SFRN

SFRN

Adult Cardiac surgical

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All Content by SFRN

  1. Quick ER questions(lido, ABGs)

    SFRN replied to clairebearrn's topic in General Nursing

    Also remember that if you have a pt. with high sodium and need of bicarb---THAM is a GREAT

  2. The Resident from Hell!

    SFRN replied to pumpkin92356's topic in Geriatric, LTC

    What about a condom catheter if he needs to urinate frequently---until, like another poster mentioned, the medical reasons of why he needs to get up to the commode so frequently is

  3. Terrified in the OR

    SFRN replied to laneyRN's topic in Operating Room

    You know I would have to agree with this post! I mean there have been serious errors in the heat of the moment with LICENSED personnel drawing up meds.....so I can imagine what can happen with...

  4. I don't think I'm ready yet.

    SFRN replied to Thoc123's topic in Emergency

    I remember feeling the exact same way when I came off orientation in the cardiac ICU, the first time I received a fresh post-op heart!! Anyways, I always thought I wasn't ready--but there is a time...

  5. chemotherapy certification

    SFRN replied to lmpotter's topic in Oncology

    Hi I agree with you completely---chemotherapy is NOT the same as using a vasopressor. I work in an ICU and have, on occasion, taken care of cancer pt's requiring chemo. There is NO way I was going...

  6. To code or not to code, that is the question

    SFRN replied to icyounurse's topic in General Nursing

    I am not sure this family would have a case that would hold up in court. This pt. is 100%paced and already tubed. As long as the levo/epi gtt maintained BP that was ordered and of course GOOD...

  7. Respiratory distress--how quickly will they turn blue?

    SFRN replied to pmw2007's topic in General Nursing

    It all depends on what is CAUSING the resp. distress. If it is a bronchospasm/laryngospasm then pretty quick-- I have seen pt's turn blue REAL fast. I will say, after working in the NICU, that kids...

  8. Paralytic Question

    SFRN replied to Nurseboy1's topic in Certified Registered Nurse Anesthetist, CRNA

    Rarely do I see succ. used......I usually see Rocuronium,

  9. thoughts on only Paralytic while intubated....

    SFRN replied to MassED's topic in General Nursing

    This is completely unethical---when a person is paralyzed---they MUST be given sedation and pain meds. Propofol is GREAT but not enough...because it has no analgesic properties.....you would need...

  10. What would you do for this patient?

    SFRN replied to UM Review RN's topic in CCU, Coronary, Cardiac

    I think Neo may be jumping the gun a bit, especially since the BP may be baseline for this pt. and per report the pt. is Alert and Oriented. Albumin? not so sure about that either. I think checking...

  11. I Quit!

    SFRN replied to Super Nurse JoshuA's topic in General Nursing

    I agree. You must first accept report AND responsibility for the pt.or pt's (a relationship so to speak) before abandonment. You may take report and realize that you are not qualified to take care of...

  12. I want to switch to OR nursing!

    SFRN posted a topic in Operating Room

    Hey everyone, Ok so here goes, I have a couple of questions. I have worked in the NICU (neonatal ICU) for 2.5 years, I just left this past March and took a job in the Cardiac surgical ICU at a large...

  13. Feedback or what would you do?

    SFRN posted a topic in MICU, SICU

    Hey everyone, First let me say that I absolutely love this site. I learn things all the time. So, I am fairly new to an adult cardiac surgical ICU--but we have all kinds of other pt's as well....

  14. Do I let this nurse take the blame...?

    SFRN replied to zamboni's topic in General Nursing

    "Now, I'm not a GI nurse, but I've passed enough NGTs that if a person can't swallow at all, and certainly suddenly can't talk, it seems pretty clear that it was an accidental intubation." Of course...

  15. How long in ICU before you felt comfortable?

    SFRN replied to racing-mom4's topic in MICU, SICU

    Hi, To the original poster, I hear ya. I came from 2.5 years in the neonatal ICU to an adult surgical cardiac ICU and it has been a BIG change, literally! I started a training program and have been...

  16. A doctor helps children change their gender

    SFRN replied to FireStarterRN's topic in General Nursing

    "sexually normal adult woman" uuuhhhh does that statement suggest that had you grown up other than a straight woman you would have been

  17. New to CV ICU from NICU! Yikes

    SFRN posted a topic in CCU, Coronary, Cardiac

    Hey guys, I have been working in the NICU for 2.5 years prior to starting a training program in the CV/thoracic (surgical) ICU at a large university hospital. My question for all you CV ICU nurses:...

  18. New to CV ICU from NICU! Yikes

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

    Wow! you pretty much hit a lot of what I have already experienced on the unit! Thanks to everyone. I just started my third week of training and it is slowly coming together. Thanks for the tips, the...

  19. From where did y'all graduate?

    SFRN replied to Penelope_Pitstop's topic in General Nursing

    Johns Hopkins School of Nursing class of

  20. Barbiturates in Critical Care

    SFRN replied to Vance's topic in Neuro Intensive Care, ICU

    Um, I am not a doctoral neuroscience student but if you had elevated Right atrial pressure--thus leading to JVD and back up of blood would it be implausible to assume a possibility of increased ICP?...

  21. Question about unresponsive patient.

    SFRN replied to poohbear1968's topic in CCU, Coronary, Cardiac

    uhhh, another often overlooked H is HYPOGLYCEMIA--not likely going to cause pulseless V-tach, or v-fib, etc. but will make for an obtunded

  22. Soooooo..... I made my first med error & I feel awful!!!

    SFRN replied to eccentricRN's topic in General Nursing

    I know exactly how you feel. But let me tell you if a nurse tells you they never have made a medication error they either: didn't know they made a med error, are lying, or haven't practiced long...

  23. Cardiac Meds-so confused

    SFRN replied to ChocoholicRN's topic in General Nursing

    NORVASC (AMLODIPINE) is NOT an ACE inhibitor, rather a calcium channel

  24. Question for CRNAs

    SFRN replied to StudentFromNj's topic in Certified Registered Nurse Anesthetist, CRNA

    One could, theoretically, work as an RN having the CRNA title....however, you will be held to a different standard having advanced training. Same as n RN working in an LVN

  25. Stanford Cardiac ICU

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

    Thanks for the info. I will be working on the North ICU....but it is good to hear there is extensive training for those new to adults. So, if you know anything about the North ICU that would be...