cvicugirl

cvicugirl BSN, RN

STICU, CVICU, Flight

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All Content by cvicugirl

  1. Metoprolol and aflutter 40's-50's with BBB

    Remember, asystole is what you get when you combine a right bundle branch block with a left bundle branch block. With RFAs you are trying to interfere with an abnormal conduction pathway. With valve...
  2. What do you never leave home without?

    Give me my Danskos, watch, stethoscope, black pen, red pen, fine tip sharpie, 2 hemostats, Advil, and Chapstick, and I'm good to go! (I keep the phone extensions to blood bank, lab, Rx, CVOR, CCL in...
  3. Books??

    Not a specific CV pharma book, but a very comprehensive reference for all CV surgery patients: Bojar's "Manual of Perioperative Care in Adult Cardiac
  4. Amen, Timothy! Just poured my heart and soul into precepting a new grad who quit after he was on his own for only three shifts. And they wonder why I prefer NOT to precept. This dude was arrogantly...
  5. Heparinized vs Nonheparinzed saline in arterial lines

    Just saline here,
  6. Sharing Ideas

    Tell me more about this "needs assessment," it sounds like what I need to do. I've got to set up an orientation-type program for experienced ICU nurses (new to swans, pulling sheaths, post...
  7. banana bag

    Considered malpractice not to hang bananas on a known ETOHer, because it can ward off Korsakoff Syndrome (ETOH brain damage). Unused, expired banana bags and lipid free TPN are hot commodities in my...
  8. Funniest Write Up You have Every Recieved?!

    Hmm... Let's see, I have been written up for using a blue pen to document, Elastoplasting a woman's FUPA up so I could see what I was doing when I was pulling a femoral sheath, hanging up on a...
  9. Weird question. In ICU, what do your managers/educators/CNS wear to work? I think I have seen it all. Our DNO wears professional (skirt/suits/pantyhose) and usually a white lab coat, my director...
  10. unit based educators

    Welp, got the job offer. After staff training is complete (is it ever?!), it will turn into a primarily management role (probably over stepdown ICU.) I'm concerned re: $$. The offer is not much...
  11. CSC Exam

    I'm also studying from Finks book. I registered for the test online, now just waiting for the authorization to test. Hope it comes quickly before I chicken out. Girlfriend just took/passed exam for...
  12. unit based educators

    I have an interview for a CV Educator tomorrow for the CV service line (Open heart & Cath Lab.) The job was posted as a CNS position, (I'm a BSN, CCRN) but I got the interview based on my...
  13. What's your favorite type of patient?

    A nice fresh hemodynamically unstable, bleeding double valve. Cold, acidotic, with an out of whack coag panel and a CI of 1.5. And their only family member lives in another state. I'm sick, I...
  14. Tips on making that ICU bed look perfect after a bath

    Calvin&Hobbes, Mind if I print out a thousand copies of your post? I'd like to wallpaper our break room with it! I add a sprinkling of baby powder to their backs and sheets if it isn't...
  15. FNP to CNM

    I had a great midwife who got her MSN/CNM after 10 years of staff nurse experience in an adult inpatient rehab unit! Just a
  16. ...and after I get it (arterial sheath) out, I'm gonna need to put this big clamp on your groin for a little
  17. post op patients w/o TLC line placement confirmation

    Wow. Never thought about it. We get stat CXR upon arrival (post-cabg) and I check ETT placement, IABP placement, SG, and TLC placement myself. Fluids are almost always already running via CLs....
  18. When a doc refuses to co-sign verbal orders

    I would definitely let your nurse manager know about this, and make sure that your documentation is complete. Management should follow up with the doc and/or involve risk management. But as far as I...