hellonurse36

hellonurse36 has 6 years experience.

Latest Activity

1. IABP and CPR

   hellonurse36 replied to Tornadochaser's topic in CCU

   I can only speak for Datascope (now Maquet) as that is the one I use. If a pt codes you DON'T CHANGE ANYTHING with the machine...focus on the pt. As soon as the machine no longer senses an EGK to use as a trigger for inflation/deflation it will AUTOM...

2. clot busters versus cath lab?

   hellonurse36 replied to akvarmit's topic in Emergency

   Our criteria in Eastern NC is a pt presenting to an ED with STEMI (ST elevated MI) should be on the cath lab table with balloon opened in culprit lesion withing 90 min of presentation. If pt presents to facility without ability to do interventional c...

3. question regarding pacemakers and death

   hellonurse36 replied to nrsang97's topic in CCU

   I spoke with our medtronic rep last week about this scenario. This is what he told me. All the newer MEDTRONIC pacemakers have AICD components (he stressed that this was how medtronic devices worked, but he couldn't vouch for other brands). If a pt...

4. pa lines/swan ganz

   hellonurse36 replied to dayshiftnurse's topic in CCU

   I have a whole setup that new RNs can "play with" and practice setting up. I also have a display board with the inside of the heart on it that I have glued a swan catheter in the correct position. Below I have a pict of the stages of the swan being ...

5. question regarding pacemakers and death

   hellonurse36 replied to nrsang97's topic in CCU

   [ How long does the AICD have to be exposed to the magnent before it stops? I am not sure how long the magnent has to be exposed before the AICD stopped.] I believe it stops immediately. "The reason for this is because there is a small magnetically ...

6. bedside report/end of shift report role play ideas

   hellonurse36 replied to KAH0508's topic in General Nursing

   I work in an ICU and we do report at the desk and then go into the room for bedside rounds. I agree that bedside report is not approriate...although I will repeat something to the oncoming RN in front of the pt if it is something I told the pt I woul...

7. Really felt outnumbered today

   hellonurse36 replied to TazziRN's topic in General Nursing

   Tazzi, I went to a woundvac class and it was great. It was a lecture about skin breakdowns, staging pressure ulcers, treatment for different stages etc. Then there was a hands on part where we go to play with the machines - even practiced putting dre...

8. How many 12's?

   hellonurse36 replied to fleur-de-lis's topic in General Nursing

   My hardest week ever was 5 on, 1 off then 4 on! Night shift! Not fun. Great paycheck! Terri

9. Low census?

   hellonurse36 replied to miko014's topic in General Nursing

   Yup. I am sitting at home today enjoying call pay due to low census. Not sure what's going on, but here (Eastern North Carolina) we have had several beds closed for over a month now when usually we are pushing to move pt's to an intermediate bed so ...

10. counter-regulatory hormone response resulting in hyperglycemia question:

    hellonurse36 replied to GingerSue's topic in General Nursing

    Our protocol states that a pt with 2 consecutive FSBS > 140 be started on an insulin gtt managed by the glucommander. "The Glucommander is a computer based system for controlling blood glucose by directing an intravenous infusion of insulin in res...

11. Best instructor in the world!

    hellonurse36 replied to BoonersmomRN's topic in General Students

    What a great story. I think we need to hear about the good instructors more often. They can really make a difference. I hope you day goes better. Terri

12. complicastion of cpr

    hellonurse36 replied to bonanza's topic in General Nursing

    What kind of complications are you looking for? Do you mean how can things go wrong? What are bad outcomes? Are you speaking about in hospital or in general public CPR? -broken ribs/sternum are just about a given if CPR is done correctly. -pt's heart...

13. Senior Independent

    hellonurse36 replied to beth38's topic in General Nursing

    Beth, These goals look good, I can't think of anything better. I forgot how the "Nursing School Instructor's mind works!!" Boy am I glad those days are over...sounds like you are pretty close to being through with it all to!! YEAH!!! Good luck. Ter...

14. Senior Independent

    hellonurse36 replied to beth38's topic in General Nursing

    Hmmmm. Not sure I agree with your instructor. The time spent in clinicals INTRODUCES a student to all of these things, but one can always continue to improve them - in fact....that is what most new nurses are working on during their orientation! What...

15. Senior Independent

    hellonurse36 replied to beth38's topic in General Nursing

    Not sure what you are looking for or what type of unit you will be on, but I'll give it a try. 1. Learn how to program and run pumps, including (if they have this), using programable features for different medicines. 2. Learn how to do an effective h...