Wile E Coyote ASN, RN

Critical care

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All Content by Wile E Coyote

  1. Wile E Coyote

    My patient takes ibuprofen for sinus congestion!

    Wile E Coyote replied to Blackheartednurse's topic in Patient Medications

    ^^^Wonderfully
  2. Wile E Coyote

    RN's, how do you document findings which are out of your scope?

    Wile E Coyote posted a topic in CCU, Coronary, Cardiac

    When calling docs about a new finding that's clearly outside of one's scope (in this case, primary RN finding bowel loops very high in the chest on a pcxr on a post-sternotomy pt due to a trauma) how...
  3. Wile E Coyote

    Early Mobilization after Open Heart (what does this mean to you?)

    Wile E Coyote replied to rickard's topic in CCU, Coronary, Cardiac

    My speculation is probably moot by now, as the thread is > 1yr old. However, I'd recommend comparing your cross-clamp times/technique with those of other facilites and looking for correlation...
  4. Wile E Coyote

    microteaching on temporary pacemaker

    Wile E Coyote replied to igsoon's topic in CCU, Coronary, Cardiac

    Who is your audience? Are we talking stepdown RN's who may also be relatively new to nursing, or are you expected to simply refresh a group of well-healed veteran CCU RN's? Something in between,...
  5. Wile E Coyote

    care of patient post code

    Wile E Coyote replied to pk1's topic in CCU, Coronary, Cardiac

    ^^^I disagree. In appropriate circumstances, it most definitely is about proving our hard work. However, absolutely not for the sake of placing the halos securely on our heads, but to aid in closure...
  6. Wile E Coyote

    Because thats really gonna help

    Wile E Coyote replied to Simply Complicated's topic in General Nursing

    If Q2hrs has gotten you steamed, wait until the hourly rounding thing strikes admin's fancy. It'll come around soon
  7. Wile E Coyote

    EMS abuse: The Ride to get High

    Wile E Coyote replied to Roy Fokker's topic in Emergency

    Getoverit, While I can't speak for another poster, the way I read MB's post was that it was a call for action on a legislative level. Regardless of your professional standing, you are still a citizen...
  8. Wile E Coyote

    Men in L&D

    Wile E Coyote replied to forgop's topic in Ob/Gyn

    Very encouraging to see the attitudes shared here. Unfortunately, my experience during my OB rotation was not so rosy. I found one pt and one pt only that was receptive to my participating in her...
  9. Wile E Coyote

    Tampanode Precautions after pulling epicardial pacer wires

    Wile E Coyote replied to cruisin_woodward's topic in CCU, Coronary, Cardiac

    Epicardial wires exist post OHS (open heart surgery) exclusively. An intact pericardium is not an absolute assumption in this setting because some surgeons do not close (or only losely approximate)...
  10. Wile E Coyote

    ECCO Program

    Wile E Coyote replied to 5scnurse's topic in CCU, Coronary, Cardiac

    A hospital in my area wants all it's critical care RN's to take ECCO. Yes, even the gals that were nursing in ICU before I was born. This is gonna be
  11. Wile E Coyote

    chest tube removal

    Wile E Coyote replied to corkyrn's topic in CCU, Coronary, Cardiac

    This is a very old thread, but considering the new replies, here goes... My state (AZ) says it's a no no for RN's to pull pleural tubes. We can pull MS tubes, however. Having said that, my doc pulled...
  12. Wile E Coyote

    Chest compressions s/p open heart

    Wile E Coyote replied to mcknis's topic in CCU, Coronary, Cardiac

    I've done a little CVICU, and was taught to compress just as usual. Keep in mind, that proper technique is even more vital, and that it will be noticeably easier to compress. If they survive, then...
  13. Wile E Coyote

    Who to blame- MD or ER nurse??

