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Search Results Type: Posts; User: andi.w

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  1. Stuff my patients say...
    A patient recently told me that she was scheduled for a stress test and an autopsy the following day.
    Jul 2
    Forum: Nursing Humor / Share Jokes
  2. medical error injection
    I think that a lot of RNs have or will make a med error at some point, whether big or small. I've made med errors before; it feels TERRIBLE. And as terrible as it feels, at the same time, it feels...
    Dec 1, '13
    Forum: Nursing Issues On Patient Safety
  3. Vent settings
    Good resources! Thank you all! One thing that I think I may be confused about is CMV vs. SIMV. It's my understanding that in CMV, the ventilator gives a fixed number of breaths with a fixed Vt...
    Nov 30, '13
    Forum: MICU / SICU Nursing
  4. Vent settings
    Hello, all. I've been looking for a good resource that explains the different vent modes/settings. Does anyone have any favorites? Thanks!
    Nov 23, '13
    Forum: MICU / SICU Nursing
  5. Violent Physician
    Unfortunately, this sounds familiar to me. I have worked with a couple of physicians that have been ordered anger management classes for their behavior. In my experience, it didn't make a difference....
    Oct 22, '13
    Forum: CCU Nursing / Coronary / Cardiac
  6. Lido w/ Epi injection Policy
    I don't believe that our hospital has a specific policy either. As a rule of thumb, we can inject 5cc Epi/lido with an MD order. Some docs will let us do an additional 5cc.
    Oct 13, '13
    Forum: Cardiac Nursing
  7. Lexiscan vs. stress echo
    Lexiscan testing is relatively new at our hospital. What is the difference between the Lexiscan and a persantine or dobutamine stress test that we used prior? Is it just the chemical used during the...
    Oct 13, '13
    Forum: Cardiac Nursing
  8. Cardiac Handbook
    Try this: http://fastfactsforcriticalcare.com/ I bought this mini binder as a new grad and still use it as a reference. It's not only cardiac, but has several sections for neuro, drugs,...
    Apr 20, '13
    Forum: CCU Nursing / Coronary / Cardiac
  9. studying
    Skillstat.com is a really good website for beginner EKG and rhythm interpretation. It's also a nice review for anyone when those yearly competency days come around :) I used it a lot when I was first...
    Apr 9, '13
    Forum: CCU Nursing / Coronary / Cardiac
  10. Shift change and visitation in ICU/stepdown
    I'm so jealous of those of you with visitation restrictions! The other two ICUs in my hospital do not allow visitors between 6a-8a and 6p-8p. I work cardiovascular surgical ICU, and we have NO...
    Mar 21, '13
    Forum: MICU / SICU Nursing
  11. crescent shaped incision for open heart surgery?
    I work in open heart recovery, and I have not heard of a crescent shaped midsternal incision. I do not work in a large hospital, but I have seen a few patients come through with a MVR via a...
    Mar 17, '13
    Forum: CCU Nursing / Coronary / Cardiac
  12. Trust?
    I felt this way when I first started too. It seemed like the more critical patients always went to the nurses who had been there longer. Eventually when I had gained some seniority and started taking...
    Mar 12, '13
    Forum: CCU Nursing / Coronary / Cardiac
  13. amiodarone/a-fib
    Tricky. Is the BP low because of the afib or does the pt normally run low? I think it would definitely depend on how brave the doc was feeling. You could try giving a slow bolus of amio and then...
    Mar 1, '13
    Forum: CCU Nursing / Coronary / Cardiac
  14. Staying organized on Tele
    I also started as a new grad on a tele unit. It took me several months to find a routine that made me most proficient. One thing that I did at first was make a Sort of "check sheet/graph." I...
    Mar 1, '13
    Forum: Cardiac Nursing
  15. New grad in CVICU?
    Congrats! I think it would be a perfect place to start. You already know your coworkers, the type of patients, and the general day to day functioning of the unit. That's half the battle as a new...
    Mar 1, '13
    Forum: Cardiac Nursing
  16. priorities and time management
    It's good that you have a mental plan for how to begin. I work both CVICU and tele, and my "routine" is different for each. Everyone has a routine that works best for them. It took me a while to...
    Feb 21, '13
    Forum: Cardiac Nursing
  17. EKG courses
    Skillstat.com is another good site for practicing ECG rhythms. It also has ACLS practice and other helpful info.
    Feb 21, '13
    Forum: Cardiac Nursing
  18. Responding to the ER for STEMIs
    If EMS picks up a STEMI or if a STEMI walks into the ER, we activate an AMI page, and a page is sent out to the interventional cardiologist, Cath lab team, and the CVICU unit. A nurse from CVICU does...
    Feb 20, '13
    Forum: CCU Nursing / Coronary / Cardiac
  19. New to CVSICU...cardiac gtts
    Separating compatible drugs is a wonderful suggestion, and I always try to do this. You never know when you may need to run your IVF in quickly, and you don't want to risk bolusing several drips in...
    Feb 19, '13
    Forum: CCU Nursing / Coronary / Cardiac
  20. Hypothermic protocol patient
    We regularly use an endovascular cooling catheter, but it was in use on another patient at the time. We used cooling blankets instead, which do not have the ability to rewarm. Apparently rewarming by...
    Feb 19, '13
    Forum: Neuro Intensive Care Nursing
  21. Hypothermic protocol patient
    We recently had a cardiac arrest patient that we placed in a hypothermic coma. After the 24hrs of cooling the patient, they began passively rewarming. The patient was very slow to rewarm, and after...
    Feb 17, '13
    Forum: Neuro Intensive Care Nursing
  22. IABP augmentation
    Thank you :) I was reading into it way too much.
    Feb 14, '13
    Forum: CCU Nursing / Coronary / Cardiac
  23. Post Op AFib
    We use IV amio after the pt goes into afib. We start a beta blocker POD 1 if the pt can tolerate it. Otherwise, we are not currently doing anything preventative.
    Feb 13, '13
    Forum: Cardiac Nursing
  24. IABP augmentation
    I'm having a hard time understanding exactly what the augmentation is. i have taken a couple of balloon pump classes and researched online, but I'm still having a difficult time understanding. Can...
    Feb 13, '13
    Forum: CCU Nursing / Coronary / Cardiac
  25. Pacemakers
    On my unit we have always just completely paused the pacer, and it always makes me so nervous! I agree that it should be turned down gradually. I feel like it's a nursing judgement call, and if the...
    Feb 12, '13
    Forum: CCU Nursing / Coronary / Cardiac


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