cardsRN

cardsRN

cardiology-now CTICU

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All Content by cardsRN

  1. Changing from ER to CSICU

    just when you get complacent, the pt exsanguinates and you have OR in your room. it is very serious business, and i would strongly suggest visiting the unit before accepting any offer to shadow and...
  2. Another 'nursing burnout' thread

    tell me about it. we recently had a 26 year old pt who for some reason was special. he was allowed to have not 1 but 2 cell phones, visitors around the clock, including several children under 12...
  3. Website for acceptable IV insertion sites?

    if i were you i'd check your facility policy for the "no-no" spots. at my facility they are inner wrist (potential arterial access, nerve damage) and lower extremities (foot IV + diabetic= bad idea)...
  4. Is Telemetry Difficult For New Grads?

    ummm...don't be too scared. i started in tele. it is very fast paced and can be stressful, but you learn a lot. you learn how to get you stuff together in short order. and when you move on later,...
  5. Do you regret being a nurse

    no i do not regret becoming a nurse. i could not see myself doing some computer programming job or something like that behind a desk with no hands on. but if i had it to do over again, i may have...
  6. wow ruby, this topic hits close to home for me. as a new member of an ICU FULL of "direct communicators" , i have seen the other side of the fence. i think that the offer of help and reassurance to...
  7. Gay Nurses... help!

    i find it sad and somewhat troubling that in this day and age gay people still face such stigma and have to agonize over simple things like what it is "ok" to talk about at work. as nurses we are...
  8. Ok need some advice on Pregnancy!

    i'm only going to tell you what anyone else here will... we cannot give medical advice. your friend should talk with her OB about her concerns. if she is unsatisfied with her care she should seek a...
  9. EWWWW, something doesn't seem right to me here!!

    interesting discussion guys. at my facility we send the blades down for sterilization but they always come back to us in bags that are open. oh well, at least they started out sterile and will...
  10. need help--husband died at home

    my thoughts are with you and your family. take comfort in your
  11. new grad having trouble w/ icu personalities

    unfortunately many nurses treat each other this way. in my experience this behavior is more prevalent in critical care. they treat new grads, new to the unit experienced nurses, and each other this...
  12. Help With Conflict

    not a manager here, but my instict would be to talk to each of them separately and encourage them to work it out. if that does not work, perhaps mediation by HR is necessary. (not sure what type of...
  13. Ethical dilemma

    in my opinion, where end of life care is concerned my role is to comfort the pt and the family and make sure all care is rendered according to the wishes of the pt or if they are unable to speak,...
  14. Why I get the urge to quit nursing sometimes

    i'll take mine on the rocks with a sugared rim please. my unit is rotten to the core. a small group of staff rules the roost, and unit based policies are set up to benefit those people. they get...
  15. IckCU can't stand it.

    i recently started in a cvicu after 3 yrs cardiac medical experience. i have been there less than a year. i am finding the environment very difficult to cope with as far as other staff attitudes,...
  16. patient family and nursing documentation

    i would reccomend that you ask your supervisor to point you in the direction of your facility's policy on that. my facility has a procedure for requesting a copy of the chart from medical records,...
  17. vents and sedation?

    this is a HUGE peeve of mine. pt vented with no intention of weaning to extubate, NOT tolerating the vent, going wild levitating off the bed with a fresh sternotomy and the doc's say no to sedation....
  18. Insulin during cardiac arrest?

    i have treated high k with insulin and d50 iv push before, but personally, not in an arrest. maybe that's what she was talking
  19. Insulin during cardiac arrest?

    i have treated high k with insulin and d50 iv push before, but personally, not in an arrest. maybe that's what she was talking
  20. if we have low census we float. and float and float. they have tried to make unit nurses float to the floors before. there is always another unit that needs staff. they regularly call in staff to...
  21. Is it appropriate to check on pts?

    i think this is completely appropriate, as other posters have stated- the sending team was involved in the care of the pt and is seeking info for quality improvement issues. my facility has a...
  22. Patient as Customer model of healthcare

    ok, i usually stay far away from these threads because i realize i will never change the minds of those who disagree with me and it will just be a frustrating experience. however, in this case i feel...
  23. for those of you in OR or perioperative areas, i have a question. i am new to surgery and am in a CTICU. several times, when i have taken report on a post-op pt i have been told in verbal report...
  24. OT: and not getting paid?

    ot without pay? not a chance. when was the last time my hospital sacrificed anything for me? will they just understand if i am late or need to make an appointment and leave early? nope. that time...
  25. Christmas Gift for your unit from docs

    to answer a previous poster's question: no. typically we do not buy gifts for the docs. in my case, our docs are cardiac surgeons in a major teaching hospital. one of their salaries is more than...