koyeh

koyeh has 22 years experience and specializes in intensive care.

Latest Activity

1. CVVH/CRRT ques.

   koyeh replied to first_lobster's topic in MICU

   The rep. just says per your hospital policy. I think they fear lawsuits etc if they recomend anything. Thanks

2. CVVH/CRRT ques.

   koyeh replied to first_lobster's topic in MICU

   Thats my problem, I'm soppose to develop a policy & "train" everyone. It's simplistic to use, turn it own, set temp. apply to tubing. The doctors will not answere any of my questions regarding temp. etc... They have said, its a doctors order ...

3. Trauma ICU vs Med-surg

   koyeh replied to stanquim's topic in MICU

   I've worked 23 years in nursing and have done trauma, SICU and now MSICU. What I've learned is that there are challenges at all of them. What makes the biggest difference is who you work with. If your a tight crew and help each other out the job i...

4. CVVH/CRRT ques.

   koyeh replied to first_lobster's topic in MICU

   CRRT & Hypothermia: What temp. do you consider cold and start trying to warm the patient with either a heating blanket or some other warming device? The reason why is our renal doctors want to run the patient cold so they vasoconstrict and requ...

5. Reusing IV tubing - An infection control issue?

   koyeh replied to navalnurse's topic in MICU

   Our hospital propofol is 24 hours. started out every 6 hours then went to 12 hours and now 24 hours. This all came from a study someone did. Our infections rates are unchanged with the 24 hour change.

6. Reusing IV tubing - An infection control issue?

   koyeh replied to navalnurse's topic in MICU

   Tubing 72 hours, TPN,propofol, ativan, and antibiotic tubing 24 hours

7. CVVH/CRRT ques.

   koyeh replied to first_lobster's topic in MICU

   We are getting new prismaflex machines with an external heater. The heater can ge set up to 40 C. Does anyone have a policy regarding the heater regarding what to set the temperature at? Thanks

8. CVVH/CRRT ques.

   koyeh replied to first_lobster's topic in MICU

   Our hospital went with Gambro and prismaflex, looks like a good move. They provide education and answere questions quickly.

9. Has anyone EVER seen a patient come off CRRT alive?

   koyeh replied to rph3664's topic in Urology

   We do quite a bit of CRRT and they are starting to do it earlier and the sucess rate has improved. Yes people make it.

10. CRRT training.

    koyeh replied to km5v6r's topic in PICU

    Hi, I know its been months since your question but I felt like a response is in order. It seem most hospitals have very poor education regarding CRRT. At our hosp. Get 4 hours training with the machine (set up, trouble shoot etc.) Thinking about ...

11. Need Information about Asheville and NC Mountains

    koyeh replied to marsh101's topic in North Carolina

    Hi, yes I work at Mission. I am a diploma nurse, worked a couple of years and went back to college to get my BSN. Thought about a masters etc... really don't see the advantage yet. I like the idea of working in the ICU and coming home and forgettin...

12. Finding it tough

    koyeh replied to AussieKylie's topic in New Nurse

    You are correct, I have no clue how they handle it in Aussie/canada. So I'll keep my big mouth shut on that subject. Continue, to talk w your preceptor. She/He has been there and will be able to give you advice on how to handle rolling eyes without...

13. Do You Have Computerized Charting?

    koyeh replied to All4Seasons's topic in General Nursing

    When our floor went to computerised charting even the family commented how much time the nurses spent on the computer. Heaven forbid, your patient crashed. Now you don't think about it( year later). Click check the vitals and if there right, hit s...

14. I&O, UF rate, & CRRT

    koyeh replied to dorimar's topic in MICU

    Tried the dialysis nurse being responsible for prisma at first and it failed miserably. The ICU nurse wants control. Crrt: no matter what method is here to stay. I see a huge learning curve in the future. Thanks for the info.

15. Finding it tough

    koyeh replied to AussieKylie's topic in New Nurse

    I precept alot and I would rather you ask, then do something & find out it that it was a major mistake. I don't trust people who try to force there way thru. My advice keep asking, talk to your clinical educator, maybe u need a new peceptor. NOt ...