Guest193822

Guest193822

ICU (hearts,trauma,NICU, PICU, ER)

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About Guest193822

Guest193822 has 17 years experience and specializes in ICU (hearts,trauma,NICU, PICU, ER).


Nuyorican, OIF Veteran, CNS, Educator

Latest Activity

  1. Agree with my fellow nurses MAP I remember when i was in my critical care course (no going to tell you how long ago ) i was taught MAP >65 is all organs perfused , MAP 60 is brain only & MAP Hope this helps :)
  2. PAWP

    wedge is a no no with fresh hearts in my facility. We aren't risking busting the artery or valve when PAD is close enough to wedge. Besides in combination with your other hemodynamic you can tell if the issue is (cardio or pulmonary). We are old sc...
  3. Fresh Heart Training

    No such thing with on the job training with this population. My facility had a program specifically for fresh hearts. Its not only about meds it's about the equipment & the situations you can be in with these very ill pt. Agree learning the rou...
  4. CCRN anyone?

    Congrats to everyone who recently passed the CCRN. I know it's a hard exam. Good Job. I personally am not ashamed of confessing I failed by 1 question. I still have my results. I was so angry I decided not to retake it. This was 10 years ago...
  5. Liberty University MSN in Nurse Education

    I plan to apply for the MSN in Nursing Education. I spoke with them today. This school is very military friendly a + for me. I was disappointed they ended there Adult Acute Care CNS program which I was very interested in but I noticed the classe...
  6. Open Heart Recovery Training

    I have to agree hands on training is definitively important to Open Heart Recovery. Especially that wonderful 1st 12hrs. :) There's nothing wrong with reading books. I also have "Cardiac Surgery Essentials for Critical Care Nursing" on my Nook. Yo...
  7. Georgetown University ONLINE Nursing Education Program

    I'm working on my application for Graduate School. It's not a simple processes. I've been at the bedside for 12yrs so I really don't know to much about new entry RN school. I think you should go to the website & investigate. I do know however ...
  8. Is anyone on this site in this program. I'm seriously thinking about applying. I just want know how the programs is like. I did the online seminar session already, however I would like to get feedback from those already in the program.
  9. Max on Levophed?

    Levophed max is 40mcg/min. I've worked in some hospitals that will not allow over 20mcg/min & a order is required to go above this. I recently worked in an hospital where the Pt was on 75mcg/min with a Vasopressin at 0.02U/min. Of course the p...
  10. Passed CCRN

    I've been in this nursing field for 12 yrs. Critical Care/ Trauma is all I know. I attempted to take the CCRN in 07 & failed by one question. I still have my score card. I was so upset I never open another book or took a practice test again. ...
  11. Precedex

    We don't use Precedex at all for our hearts. My experience with Precdex isn't great b/c it doesn't work all the time & it does cause hypotension & bradycardia. It's for short term intubations & easy neruo checks, but it doesn't work fo...
  12. can ICU nurse handle 2 pts on the levophed same time

    LOL! This is to much for me. I never heard of any such policy. I personally have taken care of 2 pt's with Levo & multiple drips at once & both intubated. This is a daily life of the ICU nurse. I think you should look up the policy in...
  13. IABP removal

    I think I would have gotten fired this day b/c there is no way I will I will allow this until I called Datascope (MAQUET) & taken out the hospital policy to explain to the Cardiologist I question his method. We are using the new fiber-optic tec...
  14. just finished week #1 of being an ICU nurse

    I love to see newbie proud of themselves. This of course couldn't have happen without the hospital critical care program & your preceptor. Don't forget the nursing is a forever evolution & new things come out every day. Don't forget to loo...
  15. Need some Precedex advise

    I'll be honest when I get an order for Precedex, I'm in the habit of pulling out Propofol. I've used this medication since it appeared in my hospital & I'm not a fan of it. It doesn't work for everybody & it does have have effects I'm not...