matthewrn03

Latest Activity

1. staffing

   matthewrn03 replied to matthewrn03's topic in CCU

   look frankly, i am appalled that some of you have to pair IABP's. sure, MOST of the time, the machine handles the timing but i have noticed these patients are "squirrely" (even intubated and sedated) and having personally seen a patient lose a leg wi...

2. staffing

   matthewrn03 replied to matthewrn03's topic in CCU

   ok to the person who said their IABP's are tripled??? ***** how can you possibly assure the integrity of the pump and maintain correct timing with 2 pumps, nevermind 3??? your manager is an idiot and clearly wants people to die. I don't care what Da...

3. staffing

   matthewrn03 posted a topic in CCU

   So i keep reading horror stories about crazy CVICU and CCU ratios. i work in california where the ratio is ALWAYS 1:2 or 1:1. are you really expected to take 3 patients in other states? also how long are your fresh hearts 1:1 for. some hospitals her...

4. can ICU nurse handle 2 pts on the levophed same time

   matthewrn03 replied to Snoopy54321's topic in CCU

   well you can always refuse an assignment(i have yet to try this), but i would if, say they tried to give me a 2nd patient with a CRRT or IABP or Fresh heart....

5. sanfran hourly rate?

   matthewrn03 replied to matthewrn03's topic in California

   wow, took me 4 months to get back to this site, lol.thanks everyone i decided to stay in SD until the market improves in SF(wasn't having a lot of luck with applications) i think one poster asked about the best ICU's to work for in san diego? Scripps...

6. Help please- New Grad Resume for surg/trauma ICU

   matthewrn03 replied to smk723's topic in MICU

   LOL, please. if you are smart enough and willing to work hard and basically give up your social life for the first year, you can do ICU right out of school. Ignore what the "seasoned" nurses say to you(and trust me, you will run into a few). you don'...

7. New Graduate in ICU- Advise and Tips

   matthewrn03 replied to cdtmns2011's topic in MICU

   icufaqs.com is the best site for a new grad, it will give you lots of easy to digest, practical tips on everything you will commonly see and be expected to do. once you have "gotten your feet wet" move on to a more scholastic text, like "the icu book...

8. can ICU nurse handle 2 pts on the levophed same time

   matthewrn03 replied to Snoopy54321's topic in CCU

   LOL! the registry nurse was being lazy or didn't know what the hell she was doing(the more likely case). we all(icu) have had plenty of nights where both patients are on Norepi gtt's. its not that big of deal. i think you are going to find that while...

9. Dobutamine Advice

   matthewrn03 replied to ellekunk's topic in CCU

   Dobutrex is commonly ordered for augmenting or increasing a patients cardiac index. If you don't have any method for determining the C.I.(such as a Swan or continous cardiac output monitor) then you could use the patients MAP. this can be tricky thou...

10. Cardiac Stepdown unit 5:1 patient ratio...is this normal???

    matthewrn03 replied to jaznia15's topic in CCU

    Move to california or a state with protected patient ratio's. 5:1 step down is insane. and you say "drips". are you titrating those drips? if you are actively titrating, than the patient belongs in the ICU.

11. sanfran hourly rate?

    matthewrn03 posted a topic in California

    Hi, i am a CCU/SICU RN in san diego with 3 years experience and CCRN certification. i am wondering if anyone knows how much, per hour, i would make in san francisco(night shift)? the hourly rates in san diego are not spectacular and i am only making ...

12. Should CVVHD be 1:1

    matthewrn03 replied to kristenallene40's topic in Critical

    CRRT and IABP and Fresh Hearts should always be 1:1. i am appalled that there are hospitals that allow you to take care of a balloon pump with another patient. maybe its because i live in california and that sh#% don't fly here, but come on! you shou...

13. Does it bother you when someone wants to be a nurse just for the money?

    matthewrn03 replied to KhloRN2be's topic in General Nursing

    LOL, i don't think there is anything wrong with wanting to "avoid butt wiping". its a huge plus to being a cath lab RN...