ALCCRN

ALCCRN

CVICU, Education Dept., FNP Student

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All Content by ALCCRN

  1. Pacemaker learning

    I have a chapter on Pacemakers that I use to teach Critical Care nurses with. It is probably not as exhaustive as you are looking for, but I wouldn't mind
  2. The only experience I have with this is that I took a class similar to this as a high school student. We were not certified nurse's aids on completion, but we did a lot of prep things that were...
  3. iabp

    I think it depends on how stable the patient is. You can have patients with IABP's that are on both ends of the spectrum. Personally, I have taken care of a stable IABP patient along with another...
  4. I have trouble understanding the sensing portion of temporary pacers. It has always seemed backwards to me. I need help explaining this to some new nurses and am not sure enough about it to speak with...
  5. Visiting Hours

    We have "green light visting" in our unit...As long as the green light is on visitors can come and go, but only 2-3 at a time. If it gets to crowded, we ask some to leave and if anything unexpected...
  6. DNRCC in the CCU

    What does CC mean in
  7. Tracking tool?

    National Registry of CardioPulmonary Resuscitation (NRCPR) is what our facility uses to track codes. It will track and trend, send quarterly reports, and is sufficient for Joint Commission...
  8. I'm curious to know if anyone employs LPN's in critical care or step-down positions. There has been an issue recently at my hospital that has sparked a small debate. At my facility the ICU and PCU...
  9. does anyone's unit use CardioPAT?

    I thought Hespan wasn't recommended after bypass anymore.....
  10. does anyone's unit use CardioPAT?

    I had to look up cardioPAT before I could respond, however, we routinely autotransfuse our patients after CABG. We used Pleura-Vac chest tubes with the autotransfusion bag. They had to meet certain...
  11. Tension between AM/PM shifts

    I hate to sound cheesy...but, you must take these things you don't like and use them to mold yourself into a better nurse. I remember what it was like to be the new kid on the block, so now when we...
  12. I need some info to write the policy for Fentanyl IV push. Our state board of nursing doesn't allow anesthetic agents to be given by registered nurses for "anesthetic purposes". However, we can give...
  13. Does anyone give Fentanyl IV push?

    Our BON says that as long as we are giving it for "pain" that we can give it. But if we cannot give it for sedative purposes. I was more curious about what kinds of precautions are taken. Of course,...
  14. Hi Everyone! I'm new to the forum..I am the Critical Care Educator for a 180 bed hospital. Critical Care is my specialty, but my job description encompasses a whole lot more....doesn't
  15. Share Your Funniest Patient Stories...

    These stories have been the greatest...I have a couple of my own... When I was a first-semester nursing student, our clinicals were at a local nursing home. My assignment was to assist a lady with her...
  16. Does anyone give Fentanyl IV push?

    Is the patient required to be on a vent for bolus Fentanyl at your facility? Or is it similar to conscious sedation, where you have to have emergency airway equipment nearby? To change the...
  17. Orientation Info

    I find it kind of strange that your facility doesn't have an orientation program. However, when I was new, I was with a nurse who had a decreased load (when possible to have a smaller load). Once I...
  18. A femoral line usually refers to an arterial line placed in the femoral artery. You can have arterial lines in other places, radial, brachial, axillary, etc. These are very small lines, just a little...
  19. CVP readings

    The monitors say "offset" because that's how much the compensated when you re-zeroed. You always record the number on the monitor because the monitor takes an average of the readings. CVP can NEVER be...
  20. Tele experience for CCRN?

    I have my recert packet for CCRN here and it states, "While high acuity patients are still cared for in ICU/CCU settings, many patients traditionally cared for in these areas may now be admitted to,...
  21. Death by Arterial Line?

    I would never leave a line in that isn't monitored...I'm with others who have posted-turn your alarms limits down, not off. If the patient had no other access I would have left it in, especially if it...
  22. Welcome CardioTrans....From one bama girl to
  23. Who does your IABPs

    They must teach RT's to be territorial in school...Most RT's that I have come in contact with do as little as they can get by with. So I could never imagine that they would manage an IABP. At my...
  24. LPN's in Critical Care

    That same LPN works at my hospital...hehehe....We have 2 LPN's that are excellent and I would totally trust them with my life. However, there was an issue with a code recently and it was appointed to...
  25. Re: Portland Protocol

    We started this in our facililty. Several things happened....Number one, the step-down nurses were none to happy about the time spent doing blood sugars and adjusting drips. The second thing is that...