graciev

graciev

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About graciev

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  1. Need help with Temporary Pacers!!

    We really need to come up with a good way to teach sensitivity, it messes with peoples minds, even people who know what they mean to say cant explain it well. The brick wall is a good metaphor. I was trying to think of others, but have hit, pardon me...
  2. any advice on shoes?

    Not the most "critical" topic, but what shoes/clogs/whatever have you found to be the most comfortable to wear on those long 12+ hr shifts? Thanks, Grace (whose feet are really starting to hurt)
  3. Guess I should clarify, they request the DDD mode with just the atrial wire in the v port, I think they think that somehow the lone wire in the atrium is sensing the atrial and ventricular activity. Have never been able to figure this out, and can't...
  4. One of the questions I have, is if the atrial wire is placed into the V port of the pacer, the the only electrical activity being sensed would be from the atrium. To program the pacer, then, because you are using the ventricular settings, you would p...
  5. The reason that I submitted this questiton is because post open heart surgery we have quite a few instances where the atrial wires will just not work and the CT docs often have us try switching the atrial wires to the ventricular output port of the b...
  6. Does anyone have experience with placing an atrial pacing wire into the ventricular port of a pacer in order to increase the available output? Is there anything special we need to know about the rest of the settings after doing this? i.e. the pacer i...
  7. Common Drips Used in CCU

    amiodarone, heparin, diltiazem, amicar sometimes, milrinone
  8. Taken AACN CSC test?

    Took the test last year, fortunately passed!!! Don't remember specific questions but it was almost all medical, i.e. what drips, vent settings, tx, etc. There seemed to be quite a few judgement calls that would differ between practitioners, and if yo...
  9. Cabg, Iabp, Crrt

    I think it depends on the staffing and longevity of the nurses in your unit. If you have a stable staff and don't desperately need new open heart trained nurses I suppose the feeling is that they can wait till you have proved yourself with other hemo...
  10. ICU RN's responsible for CRRT or CVVH

    What do you think about ICU RN's being responsible for setting up, troubleshooting and maintaining CRRT devices? Do you do this in your ICU and if so, what is your staffing ratio? If there are not a large volume of patients requiring this therapy how...
  11. Do 'goodlooking' nurses earn better salaries?

    Attractive people, nurses included, have an easier time of things in a wide variety of situations, including the healthcare setting. Although I have observed my more attractive colleagues being the object of sometimes unwanted attention from physicia...
  12. av pacing in afib?

    If you are AV pacing a patient (for example post cardiac surgery via epicardial leads) and the patient goes into afib with a slow ventric response, would you continue the AV or just use the V???? Several nurses I work with have given me several diffe...
  13. ACLS and PALS online courses - important

    I have heard that the Kaiser system here in California does NOT accept the non-AHA cards. A shame. Gracie
  14. Is there a consensus on whether to do chest compressions during a code on a fresh open heart patient??? Or one who has had a sternectomy and "flap grafts"? We have been arguing over this for a while now. The doc's are also not consistent in their ans...
  15. maximum mandatory overtime?

    Gomer, Thanks so much for your reply. I have tried to find a specific regulation on the internet, but I guess Im a hopeless searcher. Would you happen to have an idea on where to find some document that actually spells these regs out? Thanks again, ...