ambersky004 BSN, RN

ambersky004 has 16 years experience as a BSN, RN and specializes in CardiacStep-down/Progressive Care Unit.

Latest Activity

1. 

   Anterior Stemi w/ successful ppci then develop self limiting vfib?

   ambersky004 replied to ambersky004's topic in CCU

   Thank you dianah
2. 

   Anterior Stemi w/ successful ppci then develop self limiting vfib?

   ambersky004 posted a topic in CCU

   10 hrs Post pci, pt develop a vfib but was self limited when night nurse check on her. Night doc said it was torsades though mg level is normal. Still was given 2 gm of magnesium. Now, cardiologist said pt needs a life vest. Due to 40% LVEF. Has anyo...
3. 

   Fem sheaths

   ambersky004 replied to saraclark62's topic in Critical

   We usually follows our hospital protocol to sit up the HOB of the patient not greater than 30 degrees. I usually check the pt's incision site every time we adjust the HOB or turn pt to side if they needed a bedpan. 😁
4. 

   Retroperitoneal Bleeding

   ambersky004 posted a topic in CCU

   How does retroperitoneal bleed develop after post pci? What are the possible causes of it developing? I was assisting in removal of arterial sheath with my co-worker, I was not able to monitor the patient constantly on our medsurg floor but was ...
5. 

   Techniques on Femoral Arterial Sheath removal?

   ambersky004 replied to ambersky004's topic in CCU

   Thanks for that description! Pt was tender to the touch in her inner thigh area while she pointed the site. Do you think the venous sheath was causing it? Anyway, I pulled arterial sheath then the venous sheath after when her aPTT was about 51. ...
6. 

   Techniques on Femoral Arterial Sheath removal?

   ambersky004 replied to ambersky004's topic in CCU

   Thank You wedgepressure. What is retrograde and antegrade stick? Can you describe it? I always feel doubtful when I pull sheaths because I am small but if I do have obese patients, I let a larger nurse pulled it. We pull sheaths on our cardiac-s...
7. 

   Techniques on Femoral Arterial Sheath removal?

   ambersky004 posted a topic in CCU

   What are your techniques in removing femoral arterial sheath removal? If you are about 90 lbs in weight, does it matter or not when applying manual pressure to the femoral artery? Do you all have certain techniques on how to ace femoral sheath remova...
8. 

   What should I consider before transferring from cardiac stepdown unit to outpatient surgery/in hospital GI Lab?

   ambersky004 replied to ambersky004's topic in General Nursing
9. 

   What should I consider before transferring from cardiac stepdown unit to outpatient surgery/in hospital GI Lab?

   ambersky004 replied to ambersky004's topic in General Nursing

   Libra nurse Thank You. I do enjoyed being at the bedside. But for the past 2 yrs I have been more depressed. I have never tried changing jobs. So this is my first time moving to a different department. More of a specialty. I am just worried if a...
10. 

    What should I consider before transferring from cardiac stepdown unit to outpatient surgery/in hospital GI Lab?

    ambersky004 replied to ambersky004's topic in General Nursing

    Libra nurse Thank You. I do enjoyed being at the bedside. But for the past 2 yrs I have been more depressed. I have never tried changing jobs. So this is my first time moving to a different department. More of a specialty. I am just worried if a...
11. 

    transferring from cardiac stepdown unit to outpatient surgery/in hospital GI Lab?

    ambersky004 posted a topic in Gastroenterology

    I have worked for 6 yrs now in cardiac stepdown/tele progressive care unit. 2 yrs ago, I posted about my burnout. But I thrive and stick with it again for couple yrs. Last yr covid pandemic, our floor was shut down, floated to med surg floor then ...
12. 

    Need advice on switching from med-surg to GI Lab!

    ambersky004 replied to sbwpaso's topic in Gastroenterology

    I am also going for an interview in GI las/outpatient surgery. I have been a nurse in a cardiac stepdown unit for 6 yrs now which I enjoyed and enhanced my assessment skills. But I am feeling rot in that place. I am concerned of giving up my 12 hours...
13. 

    What should I consider before transferring from cardiac stepdown unit to outpatient surgery/in hospital GI Lab?

    ambersky004 posted a topic in Career Support

    I have worked for 6 yrs now in cardiac stepdown/tele progressive care unit. 2 yrs ago, I posted about my burnout. But I thrive and stick to my unit again for couple yrs. Last yr covid pandemic, our floor was shut down, floated to med surg floor, I...
14. 

    What should I consider before transferring from cardiac stepdown unit to outpatient surgery/in hospital GI Lab?

    ambersky004 posted a topic in General Nursing

    I have worked for 6 yrs now in cardiac stepdown/tele progressive care unit. 2 yrs ago, I posted about my burnout. But I thrive and stick with it again for couple yrs. Last yr covid pandemic, our floor was shut down, floated to med surg floor then bac...
15. 

    Caregiver Fatigue

    ambersky004 replied to ambersky004's topic in Safety

    Thank you.