zambezi BSN, RN

CCU (Coronary Care); Clinical Research

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All Content by zambezi

  1. zambezi

    Elderly patients: First name or Mr/Mrs?

    It is interesting for me to read this, my first inclination is to call people by their first name. If I went with calling everyone older by their last names I would never call anyone by their first...
  2. zambezi

    Wasting Procedures

    We also have to have someone witness our narcotic wastes. If it is a small ammount of liquid, I pull it out of the vial and squirt it into the sharps container. If it is a bigger ammount of liquid,...
  3. zambezi

    Arm Position/Open heart

    I am not an OR nurse, but i have watched a few open heart surgeries. I think that the arms were either out to the sides or down by the body, but definately not over the head in our hospital. Sorry I...
  4. zambezi

    Betadine? Alcohol? (one, the other, or both?)

    We use alcohol then betadine...we use a venigaurd to secure it (foam tape with a little window, kind of a keyhole shape, with the window in the middle, works well...comes with some extra straight...
  5. zambezi

    Telemetry Protocol

    I agree, I think that it sounds silly as you would be calling the docs quite often. I work in CCU and we have many standing protocols depending on the patient/procedure, etc. We only call if we do...
  6. zambezi

    pharmacology in nursing school

    I think that thaking pharmacology is a necessity for todays nurse. The class itself is a catch-22 in my eyes. You have to (or should) take it prior to clinical work so you are familiar with what you...
  7. zambezi

    How to become PICC RN

    Our hospital has an iv therapy team with the rns certified to place PICCs...I believe the hospital puts on the training workshop, provides mentors, etc...have you inquired around your hospital to see...
  8. zambezi

    standard of how many IV attempts

    Two and I'm done, then I call in an RN who is the best on my shift...if he/she can't get it and I really need one, we keep trying, each person getting two sticks...if it can wait until am, i call IV...
  9. zambezi

    How many of you married doctors?

    After reading nine pages of posts, whew I am exhausted. While I think that the original question did come out a little bit strange and I definately don't think that someone should go to school for the...
  10. zambezi

    Code Blue Documentation

    I work in critical care, for code blues, our monitor tech usually runs a continusous strip for the code...initial rhythm is then posted, as with any significant changes/slowing down/speeding...
  11. zambezi

    Anorexic woman on Maury P. show.

    There is a great book out, an older book actually, it might be biographical (but mabye fictional???I have not read it in a long time) Titled "The Best Little Girl in the World" it talks about one a...
  12. zambezi

    Family members at the bedside during a code blue?

    I think that it depends on the code/family. I have participated in codes with family members in the room. One code, a respiratory arrest, went well with the pt's wife it the room, we saw the code...
  13. zambezi

    Fibromyalgia and working fulltime

    I don't know how/why the pure guafenesin would work, however, i do know of a couple of people that have taken it for their fibromyalgia and have had success with it...does anyone know how this helps?...
  14. zambezi

    Surgical consents

    At the hospital that I work at, the doctors explain the procedure to the patient and the patient's family. We have a standard consent form...they write and order for the consent after their...
  15. zambezi

    preventing burnout

    Find a unit that you actually enjoy working in, one that supports you the best it can, especially when you are new...there are so many nurses that don't enjoy the people they work with, the...
  16. I am sorry, but the "right to fall"????Hello???I am sure that none of these patients have the intention of falling...but i guess if the patients wont stay in bed (or chair) a broken hip will keep them...
  17. zambezi

    Who transcribes med orders?

    CCU- Dr writes orders or RN writes verbal order, unit secretary often sends order to pharmacy but it is primary RNs job to review order...Pharmacy puts patients profile in the omnicell but it is still...
  18. zambezi

    Nurses Don't Accept Gifts

    I was also taught in nursing school that we were not to accept gifts. One night I took care of a patient that was admitted near midnight, from er, to cath lab, where he had an anaphylactic rxn to the...
  19. zambezi

    Nurses Don't Accept Gifts

    I was also taught in nursing school that we were not to accept gifts. One night I took care of a patient that was admitted near midnight, from er, to cath lab, where he had an anaphylactic rxn to the...
  20. zambezi

    DESCRIBE Your IDEAL Nursing Instructor

    So many good points made on this BB! For lectures, as many have previously said, it always annoyed me when i had to read x ammount of chapters for class and then the teacher went over them word for...
  21. zambezi

    DESCRIBE Your IDEAL Nursing Instructor

    So many good points made on this BB! For lectures, as many have previously said, it always annoyed me when i had to read x ammount of chapters for class and then the teacher went over them word for...
  22. :roll :roll I have been working nights for about six months now...actually i really like it...the pay is better, i have no problem sleeping during the day or staying up at night...the problem is my...
  23. Thanks for all the replys...I guess I am on track...unlike some of you, i can sleep all day after a night shift, 8-5...its great, my days off are another story....usually if i wake up at night, just...
  24. zambezi

    orientation for CABG nurse

    There is no stripping of CTs by RNs in our CCU either, if the doc is there he does strip or suction if he feels it necessary...i also started as a new grad in our ccu...have been there for about 6...
  25. zambezi

    I'm new and I have a question about epilepsy

    I work in a neuro clinic and the docs to quite a bit of vns implants/follow-up....there is a vns registry that tracks patients and compiles information on many different areas...from what i have seen,...