Bossy Boss

Bossy Boss has 13 years experience and specializes in CCU and Tele. stepdown.

Latest Activity

1. why so many puncture sites with tavr and ablations?

   Bossy Boss replied to NurseCollins799's topic in CCU

   We would call this a super ablation on the floor. This lets the nurse know that their will be multiple lines (sheaths), an art line and a RIJ to remove later when their patient comes up to the floor from EP lab.

2. Looking for some insight from seasoned CCU nurses :]

   Bossy Boss replied to alyssaryan797's topic in CCU

   Get as much training as possible. I have seen traveling nurses get over whelmed with basic assessment on CCU floors. Some will fluff their resumes to put them at a higher level ( pay scale ) experience. Which makes them more marketable. I was a clini...

3. Advice Needed Please!!!

   Bossy Boss replied to CTICU-RN's topic in CCU

   I have to agree with midisland on education. I was in the same boat I felt that I hit the glass ceiling being a clinical nurse superior. Don't get me wrong it was very challenging on a CCU floor at a trauma one center but I felt that I was just not g...

4. New CCU RN-Do I need to purchase a cardiology stethoscope?

   Bossy Boss replied to JLHCCURN's topic in CCU

   I hate using the cheap disposable ones, save you money and replace if needed.

5. Standards for icu set up

   Bossy Boss replied to Divergirl's topic in Critical

   Critical care room should be stocked with a ambu-bag/mask/suction ,tubing and yank. Often somewhere by the head of the bed, unopened ready get to if and when needed. They don't get charged to the patient unless used , I called this the mini bar conce...

6. Stethoscope covers OK for men?

   Bossy Boss replied to leftysoftball's topic in Men

   Cruz, brings up a good point about using a waist clip or holster. These would make a great alternative to a stethoscope cover.

7. Will LTAC help me get to ICU?

   Bossy Boss replied to lawandaluxnurse's topic in LTAC

   It will put you in a better position for hire. I am a nurse manager at a LTAC that has med surgery nurses and also has HI Op nurses. These are nurses that took extra training to take critical patients. Critical drips ,chest tubes, intubated patients,...

8. Review course by Laura Gasparis Vonfrolio

   Bossy Boss replied to jnnwilliams's topic in Critical

   I also listened to the tapes that were offered from her CCRN review coarse over 11 years ago. Do it you won't regret it. She has a great style of teaching.

9. retroperitoneal bleed

   Bossy Boss replied to rn4cicu's topic in CCU

   A patient could bleed post heart cath 3 days afterwards (RB-or pseudo hemotoma bleed) . Which makes it crazy.We have a post heart cath do's and don'ts sheet we send them home with a copy, we have them sign. We don't give lovenox till 6hrs after sheat...

10. Ambulate with Femoral Lines

    Bossy Boss replied to Ruby Vee's topic in CCU

    We don't let them up, they can turn on their side (log roll), but must keep their leg straight. the line will kink, form a clot, bleed internal or from site and be useless. What type of line is it. Art/Venous?

11. I hate nurses, what should I do?

    Bossy Boss replied to brentster_us's topic in New Nurse

    I agree. People can be mean at any age. Do the the best job you can, treat others how you would like to be treated. And don't be afraid to ask for help when you need it. It is a high stress job, most of the time we are working short staff. And deali...

12. Did anyone watch the Ben Carson movie on TNT?

    Bossy Boss replied to rn2bn07's topic in General Nursing

    It was a good movie, I liked it.

13. I hate nurses, what should I do?

    Bossy Boss replied to brentster_us's topic in New Nurse

    You will encounter mean people at any job you do. Trust me on this. Just be the best nurse you can be, don't worry about the small stuff.Some people are just mad at the world,no matter how many times you tried being nice to them. They will see, that ...

14. How to deal with nasty LPNs.

    Bossy Boss replied to arabella205's topic in General Nursing

    Sounds like they are trying to brake you in. As an RN you have all the IV's, new admissions & first assessments when working with LPN'S and the fall guy if anything goes wrong. While keeping all your Pt's from going "south" on you during your shi...

15. Midnight sleep schedule...any success stories?

    Bossy Boss replied to Penelope_Pitstop's topic in General Nursing

    It does take a good day or so to get back into a daytime routine. If you could bunch up your work days that way, you will have more days off in a row.