tbpmom

tbpmom

Med-Surg, ICU

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About tbpmom

tbpmom has 25 years experience and specializes in Med-Surg, ICU.


Critical Care/CVICU Med-Surg, Surgical Step Down

Latest Activity

  1. CNS clinical rotations

    I like the work til 70! I am considering doing primary Adult- Gero NP & going to Senior Clinic or ECF when I retire from my 40 years in acute care. I also want to teach water aerobics to those...
  2. Which CNS certification?

    I am ACNS-BC from ANCC as that is what my program offered in 2010. Now it is the the Adult-Gero of
  3. I am looking for how other hospitals do staff nurse orientations- new grads vs experienced nurse. yes, probably would be better suited for staff/ professional development. But I am. CNS and I am...
  4. Would you please share how your hospital does nurse orientation please? How do many days for general orientation and how many for RN's? How is it done? In simulation lab and copmuter labs? before...
  5. Coluld you please send me any polices and literature you may have supporting the practices you mentiond please? I am having trouble finding any literature regarding guidelines/best practice with...
  6. Adult CNS-EXAM

    I took the ACNS exam Dec 31st and passed ! I felt the ANCC study Group was helpful. I also used several NP review books, as well as my pharmacolgy and A&P books. I had a lot of questions related...
  7. post-op cabg care

    In our CVICU--we have very different treatments depending on the surgeon, and it appaers that this inconsistent trend is everywhere from reading the above posts. Does anyone know of any...
  8. Use of peripheral inserted central catheters ( PICC )

    Also i just read on the Bard Power PICC web site that vamps and CVP monitoring are OK for these lines. I just do not believe that is in the step-down policy though for our facility. Maybe that is...
  9. Use of peripheral inserted central catheters ( PICC )

    The PICC's in our hospital are placed only by specially trained RN's, and placement is verified by PCXR. Staff RNs change the dressings per policy q week or as needed. I work in a CVICU, but some of...
  10. Use of peripheral inserted central catheters ( PICC )

    But these are patients on the step-down where vamps are not used. Plus I have never seen vamps used on PICC's. These are power point PICC's and are Vamps OK to use with them? Thanks.
  11. Use of peripheral inserted central catheters ( PICC )

    I have a question regarding PICC use? What is best practice regarding checking glucose levels q 2 hrs ( or more often) because the patient is on an insulin gtt? A nurse was telling me she thought...
  12. I had no desire or thoughts about being a nurse in HS, but at 25 yrs. old, I decided it was silly not to try Nursing, and I have been at it now for 24years. I tell all the new nurses that hospital...