cvicugirl

cvicugirl BSN, RN

STICU, CVICU, Flight

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All Content by cvicugirl

  1. Online ACLS Renewal

    cvicugirl posted a topic in CCU, Coronary, Cardiac

    Okay, what is your experience with online ACLS renewal? I'm catching holy grief from my staff because I found out that many of their renewals are done online and I am not authorized to reimburse...

  2. Help me help you

    cvicugirl replied to RABOEHM's topic in CCU, Coronary, Cardiac

    Good advice from everyone. Make sure the docs and nurses disinfect their stethoscopes also (quite important with a surgical

  3. everyone is stumped

    cvicugirl replied to **LaurelRN's topic in MICU, SICU

    I'm still curious-what causes green

  4. Nursing specialities most receptive to CAM & holistic nursing?

    cvicugirl replied to touchhealth's topic in Holistic

    We use music therapy in our heart program to decrease anxiety pre/post op. Specifically, instrumentals with 60 beats per minute, to mimic a "calm" heart

  5. Hespan

    cvicugirl replied to Aneroo's topic in MICU, SICU

    In my experience, hespan has fallen out of use due to cost vs. benefit when compared to NS. Also, as PrettyinPink1234 mentions, coagulopathy and nephrotox are potential risks of

  6. Octuplets

    cvicugirl replied to Sweeper933's topic in NICU, Neonatal

    [quote name= The Mom (Nadya) has done IVF for all of her children, using the same (unidentified) sperm donor for them all. According to grandma, Nadya "just wanted one more girl"...[/quote] I'm a...

  7. Blake CT with JP

    cvicugirl replied to cardiorn04's topic in CCU, Coronary, Cardiac

    We had a surgeon who used to do that, too. I'm fairly certain our P+P used the same measurement frequency as a "normal" chest tube (measured and dumped hourly) and it also included regular...

  8. massaging a hematoma post sheath removal

    cvicugirl replied to msperkey's topic in CCU, Coronary, Cardiac

    I have witnessed many a CCL tech and a cardiologist or two massage a forming hematoma at the same time they were holding manual pressure. The cardiologist was essentially "milking" the hematoma from...

  9. Things you'd like the ER to Know

    cvicugirl replied to CraigB-RN's topic in MICU, SICU

    Niiiice. I hope you kept their tech until the postmortem care was

  10. Pulling Sheaths on a Cardiac Stepdown

    cvicugirl replied to ItalianRN's topic in CCU, Coronary, Cardiac

    :yeahthat:I'd also recommend training everyone on sheath pulls, not just a few. Training should include basic A & P review, technique, and troubleshooting (what to do when things go badly.)...

  11. Advice for Student Nurse in the ICU

    cvicugirl replied to pogi's topic in CCU, Coronary, Cardiac

    Hang in there. It is very common to go home emotionally and physically exhausted, especially with this stuff being so new. Do you hear bells and alarms when you are in bed trying to go asleep?...

  12. Do you have a unit-based pharmacist?

    cvicugirl replied to labcat01's topic in MICU, SICU

    I had to make sure I read that correctly...your hospital has no pharmacy on the night shift? wow. I wouldn't hesitate calling the on-call Rx for new orders. Perhaps if they get bugged enough, they'd...

  13. Do you have a unit-based pharmacist?

    cvicugirl replied to labcat01's topic in MICU, SICU

    We had so many problems with tardy/missing meds and anesthesiologist complaints (Rx policy won't let them mix their own meds for routine cases) we now have a satellite pharmacy located between (and...

  14. Orientation-Staffing

    cvicugirl replied to mjscan_07's topic in MICU, SICU

    It is irresponsible the way your unit is staffed right now--eventually nurse retention and patient care will suffer. While it might seem fine if the MS nurse is given the easy patients, who has your...

  15. Vent: CV pt that should have gone back to OR (long)

    cvicugirl replied to jbp0529's topic in MICU, SICU

    Plavix too. I'm sure that's why they didn't want to take the dude back, they figured you can't sew up oozy coagulopathy. What did his initial post-op chest film look like? I'd argue that it might...

  16. Things you'd like the ER to Know

    cvicugirl replied to CraigB-RN's topic in MICU, SICU

    1. Don't deliver a dead person to the ICU and then argue that they aren't dead. (This has happened to me. Twice.) 2. Please don't tell me that you didn't treat the 2.1 potassium level that was...

  17. CSC Exam

    cvicugirl replied to XIGRIS's topic in MICU, SICU

    Here's an update from my previous post: I finished reading the Fink book, concentrated on finally understanding what I didn't already know, and easily passed. The answers to the questions came from...

  18. Evaluation time!

    cvicugirl posted a topic in Nurse Management

    It's that time of year again....Annual evals are due and I need to list a few measurable goals for myself and our ICU for the next year. Suggestions

  19. 50/50 Day-Night Rotation

    cvicugirl replied to mrod's topic in CCU, Coronary, Cardiac

    If you only have 2 or 3 night shifts/month, schedule them all together and make sure you have at least 2 full days off to recover before going back to

  20. Arterial and Venous Sheath Removal Policies

    cvicugirl replied to mcgowenl's topic in CCU, Coronary, Cardiac

    Sounds entirely reasonable to me. Ever have an uncomplicated manual sheath pull blow on you? I'd rather catch it sooner than

  21. IV Infusion Pumps

    cvicugirl replied to linda52's topic in MICU, SICU

  22. Milrinone vs Dobutamine

    cvicugirl replied to mark2climb's topic in CCU, Coronary, Cardiac

    Think of it this way: Dobutamine is an inotrope, milrinone is an inodilator. Dobutamine will increase CO/CI and heart rate (and cardiac O2 consumption) with a small decrease in SVR. Milrinone will...

  23. Csc/cmc

    cvicugirl replied to CVICURN2003's topic in CCU, Coronary, Cardiac

    I took the CSC recently and would agree that if you know cardiac A&P and have been recovering hearts for several years--you'll do fine. I didn't study, but then again, CV is my

  24. How do I get a Louisiana license?

    cvicugirl posted a topic in Travel

    I feel foolish asking, because I'm sure it is obvious. I've been to the Louisiana BON website and I can't seem to find out the procedure. This is driving me NUTS (and they are closed

  25. Where has nurse accountability gone?

    cvicugirl posted a topic in Nurse Management

    I'm so frustrated with the lack of accountability shown by nurses! For example, isn't it a nurse's responsibility to maintain their licensure and certification?! I use an excel program that I use to...