zambezi BSN, RN

zambezi is a BSN, RN and specializes in CCU (Coronary Care); Clinical Research.

Latest Activity

1. 

   Preceptorship Expectations???

   zambezi replied to Ohmygosh's topic in General Nursing

   When I precept a student, I honenstly don't expect much as far as skills go, only because most people haven't had much clinical time. I would expect you to know the basics of assessment, starting IVs, foleys, ngts, bps, etc. What normal values for la...
2. 

   What Oregon towns/cities do you recommend working in and why?

   zambezi replied to fd5151's topic in Oregon

   Southern Oregon is beautiful and also offers smaller towns and lots of outdoorsy things to do. I also like Eugene-
3. 

   Post Term Babies/Deliveries

   zambezi replied to zambezi's topic in Ob/Gyn

   Just wanted to say hi! Thanks for all of your previous responses. Despite not wanting to induce, she decided that she did not want to come on her own. The birth didn't go as I planned (at all really) but I am happy with it. I did go in on the 24 th f...
4. 

   Post Term Babies/Deliveries

   zambezi replied to zambezi's topic in Ob/Gyn

   So I set up an "appointment" for the induction for monday the 24th- I will actually be 13 days post term at that point...All of my NSTs have looked good...I hope she comes on her own before then but I think she is just too happy where she is! I still...
5. 

   Hmm...."You don't have to run"...no?

   zambezi replied to JSRN81's topic in MICU

   I usually jog to codes. I am not in an all out sprint, or even a run for that matter- but if I walked it would take me forever to get there. That said- awhile ago we had an experienced RN and a new grad going to a code and the exp. RN was rounding a ...
6. 

   Post Term Babies/Deliveries

   zambezi replied to zambezi's topic in Ob/Gyn

   Thanks for the fast responses. Like I said the first NST was looked good and the second will be tomorrow. We are giving her 11 days post term (I am 8 post term currently) to show up on her own and if she doesn't we will induce on Monday...Like I said...
7. 

   Post Term Babies/Deliveries

   zambezi posted a topic in Ob/Gyn

   Hello! I Just have a quick question and wanted to get some of the experienced OB RNs thoughts. I have done a search on post term deliveries but didn't come up with any hits... Anyway, I am just over 41 weeks pregnant (and I am positive of dates). Hea...
8. 

   Administering IV antibiotic bolus with concurrent IVT

   zambezi replied to wils0389's topic in General Nursing

   I typically run everything on a pump. If I have my NS at 125 cc/hr, I just use the secondary port, program in how fast I want the abx to run...it runs in my abx at the specified rate and then switches back to my NS rate when it is complete. It is ver...
9. 

   Visitation and staying the night

   zambezi replied to optimisticSRNA's topic in MICU

   We have fairly lax visitation rules in our unit. The unit is closed between 630-800 both morning and night for shift change (unless there is something major going on with the patient- like life support was just turned off). Other than that it is typi...
10. 

    Cone biopsy, bad experience

    zambezi replied to Labrys's topic in Ob/Gyn

    This is definately one procedure that I am so glad that I don't remeber. I had propofol during my cone...not sure about pain meds, I know I had about 25 mcg fentanyl after I woke up for mild cramping but not sure about intra-op. I don't remeber anyth...
11. 

    Cervical Adenocarcinom in situ-> Info??

    zambezi replied to zambezi's topic in Oncology

    Sorry it took so long to reply! I had no symptoms. I went in for my yearly annual pap and it came back abnormal. A few weeks later I had the colposcopy after than which showed CIS (and when it was reread by another pathologist that specializes in wom...
12. 

    Common Drips Used in CCU

    zambezi replied to DangJ's topic in CCU

    Our most common drips are: Dopamine, Epi, Neo, Vasopressin (though this is a fairly new one for us), Nitro, Nipride, Heparin, Amiodarone, Propofol, Fentanyl, Primacor, Dobutamine, Cardizem Obvioulsy, we use others as well, but these are most common f...
13. 

    treatment of post-op hyperglycemia

    zambezi replied to barb o's topic in MICU

    When the patient first gets back from surgery and is vented or not taking PO we using an insulin drip. We check a BS with our frist labs when they arrive from the OR. We start insulin when the BS is 140 or higher. For diabetic patients, we start it o...
14. 

    back to med surg...can I give meds thru a permacath?

    zambezi replied to Shell5's topic in MICU

    I double what dinith says. Our docs prefer that we do not use the dialysis lines for IV meds or lab draws (unless a direct order is written to do so). The exception is in the event of a code or near code when immediate access is a necessity- I have u...
15. 

    Improvising the foley P and P

    zambezi replied to garciadiego's topic in General Nursing

    I am not even sure what #1 is... I usually place the drape under the patients hips but I don't consider it sterile (nor do I try to make it overly sterile). I just use it as a place to place my betadine swabs without getting my sheets dirty. I will ...