joeyzstj LPN

joeyzstj is a LPN and specializes in CVICU, ICU, RRT, CVPACU.

Latest Activity

1. Does anyone know the average cost per day per patient for ICU?

   joeyzstj replied to pH7.40's topic in Critical

   Somewhere around there....for a 24 hour period. If you add in a vent and drips it can easily double. A vent runs about 1200-1500 a day. Consider that a bad of Cardene may run $500 or more. Saving someones life and sending them home to their family is...

2. rapid response team

   joeyzstj replied to TulsaTime's topic in MICU

   No offense, but most of that sounds like things that other people are already assigned to do. Checking on patients on the floor that might need to go back? Are the floor nurses or step down nurses not competent enough to determine that and call the...

3. Most Common CV-ICU Surgical Procedures

   joeyzstj replied to lpn2crna1day's topic in CCU

   Robert Bojar's "Perioperative Care in Cardiac Surgery" should be given to every new person that comes into CVICU in my opinion. I had a CV Surgeon give it to me years ago and Ive convinced about 25 people in my unit to buy it, as well as the hospita...

4. New grad accepts cvimcu-need advice to prepare

   joeyzstj replied to Ihoplover's topic in CCU

   I often reccomend that my new grads buy "Perioperative Care in Cardiac Surgery" by Robert Bojar. Its a great book that covers almost every aspect of what you need to know. One thing you can start on that is going to help you get ahead is to become ...

5. Cardiac Preload and Afterload

   joeyzstj replied to orca1's topic in CCU

   www.pacep.org has an entire hemodynamic quiz/education program. Im not sure if the administrators will allow you to view a link to another website in this reply, but if so check it out. Its very informative.

6. CABG

   joeyzstj replied to richard1980's topic in MICU

   We have a CVICU, ICU and a CCU. CVICU takes all CVOR cases that our docs feel are too sick to be recovered in PACU. ICU takes Neurosurgical, trauma, ect. CCU is more of a medical management ICU for cardiac cases. Our heart program has about half ...

7. Question about MD/CRNA and my son's surgery

   joeyzstj replied to labcat01's topic in CRNA

   Give me the CRNA any day. I work with many CRNAs and MDAs closely every day. I will take a CRNA over and MDA any day of the week. I always laugh when patients come in the the hosptial insisting on requesting their Anesthesiologist. Im having a si...

8. Looking for a great ICU flow for RNs to organize their shift

   joeyzstj replied to christen13's topic in MICU

   Honestly, I just go by memory. I work with people who lose their minds if they misplace their "memory sheets". I orient a lot of new nurses. Some make up sheets based on body systems and some just jot down important notes. Meds are on the MAR, ve...

9. Cardiac Preload and Afterload

   joeyzstj replied to orca1's topic in CCU

   Think of preload in relation to a rubber band. If you remember back to Anatomy and Physiology class, there is an optimal point in which you can stretch a muscle fiber and it will have the most effiency. I belive its 120% of the orginal length of th...

10. CCRN format

    joeyzstj replied to putmetosleep's topic in CCU

    Watch the Laura Gasparis disks and you will be fine. If you have worked the required amount of time to take the CCRN and watched the disks it really isnt that difficult.

11. Tampanode Precautions after pulling epicardial pacer wires

    joeyzstj replied to cruisin_woodward's topic in CCU

    DNPStudent........the more experienced nurse was possible right or wrong depending on what she was referring to as the method of tamponade. There are different types of chest tubes and drains. Pleural chest tubes sit in between the pleural space, M...

12. Vasoactive meds/ Inotropes + Rate

    joeyzstj replied to RoyalNurse's topic in CCU

    Think of the drugs joining at the Y in the tubing as a fast moving river with someone standing on the side with a garden hose driping into the river at a specific rate. No matter how fast the river moves, the rate that you are driping the garden hos...

13. Got told our/ any neuro ICU is not really an intensive care unit

    joeyzstj replied to labman's topic in Neuro

    I do agree with that

14. Got told our/ any neuro ICU is not really an intensive care unit

    joeyzstj replied to labman's topic in Neuro

    Think about the need for a specific knowledge base when considering the statement that you just made. The brain is a very important organ.......argueably the most vital in terms of keeping the body alive. I made a comment in another section of this s...

15. New grad RN - question about afib, RVR, PVC's

    joeyzstj replied to asiajade71's topic in CCU

    Techinically anything 3 beats or over is a "run". Afib with RVR can turn into a run or a wide complex svt that is commonly mistaken for V-tach. Vtach is usually faster then 130 beats per minute. Im not sure what the patients history was, however a...