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CVICU

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  1. Post CABG dressings (what do you use?)

    Sternal drsg: Aquacel transparent.
  2. Absolutely hang in there... it IS work.. but you will be glad you did. You wanted to do this and if you stay focused you can follow through. Once you start with the BSN I believe your end result should be that. Your handsome man will be waiting fo...
  3. Telemetry Monitoring

    I work in a 46 bed tele unit in a large hospital. We have 5-6 patients 7a-7p no monitor techs... the RN's are responisible to check their strips q2h and document also run their own strips prn and we have PCT's ...minimal usually 2-3 for 46 patients. ...
  4. Transporting Telemetry Patients off the unit

    There was a time when our policy was a bit laxed....then we had 2 deaths 6 mos apart and that is when the big guys started enforcing it..if MD has ordered the tele unit it is a monitored unit and if monitored then monitored...and that does not mean t...
  5. Type Of Pts Accepted on Telemetry??

    Touche....and with all the teaching that you have to do these days to have your informed patient...and with the insurance co. saying out out in 2-3 days no matter what the dx....just a smile and touch of the hand as he goes to the cath lab or to the ...
  6. Type Of Pts Accepted on Telemetry??

    Yes; most tele/stepdown units are crazy and standard very fast-paced...we do cardioversions;tee's;temporary pacing;post cardiac caths;48 hr post cabg pts;and of course you will have the usual chf;sss;and yes; when you have a very sick medical patient...
  7. Type Of Pts Accepted on Telemetry??

    Chest pain....etc, etc... Yes we accept patients with positive cardiac enzynes.. yes we do nitro drips..our max dose is 50mcg/min in our unit...also titled 'stepdown" ...we do dopamine;dobutamine;cardizem;amiodarone;lidocaine;heparin...and take any k...
  8. Transporting Telemetry Patients off the unit

    I work on a tele unit and all patients monitored go with nurse/monitor all our nurses are ACLS certified and all RN's... we go with the patients and stay with the patients...it is our policy..of course...you just hope that while you were off the floo...
  9. Agency LPNs doing IV Push

    I too; work in Ft. Laudrdale Fl and the state board here says NO IV pushes for LPN's.. not within your scope...certain meds may be piggybacked if there is an existing line in use...but NO IVPushes..I too was an LPN for 20 years here before I became a...
  10. How much do you make?

    RN $25.88/hr 28yrs Ft. Lauderdale,Fl Telemetry
  11. How much do you make?

    Wow.. 5-6 days a week in critical care12 hour shifts?? I am truly spent working 3 12 hour shifts in telemetry per week... we are so super busy that for real we hardly have time to empty our bladders...wow... you go girl...with the sicker patients tod...
  12. How much do you make?

    LPN 23 years/ RN 4 years Staff nurse Telemetry 7a-7p base pay $25 then shift diff $2.50 (3-7p) and extra $3.00/hr also for Sat/Sun Agency are making big time $$$ but we are not using them as much as we have in the past.. the wages do need to come...
  13. Tele unit staffing

    Wow.. 6 patients to a team... that is luxury.... We have 6 per RN and you are it the PCT's have about 12-15 patients... they take Vitals and assist with personal hygiene (etc)... They may answer a light once in awhile:chuckle Meanwhile you solo...
  14. Let's face it... Personally I go to work because I thoroughly enjoy my work and I make sure that I havea personal repore with my patients and for the day I take into consideration the entire patient .....whatever that may be... but the job is all abo...
  15. Yes; my friend it is definitely a HUGE deal with the job... but when it comes down to the REAL DEAL at the JOB and you make mention of your dissatisfaction or even speak about the comparative with the whole ball of wax; even say RETENTION and you may...
  16. Bottom line if you talk to mgt. they will be the first to tell you... we don't have a shortage and immediately will come up with numbers and % from last year to present etc etc. Yet we see the turnover... people come and go very quickly and the one...
  17. What I can't figure out is that the hospital will pay agency $42/hr to work and they sign a contract 13 weeks full-time and yet you carry a ba--buster assignment daily and then come 3pm they send 2 nurses home because we had a few discharges God for...
  18. Antiarrhythmics

    amiodorone for sure....althoughyou have to check out the whole scenario..of course..
  19. The solution to nursing problems

    Mgt. can not force you to stay but they will say YOU WILL be staying until we get relief here..otherwise true it is abandonment... there has been more than once where there has been many call offs and no shows and we were told to stay until relief wa...
  20. Tele unit staffing

    Definitely UNSAFE... I work 7a-7p tele unit and have a standard assignment of 5-6 and we do drips: Amiodorone; Cardizem; Heparin; Nitro up to 50 mcg; Dopamine; Dobutrex and of course all pushes are IV... and it is primary nursing...I don't even get ...
  21. chest tube removal

    No thank-you... I have enough to do without expanding my job description anymore...with 5-6 tele patients on our super busy and super sick floor of 53 patients with all going for cardiac caths..stress tests and post cabg patients of 24 hours...I don'...
  22. Monitoring patients on heparin

    We initially go by the patients weight..actual not stated and then according to that we give a bolus and start the gtt accordingly then do PTT's q6h until therapeutic then it would be qam from that point on....
  23. Double check insulin doses

    We do not have a policy in writing stating insulin should be checked by 2 nurses..but I was taught that way many moons ago and it seems to be the exception to the rule..myself and 1 other nurse check each other and the other girls tease us...girls fr...
  24. Pain management in Post-CABG patients

    CVICU...post CABG... MS IV q1-2 prn while on vent....Diprivan gtt per protocol while on vent...titrate to sedation....post extubation....percocet 1-2 tabs q4-6 prn....MS 4-6 mg IM q3h PRN Toradol 30mg IM x1 and 15mg IM q6h x4 PRN if platelets >10...
  25. pt to nurse ratio

    Tele floor the 7a-7p shift is usually 4-5 for initial assignment but could end up with 7 by the end of your shift...transfers from the unit and new admits.... never know...but charge nurse is very good and watches out for her staff.....CVICU 1:1 for ...