Guest193822

Guest193822

ICU (hearts,trauma,NICU, PICU, ER)

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All Content by Guest193822

  1. is MAP or diastolic BP below 60 that means tissues are not perfused?

    Guest193822 replied to loftay13's topic in CCU, Coronary, Cardiac

    Agree with my fellow nurses MAP I remember when i was in my critical care course (no going to tell you how long ago ) i was taught MAP >65 is all organs perfused , MAP 60 is brain only & MAP...

  2. PAWP

    Guest193822 replied to LNRN11's topic in CCU, Coronary, Cardiac

    wedge is a no no with fresh hearts in my facility. We aren't risking busting the artery or valve when PAD is close enough to wedge. Besides in combination with your other hemodynamic you can tell if...

  3. Fresh Heart Training

    Guest193822 replied to NurseHotFlash's topic in CCU, Coronary, Cardiac

    No such thing with on the job training with this population. My facility had a program specifically for fresh hearts. Its not only about meds it's about the equipment & the situations you can be...

  4. CCRN anyone?

    Guest193822 replied to Good Morning, Gil's topic in Critical Care

    Congrats to everyone who recently passed the CCRN. I know it's a hard exam. Good Job. I personally am not ashamed of confessing I failed by 1 question. I still have my results. I was so angry I...

  5. Liberty University MSN in Nurse Education

    Guest193822 replied to caitiecait's topic in Nursing Educators, Faculty

    I plan to apply for the MSN in Nursing Education. I spoke with them today. This school is very military friendly a + for me. I was disappointed they ended there Adult Acute Care CNS program which...

  6. Open Heart Recovery Training

    Guest193822 replied to CRIMSON's topic in CCU, Coronary, Cardiac

    I have to agree hands on training is definitively important to Open Heart Recovery. Especially that wonderful 1st 12hrs. :) There's nothing wrong with reading books. I also have "Cardiac Surgery...

  7. Georgetown University ONLINE Nursing Education Program

    Guest193822 posted a topic in School, College Programs

    Is anyone on this site in this program. I'm seriously thinking about applying. I just want know how the programs is like. I did the online seminar session already, however I would like to get...

  8. Georgetown University ONLINE Nursing Education Program

    Guest193822 replied to Guest193822's topic in School, College Programs

    I'm working on my application for Graduate School. It's not a simple processes. I've been at the bedside for 12yrs so I really don't know to much about new entry RN school. I think you should go to...

  9. Max on Levophed?

    Guest193822 replied to Nurse_Sophia's topic in CCU, Coronary, Cardiac

    Levophed max is 40mcg/min. I've worked in some hospitals that will not allow over 20mcg/min & a order is required to go above this. I recently worked in an hospital where the Pt was on 75mcg/min...

  10. Passed CCRN

    Guest193822 replied to Creamsoda's topic in MICU, SICU

    I've been in this nursing field for 12 yrs. Critical Care/ Trauma is all I know. I attempted to take the CCRN in 07 & failed by one question. I still have my score card. I was so upset I never...

  11. Precedex

    Guest193822 replied to Stlcardsrock's topic in CCU, Coronary, Cardiac

    We don't use Precedex at all for our hearts. My experience with Precdex isn't great b/c it doesn't work all the time & it does cause hypotension & bradycardia. It's for short term...

  12. can ICU nurse handle 2 pts on the levophed same time

    Guest193822 replied to Snoopy54321's topic in CCU, Coronary, Cardiac

    LOL! This is to much for me. I never heard of any such policy. I personally have taken care of 2 pt's with Levo & multiple drips at once & both intubated. This is a daily life of the ICU...

  13. IABP removal

    Guest193822 replied to SLP12's topic in CCU, Coronary, Cardiac

    I think I would have gotten fired this day b/c there is no way I will I will allow this until I called Datascope (MAQUET) & taken out the hospital policy to explain to the Cardiologist I question...

  14. just finished week #1 of being an ICU nurse

    Guest193822 replied to nursgirl's topic in MICU, SICU

    I love to see newbie proud of themselves. This of course couldn't have happen without the hospital critical care program & your preceptor. Don't forget the nursing is a forever evolution &...

  15. Need some Precedex advise

    Guest193822 replied to EyeSeeYouRnOhio's topic in MICU, SICU

    I'll be honest when I get an order for Precedex, I'm in the habit of pulling out Propofol. I've used this medication since it appeared in my hospital & I'm not a fan of it. It doesn't work for...

  16. IV pump placement/Room set up

    Guest193822 replied to TulsaTime's topic in Neuro Intensive Care, ICU

    I love to hear that you don’t have a space issue, but at my hospital we don’t have that luxury. I work in very tight space. So comfort, safety & easy access is the rule for us. Most of the...

  17. Labeling IV lines

    Guest193822 replied to moonshadeau's topic in MICU, SICU

    It's not a policy but it's just a common nursing courtesy. It's the best thing to do when you have tons of meds tubes lines etc. My hearts, septic, & neuro pt's all get them labeled. Pumps...

  18. petite nurses out there?

    Guest193822 replied to hapiyogi's topic in General Nursing

    I'm 4'11 & weigh 95-96lbs not only Im I an ICU nurse for years but I'm also an officer in the Army Nurse Corps. Size has nothing to do with the best way you can do the job. I use stools all the...

  19. How do you organize your day?

    Guest193822 replied to Sterren's topic in MICU, SICU

    To all the new ICU Nurses “thanks for coming into ICU” I remember the day’s of the “charts & the papers”. I wanted to pull my hair out. :uhoh21: I used an hourly chart for my VS,...

  20. Micu Vs. Sicu

    Guest193822 replied to IDoNotGiveOut's topic in MICU, SICU

    I would have to disagree on the MICU /SICU critical thinking & skills portion they told you about. It’s the ICU, you will learn & master both in any of these sections, Period. It’s...

  21. What does an ICU nurse do exactly?

    Guest193822 replied to MJB's topic in MICU, SICU

    i have to laugh b/c when i get asked this question. it's very difficult for me to answer. i tell them i do everything a nurse does are more. i'm the only medical person in the family & the first...

  22. Open Hearts?!?!

    Guest193822 replied to CaliRN29's topic in PACU

    Most of our "open hearts" come straight to TICU/SICU. We recover them. Depending on how stable or guarded they come out there a 1:1 ratio for about 24hrs. Within 6hrs hr if stable we like to...

  23. What was your orientation like?

    Guest193822 replied to jspacegirl's topic in MICU, SICU

    i remember my icu internship period as being a very different atmosphere then being a ward nurse. as for internship being “nightmarish”, i look back now & say it wasn’t that bad. it was...

  24. How long in ICU before you felt comfortable?

    Guest193822 replied to racing-mom4's topic in MICU, SICU

    I would say I didn't fell comfortable until about 1 year in the ICU. However, I had about 5 yrs of Med Surg experience on my belt when I decided to take the plunge. I'll be honest, with 8yrs of...

  25. Army Nurse Thinking going To Air Force

    Guest193822 posted a topic in Government, Military

    It's plain & simple, my 4yr commitment is about to be up & well I'll be honest I'm thinking about leaving the Army Nurse Corps to join the Air Force Nurse Corps. I'm a direct commission...