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Search Results Type: Posts; User: godfatherRN

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  1. Question from New Grad RN regarding ICU/first job
    Worked in a high-risk 30 bed CVICU as a new grad for 3 years and am in anesthesia school now. I work with PACU nurses on a daily basis and I have never met a PACU RN who was not required to be an ICU...
    Jul 31, '13
    Forum: MICU / SICU Nursing
  2. How do you master inotrope titrations?
    [QUOTE=Veronica22715;7073825]I am new to a trauma icu position and titrations seem second nature to the nurses in the unit I work with. My preceptor has been fantastic in making sure I have plenty of...
    Dec 15, '12
    Forum: Trauma ICU
  3. Malpractice Insurance
    I worked in a high-risk CVICU for 3 years, looked into a variety of insurance options. Ended up going with AACN's endorsed (and discounted for members and certified nurses) proliability (formally The...
    Nov 7, '12
    Forum: General Nursing Discussion
  4. When did you figure out your specialty?
    Started in a high-risk cardiothoracic ICU as a new grad, did that for about 3 years (Sounds short I know, but when I left I was a vet on that unit, probably could count 20 people who started AFTER me...
    Nov 7, '12
    Forum: General Nursing Discussion
  5. How did you handle your first patient dying?
    My first patient death was the summer after my junior year in nursing school when I was a Summer III intern at Mayo Clinic in one of their ICUs. The pt was in septic shock admitted from the floor,...
    Oct 31, '12
    Forum: Nurse Colleague / Patient Relations
  6. The worst code you've seen?
    Where do I start?? Too Many... This one though has stuck with me for awhile (wasn't my pt thank God) Transferred a pt to our unit at 2300 from small outlier hosp with initial unstable angina,...
    Sep 30, '12
    Forum: CCU Nursing / Coronary / Cardiac
  7. CSC Exam in a couple weeks. Need advice!
    Believe me you have more than enough experience to take the exam. A lot of it is integration of clinical picture (pt signs and symptoms, swan numbers, drips) to intervention. I worked in a CVICU as...
    Sep 30, '12
    Forum: CCU Nursing / Coronary / Cardiac
  8. Book recommendations!
    Cardiac Surgery Essentials for Critical Care Nursing (search on Amazon). It LITERALLY takes you step by step through the entire postoperative process for CV surgical patients, addresses multiple...
    Sep 30, '12
    Forum: CCU Nursing / Coronary / Cardiac
  9. CSC Exam
    I feel like I had a somewhat similar experience to you (2 yrs CVICU experience when I took the CSC, (started in CV as a new grad so only experience I had), passed CCRN 2 months prior to taking CSC,...
    Sep 30, '12
    Forum: CCU Nursing / Coronary / Cardiac
  10. This is EXACTLY why I don't like taking Verbal orders
    In this situation, the physician is not acting appropriately or in the best interest of his patient. As others have posted, check your hospital's policy because most are taking a hardline stance...
    Jul 11, '12
    Forum: Nursing Issues On Patient Safety
  11. Swan-Ganz Use
    Here's my take, as many of the posters have previously said, depends on your facility, Docs, and diagnosis. I work at the largest hospital in the state with the largest CVICU in the state taking the...
    Sep 22, '11
    Forum: CCU Nursing / Coronary / Cardiac
  12. AACN----CMC/CSC Review Material & Questions!!!!
    Cardiac Surgery Essentials for Critical Care Nursing by Hardin and Kaplow for the CSC Exam. Not officially endorsed by AACN, but I read the book cover to cover (didn't take long, like 3 weeks) and...
    Sep 22, '11
    Forum: CCU Nursing / Coronary / Cardiac
  13. St. Mary's University of Minnesota CRNA Interview
    I'm in as well!!! Congrats to those who got in, as well as those on the waiting list. From Minneapolis originally (in Milwaukee now) Can't wait to get back home!
    Jun 27, '11
    Forum: Pre-CRNA Inquiry
  14. ? for CVICU Nurses!
    Fent gtt with bolus orders on all patients, generally weaned off by morning if extubated, taking PO etc. Dilaudid while intubated Morphine 2-4mg IV q1hr Vicodin 1-2 tabs q4hr Oxycontin 5-10mg...
    Jun 11, '11
    Forum: MICU / SICU Nursing
  15. staffing
    I work in a high-risk CVICU (we do VAD, Transplant, IABP, CVVH, ECHMO etc. etc.). Machines with the exception of long-term VADs are always 1:1, though recently they've been starting to pair more...
    Jun 11, '11
    Forum: CCU Nursing / Coronary / Cardiac
  16. If you were my preceptor......what should I know?!
    I've been a nurse now for almost 2 years, like you I started out as a new grad in the highest risk cardiovascular intensive care unit in the state (What was I thinking!?!? :) I did have a summer...
    Mar 11, '11
    Forum: Critical Care Nursing
  17. How to decrease pain during foley cath or straight cath procedure
    A lot of nurses on our unit had no idea we had it as a system-wide policy standing order. Unfortunately now they took it off our policy orders because apparently someone thought a pt could become...
    Mar 11, '11
    Forum: General Nursing Discussion
  18. How to decrease pain during foley cath or straight cath procedure
    Some facilities have standing orders for this, others will require a physician order, but definitely use Urojet which is lidocaine jelly. Basically it comes prepared as a prefilled syringe that...
    Mar 11, '11
    Forum: General Nursing Discussion
  19. Vent: MD visitors who are NOT intensivists
    Thanks, your screen name is pretty clever too!
    Jan 19, '11
    Forum: MICU / SICU Nursing
  20. Vent: MD visitors who are NOT intensivists
    I work in a large high risk CVICU. I haven't had this issue before with MD visitors, but have definitely had this issue MANY times with family members/friends of family who are nurses, physical...
    Jan 18, '11
    Forum: MICU / SICU Nursing
  21. IABP
    I work in a 30 bed CVICU, largest CV unit in Wisconsin that takes the highest risk patients in the state. We see IABP A LOT (I'll be trained in March, can't wait!) Our training is 1 8 hr class....
    Jan 18, '11
    Forum: MICU / SICU Nursing
  22. ICU RN's responsible for CRRT or CVVH
    In my unit (30 bed CVICU, largest in the state, and takes the highest risk pt's of the state) we use CVVH A LOT. We use the NxStage Machine (Which I hate by the way, had way less issues when we used...
    Jan 18, '11
    Forum: MICU / SICU Nursing
  23. Vasopressin- Usage and dosing
    I work in a Cardiovascular Intensive Care Unit. We use vasopressin ALL THE TIME. Our surgeons hate levo and phenylephrine (and there's research that suggests pt's having low endogenous vasopressin...
    Dec 22, '10
    Forum: MICU / SICU Nursing
  24. The worst code you've seen?
    My second code I was part of at my summer internship in the med/surg ICU. It was the last day of my internship, i happened to stay late that day for a 16 hour shift to help out due to short staffing...
    Mar 20, '10
    Forum: General Nursing Discussion
  25. Discontinuing IJ turned into a Rapid Response
    I'm an RN in a very large CVICU and we D/C IJ Cordis all the time. I agree with everyone else that you should always have pt lying flat as tolerated for just about any central line removal, esp an...
    Mar 20, '10
    Forum: Nursing Issues On Patient Safety


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