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Search Results Type: Posts; User: clarkheart

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  1. Could anyone help me better understand this code ?
    First question I have is whether the patient is stable or not. Patients with wide complexes can be stable. If patient is unstable and complex wide then CPR then defib. The AICD may be set to...
    Oct 21
    Forum: CCU Nursing / Coronary / Cardiac
  2. Quality Improvement Specialist
    Thank you for the information. I am looking into crossing over into Quality after being in patient care for 20 years. Any advice of making this a smooth transition would be greatly appreciated.
    Aug 24
    Forum: Quality Improvement
  3. Opinions about Paragon
    Our hospital has just begun using Paragon. Any feedback or advice on this system would be greatly appreciated. Overall it's better then the hodgepodge of programs that we used before and it's nice...
    Jun 24
    Forum: Nursing Informatics
  4. CVP & PEEP Relationship - help!
    I've been told by Intensivists that any PEEP over 5 will artificially give CVP readings on a one to one ratio. Example--PEEP of 8 will artificially raise the CVP 3 points. I've always been told to...
    Jun 24
    Forum: Critical Care Nursing
  5. New grad starting in CVICU soon! Any pointers?
    Always have a notebook or paper available to write down notes or thoughts when they come to you. Then review them later and expand on them if you can. I ended up creating my own notebook that I...
    Jun 24
    Forum: CCU Nursing / Coronary / Cardiac
  6. EKG lead reversals?
    Never take the ECG machine interpretation as the final word. I have seen too many wrong explanations through the years from a machine. Trust the MD's interpretation first.
    May 9, '13
    Forum: CCU Nursing / Coronary / Cardiac
  7. Interview in 2 days! Need help please!
    They may give you clinical scenarios that will require a knowledge of ECG interpretation or basic knowledge of pharmacology such as what drugs to use in what clinical situation or rhythm. Been a...
    May 9, '13
    Forum: CCU Nursing / Coronary / Cardiac
  8. CVICU for Nurses 59 years old and older
    I worked CVICU for over 12 years and found the best 12 hour shift schedule for me was every Tue and Thur and every other weekend. That way I had a day off after every shift except my biweekly weekend...
    May 3, '13
    Forum: CCU Nursing / Coronary / Cardiac
  9. What is going on in this OR?
    I work in cardiac surgery and call report to CVICU recovery nurse 30 minutes before we go up. Anesthesia and myself transport patient to unit monitored.
    May 3, '13
    Forum: Operating Room Nursing
  10. 50 year old intern in the CVOR
    I was 53 when I started working in CVOR after being a cardiac critical care nurse for 12 years. Not sure what you are implying. I learned a long time ago age is irrelevant. Some of the smartest...
    May 3, '13
    Forum: Operating Room Nursing
  11. Would you become an RN again if you had the choice?
    I've been a nurse for over 17 years now and I don't regret for a moment my choice to enter nursing. I understand and appreciate some of the comments regarding our profession such as the long hours,...
    Oct 8, '12
    Forum: Registered Nurses: Diploma / ADN / BSN
  12. Open heart resources
    Bojar is an excellent stand alone reference. I allows remind myself what the best cardiac surgeon I have ever worked with told me once:"Never get complacent, there is no such thing as a routine open...
    Sep 4, '11
    Forum: CCU Nursing / Coronary / Cardiac
  13. ICU ratios
    I work in a 12 bed CVICU in California. Our director has begun to talk about increasing our ratio to 3:1 in our unit if we have too many floor patients awaiting transfer out to med/surg. I thought...
    Jul 17, '11
    Forum: CCU Nursing / Coronary / Cardiac
  14. Need some Precedex advise
    It's plain insane to use Precedex as an induction drug. Etomidate and versed/fentanyl usually work much better with another paralytic if needed. Precedex can be hit and miss but we use it...
    Feb 20, '11
    Forum: MICU / SICU Nursing
  15. Top 10 CT-ICU drugs
    milrinone ntg nipride levophed dopamine dobutamine insulin albumin amiodarone lasix
    Mar 9, '10
    Forum: CCU Nursing / Coronary / Cardiac
  16. Have you ever cheated?
    Wouldn't cheat on tests for a number of reasons: The ethical side of me felt that if I wasn't prepared enough for a test and ended up getting substandard results then that was my fault and hopefully...
    Feb 24, '10
    Forum: General Nursing Student
  17. Discontinued/held current medsor never started home meds
    Our hospital has a policy that requires the admitting physician to acknowledge and actually sign off on a list of their home meds that was obtained at admission. The pharmacy follows up on this and...
    Feb 20, '10
    Forum: CCU Nursing / Coronary / Cardiac
  18. Myths About Nurses
    Lighten up people--we all knew the gist of what the nurse was saying about choosing becoming a nurse over a doctor. Anyway, for all we know he was misquoted to begin with. For the record, I chose...
    Feb 20, '10
    Forum: Nursing News
  19. Who Draws blood from a-lines??
    RN's only--I am ultimately responsible for that line-not a tech. Where I work only RN's can get blood samples from art and central lines. This makes sense to me--I have the experience to...
    Feb 20, '10
    Forum: MICU / SICU Nursing
  20. Are swans going "out of style?"
    All of our open hearts come back with swans that we attach to a Vigilance monitor for continuous CI and we also have been using the Vigileo attached to the art line. The CI between the two can be...
    Feb 18, '10
    Forum: MICU / SICU Nursing
  21. New CCRN Help
    Reno1978-thanks for the tip!
    Feb 13, '10
    Forum: CCU Nursing / Coronary / Cardiac
  22. New CCRN Help
    Has anyone found any new study resources reflecting the new CCRN format?
    Feb 11, '10
    Forum: CCU Nursing / Coronary / Cardiac
  23. Need advice on new job in ICU, not going well
    As a charge nurse in a CVICU, I have seen these types of "preceptors" before. They are not interested in teaching and guiding new nurses to their unit. They volunteer to be preceptors because they...
    Jul 20, '09
    Forum: MICU / SICU Nursing
  24. Short Staffed - Vent
    Sorry--been away for awhile--In California there is a state mandated ratio of no more than 2 patients/1 nurse. It's the law -hospitals have no choice but to follow the ratio. We have always had a...
    Jul 8, '08
    Forum: CCU Nursing / Coronary / Cardiac
  25. Short Staffed - Vent
    This is so unfortunate--the RT's I work with are invaluable to me in managing my patients. We work together on optimizing care. Come to California--we can always use good critical care nurses! You...
    Jun 28, '08
    Forum: CCU Nursing / Coronary / Cardiac


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