Heartman

Heartman

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About Heartman

52 years old, Critical Care since 1981.

Latest Activity

  1. watching my back

    Please everyone do protect your back! RN for 21 years and because of improper lifting for all that time,I herniated L4-L5. Surgury last June and just got back to work on "light duty" in September. Nerve damage resulted in Caudal Equina Syndrome (CES)...
  2. Back injury returning to work

    Greetings all, I'm a critical care RN and have been since '81. Last June my chronic low back pain developed into incredible back pain with siatic pain on the R. This resulted in surgery to remove the disc between L4-5 and installing hardware @ L-5/S...
  3. Dopplers on your crash cart?

    Thanks I'll check it out.
  4. Swan questions

    In over twenty years of critical care nursing I've seen one blown PA. Nothing you can do unless you have a thorasic/vascular team in the OR standing by. We didn't have this. MSO4 for comfort as pt. bled out. Make sure you get those consents signed...
  5. Dopplers on your crash cart?

    I agree, dopplers are easy to use. Anyone can learn in about 1 minute. I would be interested in getting one for myself. I frequently detect my own pulse in my fingertips when palpating for a pulse. Especially in a pt. with compromised vascular status...
  6. Fresh CABG Patients

    Always with Swans. Usually with propofol, NTG and dopamine @ renal dose. Docs pay no attention to PCWP. Swan is usually DC'd by following AM.
  7. Things Patients Have Taught Me NOT To Do

    Never wind up drunk in the ER telling the Doc to go **** himself repeatedly. This angers the physician. The physician has pavulon and an Ambu bag. He whispers in your ear. " Now I'm breathing for you. Now I'm not." Probably just one of those urban my...
  8. What does CZI mean?

    I'm working in a SICU new to me and they call insulin gtts here "CZI". They've been calling them that for so long that no one can remember what it means. I've done a couple of searches with no luck. Can someone help me out? Just curious.
  9. I'm a guy. Wearing white and have always worn white. In my hospital just about anything goes. There is a dress code but no one seems to enforce it. All the rest of the staff wear colors instead of white. We are all high quality competant nurses so i...
  10. Dopplers on your crash cart?

    I have used a doppler in codes when one is available. I have not seen them generally included on the crash cart as standard equipment but think it would be a good idea. In the PEA algorithm if no pulse is detectable, CPR is initiated. If a pulse is ...
  11. Traumatized by nursing - advice needed

    Dear Steph, I agree with crjnursewarrior. We all have bumps in the road. Dust yourself off and keep trying. You need to shop for a good orientation program. I've neen a nurse since '81 and I'm sure I wouldn't have been comfortable in a hospice situa...
  12. First Foley

    Speculating, So well said. I have always worked in hospitals and make it a point to know the name of everyone I come in contact with. All the ancillary staff, from supply , pharmacy, lab, x-ray, OR, ER etc. etc. It's nice to know the person on the o...
  13. I made a med error

    A lesson to us all. Get malpractice insurance, it's less than $100 per year. I don't know how good it is, thankfully never needed to find out. Walter :redbeathe
  14. Facial hair?

    Wearing a full beard. Must wear a positive pressure hood for airborn bacteria situations but this only happens a couple time a year wear I work. I'd shave if it became a problem. Walter :redbeathe
  15. 2 Things...I Need Some Input!

    Nurse since '81 Never thought about it. Walter