sounds like a night in my icu. one exception the attending will usually never be at the bedside, let alone return your phone call/page! and a CV fellow that's great, we usually just have an ICU intern! also reopro prior to surgery really sucks! good ...
I can think of one recent case. Esophogectomy that stopped taking his plavix/asa one week prior to surgery had an anterior infarct immediately post-op. IABP was emergently placed and started on CRRT within 24 hours. Struggled to keep pressures > 5...
I don't think it can be that cut and dry. A policy like that will do a disservice to your patients and nurses. Nurses should be able to determine whether or not patient's change in status is significant enough to warrent notifying a physician. Maybe ...
Agreed - I work in a busy CVSICU -- and this is our practice as well. If the patient has a IABP, unstable, multiple lines, gtts, crrt, open chest, crash cart in the room -- well then they are definitely 1:1. But just because they have the IABP they a...
We lose about 15-20/year as well to CRNA school, in addition to those that leave for NP positions, management, PACU/EP Lab/Cath Lab. We lose about a 1/3 of our staff.
So a patient codes (let's say PEA) - they either open the chest or it's open already - they have an IABP - and they decide to to do ICM, what do you do with the balloon? Pressure trigger?
nurseabc123 replied to racing-mom4's topic in MICU
I'm coming up on 12 months and I'm just now starting to feel pretty comfortable with everyday things. For example, traveling with vented, sick patients to CT, etc., running to codes on the floor, and just the everyday little stuff. Of course, I'm sti...
I would suggest contacting your advisor at your school. You need to take the classes that our prerequisites for your school's or the school you wish to attend's nursing program. Good luck.
nurseabc123 replied to SoReady4CRNA's topic in SRNA
Do I like working in the ICU? Yes and no. Do I like cleaning up patients, dealing with some obnoxious/threatening family members, babysitting and getting grabbed/kicked by confused patients? No. Do I enjoy working short-staffed? (Taking care of 3 ve...