zambezi BSN, RN

CCU (Coronary Care); Clinical Research

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All Content by zambezi

  1. zambezi

    resting P 146, palpitations..

    zambezi replied to nurseabc123's topic in General Students

    I think that you should definately get it checked out...especially if it makes you feel light headed or regular..it could be afib/vtach/st some other aberrant conduction...if it continues go to the...
  2. zambezi

    ICU nurses - acuity systems?

    zambezi replied to neurotraumaRN's topic in General Nursing

    We have an acuity system that follows: Low: overflow patient Medium: "Stable" critical patient- extubated first day heart "usual"drips, longer term vents, anyone pairable (most of our unit is usually...
  3. zambezi

    Nurses pulling CTs?

    zambezi replied to RN12345656's topic in Cardiac

    I too work in a CICU and we pull mediastinal CTs... The PA or doc pulls the plural... Our step-down nurses pull the pacing
  4. zambezi

    CVVH and the 1:1 assignment

    zambezi replied to SnowymtnRN's topic in MICU, SICU

    1:1 99.9% of the time in my unit. On extrememly rare occassion (well, only once actually) I have seen CRRT paired with a stable patient. We just started using Citrate...if the patient is on citrate,...
  5. zambezi

    Negotiating not my strong suit

    zambezi replied to Bonnie Nurse's topic in Nursing Career

    I agree that there is some research that needs to be done. Find out if the hospital is unionized or not. I work at a unionized hopsital and the only people that really have a lot of negotiation room...
  6. zambezi

    IV help: specific questions about insertion site and advancing

    zambezi replied to vampireslayer's topic in Patient Safety Issues

    I also have better luck with a 20g or bigger (usually I go with a 20 though)...it seems that whenever I go out the the floors to start and IV after multiple attempts by others, they have been using 22...
  7. zambezi

    curious on pay and cost of living in oregon

    zambezi replied to melkel619's topic in Oregon Nursing

    Hello! In southern oregon, the housing prices currently are pretty high. We are going though a huge housing boom here and it is getting expensive...Gas in Oregon (as it is everywhere) is also...
  8. zambezi

    Caring for Jehovah's witnesses

    zambezi replied to cu-n-hvn's topic in Patient Safety Issues

    I work in a cardiac surgery unit...from time to time, we have a patient that is a JW come through...I think that the most important thing is to have the patient's wishes made very clear (esp. to the...
  9. zambezi

    Cabg, Iabp, Crrt

    zambezi replied to sway's topic in MICU, SICU

    In our unit, new grads are trained to take our Open Hearts from the beginning. Because IABP/CRRT are not a daily occurance in our unit, we wait for a year to train our new grads in IABP/CRRT...I think...
  10. zambezi

    Exposure to Anesthetic Gases

    zambezi posted a topic in Certified Registered Nurse Anesthetist, CRNA

    Hello...just looking to get some opinions regarding exposure to anesthetic gases, particularly during pregnancy. I realize that in high levels this should be avoided. As should exposure to...
  11. zambezi

    Exposure to Anesthetic Gases

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

    Thanks for your replies...I am not overly worried, just one of those things that I have been thinking about...I realize that I don't live in a sterile world but will do what I can to protect myself...
  12. zambezi

    Exposure to Anesthetic Gases

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

    This is kind of what I have found from doing my own research online...Thanks for both of your answers...I think this is one of those things that there just insn't much research on...but something that...
  13. zambezi

    Posting Rhythm Strips in Telemetry Unit

    zambezi replied to areensee's topic in General Nursing

    we too use double stick tape and it works well. I think the tape we use is
  14. zambezi

    Pregnancy Testing/Banking Cord Blood

    zambezi replied to zambezi's topic in Ob/Gyn

    Thanks for the reply. I figured that as for the testing, I would get all kinds of responses becuase it is a personal thing...like you, I don't know that I could terminate a pregnancy based on the...
  15. zambezi

    Night Shift and Pregnancy

    zambezi posted a topic in General Nursing

    Hello Everyone. I have a question about night shift and pregnancy. I have been doing nights for about three years now. My husband and I are going to start trying to get pregnant and I am worried about...
  16. zambezi

    Best Quality

    zambezi replied to mollyz's topic in General Nursing

    I totally agree. I think that all of the qualitites that you listed are important Molly...however, common sense will take you a long way (and you can sure tell when you are working with those with...
  17. zambezi

    Another Drug Calculation question

    zambezi replied to Dratz's topic in General Students

    And if you are lucky, your lidocaine will come in a handy premixed syringe...100mg in 10 ml. So for 50 mg, just give 5
  18. zambezi

    What shift was your first job?

    zambezi replied to jaylynn67's topic in First Year After Licensure

    Most new grads where I am at start with night shift 7p-7a (critical care). I know that there are some day shifts open to new grads on the floors...Strangely enough, we don't have a crazy amount of...
  19. zambezi

    Drug testing a babysitter

    zambezi replied to Missyb32641's topic in General Nursing

    I agree with those that have that have said to look into the legalities of home drug testing. On another note related to drug testing...unless the test is random, it is easy to pass if you know you...
  20. zambezi

    Britney demanding background checks for her L&D nurses..

    zambezi replied to Peachy720's topic in Ob/Gyn

    I think that her requests are reasonable too...there are all kinds of people working in the hospital system...and I agree, with the paparrazzi the way they are- they are going to be chomping at the...
  21. zambezi

    Order Clarification

    zambezi replied to Cqc_Cqb's topic in MICU, SICU

    It is not allowed at our hospital to transfer with "the same orders" either. For our cardiac surgery patients that are going the the floor we have a set of preprinted orders (about 2 pages long) with...
  22. zambezi

    Share Your Saying

    zambezi replied to angelique777's topic in Nursing Humor

  23. zambezi

    What's your favorite procedure?

    zambezi replied to javanurse2000's topic in General Nursing

    Count me in for a good cracked chest (but on never my patient :) ) Placing an IV in the patient that is coding I love teaching/education...especially for families that have a loved on going to (or...
  24. zambezi

    Share Your Saying

    zambezi replied to angelique777's topic in Nursing Humor

    Perception is reality... and i have lots more but I will have to find them later...actually it seems that I remember a thread similar to this a while back...type in quotes into the allnurse search...
  25. zambezi

    How do I get experience in other specialty areas?

    zambezi replied to LynRN04's topic in Nursing Career

    i would say either an internship or join the float pool. Our hospital is making a big push for people to join the float pool...sign on bonsues, extra pay etc...there are four float pool areas:...