jbp0529

jbp0529

CVICU, CCU, MICU, SICU, Transplant

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All Content by jbp0529

  1. Can't believe they do CRRT this way...

    jbp0529 posted a topic in MICU, SICU

    Venting some frustration here. Less than 6 months ago I started working at a new facility. They use the same Prisma machines that my last place had, however there are several things that are...

  2. 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...

  3. What Personalioty Does Best in ICU Nursing?

    jbp0529 replied to JMomBaby's topic in MICU, SICU

    Wouldn't have it any other

  4. 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...

  5. 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...

  6. 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...

  7. 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...

  8. 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...

  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. 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...

  11. 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...

  12. 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...

  13. 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...

  14. 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...

  15. 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,...

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

    jbp0529 posted a topic in MICU, SICU

    Had a horribly night a few days ago: My only patient: Came on shift at 7pm, got a pt who just arrived 30 min ago s/p a triple-jump cabg, 80 y/o male (ugh). A day prior had a cardiac cath;...

  17. 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...

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

    jbp0529 replied to jbp0529's topic in MICU, SICU

    Pt already had a cordis and a swan (as most of our heart surgery pts do). And that cordis had a lot of use that

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

    jbp0529 replied to jbp0529's topic in MICU, SICU

    Yes we did use the rapid infuser. And pressure bag at the same

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

    jbp0529 replied to jbp0529's topic in MICU, SICU

    Update: So, go figure,...several days now since the awful night, and the patient is doing remarkably well. Neuro intact now, creatinine down trending, bleeding stopped, all lines out except the...

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

    jbp0529 replied to jbp0529's topic in MICU, SICU

    The next night I worked, the pt was still alive and relatively stable vital sign-wise. Kidneys took a huge hit, obviously, after all that. CVVHD is likely in the very near future. Neuro status was...

  22. What do you like about CVICU/CCU?

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

    Very true, and well-said. Autonomy is HUGE. I also work CVICU. Our surgeons (for the most part) want you to act first, then call them. Otherwise, you could be on the phone, or waiting for a...

  23. I want an honest opinion of this crap

    jbp0529 replied to cafenurse1112's topic in General Nursing

    I cant believe it (but I do). I have never heard of such a ridiculous and degrading thing as this, though. This just goes to show....in many places (fortunately not all), administration is so...

  24. Bad room

    jbp0529 replied to labman's topic in MICU, SICU

    We have a couple of rooms which seem to get the same type of patient over and over...its like deja vu. Stay away from our room H if you are getting a lung transplant...you will be there for months and...

  25. Press Ganey?

    jbp0529 replied to MB37's topic in Florida Nursing

    Dont have anything nice to say about it, so I will leave it at