zambezi BSN, RN

CCU (Coronary Care); Clinical Research

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All Content by zambezi

  1. zambezi

    Speaking of restraints.....

    zambezi replied to louloubell1's topic in Patient Safety Issues

    We restrain all of our intubated patients...it is, of course, a case by case basis and if we have a patient that we are in the room with, can monitor, or can trust due to no sedation (is: long term...
  2. zambezi

    Maximum Heparin doses with Central Lines

    zambezi replied to dmrn722's topic in Infusion, Intravenous

    On my unit we usually only see PICCS or triple lumens or cordis into the IJ. For all of these if there is not continuous IV running we flush with 30u heparin Q8
  3. zambezi

    Where do Insulin Gtts go in your facility?

    zambezi replied to Tweety's topic in General Nursing

    I believe all of our insulin gtts are in the unit only (last I heard anyway) There is a big push here to start gtts if necessary as it has greatly shown to decrease morbity and mortality...only some...
  4. zambezi

    Marriage to a Nurse-- Need HELP

    zambezi replied to NeedAdvice1234's topic in General Nursing

    There has been lots of "converstaion" about many of the topics and issues you may face with having your fiance be a nurse. YOu have gotten a lot of good advice. Bottom line is: If you love your...
  5. zambezi

    Staff Meetings

    zambezi replied to MayBaby's topic in General Nursing

    I think that you should get paid...especially if you have to pay for parking and/or come in on your own time. I get paid my hourly wage where I work (but we don't have to pay for parking...) and it...
  6. zambezi

    Sharp pains in my heart! Help please!

    zambezi replied to FutureNurse2005's topic in General Nursing

    I agree that if they are bothering you, you should make an appointment and see your PCP or urgent care center. It could be so many differnt things. Do the pains feel any different from when you were...
  7. zambezi

    Chest Tubes

    zambezi replied to DustinRN's topic in MICU, SICU

    In addition to Mark's site, if you type in pleuravac chest tube system or any combo of that into google you get quite a few
  8. zambezi

    Nurses and extubation

    zambezi replied to Palpitations's topic in Patient Safety Issues

    Recently we changed our extubation policies...originally (in my unit we usually are recovering post op hearts) we had a list of nursing criteria and RT criteria...the RT criteria was NIF, TV,...
  9. zambezi

    Arghhh, my aching legs & feet!

    zambezi replied to KimRN03's topic in Scrubs, Uniforms, Gear

    I used to have foot and leg pain (but not as bad a some...). I tried: birks (which made the pain the worst for me, ohh my aching calves), danskos (which were ok at first but then my feet started...
  10. zambezi

    Natrecor and BNP's

    zambezi replied to Dinith88's topic in Cardiac

    We have been using the natrecor with pretty good results recently. If the patient is admitted with chf, there is usually a bnp ordered...however, our bnp results are not immediate test results, they...
  11. zambezi

    can you live "comfortable" on a Nurses Salary

    zambezi replied to fewtureRN's topic in General Nursing

    I also feel that I make a comfortable wage (though it seems tight right now because I have a fair ammount of debt to pay off). I just bought a brand new home in august, and a brand new car when i...
  12. zambezi

    Psych nurses similar to other nurses?

    zambezi replied to ferfer's topic in Psychiatric

    While I don't work in psych, I think that it depends on what kind of psych unit that you work on. In our hospital, the patient has to be medically cleared before they can be placed in our inpatient...
  13. zambezi

    Flolan, again

    zambezi replied to heart queen's topic in MICU, SICU

    Hello...I just found your last flolan thread again...I just wanted to say thanks to everyone who explained what the medication is to me (as I stated last time, we don't use it where I work). I am...
  14. zambezi

    Nurses and extubation

    zambezi replied to Palpitations's topic in Patient Safety Issues

    We extubate our post open hearts without MD/MDA/CRNAs around, but it is not within our scope of practice to intubate. For extubation we have a weaning flowsheet/list of criteria that the patient has...
  15. zambezi

    Is There a Room on Your Unit That Always Seems to Attract the Worst Patients?

    zambezi replied to RN-PA's topic in General Nursing

    We have one room that patients in it seem to get combative at night...I don't know what it is...We also have another room that patients seem to get sick quick and usually die...Of course, we have...
  16. zambezi

    First Agency Job This Week

    zambezi replied to zambezi's topic in Agency Nurses

    Well I was all ready to go in...but I got cancelled. I had a feeling that I would...I suppose that getting cancelled is just part of it...when I start going farther away, I hope it dosen't happen...
  17. zambezi

    ACLS for experienced providers

    zambezi replied to RN-RD's topic in CCU, Coronary, Cardiac

    I just took this class yesterday for my recert and it was pretty easy. Our hospital offers it free through the ed department for employees. The morning started off with basic review of the algorhythms...
  18. zambezi

    Marriage to a Nurse-- Need HELP

    zambezi replied to NeedAdvice1234's topic in General Nursing

    There has been some good advice in these threads...when it comes down to it though, you and your fiancee are just going to have to sit down and discuss what your expectations of each...
  19. zambezi

    friends dad/CABG c/o pain

    zambezi replied to nurseunderwater's topic in MICU, SICU

    Gwynith makes a good point about the coughing and deep breathing, very important especially if he is having problems with sats/temp...I really like using toradol with MS just after extubation...the...
  20. zambezi

    First Agency Job This Week

    zambezi replied to zambezi's topic in Agency Nurses

    Thanks for the reply suzanne...I am sure that it will go well...thanks for the good
  21. zambezi

    Male vs. Female

    zambezi replied to CarllS's topic in General Nursing

    CNM...In my unit, if we have a guy that needs a cath, we will usually ask him if her perfers a male or female to do it (if there is a choice...) If there are no males...then of course, it still has to...
  22. zambezi

    volunteer opportunities in Oregon?

    zambezi replied to momof3sons's topic in General Nursing

    The best thing to do would be to call the BON--they would know exactly what you would need to do to keep that license active...what about a prn job? I haven't heard anything about voulnteer...
  23. zambezi

    Male vs. Female

    zambezi replied to CarllS's topic in General Nursing

    This is the reason that most of the guys in my unit won't do female caths, we had the same type of situation......we female coworkers in the unit don't seem have a problem with it as the guys are...
  24. zambezi

    Critical care nursing

    zambezi replied to superaudree's topic in General Nursing

    I think that stress is in the eye of the beholder...what is stressful for me may not be stressful for you or vice versa. That being said...I think that all areas of nursing are just a little...
  25. zambezi

    Training and Contracts

    zambezi replied to Lorus's topic in First Year After Licensure

    When I was a new grad, I might have thought that it did sound a little questionable...however, after working and seeing a new grad come, get trained, and leave...well that sucked. Preceptors had put...