jbp0529

jbp0529 specializes in CVICU, CCU, MICU, SICU, Transplant.

Latest Activity

1. drips connecting at y-site

   jbp0529 replied to fiveofpeep's topic in MICU, SICU

   Here is another thing to keep in mind about y-siting drips: Lets say you have 4 drips all y-sited together (not with a "chicken foot", but one y sited with another, which is y sited with another and...

2. What Personalioty Does Best in ICU Nursing?

   jbp0529 replied to JMomBaby's topic in MICU, SICU

   Wouldn't have it any other

3. Rude Physician - Tips for Handling

   jbp0529 replied to Ihoplover's topic in Patient, Colleague Relations

   It's kinda like the sterotypical school bully. If you stand up for yourself, most of the time you will be left alone. It's even possible that you will make a new "friend" once the dust settles. I've...

4. what is the best/worst specialty docs to work with...

   jbp0529 replied to ErinDel's topic in General Nursing

   I hate to label people or specialties, but I would say surgeons. I work with them every day (cardiothoracic). They will use you for a doormat if they dont chew you out first. Once in a blue moon I run...

5. do you work with your significant other, or any family members?

   jbp0529 replied to ErinDel's topic in General Nursing

   I work in the same hospital as my significant other, his brother, and his mother. We all work separate units so there isn't an issue, except trying to coordinate times for all of us to meet for lunch...

6. Any one using Cleviprex in their unit?

   jbp0529 replied to jbp0529's topic in CCU, Coronary, Cardiac

   My thoughts/feelings exactly. I'm hoping this falls out of style quickly. I dont know how expensive this stuff is, but I'm sure that being relatively new it isn't cheap. Coupled with discarding the...

7. Any one using Cleviprex in their unit?

   jbp0529 posted a topic in CCU, Coronary, Cardiac

   Hello all: My unit just started using this new anti HTN drip (well, new to us anyway), called Cleviprex. It's a calcium channel blocker, looks like propofol, is run in mg/hr. Apparently someone has...

8. Chest tube came out!

   jbp0529 replied to julieK's topic in General Nursing

   Julie, funny story: I had a similar thing happen to me several weeks ago. I work in ICU and its still a big headache and kinda stressful for a few minutes. My pt (who truly was AOx3 and...

9. Round of applause for nurses who dont tolerate negative behavior

   jbp0529 posted a topic in General Nursing

   Just wanted to vent a little, I apologize ahead of time... I recently moved to a smaller, private hospital in one of their ICU's, from a larger teaching hospital. I am appalled how a handful of the...

10. ICU Interviews do's and oh no she did not's!!

    jbp0529 replied to lpn2crna1day's topic in CCU, Coronary, Cardiac

    Ditto that. If one of our prospective nurses mentions CRNA during the process, its automatically a big red "X". I'm not personally saying that having CRNA as a goal is good, bad, or...

11. very old-school, behind-the-times CVICU

    jbp0529 posted a topic in CCU, Coronary, Cardiac

    So here's my situation: a few months ago, I changed jobs from a teaching hospital CVICU (for personal reasons), and thought I'd try out another CVICU in a private hospital. Interview process went...

12. Help Please!!

    jbp0529 replied to ashleyjean3's topic in Emergency

    Very interesting (and heated) thread. I, too, work in an ICU, but would like to weigh in just the same. I can truly understand both sides of this discussion. The ER needs to move ppl out for other...

13. Lowest Blood pH

    jbp0529 replied to EricTAMUCC-BSN's topic in MICU, SICU

    pH 6.7, mixed metabolic and respiratory nightmare. Came from ER intubated, advanced sepsis. Bicarb drip at 250 ml/hr, maxed on multiple pressors. Chest xray a total white-out. Vent changed to an...

14. How many daily one-to-one assignments does your unit have on average?

    jbp0529 replied to gscott's topic in MICU, SICU

    We usually single fresh open heart patients for at least a few hours (another RN babysits your other patient, if you have one), but longer if they come out unstable or on a balloon pump. Otherwise,...

15. Vent: CV pt that should have gone back to OR (long)

    jbp0529 replied to jbp0529's topic in MICU, SICU

    Yea, I think you're right (now that I look back on it). He almost certainly would not have survived another trip to OR, or a trip anywhere out of the ICU for that matter. I guess in the heat of the...