raskol

raskol specializes in cardiac stepdown, pre-hospital.

Latest Activity

1. Pain management post open heart surgery?

   raskol replied to twinkletoes53's topic in CCU

   My unit takes hearts post op day 2. We rely on percocet 5 or 7.5 q4 (1 tablet) or q6 (2 tablet). If that is not adquate, we get IV morphine, dilaudid, toradol, or talwin depending on the surgeon. We get our patients to the chair on day of transfer a...

2. Stupid things doctors do?!

   raskol replied to healthstar's topic in Relations

   I had a vascular resident ask me what VICU was. I must have made a look because he went, "It's vascular icu isn't it?"

3. Nurses working overtime

   raskol replied to Brian's topic in Humor

   Just came home from another shift. Nurses who are already scheduled overtime this week will be mandated to stay past their eight hour shift because we have TWO NURSES for 28 beds. Because we were only scheduled three (due to severe staffing issues) a...

4. Nurses working overtime

   raskol replied to Brian's topic in Humor

   On average I work 48-52 hours a week. My status is full time 40 hours, however my unit is at mandated overtime and has been since January.

5. Gloves & Allergies

   raskol posted a topic in General Nursing

   I've been in health care for about 5 years both EMS/hospital. Up until last summer, all the places I worked had nitrile gloves. However, since the summer I've been using non-powdered latex. Well, now I am awaiting my blood work for a suspected latex ...

6. Ops! Things that make you go huh!

   raskol replied to 9livesRN's topic in General Nursing

   I was getting a telephone order to test for possible HIT. The surgeon said to order HIPA.. well, I was tired and said, "HIPAA? Test for privacY?" He just laughed and told me I needed a day off.

7. When to hold cardiac meds?

   raskol replied to dizzyray822's topic in New Nurse

   I find it helps to know why they are on each medication. Is the EF low? Am I trying to increase cardiac output or coronary perfusion? How have they tolerated the meds in the past? Am I trying to keep them in sinus rhythm?

8. Need a new perspective here....

   raskol replied to ChinupBSNRN's topic in General Nursing

   You asked what you could do differently. And now you know where to find stupid buried old labs. no big deal.

9. Is there a difference between a cordis and TLC?

   raskol replied to patientadv's topic in General Nursing

   my floor gets a lot of post-op CABG patients.. they often come with a cordis...that I love for selfish reasons.. mainly I have great access and I don't have to worry about nurse collect draws in the AM.

10. 22 weeks on a cardiac floor.

    raskol replied to raskol's topic in Ob/Gyn

    Yeah, we don't have L&D. The hospital had different campus and mother&baby is on the other side of town. We did try the ED, waited half hour to borrow their doppler...they won't loan it for whatever reason. When I took report from the ED, t...

11. 22 weeks on a cardiac floor.

    raskol posted a topic in Ob/Gyn

    I had a question regarding fetal heart tones. I work on a cardiac step-down floor (our population is most commonly cardiovascular surgical patients) however the other day I had a 30 y/o female patient admitted with chest pain. However, she was 22 wee...

12. attending vs resident PhD

    raskol replied to ading's topic in General Nursing

    The order you call the physicians is dependent on your hospital and shift. You'll learn it on the job.

13. Preparing to observe cabg surgery

    raskol posted a topic in General Nursing

    Hello fellow nurses, I'm a cardiac step-down nurse and my floor has all their nurses observe a CAGB due to the large amount of open-heart patients we get. I'm scheduled to go in the morning, and I'm wondering if anyone had any last-minute online res...

14. A hospitalist's clash with a PA and NP

    raskol replied to TheSolemnHospitalist's topic in General Nursing

    I'm mostly bummed because that wasn't even a good story.

15. PICC Lines - To clamp or not.

    raskol replied to raskol's topic in General Nursing

    Thanks guys you have been so helpful