RN12345656

Latest Activity

1. FIVE family members in a crowded ICU rm all night long!

   RN12345656 replied to APRN.'s topic in CCU

   If I understand planeflyer correctly, the issue is that the family had not come to grips with the gravity of the situation, and all heroic measures were being made. If that is the case, stepping over 5 family members is ridiculous. If, however, the ...

2. FIVE family members in a crowded ICU rm all night long!

   RN12345656 replied to APRN.'s topic in CCU

   I feel your pain planeflyer...I would definitely bring your concern up in your next staff meeting. That is absolutely ridiculous and should not have be allowed. It is one thing if your patient was stable. Or, if the family had come to some agreement ...

3. MRSA screening

   RN12345656 replied to EJSRN's topic in General Nursing

   Of note...Medicare will no longer pay for hospital acquired MRSA infections. That is why most hospitals/facilities now are screening patients on admission

4. IV Methylene blue post OHS vasoplegia

   RN12345656 replied to RN12345656's topic in CCU

   Abiomed AB5000

5. dialysis nurse thinking about switching to cvicu

   RN12345656 replied to nomadness's topic in CCU

   I think the nurse who was taking care of you was being polite when she told you that it would be an easy transition from RDU to CVICU. Just last year, we had a dialysis nurse who was told at the end of her orientation that she was not ready to be on ...

6. IV Methylene blue post OHS vasoplegia

   RN12345656 posted a topic in CCU

   Just curious if anyone has given IV Methylene blue post cardiopulmonary bypass for catecholamine-refractory vasoplegia. The only knowledge I had of methylene blue was the antagonist to cynanide poisoning. I thought it was interesting...and thought I ...

7. post-op cabg care

   RN12345656 replied to jetty's topic in CCU

   :redpinkhe I think it depends on the program and how sick the patients are pre-op, nontheless post-op. The hospital I work at does 50 cases weekly...and we recover some sick patients. We use D5 1/3 NS for maintenance. We use 2-3 L of NS or LR for flu...

8. What is up with insurance?

   RN12345656 replied to ark-two's topic in Cardiac

   Doesn't sound right to me. I don't consider a PPM/AICD major surgery. It is a procedure that takes a couple hours. When did the cardiologist actually start? The pt could have been waiting for the cardiologist. Happens all the time from case to case. ...

9. Recovery after mitral valve replacement

   RN12345656 replied to MedicalZebra's topic in Cardiac

   It is not too uncommon for someone like yourself to have a patent formen ovale--a PFO closure is minor compared to your valve surgery. I find it hard to believe your PFO was caused by a IJ catheter--but I guess anything is possible. Did the cardiolog...

10. Chest tubes vs. Blake/JP drains post OHS

    RN12345656 posted a topic in Cardiac

    Just wondering if there are many Cardiac Surgery services that use mediastinal chest tubes vs. Blake drains post surgery and vice versa. I work on a cardiac surgery stepdown unit btw--and recently I flew to Nebraska to see a friend who had valve sur...

11. Report? And to whom?

    RN12345656 replied to slu_rn's topic in General Nursing

    Be an advocate for this child... Do what your heart is telling you to do. I think, at the very least, you should educate mom regarding the effects of alcohol comsumption while breastfeeding. If she is well aware of what she is doing directly and/or i...

12. Applying for cath lab job, what should I study up on?

    RN12345656 replied to Christi321's topic in Cardiac

    Christi-- Everyone is entitled to their opinion in regards to a new nurse working in the cath lab. It all depends on the nurse. Cath lab nurses may operate in a different capacity compared to other facilities. Where I work there are cath lab nurses,...

13. Change in Specialty to Cardiac Rehab??

    RN12345656 replied to FitnessRN's topic in Cardiac

    FitnessRN-- Please keep in mind that many facilities/hospitals CR nurses work in different capacities. The hospital I work for, the CR nurses exercise "well" patients with cardiac hxs or post cardiac surgery and/or post cardiac interventions. The CR...

14. NEW DR.'S ORDERS.....How do the medication orders get to the pharmacy ?

    RN12345656 replied to passing thru's topic in General Nursing

    On the unit that I work on we have floor pharmacists. LOVE IT!!!

15. Charge Nurse responsibilities?

    RN12345656 replied to joamy2's topic in General Nursing

    I am one of the charge nurses on my unit. I work days 7a-7p and DO NOT take pts. I work for cardiac surgery stepdown for a very big teaching hospital. I handle bedflow, staff assignments, help out the nursing staff, enter orders, assist the docs with...