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Search Results Type: Posts; User: blucrna

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  1. St Elizabeth's/YSU CRNA Fall 2014
    First off congrats, getting into school is a huge accomplishment!!!! I always try to respect others opinions but let me put a Youngstown spin on things. I work at St E's in the cvicu and though I...
    Mar 16
    Forum: Advanced Practice Nursing
  2. 5% dextrose and cardiac outputs with a swan ganz catheter
    I've been meaning to grab one of our s/crna's about this. As soon as we get the pt post op we change all the dextrose bags to Ns. It just seems like a no brainer to start with NS given the need for...
    Jul 28, '13
    Forum: CCU Nursing / Coronary / Cardiac
  3. Open Heart Training
    I agree. When money dictates patient care I think we all lose
    Jul 28, '13
    Forum: CCU Nursing / Coronary / Cardiac
  4. Leaving Phenylephrine on with an Epi Drip?
    I agree, having both gtts seems redundant. Any effects the neo is giving can easily be attained by simply going up on the epi. In this case the heart is working fine as indicated by the index....
    Jul 28, '13
    Forum: CCU Nursing / Coronary / Cardiac
  5. New to CVSICU...cardiac gtts
    I have nightmares about the septic pts in my old I/CCU. Our intensivist loved running bicarb drips , it was like musical chairs with drips. Luckily in Cvicu I don't have that problem lol
    May 21, '13
    Forum: CCU Nursing / Coronary / Cardiac
  6. Extubation Difficulties
    Seems I'm too late but self extubation does wonders for these pts. Not that I advocate it but I've been there lol. This case does sound more like delirium than withdrawal. Your time frame would...
    May 21, '13
    Forum: CCU Nursing / Coronary / Cardiac
  7. Why not Levo?
    I agree. The 3 L bolus and increased SVR (via pressors) are temp fixes but certainly enough to get you through until tPa busts up the clot. Levo is def a possibility worth considering but I guess you...
    May 21, '13
    Forum: CCU Nursing / Coronary / Cardiac
  8. bp in heart failure
    I like that psu is trying to make you think. Simply put, lower bp (but not hypotension) is desirable because the heart doesn't have to work as hard to drive bp. This in turn decreases cardiac oxygen...
    Jan 9, '13
    Forum: CCU Nursing / Coronary / Cardiac
  9. Any ICU's ambulating vented patients?
    I've seen videos of this and its wild. We don't do it in my ICU (mixed ICU and CCU) but I've heard nothing but good things outcome wise as long as the pt can tolerate ambulation .
    Nov 20, '12
    Forum: MICU / SICU Nursing
  10. CCRN Practice Tests
    Congratulations
    Nov 20, '12
    Forum: CCU Nursing / Coronary / Cardiac
  11. chf and ventilator understanding
    I agree. More info would definitely help answer the question. If its overload related a few days on a lasix or bumex may due the trick to alleviate that sob but if its ejection fraction related then...
    Nov 20, '12
    Forum: CCU Nursing / Coronary / Cardiac
  12. Amiodarone help!
    I'm pretty sure amio can be given in any case of vtach pulseless or not. Its an antiarrhythmic agent and per acls the dose is 300mg iv push for the first dose and 150 after.
    Oct 3, '12
    Forum: CCU Nursing / Coronary / Cardiac
  13. Starting job on CCU, any advice
    In a CCU, I'd want to know my pressors for sure. Also learn anginal equivalents because they can tip you off to ischemia that you'd otherwise shrug off.
    Oct 3, '12
    Forum: CCU Nursing / Coronary / Cardiac
  14. How stressful and rewarding is working in any intensive care unit?
    Very true Esme. When I was in nursing school every semester that went by my classmates slowly figured out where they wanted to work. (The PEDs/ob semester especially) I thought I'd be a med/surg...
    Oct 3, '12
    Forum: CCU Nursing / Coronary / Cardiac
  15. Kudos to you neuro folks
    Ya neuro is a whole new world. I've been in the nicu for less than a month and probably learned more than I had in my entire critical care class for my bsn. You really have to stay on top of your...
    Aug 8, '12
    Forum: Neuro Intensive Care Nursing
  16. Why do Critical Care nurses look down their noses at Med-Surg nurses?
    Good for you yshell. I agree that post did come off with a "chip on my shoulder" vibe. I'm new to icu nursing but I started off Tele . I've run into a bunch of icu-rns that give others a hard time....
    Aug 4, '12
    Forum: Critical Care Nursing
  17. Things to know on first day?
    What's your background experience? I was a cardiac Tele nurse before starting nicu and the biggest thing for me was the terminology and common devices. know what a crani(otomy) is , subarachnoid...
    Aug 4, '12
    Forum: Neuro Intensive Care Nursing
  18. BP arm VS calf while running pressors
    I agree. I would have pushed for an art line. It's in the best interest of the patient and provides you with up to the moment bps for titration
    Aug 4, '12
    Forum: MICU / SICU Nursing
  19. Do you have to take CCRN exam to stay in ICU?
    Ccrn is just a way to show your dedication and knowledge base when it comes to critical care nursing.. while it definately is nice to have, I haven't heard of any hospitals requiring it for employment
    Jul 30, '12
    Forum: Critical Care Nursing
  20. Applying to multiple positions at one hospital system
    My advice is to apply to everything!! Being a fairly new RN (~1yr) I know plently of floor managers and the truth is nobdy really knows your appling to multiple jobs except HR. And they only care...
    Jul 14, '12
    Forum: Nursing First Job Hunt Assistance
  21. Documentation in ICU
    My hospital uses EPIC computer charting so the days of long narratives are just about over. Like prior posts we can chart progress notes in the notewriter for cya purposes. I don't do assessments...
    Jul 10, '12
    Forum: Critical Care Nursing
  22. 24/7 Video Cameras in ICU rooms
    Hmmm I never pondered about the "creepy" aspect of having cameras in the icu. When I went for my interview, they showed me the impressive 40+ inch screen with all the patient rooms broken up into...
    Jul 10, '12
    Forum: Critical Care Nursing
  23. Case Western SRNA's with the clinic as clinical site
    I've searched the board trying to figure out how SRNAs like cleveland clinic as a clinical site and was wondering if anybody would like to share their view. Being that the clinic does just about any...
    Jul 8, '12
    Forum: Student Registered Nurse Anesthetist (SRNA)
  24. ICU in community hospital or Stepdown in academic hospital
    I know you probably have decided which to take by now but I'm going to advise that you take the ICU position. For one thing it gets your clock started and it's experience that you can use to transfer...
    Jul 2, '12
    Forum: Critical Care Nursing
  25. Gone off the deep end...reading texts for fun now!
    Im in the same boat. i got a few anesthesia books on my kindle that i've been reading off and on. I remember when you couldnt pay me to read a book either, oh how times have changed. Finally got my...
    Jun 29, '12
    Forum: Pre-CRNA Inquiry


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