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Search Results Type: Posts; User: maloneys

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  1. Clots related to fast afib
    After about 90 minutes, he went 130-180 and continued til the end of my shift, with me documenting like a madwoman. It was certainly stressful because of , as you stated, I was worried about him...
    Jan 2
    Forum: CCU Nursing / Coronary / Cardiac
  2. Clots related to fast afib
    I agree about not anticoagulating someone who is fresh, post-op. We're talking 6+ hours. However, I mentioned that because of the fast afib. The patient is under cardiology which is why the...
    Jan 2
    Forum: CCU Nursing / Coronary / Cardiac
  3. Clots related to fast afib
    Hello! I wonder if someone might help here. I work in a med/surg ICU and we monitor telemetries in the hospital as there is no CCU. A post-op cholectomy, 84 years old, not on anticoagulants, with...
    Jan 2
    Forum: CCU Nursing / Coronary / Cardiac
  4. Bullying
    I hope so, Ruby, thank you!
    Oct 20, '13
    Forum: MICU / SICU Nursing
  5. Bullying
    Thank you, detroitdano. I'll call them tomorrow. So intimidating.
    Oct 20, '13
    Forum: MICU / SICU Nursing
  6. Bullying
    This is an old story, I know, but only now am I experiencing it. I work in a small ICU and only at night when the staff is minimal. 4 nurses for 11 patients and telemetry monitoring. No orderly or...
    Oct 20, '13
    Forum: MICU / SICU Nursing
  7. D-Dimers
    Hesitation to do a scan was lack of docs to read the scan at night, due to absence of docs. Thank you very much for taking the time to do this teaching! I'm very appreciative.
    Mar 12, '13
    Forum: MICU / SICU Nursing
  8. D-Dimers
    I agree, prep8611, and I wasn't using the d-dimer to try to diagnose PE, but without a doc available, it is typical for us to do labs following the physical assessment. That way, if we do need to...
    Mar 12, '13
    Forum: MICU / SICU Nursing
  9. D-Dimers
    Thank you, Juan de la Cruz, for taking the time to answer my questions and for citing those sources. I'm afraid my continued learning is going down the tubes working in a small, peripheral hospital...
    Mar 12, '13
    Forum: MICU / SICU Nursing
  10. D-Dimers
    Hmm, thanks for all the wonderful feedback. So in these cases, both patients should have been scanned then! How many days post-op would I expect to see an elevated D-dimer in the absence of liver...
    Mar 11, '13
    Forum: MICU / SICU Nursing
  11. D-Dimers
    Really, prep8611? I didn't know d-dimers weren't' used anymore! Both patients had pneumatic boots on.
    Mar 11, '13
    Forum: MICU / SICU Nursing
  12. ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping?
    Where I work, it's always 3:1, unfortunately
    Mar 11, '13
    Forum: MICU / SICU Nursing
  13. D-Dimers
    I wonder if someone might help shed some light here. Post-op day 4, abdo abcess drainage patient who went from room air to tachypneic 30-40 and 100% FiO2 over a couple of hours. I did a D-dimer as...
    Mar 11, '13
    Forum: MICU / SICU Nursing
  14. Blood cultures from old CVC
    In my case, my only access was the CVC so that's why I used that. No docs at night in the ICU so fem stick would have been out of the question. I appreciate the feedback. Thank you so much! So...
    Oct 18, '12
    Forum: MICU / SICU Nursing
  15. Low census = Crappy staffing, true everywhere?
    Where I work, we have 11 ICU beds, plus we monitor telemetry for the hospital. On the night shift, we are 4 nurses, no orderly, no managers, no secretaries, no body! Plus, if there's a code on one...
    Oct 18, '12
    Forum: MICU / SICU Nursing
  16. Blood cultures from old CVC
    I had a patient last week who spiked a temp, had a 2 week old triple lumen in her SC. Horrible peripheral access so I took one set of blood cultures from her central line. A colleague said it was...
    Oct 18, '12
    Forum: MICU / SICU Nursing
  17. Anticoagulation
    Thank you for the clarification, everyone!
    Jul 18, '12
    Forum: CCU Nursing / Coronary / Cardiac
  18. Anticoagulation
    Yes, anticoag preop makes sense, I had just not heard the 'bridge' term before. Thank you so much for clarifying!! :-D
    Jul 17, '12
    Forum: CCU Nursing / Coronary / Cardiac
  19. Strange hgb results
    Esme, you're a star! Thanks for the teaching/learning, yet again ;-)
    Jul 16, '12
    Forum: MICU / SICU Nursing
  20. Strange hgb results
    Hmmm, perhaps an undiagnosed Ca. Thanks for thinking!
    Jul 16, '12
    Forum: MICU / SICU Nursing
  21. Strange hgb results
    Hi everyone, can I pick your brain? Last weekend had a post cardiac arrest patient, 59 y.o.man , hx of HTN, afib, back pain, ETOH abuse, cocaine abuse, who arrested at home. When ambulance arrrived...
    Jul 16, '12
    Forum: MICU / SICU Nursing
  22. Anticoagulation
    I've just heard the term, "anticoagulation bridge". I'm not sure if I understand the "bridge" part. Can anyone clarify/help with this, please? Thank you in advance!
    Jul 16, '12
    Forum: CCU Nursing / Coronary / Cardiac
  23. Turning patients while cooling
    Dear Esme12, you ARE an angel... and I don't mean that in the diminishing, Florence Nightengale way :-) We don't have internet access at work, if you can believe it. I work in a cave, it seems. ...
    Jan 28, '12
    Forum: MICU / SICU Nursing
  24. Turning patients while cooling
    Again, Esme, I thank you so much for your very helpful teachings. If only I could put you on my right shoulder and learn from you throughout my shift!
    Jan 28, '12
    Forum: MICU / SICU Nursing
  25. Nurse: Patient Ratios
    I work night shifts only, and we ALWAYS have 3 patients. We also dont' have an orderly at night. Think I need to move to California, sigh.....
    Jan 27, '12
    Forum: MICU / SICU Nursing


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