Pheebz777

Pheebz777 BSN, RN

ICU, CVICU, E.R.

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All Content by Pheebz777

  1. Treat the patient, not the monitor

    Pheebz777 replied to offlabel's topic in Critical Care

    What about "Treat the patient, THEN the monitor?" (if this catches on, then you know where it started!) LOL! I don't know how many times I've seen a patient with O2 sats in the 90's while the pulse...

  2. RN's in my ED are having a problem with a tech, need advice

    Pheebz777 replied to LyndsaySRN's topic in Emergency

    Someone like that is a liability to your unit. She does not see the legalities of her actions. If any legal issues were to happen in your E.D. every staff involved will be examined and cross examined...

  3. How long did you study for CCRN?

    Pheebz777 replied to EMEddie's topic in MICU, SICU

    I have been studying on and off for almost six months, but I realized it wasn't enough, so I requested two weeks off and studied from 8 am-3 pm at the local library for two weeks straight! Which was...

  4. Agency Nursing - Who loves this work?

    Pheebz777 replied to apal's topic in Agency Nurses

    When I worked agency I was lured not only by the larger salary/hr, but also the opportunity to try different facilities without having to apply for a full time

  5. Obese Nurses

    Pheebz777 replied to Goldentreasure's topic in Health, Stress Management

    In our hospital, our mandatory "BMI" card takes priority over ACLS and BLS

  6. How to know when you should move from floor to ICU?

    Pheebz777 replied to ricki76's topic in Critical Care

    I moved to the ICU after 3 years of Tele/Med-surg because I felt so "plateaued", stagnant, same routine over and over, nothing new to learn, and felt like a plain 'ol pill pusher. What really pushed...

  7. E.D. Protocols

    Pheebz777 replied to Pheebz777's topic in Emergency

    Both instances my patients were passed out from being too drunk. There were brought in by EMS after being involved in bar fights with other patrons. It just concerned me when people started calling...

  8. CEN Study Recommendations

    Pheebz777 replied to apBSNRN15's topic in Emergency

    Interested too in taking the

  9. I had a night

    Pheebz777 replied to AZQuik's topic in Emergency

    2 weeks ago shooting at a strip club, 2 dead, several wounded, we were the closest E.R... fun

  10. EMTs Ever Look at You Like You're Dumb?

    Pheebz777 replied to Avill's topic in School

    Did you initially introduce yourself as the school nurse? Maybe they just wanted verification that you were the school nurse. "hi my name is "so & so", I'm the school nurse who called you guys, we...

  11. Nurse and MD relationships in the ED

    Pheebz777 replied to amzyRN's topic in Emergency

    If you are a solid, reliable, knowledgable, assertive nurse that the MD trusts, he/she will treat you accordingly with better respect. If you cannot keep up with the unit demands, uncertain about...

  12. ICU RN considering moving to ER

    Pheebz777 replied to DesertSky's topic in Emergency

    I've just transistioned to the E.R. after been working ICU/CV-ICU for 15 years, but I still do ICU as agency to a 2 other hospitals. You should have no problem adjusting to the organized chaos you are...

  13. Ambulating a pt while on vasoactive drugs?

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

    wow, 50-100ml? When a patient is that volume depleted to cause dizziness, 50ml is like a drop in the ocean. I usualy give at least 250mls right off the batt. Especially when O.R. sends a patient up...

  14. What stethoscope do YOU use?

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

    My dad who practices internal medicine since the 70's still uses his $8 Littmann Steth he bought in 1972 (that was fairly pricey back then). For his 69th Bday I bought him a $200 Littman Cardiology...

  15. Nitroglycerin in MI

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

    On top of what was already explained, the RV is preload dependent. NTG causes vasodilation of the peripheral vascular bed causing pooling of blood volume, thus decreasing your blood pressure and RV...

  16. Handling Emergencies Outside the Unit

    Pheebz777 replied to sergel02's topic in NICU, Neonatal

    Basically all we can do in an emergent outpatient setting is call for help, secure airway, stop the bleeding and immobilize before considering any form of transport. At least when the EMTs or flight...

  17. What type of pacer from a 12-lead?

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

    You can't go wrong with wanting to know the Ins and Outs of how things work. I'm sure if you get a hold of a cardiologist and ask your question, you might get a perplexed look from him. It's just as...

  18. Night Shifters - Am I being too sensitive?

    Pheebz777 replied to val421's topic in General Nursing

    I got floated to the med-surg unit one time and I had a patient complain to me that the "family" in the next room has been outrageously noisy the past 2 nights. Upon leaving the patient's room, I...

  19. Does it bother CRNA's that MDA's get so much more...?

    Pheebz777 replied to ICU, RN, BSN, B.S.'s topic in Certified Registered Nurse Anesthetist, CRNA

    Everyone should have just answered the question as follows: Nobody in their right mind would be bothered that MD's get paid more. I would be bothered if a CRNA was paid more than an MD...

  20. New grad advice for Arrhythmia Stepdown

    Pheebz777 replied to Brn16's topic in CCU, Coronary, Cardiac

    Look on YouTube. Everything you need to know about rythms, EKGs, waveforms, etc is all on

  21. 21 g needle vs 23 g butterfly

    Pheebz777 replied to Jhennyballen's topic in General Nursing

    You're not supposed to shake the vacutainers. Just gently invert them back and

  22. Resigning after 3 months

    Pheebz777 replied to sarah620's topic in General Nursing

    I can't remember how many countless times I resigned back then because I didn't feel nursing was for me as I dreaded coming into work and feared the unknown. Worked 2 years on a Med-Surg floor,...

  23. Atrial pacing above 100 to increase CO/MAP

    Pheebz777 replied to CardiacDork's topic in General Nursing

    It's not uncommon for the CT surgeons to set the pacer at 100/min for fresh CABG patients until the hearts intrinsic conduction system recovers. They usually wean off any pressors first before going...

  24. Future CVICU Nurse Just got hired today

    Pheebz777 replied to Nurse20161's topic in CCU, Coronary, Cardiac

    Get your CCRN certification. The studying alone will open your mind to key concepts related to hemodynamics, pulmonology, the renal system and everything else related cardiac wise. Then while fresh in...

  25. Adensonie

    Pheebz777 replied to FirstLadyRN's topic in MICU, SICU

    Wait til you do some synchronized cardioversion after failed adenosine attempts! You'll be loving this