Pheebz777

Pheebz777 BSN, RN

ICU, CVICU, E.R.

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All Content by Pheebz777

  1. Reason for IV fluids

    Pheebz777 replied to Matt8700's topic in Emergency

    Well, we all know that the best determination of hydration status is reflected in the urine. When patient hands over a urine sample that's dark amber in color, well that tells me a lot. Most of the...

  2. Travel NP starting hourly rates

    Pheebz777 replied to f14chris's topic in Nurse Practitioners, NP

    I would negotiate a better salary. My base pay including ICU differential, night differential and $2/hr for CCRN certification all add up to $48/hr. At my other seasonal Job they were offering

  3. Pacemaker failed to sense

    Pheebz777 replied to nurs1ng's topic in CCU, Coronary, Cardiac

    I called the cardiologist once for the same problem, but before the MD called back I was messing with the sensitivity and mA but to no avail. The cardiologist just told me to increase the rate to 80....

  4. EKG reading and leads

    Pheebz777 replied to Red398's topic in General Nursing

    Look it up on YouTube. Type in 12-lead EKG. Once you watch a couple of simulations you'll never forget it. You'll understand how vectors work, reading axis, understand BBB,

  5. Vent/Advice Needed

    Pheebz777 replied to vintagemother's topic in Geriatric, LTC

    well, you do have a "1hr before and 1hr after" window to give your meds. You can bunch up your 7-8-9 meds together by giving them at 8, and you can bunch up your 10-11-12 meds by giving them at 11?...

  6. Should ICU get more pay than floor nursing?!?

    Pheebz777 replied to francoml's topic in MICU, SICU

    I don't necessarily think a floor nurse should be paid less than an ICU nurse or vice versa. A new grad in the ICU should not be paid more than a seasoned nurse on the floor. Pay rate should be...

  7. IV Benadryl

    Pheebz777 replied to kmrn1737's topic in Emergency

    If there's no IV fluids running I usually pull out a 50-100 ml saline bag and run it slowly from the farthest port to prevent extrapyramidal symptoms. I also do this with reglan unless the MD orders...

  8. Heat stroke & DIC????

    Pheebz777 replied to angle71054's topic in Emergency

    I live near the Texas/Mexican border and we get patients suffering from heat stroke, rhabdo and DIC when they present to the E.R. The rhabdo alone caused by the extreme exposure would be enough to...

  9. Drugs to know in the Neuro Icu

    Pheebz777 replied to AstarteRN's topic in Neuro Intensive Care, ICU

    On top of the aforementioned medications, you might want to familiarize yourself with the application and operation of a cooling blanket as these neuro patients tend to develop "neurogenic

  10. How woud you treat this patient...

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

    Not with a HR of 30. Tridil drip would be best to control the chest pain and lower

  11. What was your practice scores for CCRN prep?

    Pheebz777 replied to SebassRN's topic in Critical Care

    I think I recall I was getting in the high 60s as well. But when I took the 150 questions I got a score of 116. My CCRN score was

  12. Request for advice from veteran CVSICU nurses

    Pheebz777 replied to CarpeDiem'15's topic in CCU, Coronary, Cardiac

    Aside from learning from a good preceptor, get your CCRN certification. The study alone will help you big time in understanding hemodynamics, PA catheter pressures and their significance, ABG's, etc....

  13. ICU nightmares

    Pheebz777 replied to CardiacDork's topic in Critical Care

    I've had dreams sometimes where I didn't know anything on any patients. I couldn't read any of the orders. I wasn't familiar with the staff, I didn't know why I'm working in this unfamiliar place....

  14. 2 PIV's if no central line?

    Pheebz777 replied to Theloneyoni1's topic in Critical Care

    I don't think there's a policy regarding how many PIVs an ICU patient should have. I think it's only common sense having 1 extra IV if your patient is on a drip or vasopressor. If that single IV...

  15. ICU stuff

    Pheebz777 replied to amzyRN's topic in Emergency

    I would say just be familiar with your drips, vasopressors, their preparations (single, double, quad) as well as certain drip protocols (heparin, DKA, insulin,etc). Knowledge of the ventilator and...

  16. Overdose or tbi? What would you do?

    Pheebz777 replied to BAP16's topic in Emergency

    Are you new to the E.D.? Just curious. People come to the E.D. with similar presentation all the time. Stabilize airway, hemodynamics, then CT head, labs, detox, etc.

  17. How woud you treat this patient...

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

    STAT cardiac protocol, MONA, EKG, labs, O2 right, cardiac monitor with pacer pads initially How old is this patient? What were the circumstances/history prior to presenting into the

  18. Treat the patient, not the monitor

    Pheebz777 replied to offlabel's topic in Critical Care

    What scares me is that some nurses take the phrase "Treat the patient" in it's most literal simplistic meaning. For me, it is universally understood that "Treating the patient" incorporates all...

  19. RRT vs ICU transfer

    Pheebz777 replied to kflavi2's topic in Critical Care

    So the patient was started on dopamine, kept on dopamine and stayed on the floor? As what others have already said, a day or 2 in the ICU would be needed as well as a cardiac consult. Someone just...

  20. E.D. Protocols

    Pheebz777 posted a topic in Emergency

    What are the general protocols to follow when you recieved an assualted patient "A" and recieved a phone call from someone on the other line asking if you have patient "A" in your E.D.? Also, on 2...

  21. Books for new ICU Nurse

    Pheebz777 replied to NurseLys1994's topic in Critical Care

    Don't forget that YouTube is filled with a plethora of information and clear cut narratives and animations. When digging into the details those aforementioned books are great. When you want to...

  22. Treat the patient, not the monitor

    Pheebz777 replied to offlabel's topic in Critical Care

    I agree with this to some degree, but I believe the OP was referring to nurses reaction to false and true alarms when they are warranted. Besides if a patient suddenly goes asystole for no reason that...

  23. ICU new grad, handling an emergency successfully

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

    He probably meant an external jugular. In my experience the 2 times I placed an emergent EJ in a crashing patient the E.D. doctor gave the go ahead signal pending arrival of a central line

  24. ICU new grad, handling an emergency successfully

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

    Great Job! As you progress longer in the ICU, you will encounter many more patients that will deteriorate right before your very eyes! Especially those with a myriad of co-morbidities such as the...

  25. New Nurse IV Struggles

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

    You can also practice, I mean, "insert" new IVs on confused, debilitated, aphasic patients when you get a chance. As AkulaHawkRN stated, you get more success by being aggressive with your sticks....