zambezi BSN, RN

CCU (Coronary Care); Clinical Research

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All Content by zambezi

  1. zambezi

    need help explaining preload and afterload

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

    The way that I think about it is preload (RAP/PAWP) is the stretch that you need to pump effectively. If there is too little volume, the heart does not have what it needs to work the best that is can....
  2. zambezi

    Egg Allergy????

    zambezi replied to prairiegirl's topic in General Nursing

    Also keep in mind that if it is an egg allergy, you may also be allergic to certain vaccinations (like the flu shot) ...so talk to you doctor before you
  3. zambezi

    Current Certified research nurse coordinator salaries

    zambezi replied to TVRN's topic in Research

    I also don't get paid anything, only 11$/hr--and that is after three years there! I started working in the position (which is at a clinic) as a student nurse but I never got a raise after I...
  4. zambezi

    Critical care nursing

    zambezi replied to superaudree's topic in General Nursing

    I work in a CCU. I started there as a new grad. I went into the field because I enjoy the pace and the complexity of the patients. I admit--I also like the adrenaline rush (but only if it's not my...
  5. zambezi

    Poll: What type of report?

    zambezi replied to NS_RN's topic in General Nursing

    Our charge RN gives us a brief report on all of the patients in the unit, then we do an indepth report on our individual patients with the RN that has been working with them throughout the day. I work...
  6. zambezi

    student with a question-

    zambezi replied to obeyacts2's topic in Cardiac

    PEA is a type of asystole. As Ted mentioned, electrical activity is preserved (hence the ekg tracing) but the heart can't contract--no pulse, no bp. Some causes: hypovolemia, hypoxia, acidosis,...
  7. zambezi

    Way older than clinical instructor?

    zambezi replied to joey1967's topic in General Students

    I think that your situations stinks...however, I do not think that you are alone...When I was in school, we had the same kind of situation...if we missed more than 3 clinical days we didn't pass the...
  8. zambezi

    Way older than clinical instructor?

    zambezi replied to joey1967's topic in General Students

    I think that your situations stinks...however, I do not think that you are alone...When I was in school, we had the same kind of situation...if we missed more than 3 clinical days we didn't pass the...
  9. zambezi

    what to say at an interview..

    zambezi replied to newgrad2004's topic in General Nursing

    One thing that I seem to get asked is: "Have you every disagreed with a superior, about what, and what did you do about it?" I also got asked what the hosptials five values were, which one I thought...
  10. zambezi

    what to say at an interview..

    zambezi replied to newgrad2004's topic in General Nursing

    One thing that I seem to get asked is: "Have you every disagreed with a superior, about what, and what did you do about it?" I also got asked what the hosptials five values were, which one I thought...
  11. zambezi

    Survey: Do you leave work at your scheduled time on a regular basis?

    zambezi replied to Brian's topic in General Nursing

    I get to leave on time about 95% of the time. The only time I leave late is if my patient is really unstable all night and I have alot of charting/long report to give, or if my patient crashes right...
  12. zambezi

    Extra pay for certification or degrees?

    zambezi replied to Baby Catcher's topic in General Nursing

    I just found out at my hospital they give a "bonus" for CCRN certification...something like 300 or 500 a year...(not sure which). There is no increase in pay for ADN vs. BSN or certifications. The...
  13. zambezi

    Taking out the trash

    zambezi replied to VAC's topic in General Nursing

    I empty the trash in my patients rooms...I clean the sink-tops and counters with alcohol wipes, if the floors have blood on them from a procedure, out comes a mop (or more alcohol wipes). For me, I...
  14. zambezi

    Question about rectal exam

    zambezi replied to rachel18us's topic in Ob/Gyn

    Funny timing on this thread. After I got a "real" (vs. being a student) job and didn't qualify for state health care any longer...I had to find a differenty gyn. The first appointment he just did the...
  15. zambezi

    Femstops

    zambezi posted a topic in CCU, Coronary, Cardiac

    How long does your unit leave femstops in place for on an uncomplicated groin after a line pull? We have just had some policy changes in our unit that some like and others don't, though i understand...
  16. zambezi

    A question about clogs

    zambezi replied to laurasc's topic in General Nursing

    I used to have a pair of birkenstocks...they hurt my feet so bad...don't get me wrong, I love to wear them around the house...but not when I am on my feet for 12 hours. I really like my zcoils, they...
  17. zambezi

    DO (school) in anesthesiology or CRNA school

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

    I wish you luck. Either way you have alot of school ahead of you. If you went the CRNA route: 2 years ASN, 1-2 years for BSN, at least one year critical care nursing full time ( I say full time...
  18. zambezi

    Looking for all opinions.....

    zambezi replied to veetach's topic in Emergency

    I personally wouldn't have a cath done if there wasn't a surgeon/surgical heart team available (unless I had no choice, of course)...we have a facility about two hours away that does caths without the...
  19. zambezi

    ICU advice

    zambezi replied to special_k_0603's topic in Michigan Nursing

    TeleNurse--Haven't "seen" you in awhile...How are you doing? Special K...I also started in CCU as a new grad. Melissa gave good information. There are quite a few threads on this topic that you can...
  20. zambezi

    Permanant vs. Travel Nsg. Experience

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

    This is how it is at the hospital that I work in as
  21. zambezi

    Cath lab, RN/tech mix

    zambezi replied to lee1's topic in Cardiac

    The cath lab at my hospital also has a mix of techs and rns (i think that rt is called only if necessary...). The RN scrubs in with the docs and the techs "circulate"...I don't work in cath lab but it...
  22. zambezi

    Walking rounds for nurse to nurse report?

    zambezi replied to lyndac918's topic in MICU, SICU

    I work in CCU--we have a "group report". We all meet in our report room, the day charge rn give us a basic report on each patient in the unit. Takes 5-15 minutes (we are alloted 15). Then we each go...
  23. zambezi

    cath lab RNs... is it protocol to DC Aspirin prior

    zambezi replied to MargRN's topic in Cardiac

    There are all kinds of sites if you go to google and type in PTCA/cardiac catheterization, stent, percutaneous coronary intervention...Many of these site have pictures, diagrams, and explanations of...
  24. zambezi

    cath lab RNs... is it protocol to DC Aspirin prior

    zambezi replied to MargRN's topic in Cardiac

    Our pci patients also usually continue to get asa... Our surgeons aren't happy when they take their asa, we load them with plavix and oops..they need an emergent
  25. zambezi

    Femstops

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

    We just went to the "new" femstops and I really like them...I seem to be able to use less pressure, have gotten fast hemostasis, and am able to take them off fairly quickly and switch to a sandbag...I...