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Chest compressions s/p open heart
I did compressions recently on a fresh post-op, about 1 hour out actually. Yes, you just start pumping away like normal. We got him back and 3 days later he was on the floor. Nice....so glad to hear when things go well after a lot of hard work. Our surgeons/PAs will open at the bedside for bleeding, tamponade, things like that. No big deal, under a CONTROLLED environment.....in a code situation, that's a whole 'nother story!! Gets that heart rate up for sure! :)
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New grad to CVICU?
Hi, I work nights in CSICU and I love it, would not trade it for anything!!! Maybe I am a little biased but our night nurses are the BEST. And I think you have to be at night because usually it's just the nurses, occ. the PAs hang around but not usually. It is a good chance to learn because things are quieter but not slower, IMO. There are still things to be done: outputs, titrating gtts, weaning/extubating, pulling Swans/A-lines. There is a lot of pressure on the night shift to get the patient up and ready to transfer, to get ready for the new cases. I love the pace, but more importantly love the nurses I work with. I have only been a nurse a few years so I rely on the experienced nurses to guide me and back me up when necessary. I know that one day I will be as good a nurse as they are because of what I have learned working on nights. And that's how I feel about that!!! :)
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bored already?
Wow, I have worked in my unit, cardiac surgery ICU for over a year now and I still learn something new everyday, honestly. Admit a few patients straight from the OR, who were pretty sick to begin with and that will put you in your place in no time! How about a patient on epi, vaso, levo, milrinone, lasix, insulin, diprivan and an IABP??? oh yeah, and add an open chest. Now that's a challenge, just managing your gtts and hemodynamics. How about taking a pt. with a VAD? Or on CRRT? There are so many opportunities, I feel like I could work in my unit forever and never be bored..........but that's me. Seek out new and challenging opportunities, but never get too comfortable, that's when a surprise will come up and bite you in the butt!!!:wink2:
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Just took the NCLEX, have questions
HI, just wanted to tell you that my test shut off at 80 and my last 5 questions after the 75 were wicked easy so I FREAKED thinking that I was being given a second or something. I think I even missed my last question and I honestly felt as if I guessed on 90% of the questions or more. NO LIE!!! And I found out today I passed so have faith and don't sit there and analyze each question, you'll give yourself a serious migraine. What's done is done!!! Good luck to you.
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Why did I get 80 questions?!?!?!?!?!
Thanks so much for all the replies. I have calmed down somewhat from this morning.....I will just try and be patient and hopefully I will be able to see my results Thursday AM. Thanks again!!!
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Why did I get 80 questions?!?!?!?!?!
OK, well, this is my first post so here goes........I just finished taking the NCLEX and when my computer didn't shut off at 75, I about passed out. Then, it shut off after 80 questions!!!!!!! What the HECK does that mean?!?!?!? WHO gets 80 questions???? In my negative mind, all I can think is, I was failing at 75 but they gave me 5 more to say, keep on trying and then I missed those 5 so they said STOP!!!!!!!! Plus, those last few were not very difficult, at least, that's the way it seemed to me. Aghhhhh, this is killing me. OK, OK, so I know many of you have gone through this before, I just had to post because I am so nervewracked!!!!!!!!! Thanks!!!