zambezi BSN, RN

CCU (Coronary Care); Clinical Research

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All Content by zambezi

  1. zambezi

    And Now.....What Do You LIKE to Do At Work?

    zambezi replied to VivaLasViejas's topic in General Nursing

    This is one of my favorite things....I really enjoy getting to talk an extubation through with a patient (mine all happen to be post cardiac surgery) and finally get that tube out! I too like the...
  2. zambezi

    SCARY drug exp post C-Sec - DROPERIDOL

    zambezi replied to alphafe's topic in Ob/Gyn

    I don't do L&D...I don't think that Inapsine (droperidol) is off the market...I use it quite often for post op nausea/vomiting--and it truly works well...I usually start with half the ordered dose...
  3. zambezi

    Futile Care. Dead is dead.

    zambezi replied to Trauma-tizedRN's topic in General Nursing

    I too relate with what is said here...we had one patient, came in pretty much gone...ruptured aortic aneurysm up though his carotids...first symptom was when he blew his pupils at home and went down,...
  4. zambezi

    What's you highest...?

    zambezi replied to talaxandra's topic in General Nursing

    Troponin >200 K Level: 9 and 11 (diffferent
  5. zambezi

    4 12s a week?

    zambezi replied to jaimealmostRN's topic in Emergency

    I work two on two off four on six off...I love
  6. zambezi

    Open heart ICU

    zambezi replied to Kiwi's topic in CCU, Coronary, Cardiac

    I suppose I am biased since I also started in an open heart/medical CCU as a new grad. I had done a six month full time internship in the unit as a student so I feel that that was really helpful. I...
  7. zambezi

    Open heart ICU

    zambezi replied to Kiwi's topic in CCU, Coronary, Cardiac

    I suppose I am biased since I also started in an open heart/medical CCU as a new grad. I had done a six month full time internship in the unit as a student so I feel that that was really helpful. I...
  8. zambezi

    Drawing blood

    zambezi replied to luvdaisy's topic in Nursing Humor

    This sounds exactly like something that I would say. I feel for you--I stick my foot in my mouth more than I care to admit So is life...At least you can laugh about it...If it were my unit and anyone...
  9. zambezi

    How to get physically/nutritionally fit for nursing!

    zambezi replied to alphafe's topic in General Nursing

    truthfully, I am one of those fairly lucky people and can be lenient in what I eat...however, I am sure once that metabolism stops in a few years I will have to work harder. My goal for myself is...
  10. zambezi

    ? re: A-line policy

    zambezi replied to smithh's topic in MICU, SICU

    Our policy is instill 1000u heparin in 500 NS (but we are going to premixed soon). Use the needle to get the air out of the iv bag. Spike the bag with the pressure tubing. Use the valve to flush the...
  11. zambezi

    Stroke

    zambezi replied to Ckoroma's topic in General Nursing

    There are is always research out...but I don't have any links to current research. There is a huge stroke conference in February that I am going to and I am sure that they will be presenting any and...
  12. zambezi

    before clinical breakfast ideas?

    zambezi replied to kimhaw's topic in General Students

    Some great ideas here so far. Always, always try and eat before you go...if you are not used to the habit it may take awhile to get used to but in the end it is worth it...I usually eat two eggs,...
  13. zambezi

    New office set up questions.

    zambezi replied to Limik's topic in General Nursing

    If you are giving any meds at the site or doing any clinical studies, look into having basic bls/acls equipment...AED, oral airways, epi pens, O2 (and make sure there are those that know how and are...
  14. zambezi

    Should nurses return to wearing uniforms?

    zambezi replied to hellerd2003's topic in General Nursing

    * I have been an RN for two years. *I have worked in critical care since graduation, specifically a CCU. *Pacific Northwest. *BSN *I am with hellerd2003 on this one. I think of scrubs as a uniform. I...
  15. zambezi

    are we too dependent on assistive devices?

    zambezi replied to leslie :-D's topic in General Nursing

    Just because the saturation is good dosen't mean the patient isn't working hard. Bottom line, you go by patient presentation. The point of these tools are that they are another piece of the...
  16. zambezi

    Shoe Suggestions and Earpiece Thoughts.....

    zambezi replied to miloisstinky's topic in Certified Registered Nurse Anesthetist, CRNA

    zcoils!! hands down in my book. kind of ugly, but woth it. check it out.
  17. zambezi

    ? about Physical Assessment

    zambezi replied to adnstudentnurse's topic in Nursing Student Assistance

    First off, never feel bad for asking questions...it is better to ask than to make it up or go on in the dark...That said, a lot of finding pulses is practice...Take a look at the common places that...
  18. zambezi

    Has CPR Changed Again?????????

    zambezi replied to DutchgirlRN's topic in General Nursing

    Matts mom--that is gross...I can't imagine doing mouth to mouth on someone that I don't know (well, I can imagine it and I would want to to help the person, but I just couldn't do it...) It seems that...
  19. zambezi

    Would you let your kid ride a MOTORCYCLE ???

    zambezi replied to Oregon Runner's topic in General Nursing

    Very nicely
  20. zambezi

    Monitor Tape Reading?

    zambezi replied to tonicareer's topic in General Nursing

    In our CCU...our monitor tech (MT) does mulit task...We have 16 beds, her/his duty is to monitor the patient's cardiac rhythms...she "runs strips" (noting the cardiac rhythm, PR interval, QRS, QT,...
  21. zambezi

    Have you ever given the 'Nurse Dose'???

    zambezi replied to Dinith88's topic in General Nursing

    Our docs do this as well...We have quite a few standing orders: ie: 2-10 mg I'm MS q 3hrs, 1-2 mg IV q 1 hour, 2-5 mg MS q 15 mintues, LOC, AOC, restoril 12-30 mg, inapsine 1.25-2.5 mg q2 hours, xanex...
  22. zambezi

    Has CPR Changed Again?????????

    zambezi replied to DutchgirlRN's topic in General Nursing

    While I was looking for info, I found this neat acls practice site: http://www.netmedicine.com/open/benefits/madsci/codeteam/show_pro.htm another article:...
  23. zambezi

    Has CPR Changed Again?????????

    zambezi replied to DutchgirlRN's topic in General Nursing

    Just to clarify...the Circulation/Airway/Breathing (CAB) is not a part of the BLS protocol yet...the ratio for compressions and breaths is 15:2 or about 100 beats a minute...unless the patient is...
  24. zambezi

    Has CPR Changed Again?????????

    zambezi replied to DutchgirlRN's topic in General Nursing

    I agree with the 15:2...however, "no ventilation" cpr is now the new thing if you do not have a protective airway device with a one way valve to protect you, the rescuer. Remember rule number one is...
  25. zambezi

    opposite Vasoactive meds??

    zambezi replied to chaosRN's topic in Certified Registered Nurse Anesthetist, CRNA

    I pretty much agree with bluesky's post, the epi was probably for the contractility while the nitro was used to dilate out the arteries...strange through since the primacor should also have helped to...