zambezi BSN, RN

CCU (Coronary Care); Clinical Research

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All Content by zambezi

  1. zambezi

    Help with Caring Behaviors.

    I agree with memphispanda....it is the little things and the "usual stuff" that go into caring, it is these things that the patient will remember. In addition to what panada said, I think that part of...
  2. zambezi

    My Life with a Nurse: A Man's Perspective

    This absolutely cracks me up...it is so perfect! I am printing it and bringing it to
  3. I don't know anything about what you are asking but I just wanted to say welcome to Oregon! It is a beautiful state. I live in Eugene for a couple of years...very outdoorsy, but bring a raincoat. Hope...
  4. back to the start of the thread mentioning cell saver...we use cell saver in our open heart unit if we have greater than 600cc/hr out in a post op patient. It is on our standing orders, but only one...
  5. zambezi

    nursing schools in Oregon

    The four campuses of OHSU are "the hill" (portland--main campus), Ashland, Klamath Falls, and Eastern Oregon. I think that K falls is doing away with their program but I am not quite sure. Anyway, I...
  6. zambezi

    nursing schools in Oregon

    I graduated from OHSU...if you have any questions, please feel free to pm me...There are four (but mabye soom three) campuses across the state. I didn't know about the program that states that you...
  7. zambezi

    Antacids

    All of our post of heart patients receive pepcid/reglan IV. When PO, they take protonix/reglan. We have inapsine ordered for nausea unless there are QTc
  8. Didn't read your entire question...as far as skills and qualities go, i would say the ability to think quickly, use critical thinking skills, being able to look at the entire clinical picture IE: the...
  9. Hey Caroline...I posted this for another thread, but this is what I do on a regular basis as a CCU nurse... It is a great job IMHO, the technology, autonomy, and teamwork is great. Caring for patients...
  10. zambezi

    What do ER and Acute Care NP's Do?

    Along the same lines--are there any NPs that are "specialized" to work in a critical care area?? We have PA and RN first assist that work in our unit...if I were an NP would I just have to find a...
  11. zambezi

    Whats your fav sleep mask?

    I just use dark curtins and fan....the fan is a must have for me. I work two days on, two days off, four days on, six days off. IMHO this is a great schedule, the two days gets me warmed up, then the...
  12. zambezi

    Need info. on getting a job before graduation

    I personally do not work in NICU/LD...however, the hiring process is similar for each unit. My advice would we to call the NM for the unit that you are interested in...the sooner the better, IMHO. Ask...
  13. Hello...I work in a CCU...we a trying to revamp our extubation protocols for our open hearts, trying to extubate them quicker (3-4 hours) Our patients usually come back on a fentanyl gtt...sometimes...
  14. As long as your did your best there is nothing else you can do at the time other than learn from your experience so you can do better (again your best) the next time. I was new (still am...) just over...
  15. I agree that fast tracking is not for everyone, especially with the increasing incidence of octagenarians and sicker patients having surgery. However, our CNS and surgeons are promoting it when...
  16. I also work part time at a clinic...the MAs call in RXs all the time, in fact, the clinic does not even have an RN that works there (other than me, and I only do clinical trials and am very part time...
  17. I work in a CCU, we recover all of our open hearts in the unit, they never go to pacu...Our unit is on the third floor...OR is on the first...we have an elevator that goes directly from the OR to our...
  18. zambezi

    CVICU open visitation

    We do not allow family to stay the night in the room...our rooms are not really big enough for family to stay anyhow...family is allowed to stay in the waiting room/conference rooms...we also have a...
  19. zambezi

    CVICU open visitation

    We have a fairly open visitation policy in my unit. The only time we are "closed" is at change of shift, both morning and night. Exceptions can be made by the RN if something is going on and the...
  20. zambezi

    etomidate

    We use etomidate in our CCU prior to intubation...the RN pushes
  21. zambezi

    Do you use the trendelenberg position?

    I have also heard that there is no clinical evidence that support this...it seems like I read something about this not too long ago on the boards...i use it if my patients bp dumps, I have used it in...
  22. zambezi

    ICU ratios????

    We are usually 1:2, 1:1 if it is a very complicated patient or fresh post op heart (well we keep that 1:1 for as long as wel can anyway...I have been doubled with fresh hearts if we are
  23. I usually leave my worksheet for the day shift...They can then see what I have done. I am pretty anal and write my patient history down as well...(critical care usually only 1-2 patients), this way...
  24. zambezi

    Reasons that I'm glad I'm a Nurse

    This is a great thread Noney. I like being a nurse (all of one year so far!) for lots of reasons. I like the complexity of it, being able to think, to see something not quite right and taking steps to...
  25. zambezi

    Anyone sick of working weekends????

    I don't mind weekends...but I can see how I might if my husband had every weekend off and those were his only days off. I work every other weekend, my husbands day off are sunday and monday...we we...