zambezi BSN, RN

CCU (Coronary Care); Clinical Research

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All Content by zambezi

  1. I just wanted to say thanks...I really like your webpage, it is a nice little review everynow and then...Keep up the good work!
  2. Hello! I started out a little over a year ago as a new grad in critical care. I love it. I had a great orientation and a very supportive staff that actually believes in teamwork. I know they respect...
  3. zambezi

    Male Nurses Discrimination

    In my unit, female to male ration is probably 60/40...Pretty high from what I have heard and seen on other units... I love it...it dosen't seem that they are discriminated against in my unit, by other...
  4. zambezi

    Scope of practice question

    We don't even have any of those gtts on the floor except mabye the lasix. For the others, esp. nipride, corlopam, dopamine, even insulin, if they are being titrated, the patient is in icu/ccu...even...
  5. zambezi

    Id Badges

    We have first name, last intial (or last name if chosen...)"title" work area...actually our "areas" are critical care, patient care services, psych (recently changed from mental health to behavioral...
  6. zambezi

    Nights

    FourBirds, Welcome to nights...There have been many posts on this, so if you want lots of information, go to the search function and put in your request. That said, it took me awhile to get accustomed...
  7. zambezi

    noc shift...............more confusion

    I find myself eating smaller meals on nights. I eat "breakfast" before I go to work, two eggs. Then around 2100 I eat a snack, fruit and something else...I eat "dinner" around 100, my biggest meal of...
  8. zambezi

    Swan Ganz for dummies?

    I agree with code blue chic...it is a very good site. Other than that, practice, practice, practice...that is the best way...for me it didn't make sense until I used it frequently (which sounds like a...
  9. zambezi

    Good nursing shoes

    I currently wear danskos and they are comfortable. I think that I am going to buy a pair of zcoils next, as ugly as they are. I have heard good things about them lately. OSHA has given money to some...
  10. zambezi

    Sleeping on the job

    Not Acceptable IMHO, unless it is on a break (and only during that break time...) FYI: There was a post not too long ago on this very subject with many postings, if you wants lots of info, I would go...
  11. zambezi

    Thoughts on Flu Shots

    I used to get a good cold/flu once a year, ever since I have gotten the flu shot, I have not gotten anything but a mild cold, if that. So, it works for
  12. zambezi

    For CVICU Nurses who started as NEW GRADS

    I started as a new grad in a medical cardiac/cv surgery CCU. I have been there for one year and I love it. As others have mentioned, be a sponge, listen to those you work with. EAch individual RN may...
  13. zambezi

    Hemodynamic leveling

    We also use the expandable antenna with a bubble level in the middle. It seems to work well, though, we with everything, it does leave some area of
  14. zambezi

    "Clean" areas of nursing? Need advice.

    If I were you, I would shadow an RN in a couple of different settings that you might be interested in. By doing this, you can make your own opinions on if it is a job that you might be interested in...
  15. zambezi

    Propofol

    The RNs are allowed to sedate with propofol in our CCU, the doc has to be there (this is usually during a bronch/cardoiversion, etc) and dictate how much to push. RT is also in the room managing the...
  16. We have additional pay for both preceptors and charge. Somewhere in the 1.50-2.00 range for
  17. zambezi

    Alternative Abbreviations

    I think that PIA is my favorite. Sometimes, it is just so fitting...
  18. zambezi

    What does an ICU nurse do exactly?

    I work in a CCU. Though CC nurses usually have 1-2 patients, Critical Care Nurses have many functions. Critical thinking is a big one.We look at the entire picture and how everything relates to plan...
  19. zambezi

    on call policies

    We can ask to be placed on standby. If we don't get called in we get paid 2 (or four??) dollars and hour regardless. If we get called in it is time and a half. But it does not count towards overtime....
  20. zambezi

    CCU vs. CVICU

    Ours is a mixed CCU. We take the AMIs, pulm edema, heart caths with intervention, CABGS, codes from the floor, pacers, and pretty much anything else heart related! All of the thoracotomies/AAAs etc go...
  21. zambezi

    Epinephrine Drips

    We mix our epi gtts as 2mg/250 D5w (epi 1:1000, or 2mls). We also start at one-two mcg and titrate to desired effect, if necessary we can double stregnth the epi but obviously would call the doctor...
  22. Same as code blue chic at my
  23. zambezi

    Vasopressin for Septic Shock

    Sorry wrong web address, here is the right one:
  24. zambezi

    Vasopressin for Septic Shock

    I have read various articles on this and heard that it has been very effective. If you go to http://www.nih.gov and go to pubmed and type in vasopressin and septic shock, a variety of articles come...
  25. zambezi

    titrating drips and hemodynamics

    Regarding drips, it is interesting to read what other hospitals are doing. Our first line is dopamine (we have a whole list of orders for fluid replacement also). If hr increases to >100 we are...