs to move ppl out for other sick patients, and the ICU needs to keep close moni...

15. Lowest Blood pH

    jbp0529 replied to EricTAMUCC-BSN's topic in MICU

    pH 6.7, mixed metabolic and respiratory nightmare. Came from ER intubated, advanced sepsis. Bicarb drip at 250 ml/hr, maxed on multiple pressors. Chest xray a total white-out. Vent changed to an osscilator on arrival, quinton placed for CVVHD. F...