Pheebz777

Pheebz777 BSN, RN

ICU, CVICU, E.R.

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All Content by Pheebz777

  1. CPEN study

    Pheebz777 replied to Guest219794's topic in Emergency

    I'm currently thinking about getting a CPEN certification. But I need to ask administration if they have any "monetary incentive" for achieving the certificate. Besides the addition knowledge in PEDs...

  2. ICU or Step down

    Pheebz777 replied to rpresto706's topic in Critical Care

    Can't go wrong starting at that academic hospital. Start with a strong foundation and move your way up to ICU when you feel the time is

  3. CPEN study

    Pheebz777 replied to Guest219794's topic in Emergency

    Just curious, did you let your CCRN

  4. Swan-Ganz catheter & PCWP

    Pheebz777 replied to SamanthaRT2020's topic in Cardiac

    Just think of lighting a bright flashlight in a dark hallway, the flashlight being the inflated balloon of the swan wedged in the pulmonary artery. You can see everything in front of the light, and...

  5. Injured doing compressions?

    Pheebz777 replied to dbabz's topic in General Nursing

    Sounds like you have muscle strain endured during the code. When you are improperly positioned to perform high quality CPR you tend to use other muscles to compensate. Most places I worked at strictly...

  6. Afib

    Pheebz777 replied to BSN_Studnt's topic in CCU, Coronary, Cardiac

  7. 2 full-time jobs?

    Pheebz777 replied to anna225's topic in General Nursing

    Have you looked into working for the Military to pay off school

  8. 2 full-time jobs?

    Pheebz777 replied to anna225's topic in General Nursing

    Do 1 full time job and another as agency or PRN at another facility for more flexibility and more pay. Be sure to max out your tax deductions (ex. filing for single on your W2) that way by the end of...

  9. Esmolol and Norepi

    Pheebz777 replied to Cvepo's topic in Critical Care

    Plus the B2 stimulation promotes better perfusion through the pulmonary vasculature. Esmolol is primarily a B1 antagonist which has very minimal effect on B2

  10. Tips for CEN 2018

    Pheebz777 replied to Nurse_lizzy's topic in Emergency

    Print out the CEN blueprint and study all the material there. You can get by just by watching and understanding YouTube content on each topic. Also watch Mark Boswell videos over and over and take...

  11. Weaning/extubating vented patients

    Pheebz777 replied to JBMmom's topic in Critical Care

    We start weaning off sedation around 6am. Usually have orders for mittens to be applied just in case they awake enough to pull at lines, IVs,

  12. CCRN

    Pheebz777 replied to Brec16's topic in Critical Care

    The actual exam didn't seem as difficult as I thought it would. I had was getting high 60's in PASS CCRN. So I studied Laura Gasparis review book and studied all the material on the CCRN blueprint....

  13. ACCN Emergency dilemma

    Pheebz777 replied to mediwizard's topic in Critical Care

    You will need the BLS/ACLS/PALS in the E.D to start

  14. Passed CEN

    Pheebz777 replied to DFWEDRN's topic in Emergency

    Congrats! recently passed mine last July 16. I contacted HR to add that to my badge, but I have a long first name and I don't think the CEN will fit. Or maybe I could take away the CMC-CSC. We'll see...

  15. cardiovascular ICU new hire

    Pheebz777 replied to nerdynurse8's topic in CCU, Coronary, Cardiac

    Good luck! You'll enjoy it there and learn a

  16. COPD and O2

    Pheebz777 replied to Dcsobe's topic in Pulmonary

    Just explain to them how the respiratory triggers work for normal people as opposed to COPD'ers and that fine line between killing that respiratory drive and becoming too hypoxemic. Because a blood...

  17. NEVER Specialized??

    Pheebz777 replied to uiwhi's topic in General Specialties

    I would suggest getting solid ICU experience for now at least 2 years. Seems you like floating around and working different units. Having ICU experience will get you some good foundation to booster...

  18. 2018 Nurse Salary

    Pheebz777 replied to #MakeItRain's topic in General Nursing

    Location: McAllen Texas Experience: 22 years. 2 years Nursing home, 1 year Med Surg, 2 years Telemetry, 15 yrs CVICU, 2 years ED Specialty: ED Facility: 530+ Bed educational hospital with ongoing...

  19. Cricoid Pressure

    Pheebz777 replied to SBURNSTEVEN's topic in Certified Registered Nurse Anesthetist, CRNA

    Technically your preceptor was asking, "are you in

  20. ER nurse advice

    Pheebz777 replied to baej's topic in Emergency

    Go for E.D. Certifications. CEN, CPEN, TCRN, etc.. That will broaden your knowledge and improve your skills which is majority of the reason why nurses feel anxious in going into work. Watch a lot of...

  21. Amiodarone help!

    Pheebz777 replied to Brama28's topic in CCU, Coronary, Cardiac

    That's what I wanted to know because the OP never mentioned if it was a doctor who ordered the dose or the RRT nurse following ACLS

  22. Best stethoscope for an ER Nurse?

    Pheebz777 replied to verbalsjint's topic in Emergency

    Unless you really need to hear heart murmurs, or better yet, identify systolic from diastolic murmurs, there is no reason to get any of the higher end expensive stethoscopes. In the ER, realistically...

  23. Cen, tcrn, cpen, atcn, atls, ccrn

    Pheebz777 replied to AubreyGurley's topic in Emergency

    Wouldn't hurt to take the CCRN. But the topics in Cardio and Pulmonary topics will be more in depth. You would have to memorize many hemodynamic values and understand each values' significance....

  24. Mobitz II vs. Third Degree Heart block?

    Pheebz777 replied to phoebe2020's topic in CCU, Coronary, Cardiac

    Don't start by looking for a dropped QRS. Pay attention to the PR/QRS pairing which is key. On Mobitz II, technically you'll find a consistent PR/QRS interval pairing on every QRS that isn't blocked....

  25. Anyone else try urgent care and hate it?

    Pheebz777 replied to AnnieOaklyRN's topic in Emergency

    I work at a Freestanding ER which has no RT and no phlebotomists. I love it here. It can be challenging at times when train wrecks walk through the door, (STEMI's, Strokes, Gunshots, stabbings,...