    Wile E Coyote replied to freedom22's topic in General Nursing

    Sorry to pick on you, and moreso an honest attempt at education than just an e-jab at you... I have to point out my disagreement with this first bit...Saying the ED was too busy in general...that's...
  14. Wile E Coyote

    Who to blame- MD or ER nurse??

    Wile E Coyote replied to freedom22's topic in General Nursing

    Sorry, Rotifer, I don't follow your line of thought above. You start out by blaming the OP, then end by praising him/her for a job well done? Perhaps you were being helpful, or facecious, I'm not...
  15. Wile E Coyote

    Primacor drip

    Wile E Coyote replied to Genista's topic in CCU, Coronary, Cardiac

    The way milrinone/primacor behaves in the settings of recent post open heart, cardiogenic shocky pt, or even a milrinone-naive pt, should not be applied to that of a chronic pt set to go home on a...
  16. Wile E Coyote

    CCU Back to the Floor?

    Wile E Coyote replied to HillNPStudent's topic in CCU, Coronary, Cardiac

    I personally feel fortunate to be in ICU for the less stressful environment from those poor souls on med-surg/tele. I've worked both areas, and feel my workload is much lower than my med-surg...
  17. Wile E Coyote

    What would you do for this patient?

    Wile E Coyote replied to UM Review RN's topic in CCU, Coronary, Cardiac

    Yup, on that part. Remember that an oximeter reads the % of O2 saturation of each happy little hgb passing under the pretty red light...if the pt is at least moderately anemic, then their O2 molecules...
  18. Wile E Coyote

    IV cannula size/ overtesting

    Wile E Coyote replied to rjrule's topic in CCU, Coronary, Cardiac

    Your hospital is following the standard set forth by the Intravenous Nurses' Society...not such a bad idea to follow, I will add. We all know how nasty the conditions for many of those field sticks...
  19. Wile E Coyote

    Help with newborn immunity question...

    Wile E Coyote replied to Wile E Coyote's topic in Pediatric

    Thanks for staying with me on this! I'm on the work computer right now, so will digest those links better on Sunday. I poked around a good bit on CDC, AAP, AAFP(??), Mayo, and the like. . I was unable...
  20. Wile E Coyote

    Help with newborn immunity question...

    Wile E Coyote posted a topic in Pediatric

    Howdy Peds nurses! Adult critical care RN here with a question/need. I'm looking to refute or support the practice of recommending keeping term newborns out of public places up until roughly 6 mo of...
  21. Wile E Coyote

    Help with newborn immunity question...

    Wile E Coyote replied to Wile E Coyote's topic in Pediatric

    Thanks both of yooz-guys. I respect my kids' doc tremendously, and it takes pretty compelling evidence to sway me any other way. I don't agree with him regarding managing plagiocephaly 2nd to...
  22. Wile E Coyote

    CVICU folks, What's your longest pump runs?

    Wile E Coyote posted a topic in CCU, Coronary, Cardiac

    Only have one yr in CVICU, and we have a small case-load, in a small hospital, in it's open-heart infancy. I'm soliciting personal best pump runs, and circ-arrest times from you more experienced...
  23. Wile E Coyote

    lOOKING FOR FEEDBACK . . .

    Wile E Coyote replied to eliciarn's topic in CCU, Coronary, Cardiac

    Unless someone can stir up some evidence-based results of the contrary, I see nothing fundamentally wrong w/ assessing from bases up. Just 'cause we all do it one way, doesn't automatically mean it's...
  24. Wile E Coyote

    how does sign on bonus work?

    Wile E Coyote replied to Ms.RN's topic in General Nursing

    I'm not a banker, but don't checks expire eventually? Could potentially heap on the headaches if you did decide to cash the check after over a year. Personally, I'd cash the check, but then 'hide' it...
  25. Wile E Coyote

    RX for K+ Chloride AND Na Chloride

    Wile E Coyote replied to discobunni's topic in General Nursing

    Just because a pt is requiring HD, does not preclude them having urine output. Therefore, the loss of lytes via normal urine output is still a valid justification for the daily