23AtTheTeeth

Latest Activity

1. Struggling With the Magnitude of My Responsibilities.

   23AtTheTeeth replied to 23AtTheTeeth's topic in CCU

   Well, it was a little more in depth than that... I asked if we could start dobutamine to help with her saggy indices and CO, but she said to try and go up on the milrinone from .375 to .5 first and then re-assess instead of starting a second agent (...

2. Struggling With the Magnitude of My Responsibilities.

   23AtTheTeeth posted a topic in CCU

   Hey, all. I am a Cardiothoracic ICU Nurse at a Level I Trauma Center that is also a major teaching hospital that serves 9 states in my Region. Needless to say, my unit is extremely busy, and we fly patients in to provide surgical specialty care and e...

3. CSICU vs Onc

   23AtTheTeeth replied to JaclynMB's topic in Critical

   I started in a Level I Trauma Center CVICU at the end of last year, and it has proven to be the most challenging/rewarding thing I have ever done. I, too, transferred from a leadership, Charge Nurse role at a smaller hospital to a staff nurse at this...

4. Verbally abusive patient, worried I could have handled the situation better

   23AtTheTeeth replied to NurseMom2016's topic in General Nursing

   I don't know, I am not on board with "just giving the guy his coffee." If you were to give him his coffee and make him go over his restriction, you would be directly breaking a physician's order. I think the only thing different I would have done was...

5. Interesting Situation (Thoughts?)

   23AtTheTeeth replied to asneakyseal's topic in CCU

   I can see your rationale behind not using CVP alone, but all of your other hemodynamic parameters seem to indicate that he was definitely fluid up as he was hypertensive, extremely high PA pressures with a high CVP. If it was just one outlier, I can ...

6. I'm having doubts about nursing... :(

   23AtTheTeeth replied to Texasstudent0's topic in General Students

   Honey, I am proud to say that you officially had your first #**** day! Some days, even as a Cardiothoracic ICU nurse, all I do is bed baths and linen changes after code brown after code brown. The key to being an amazing RN is mastering being an amaz...