Southern_RN

Latest Activity

1. massaging a hematoma post sheath removal

   Southern_RN replied to msperkey's topic in CCU

   "Mash out" the hematoma. If the pt developes a hematoma... hopefully someone is holding manual pressure at the same time of mashing it out. A hematoma itself is not enough pressure to stop an active bleed. The standard hold time is 5min for every Fre...

2. Q about a fib and gaps in heart rate

   Southern_RN replied to GoldenFire5's topic in Cardiac

   In a-fib it is "ventricular stand still"-- just sounds more fun :chuckle

3. Shift DRAMA

   Southern_RN replied to RN1981's topic in General Nursing

   Keep fighting for your three 12's. Upon starting my last job, I was promised first chance on a day shift position once one opens. My NM was VERY passive aggressive. I was bounced from days to nights, even though my job description did not indicate I ...

4. Cath Lab questions

   Southern_RN replied to mrmike's topic in CCU

   For unit experience, it depends who you talk to. My fiance (cath lab RN) worked CSCU recovering hearts, while some of his co-workers worked MICU. On the other hand, I worked step down and had no problems entering a cath lab position. Typical call to...

5. Question about meds and PCI

   Southern_RN replied to lenka SRN's topic in CCU

   Just some rationale behind holding/giving the meds listed. ASA: give. They will be on ASA for a time after procedure, risks associated with bleeding are less than the benefits. Metroprolol: give (as long as HR >60, or per protocol). Beta Blockers ...

6. NPO and meds

   Southern_RN replied to stephlucasrn2008's topic in MICU

   Just clarify if it is a "Strict NPO" or "NPO except meds". Every MD is different, and contradictary to the previous answer posted, we request our procedure pts to recieve their usual meds (with the exception of glycemics and diuretics) with no more t...

7. CCRN-- Do I Qualify??

   Southern_RN posted a topic in Cardiac

   I worked on a PCU before leaving for a Cath Lab position 5 months ago. I have decided to start preparing for the CCRN exam, even though I plan on taking the exam next year. In reading the AACN's elegibility requirements it states: "Critical care pra...