Pheebz777

Pheebz777 BSN, RN

ICU, CVICU, E.R.

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All Content by Pheebz777

  1. Where to post for house to rent?

    Post it on
  2. Registry while on travel contract - How?

    I am working a travel assignment with Kaiser Fremont CA and applied with HealthTrust Workforce solutions as registry for a couple of HCA facilities here. The average take home pay is a little over...
  3. Direct suction to ET tube on extubation

    The only thing I would be concerned about is did he use a new suction tubing to stuff down the ETT? Or was it one that has been in use for a few days? Usually the in-line suction catheter connected to...
  4. IV Compatibility

    It will help transport the glucose into the cell for
  5. PCCN vs CCRN

    Are you planning to take both just for the bonuses? Awesome! Go for it! I work with a nurse that has both PCCN/CCRN on his
  6. ICU Vent question

    Peak pressure is basically pressure in the airway circuit. Increased secretions, fluid filled bronchioli, patient biting the ETT for example will directly affect peak pressure. Now once you've taken...
  7. Yes, they alter the action potential thus delaying
  8. Ultrasound Guided IV cert

    Totally agree. I would also suggest watching several YouTube Videos and understand the concept, the basics, preparation and such. Then if you have a facility that checks you off for the US guided PIV...
  9. ICU Orientation Almost Done and Freaking Out...

    Regarding giving report, always develop a routine/system and get used to it so you minimize forgetting something when giving report. As what was said above, use a workflow sheet or "brain" as we call...
  10. Confused about private insurance

    I am about to leave my full time job and I love the insurance that it provides under AETNA. I would like to speak with HR if I can continue coverage and pay for it out of pocket. Is that an option...
  11. Best sedation med

    Here is the best write up for sedation agents. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3227310/ You would also benefit from watching the numerous YouTube videos on this
  12. The QRS complex will always be narrow in a heart with a normal functioning conduction system and a supraventricular pacemaker. The QRS will be prolonged in a BBB or from a ventricular source (PVC)...
  13. Low Ball Offers

    55-65/hour is just your base pay for the first 8 hours, beyond 8 hours it's x1.5 for each 12 hour shift you do. Beyond 40hrs per week you will be paid x2 of your base pay for each extra hour beyond...
  14. PA catheter and parameters

    Even though PA measurements are not routinely utilized, it is a great concept to grasp and understand. Many symptoms from various disease conditions reflect what is happening to your patient and...
  15. BBB VS vtach?

    You can still have a pulse while in VT. Not adequate perfusion but you still have a pulse. And there's pulseless VT. To the OP, Are you a Tele Monitor Tech? Without a 12 Lead EKG and only looking at...
  16. New Grads in the ICU

    Most new grads are quick to pick up and have the energy to learn many new skills and concepts. In my experience, the new grads that did fairly OK or not that great, became NPs. While the new grads...
  17. one week two RN jobs two states

    I'm planning the same thing. Working in California, and down here in Texas. Tomorrow I'll be calling a travel agent that 2 of my colleagues have used. I would be like to work 6 days straight from...
  18. Maintaining CEN certificate

    So would it be safe to say any CE's, for example, that pertain to ex. heart failure, Afib, antiarrythmics, etc can count towards the CEN, and topics such as Impellas, balloon pumps, LVADs, post CABG...
  19. Maintaining CEN certificate

    I obtained my CEN last July of this year and looked over the BCEN website for requirements for maintaining the CEN certificate. Here's a copy paste directly from the site: "CEs should have a clear and...
  20. Futile ressusitation

    Here's a little story I'd like to share with you. One time I was assigned in the CTICU and took care of a suicide male in his late 30's who gashed open his wrists, bilateral carotids, stabbed himself...
  21. Swan-Ganz catheter & PCWP

    Yes, wedging the swan is rarely even performed due to the risks which out weight its use in the clinical setting. That's why when the interventional cardiologist floats the SWAN, he/she notes both the...
  22. Per diem VS travel

    Does extensive experience (and a plethora of certifications) increase your chances of being hired per diem after transitioning from being a travel
  23. CMC Cardiac Medicine Subspecialty Certification

    After passing the CCRN back in 2009, I immediately signed up for both the CMC and CSC 3 weeks later while my memory was still fresh. Took the CMC first on a Monday, passed it, then took the CSC the...
  24. CCRN/CMC

    I took the CMC literally 3 weeks after I passed the CCRN with no extra books or reading material other than the ones I was already using. Passed the CCRN with a score of 111 (passing I think was 91),...
  25. 3 Years In ER, now Critical Care

    When I'm in retiring age, that's probably a job I would