raskol

raskol

cardiac stepdown, pre-hospital

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About raskol

raskol specializes in cardiac stepdown, pre-hospital.


Latest Activity

  1. Pain management post open heart surgery?

    My unit takes hearts post op day 2. We rely on percocet 5 or 7.5 q4 (1 tablet) or q6 (2 tablet). If that is not adquate, we get IV morphine, dilaudid, toradol, or talwin depending on the surgeon. We...
  2. Stupid things doctors do?!

    I had a vascular resident ask me what VICU was. I must have made a look because he went, "It's vascular icu isn't
  3. Nurses working overtime

    Just came home from another shift. Nurses who are already scheduled overtime this week will be mandated to stay past their eight hour shift because we have TWO NURSES for 28 beds. Because we were only...
  4. Nurses working overtime

    On average I work 48-52 hours a week. My status is full time 40 hours, however my unit is at mandated overtime and has been since
  5. Gloves & Allergies

    I've been in health care for about 5 years both EMS/hospital. Up until last summer, all the places I worked had nitrile gloves. However, since the summer I've been using non-powdered latex. Well, now...
  6. Ops! Things that make you go huh!

    I was getting a telephone order to test for possible HIT. The surgeon said to order HIPA.. well, I was tired and said, "HIPAA? Test for privacY?" He just laughed and told me I needed a day
  7. When to hold cardiac meds?

    I find it helps to know why they are on each medication. Is the EF low? Am I trying to increase cardiac output or coronary perfusion? How have they tolerated the meds in the past? Am I trying to keep...
  8. Need a new perspective here....

    You asked what you could do differently. And now you know where to find stupid buried old labs. no big
  9. Is there a difference between a cordis and TLC?

    my floor gets a lot of post-op CABG patients.. they often come with a cordis...that I love for selfish reasons.. mainly I have great access and I don't have to worry about nurse collect draws in the...
  10. 22 weeks on a cardiac floor.

    Yeah, we don't have L&D. The hospital had different campus and mother&baby is on the other side of town. We did try the ED, waited half hour to borrow their doppler...they won't loan it for...
  11. 22 weeks on a cardiac floor.

    I had a question regarding fetal heart tones. I work on a cardiac step-down floor (our population is most commonly cardiovascular surgical patients) however the other day I had a 30 y/o female patient...
  12. attending vs resident PhD

    The order you call the physicians is dependent on your hospital and shift. You'll learn it on the
  13. Hello fellow nurses, I'm a cardiac step-down nurse and my floor has all their nurses observe a CAGB due to the large amount of open-heart patients we get. I'm scheduled to go in the morning, and I'm...
  14. A hospitalist's clash with a PA and NP

    I'm mostly bummed because that wasn't even a good
  15. PICC Lines - To clamp or not.

    Thanks guys you have been so