Pheebz777

Pheebz777 BSN, RN

ICU, CVICU, E.R.

Member

  • Content

    225

  • Visitors

    6,434

  • Followers

    0

  • Likes

    22

All Content by Pheebz777

  1. Wearing scrubs home?

    Pheebz777 replied to Lee_Ryan's topic in General Nursing

    You never know. Ask home health nurses who follow up patients' with chronic wounds at home on a weekly basis if family follows all the same protocols, handwashing, and gowning up that we normally do...

  2. How did you get the big pay raise?

    Pheebz777 replied to Nurse3242's topic in General Nursing

    After working Tele/Medsurg for 2 years, I worked Agency RN for another 2 years which almost doubled my rate from my starting rate. But after bouncing around different hospitals, I went full time ICU...

  3. ED to ICU

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

    Sorry for the late response. Let me give you some insight. I am the total opposite. I've been in an ICU environment for 15 years and just recently transitioned to the E.D. 2 years ago. I find the E.D....

  4. Rapid Response?

    Pheebz777 replied to TinkerBellaRN's topic in MICU, SICU

    As long as you have strong critical thinking skills and well versed in ACLS, you should be fine. In most hospitals I've worked, it's usually the ICU charge nurse who is also the RRT nurse. There have...

  5. Pacemaker and irregularity?

    Pheebz777 replied to brdavis17's topic in CCU, Coronary, Cardiac

    It's not uncommon for PM patients to still have an irregular rhythm. The PM is only there to provide patient stability. The heart can still fire on it's own and trigger a ventricular response and the...

  6. AF RVR + levophed

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

    I've never heard of holding Amiodarone because of not being anticoagulated, usually for elective cardioversion you would want to determine whether or not the patient is on anticoagulation. For...

  7. Sterile Water for Enteral Feeding Tubes?

    Pheebz777 replied to med_geek's topic in Critical Care

    Do you guys use sterile gloves when bathing patients too? No harm using sterile gloves. No harm in using sterile water as well. But the water we use is from the water dispenser. Not faucet

  8. EKG workbook

    Pheebz777 replied to rbenoitRN's topic in Cardiac

    YOUTUBE has fascinating videos complete with explanation and high quality animations that made me understand concepts and so far it has stuck to me better than merely reading books. Book are a great...

  9. New Nurse IV Struggles

    Pheebz777 replied to mer015's topic in First Year After Licensure

    You still ask their permission. Even family members at bedside. Sometimes these people have IV's that are several days old. I apologize if my original comment left room for your personal...

  10. Anyone disliked ICU?

    Pheebz777 replied to RNbubu's topic in Critical Care

    Working ICU has its benefits. You learn a lot, you gain self confidence, and you become more marketable as a nurse. While you're there, get your CCRN, reap in the benefits (most hospitals have bonuses...

  11. AF RVR + levophed

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

    Assuming you ruled out other reasons for being tachy, (dehydration, pain, fever, anxiety, etc,) has the patient been on any antiarrythmics? drips? Sometimes controlling the HR improves the blood...

  12. July 2017 Caption Contest - Select $100 Winner!

    Pheebz777 replied to Joe V's topic in News, Announcements

    "...there's a reason why we need to count all the sponges my fellow

  13. School dosage math help

    Pheebz777 replied to nurse2bbetty1989's topic in General Students

    There are several dosage calculation practice tests online with answers. The only way to get familiar with what equation to use is practice, practice and

  14. But Why? Fingersticks and Common Sense

    Pheebz777 replied to Nurse Beth's topic in General Nursing

    This other facility where I do agency does not even do fingersticks in the ICU. All blood glucose level are obtained thru serum. Even patients on insulin drip get the hourly stick from

  15. What's In A Name Badge?

    Pheebz777 replied to TruvyNurse's topic in Nursing Professionalism

    I put all the credential allowed onto my badge. I worked hard for it. However we're allowed only BSN-RN, CCRN. Can't slap on the CMC-CSC

  16. CMC- Cardiac Medical Certifcation subspecialty

    Pheebz777 replied to Jujubear2606's topic in CCU, Coronary, Cardiac

    Obtaining CCRN, CMC, CSC, CEN etc certifications only solidifies your knowledge in these specific areas. It gauges and strengthens your knowledge in those respective areas of practice. You just cannot...

  17. ACLS Certification

    Pheebz777 replied to Java Mama's topic in General Nursing

    There are only a few lethal cardiac rythms to be aware of and you can bunch them up as to which ACLS algorithm to use. There are several YouTube videos to make things easier to

  18. Calibrate at Phlebostatic axis?

    Pheebz777 replied to JayJ10's topic in Critical Care

    Can't argue with many medical

  19. Should I report this nurse?

    Pheebz777 replied to laladeedee's topic in Medical-Surgical

    Don't need to report the nurse per se, just report the incident. Is there a policy in your institution not to transfuse blood through a

  20. Holding "Ordered Meds"..... What are the rules?

    Pheebz777 replied to jk2185's topic in Patient Medications

    I get the eye roll from MDs a lot for being extra curious as to why they order stuff. One thing I do a lot is ask for "parameters". "Hold beta blockers if HR is below 55" "Don't call for troponin...

  21. Holding "Ordered Meds"..... What are the rules?

    Pheebz777 replied to jk2185's topic in Patient Medications

    As what others have said, treat the patient, not the numbers. If a BP of 92/40 HR 150 and adequately hydrated, no fever, no pain/anxiety... giving the beta blocker most likely will bring the BP up if...

  22. Vtach

    Pheebz777 replied to mugs's topic in Cardiac

    I wouldn't be worried about a few runs of VT. I would be more worried of how frequent the runs are occuring, how long they sustain, and the effect on the patients clinical status. Check lytes esp. Mg...

  23. Reason for IV fluids

    Pheebz777 replied to Matt8700's topic in Emergency

    It's common "unofficial" medical lingo used in the medical field. GBW is short for Generalized Body Weakness, and DHN is short for dehydration. Back in the days when MDs wrote their progress notes on...

  24. Transporting TR band patients from Cath Lab recovery to inpatient room

    Pheebz777 replied to montyb79's topic in Cardiac

    If there is going to be any bleeding, any bleeding at all, all it needs is a little pressure. Inflate the vasc band another 2ml or more and you're good! If you're uncomfortable doing it, just apply...

  25. Reason for IV fluids

    Pheebz777 replied to Matt8700's topic in Emergency

    Just reading your examples, the 30yr old with GBW could have some mild dehydration by presenting with GBW alone. Labs can be perfect, she doesn't need to be vomitting, having sunken eyeballs, pale, to...