JeffTheRN

JeffTheRN

ICU/CVU

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All Content by JeffTheRN

  1. Charge Nurse Pay

    JeffTheRN posted a topic in Nurse Management

    Just a general question...if you are a nurse that does charge duties as well, how much extra do you get paid to do so? Here, at my hospital, staff RN's only do charge on the weekends and have an...

  2. OGT securement in intubated patients

    JeffTheRN posted a topic in Critical Care

    We usually, as a standard, tape the OGT to the ETT (still being able to visualize cm markers and tube size markers etc...). Anesthesia, now, does not want anything taped directly to the ETT. My...

  3. Continuous ST segment monitoring

    JeffTheRN replied to enterprisern's topic in Critical Care

    I am interested in the responses to this as well. We have ST monitoring capabilities, however, it is not utilized in our

  4. Alaris pumps?

    JeffTheRN replied to Tantorium's topic in Critical Care

    Not a fan of Alaris pumps. We use Alaris pumps in the CTICU and we use Baxter in our ICU. I prefer the Baxter, just more user friendly. The Baxter has its "upstream occlusion" issues similar to the...

  5. Why don't you just read the chart?

    JeffTheRN replied to Guest219794's topic in Patient, Colleague Relations

    We have the exact same issue in our hospital (or should I say Customer Service Center) as

  6. Titratable drips

    JeffTheRN replied to nurs1ng's topic in Critical Care

    Our ICU has a small 3 ring binder in every room that has Excel sheets that lists our most common medicated drips with a lot of info including titration protocols. JCAHO wanted it, or should I say...

  7. Why don't you just read the chart?

    JeffTheRN replied to Guest219794's topic in Patient, Colleague Relations

    Ok....my turn....why do you ED nurses hold my admission right up until the change of shift and then send it when I only have 20 minutes left to go home? What, oh, when I read the EMR it says that...

  8. Does your ICU have CNA's?

    JeffTheRN replied to Rose44's topic in Critical Care

    Connecticut - 16 Bed MICU/SICU. 8 bed CTICU. 1 CNA (PCT). They do all the blod draw sticks, temps and finger sticks. They also help with turns and general patient

  9. OGT securement in intubated patients

    JeffTheRN replied to JeffTheRN's topic in Critical Care

    I agree with everyone and we still continue to tape to ETT's until my boss tell's me not to. When anesthesia drops off a post op CABG or valve in the CVU, the OGT is free floating and not secured in...

  10. Levophed and the CVP

    JeffTheRN replied to BonnieLass's topic in MICU, SICU

    Most of the attendings in our ICU do ultrasound IVC compressibility to assess fluid volume

  11. PPM Question

    JeffTheRN replied to Wheaties1974's topic in Critical Care

    Technically speaking, epicardial leads to an external pacemaker is not a PPM. But that's really just splitting

  12. New in Cardiac/Telemetry Nursing

    JeffTheRN replied to NurseMaricel's topic in Cardiac

    Know your rhythms and practice good time management. Tele units can get BUSY BUSY. Other than that, enjoy yourself and congrats on the

  13. New to CVSICU...cardiac gtts

    JeffTheRN replied to Stormy8's topic in CCU, Coronary, Cardiac

    In our ICU/CVU we have our specific hospital policy and protocols (thank you State of CT for your constant visits and citations) for EACH and every titratable gtt (begin infusion at .... titrate by...

  14. What would you say to this shocking patient statement?

    JeffTheRN replied to aboucherrn's topic in Patient, Colleague Relations

    Nope. I'm just not naive and don't think everything needs to be seen through rose colored glasses. I don't see the problem with calling a spade a spade. I'm also quite content in my career choice...

  15. What would you say to this shocking patient statement?

    JeffTheRN replied to aboucherrn's topic in Patient, Colleague Relations

    "Anxiety, depression, fibromyalgia, chronic back pain, migraines etc..." = "blah blah blah I'M A MED SEEKER blah blah blah" Take it somewhere else, I'm not here to supply your habit and take your...

  16. Would you do this?

    JeffTheRN replied to TX.RN.Shannon's topic in General Nursing

    My mindset is chart and act as if a judge & jury were watching

  17. 5th Nursing Caption Contest - Win $100

    JeffTheRN replied to Brian's topic in News, Announcements

    "Jeesh, I heard they were outsourcing for new nurses, but

  18. Share Your "Brain" Sheet

    JeffTheRN replied to nurseJ88's topic in Cardiac

    Here is my newest version. I shrink it down to 78% on the copier at work and then put two, side by side in a landscape page setup. That way I have both patients on one sheet. You just have to write...

  19. Giving Blood products

    JeffTheRN replied to vastudent09's topic in MICU, SICU

    As I tell our new grad/preceptees to our MICU/SICU...I would be worried if you DIDN'T have lots of questions. Good luck and don't forget to have fun

  20. Share Your "Brain" Sheet

    JeffTheRN replied to nurseJ88's topic in Cardiac

    I took a screenshot (.png) of my sheet and posted it here as a

  21. MD's losing/lost trust in RN's

    JeffTheRN posted a topic in MICU, SICU

    I work in a 16 bed MICU/SICU and an 8 bed CVU in a small "inner city" (this is CT. after all) teaching hospital. Some comments I have heard from some MD's in this last week have me in a bind....

  22. MD's losing/lost trust in RN's

    JeffTheRN replied to JeffTheRN's topic in MICU, SICU

    Thank you very much for the

  23. MD's losing/lost trust in RN's

    JeffTheRN replied to JeffTheRN's topic in MICU, SICU

    Thanks to both for your insight. I shall follow through the next weekday my manager and I are on together.

  24. ETT tape - what is the best to use?

    JeffTheRN replied to MDJRN's topic in MICU, SICU

    We use 1" cloth tape on our unit. The tapes are changed and the tubes are repositioned daily by R/T. CXR's are acquired every a.m. to verify placement/evaluate lungs. We are actually in the middle...

  25. Hespan

    JeffTheRN replied to Aneroo's topic in MICU, SICU

    For our CCU, it comes in waves. Usually it is only the surgical residents that use it and very rarely at that. I assume it is not used often for the risks previously mentioned above and the fact that...