CVmursenary

CVmursenary has 1 years experience and specializes in Cardiothoracic ICU.

Latest Activity

1. Infusing in the Yellow PA Port on A swan

   CVmursenary replied to xtian's topic in CCU

   In addition to infusing in the distal port; it is also unsafe to have a PA without transducing it as it could be wedged. Sounds like it should have been pulled.

2. Insight for a successful transition from CCU to CVSICU?

   CVmursenary replied to Asherah's topic in CCU

   Recovering open hearts is really fun because the patients usually do really well and are up in about in less than 24 hours. There is generally protocol for extubation and you will learn to know which patients will be easily extubated. Open hearts a...

3. Best paid nursing jobs?

   CVmursenary replied to william1's topic in MICU

   Staff Nurse jobs in parts of California pay the most. 50 60 70 an hour is not uncommon. I got a per diem at kaiser at $60 an hour with 2 years experience.

4. Vasopressor and Inotrope Titration Orders

   CVmursenary replied to RN Nick's topic in MICU

   Same thing at my place; its really a shame because those medications don't just affect 1 parameter so it really worsens patient care.

5. Food police?

   CVmursenary replied to mschelee's topic in CCU

   they can eat whatever they want; I will tell them the side effects of the food that they want to eat but I personally do not care if they choose to follow my advice or not.

6. Any recommendation on ICU apps

   CVmursenary replied to sarahneeyah's topic in CCU

   If you want a reference; get the Manual of Perioperative care of Adult Cardiac Surgery; it is very in depth and should able to educate you on all things cardiac surgery.

7. PAWP

   CVmursenary replied to LNRN11's topic in CCU

   Where i work, anesthesia does not even advance the PAC into a wedged position on insertion. Also you'd have to be pretty inattentive to not notice an accidental wedge; it looks nothing like a proper PA waveform.

8. "Difficult" Patients

   CVmursenary replied to Vespertinas's topic in Relations

   treat them like any patient; assess them and givem their meds and shut the door; call it a night

9. Are swans going "out of style?"

   CVmursenary replied to TemperStripe's topic in MICU

   We get patients into the chair with a swan.

10. Time Management for the Not So New Grad

    CVmursenary replied to stephanie.felder5's topic in CCU

    Biggest time management tip from me is to Bathe the patient at the beginning of shift; this is really the best way to assess them anyways so just knock it all out at the beginning

11. RCU ( Respiratory Care Unit) experience for CRNA school

    CVmursenary replied to CVICU RN25's topic in CRNA

    No; without invasive monitoring, you will not be titrating medication. Its probably a unit for stable vents.

12. RNs pulling pleural chest tubes

    CVmursenary replied to PCarson's topic in CCU

    I pull these too; just ask them to inhale, pull with vasaline dressing and hold pressure for a minute or 2 and place pressure tape.

13. EKG/Arrhythmia Interpretations

    CVmursenary replied to KSHOCARO's topic in Cardiac

    "Rapid Interpretation of EKG's" teaches the physiology of an EKG; much better way to learn than memorizing strips

14. Chest Tube Question

    CVmursenary replied to lima470's topic in CCU

    Just because its kinked doesnt mean it caused a pneumothorax; if it was bleeding or draining sanguinous fluid quickly then that is possible. Did much drainage come out after it was straightened out?

15. ICU or ER?...Dec 2012 Grad

    CVmursenary replied to fhsu_nurse's topic in Critical

    I am a pretty new nurse working in ICU but i am able to pick up shifts in the ER. I dont think my facility would allow new ER nurses to work in the ICU. Working in ICU allows you to get comfortable with sick patients the fastest.