jbp0529

jbp0529

CVICU, CCU, MICU, SICU, Transplant

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All Content by jbp0529

  1. Our unit takes too many specialized patients!

    jbp0529 replied to sunshineCCRN's topic in MICU, SICU

    Just reading more of your response... we too have lots of new nurses ( i think more than 3/4 of our staff have less than a year experience now that i think about it ! ). Maybe we are just plain...

  2. Our unit takes too many specialized patients!

    jbp0529 replied to sunshineCCRN's topic in MICU, SICU

    I guess it can be tricky when you try and take care of pt's you dont feel comfortable with. If we get an odd-ball case from a different service and we have a question, we usually call a nurse from...

  3. Our unit takes too many specialized patients!

    jbp0529 replied to sunshineCCRN's topic in MICU, SICU

    I feel your pain, Sunshine. It's frustrating at times bc we all have to reference/remember the non-cardiac stuff like ICP monitoring, trauma protocols, and so on. However I also like the occasional...

  4. Counrtry doses

    jbp0529 replied to Bethy-lynn's topic in MICU, SICU

    We do similar stuff at times, i guess it just depends on the severity of the issue. There's always that crazy pt in DT's that needs a little extra "love" does of ativan-- "woops i guess my eye sight...

  5. Fentanyl/Versed on locked pumps ?

    jbp0529 replied to SusanRN321's topic in MICU, SICU

    We have PCA pumps for morphine, dilaudid, and fentanyl. However it is not uncommon for us also to use morphine, atvian, versed, fentanyl on unlocked syringe pumps - in fact that is usually what we...

  6. Charge nurse.

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

    About a year before I was put in charge. They gave me several shifts to orient to the charge position with someone else. There always has to be at least 2 charge capable RNs on at one time in case...

  7. Changing BSA daily?? I don't think so...

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

    Thanks for the reply, Augigi. I emailed the manufacturer, and while he wasn't of liberty to give official advice on patient monitoring, he said that the "norm" is to keep the weight/height the same...

  8. Which weight with titration?? daily wt or dry wt?

    jbp0529 posted a topic in CCU, Coronary, Cardiac

    Hello all: I'm currently trying to get some feedback on an issue that comes up every so often in my unit... titrating weight-dosed IV meds like dopamine, propofol, dobutamine, etc based on the daily...

  9. FYI - to cuff or not to cuff..

    jbp0529 replied to dfk's topic in MICU, SICU

    At my place, we correlate the Aline with the NIBP and we also physically listen for a cuff pressure. Go with what correlates to the cuff (if possible) and with what correlates with the pt's clinical...

  10. Oh My God I Pass With 76 Questions

    jbp0529 replied to HOTGAL73's topic in NCLEX Exam, Programs

    Congrats, you will never be without a job opportunity and are entering a great and exciting/challenging

  11. what is your policy when central line won't allow blood aspiration?

    jbp0529 replied to shelq56's topic in CCU, Coronary, Cardiac

    On my unit, we are not allowed to use a central line unless its been confirmed by xray. Once had an experience with a nurse on my unit who infused a sizeable amount of levophed into a triple lumen...