zambezi BSN, RN

CCU (Coronary Care); Clinical Research

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All Content by zambezi

  1. zambezi

    What does your post name reflect about you?

    I got the name Zambezi when I was in high school...we were trying to find names for the back of our powder puff jerseys...anyway...we looked on a map and this name just sounded right...it has been my...
  2. zambezi

    aggrastat and heparin at the same time?

    We occassionally use both together in the CCU that I work in, especially if we get a patient that has had unstable angina and are not going to be cathed until the morning for whatever reason. For our...
  3. zambezi

    i have a question about su

    I too am sorry for your loss. I don't work psych...however, I have a question. Do the seclusion rooms have cameras in them? I work in critical care and we have camera rooms...just curious to see what...
  4. zambezi

    Malpractice Insurance

    I also carry malpractice insurance. As elkpark mentioned, it is only about 90$ a year, well worth the peace of mind for me (lets be honest, that is less than I pay for a new stethoscope or scrubs for...
  5. zambezi

    Titainium Ring Cutters?

    My husband has titanium ring and he loves it because it is so light and is very durable (not to mention that it was a pretty good price compared to mine--I got off
  6. zambezi

    Critical thinking exercise

    As everyone else mentioned, check if O2 on, check if pulse ox is on correctly, if it were night time, I would watch the patient breathe and see if that 84 is a result of sleep apnea...which, actually,...
  7. zambezi

    Which Icu?

    Just wanted to wish you good luck...as far as intrepreting rhythms..you should get that in any ICU that you choose as all of your patients are on tele...however a Cardiac specific ICU you may have...
  8. zambezi

    Speaking of pregnant nurses...

    The other thing to watch out for is radiation--ie: xray/cath lab...I have to go to cath lab occassionally with an unstable patient or one we are putting in and IABP on...the docs are always really...
  9. zambezi

    i need to get out of this

    CCURN-- I'm so sorry to hear this! Why do you want to leave nursing? I know that you were considering the CRNA route for awhile...is this not a good path anymore? If you need to vent- you know this is...
  10. zambezi

    ??Pregnant???

    I would call you doctor if you are still taking the antibiotics. I think there are a couple of things that could be happening. You could just be stressed and you body is responding with a late...
  11. zambezi

    Best Paid State For Nursing

    The other thing you have to consider, as I am sure you know, is cost of living. Some of the places you mentioned have areas of high costs of living--so it would make sense that you are paid a bit...
  12. zambezi

    Art Lines

    I usually zero my alines when I first come on shift or if I am doing any majoy HOB changes or getting up to a chair, etc. I also print and post a strip of the arterial line tracing once a shift. I...
  13. zambezi

    taking ACLS while in nursing school

    I took ACLS my final semester of school....I had been doing a preceptorship in CCU for about 4 months at that time so I had seen a couple of codes...To prepare, I read the book front to back, had just...
  14. zambezi

    Relationships with Docs

    I really enjoy the docs that I work with--they definately have their bad days (and nights) but who doesn't? If they are outright rude though, they usually hear about it and say their sorry--our NM...
  15. zambezi

    **clinical objectives**

    I agree with the previous poster. When I did this, I tried to pick one topic per week and tie it to the system that I was studying for the NCLEX. For example, if I was studying the cardiovascular...
  16. zambezi

    ICU visiting hours

    In our unit, family visitation is up the the nurses discretion--and yes, I really do believe this works, as long as guidelines are given to the family. The only time we are not an open unit is during...
  17. zambezi

    Change of shift report

    We use a printed unit census sheet. We do a "group" report where a brief summary of all of the patients is given. Then we get individual report at the bedside (this is a critical care unit so usually...
  18. zambezi

    Question on MAZE procedure

    Our cardiac surgeons occassionally do maze procedures while they are doing a cabg or valve...with the maze procedure, tiny cuts are made on the myocardium (i believe with a laser) to ablate alternate...
  19. zambezi

    Medications After a Stroke

    We give tpa a fair ammount where I work, however, as others have mentioned, there are quite a few criteria that must be met...the doctor has to weigh the risks vs. benefits. tpa must be given within...
  20. zambezi

    Medications After a Stroke

    Im sorry to read about your husband. The medications that I usually see patients put on post cva are aggrenox, plavix, or sometimes pletal. I hope he continues to
  21. zambezi

    whats the weather like????

    Rain, Rain and wait...more rain!!! And fog... All week no less. Typical Oregon. Though two days ago it did snow (which we hardly ever get here). Temp has been 30s-40s...I can't wait for spring (or I...
  22. zambezi

    ICU or stepdown?

    ICU at my hospital...we wouldnt have nipride, the aline, cvp on the floor at
  23. zambezi

    So what WAS nursing like in the "good old days"?

    It is interesting to read these posts in addition to all of that in books etc. Being a new generation nurse, I look at these descriptions and *think* that I would prefer todays nursing (of course, I...
  24. zambezi

    my 1st observation

    I really enjoy having travelers in our unit. The ones that know their stuff are great! They really help pick up slack when we are short. The only reason that I can see why some people don't like...
  25. zambezi

    Lockers at work

    Our unit is shaped in a circle with a report/break room in the center. I usually just keep my stuff in there, coat, etc. I leave my wallett in the car, keys in my coat pocket. Down a hall a little...