zambezi BSN, RN

CCU (Coronary Care); Clinical Research

Member

  • Content

    935

  • Visitors

    12,091

  • Followers

    0

  • Likes

    12

All Content by zambezi

  1. zambezi

    I need to talk about my night

    zambezi replied to babynursewannab's topic in CCU, Coronary, Cardiac

    MattsMom- That was very nicely put. Alyssa- I'm sorry for the bad ending to a good night. Unfortunately, as mattsmom mentioned, these things happen and there was nothing that you could do- you had...
  2. zambezi

    Synchronized Cardioversion

    zambezi replied to Bevvie's topic in CCU, Coronary, Cardiac

  3. zambezi

    Is This Standard Now With Pap Smears

    zambezi replied to payday's topic in General Nursing

    I too just had a pap/rectal/breast exam last week. My doctor is pretty thorough and does all three (but he did ask me one year in advance if it was oaky if he did the rectal). I think that the breast...
  4. zambezi

    Present for nurse

    zambezi replied to lpnstudentin2010's topic in Medical-Surgical

    I agree, a thank you card is very nice. I have gotten a couple of presents but they were dropped off well after the patient had left the unit and left in my box. Probably the nicest card I got told me...
  5. zambezi

    Why are Hospitals so darn mean when someone fails the NCLEX?

    zambezi replied to Roland's topic in General Nursing

    I agree with you...however, if you reread the OPs original post you will see that she was pulled from the floor in the middle of her shift and her patient's were reassigned and she was "demoted" back...
  6. zambezi

    Mosby or Saunder's

    zambezi replied to nursing 101's topic in NCLEX Exam, Programs

    If you feel confident in your ability to learn, I just went to a used book store and bought the princeton review for the NCLEX, it was about $5. It was two years old but the basic concepts are the...
  7. zambezi

    Why are Hospitals so darn mean when someone fails the NCLEX?

    zambezi replied to Roland's topic in General Nursing

    This is basically what my hosptial has gone to...There is a two week general orientation to the hospital (roles, responsibilites, pumps, policies, more school type stuff) and in order to start working...
  8. zambezi

    Need help with cardiac system

    zambezi replied to keishapound's topic in Nursing Student Assistance

    http://www.pacep.org This website may be a little advanced, but has some good pics and explanations...start with lesson 1 A. For pictures go to:
  9. zambezi

    New Grad Needing Advice

    zambezi replied to RN2B07's topic in Arizona Nursing

    The NCLEX should be the same no matter which state you take it in. Personally, I would take it in the state in which I planned to work so I wouldn't have to pay the fee to apply/transfer my license to...
  10. zambezi

    Heparin Drips: Help Me Understand PT's, PTT's, and INR's

    zambezi replied to Spider Cat's topic in First Year After Licensure

    PTT: Partial thromboplastin time aPTT: activated partial thromboplastin time These test for the same functions but the aPTT is a more sensitive version of the PTT that is used to monitor heparin...
  11. zambezi

    Is Heparin and Mag compatible

    zambezi replied to angelique777's topic in Cardiac

    I do not know if heparin and mag are compatible...however, if you don't know and are going to be administering a mediction, it is best practice to find out first...you can either look it up in an IV...
  12. zambezi

    Breast Cancer questions

    zambezi replied to studentdeb's topic in Oncology

    I am sorry to hear about your sister...I don't want to "steal" your thread but I was wondering how she first got diagnosed? Did she have any symptoms or feel a lump herself?? My doctor just recently...
  13. zambezi

    Open or restricted visitation in ICU/CCU

    zambezi replied to RNmac97's topic in General Nursing

    The CCU that I work in has pretty open visitation. We are only "closed" from 630-800 both morning and night becuase it is our change of shift. I don't mind our policy because visiting is pretty much...
  14. zambezi

    CCU - Removal of Femoral Sheath by Registered Nurses

    zambezi replied to CWhite's topic in CCU, Coronary, Cardiac

    We pull sheaths in the unit after cardiac intervention. If the intervention was planned and the patient has not had an MI, they can be pulled in our stepdown unit and they have their own protocol...
  15. zambezi

    GN Having Doubts About Going Right into CC

    zambezi replied to CarVsTree's topic in MICU, SICU

    I think that you are the only one that can decide this. It is challenging, but it can be done. I am sure that you have read the bunches of other threads on this subject and you know that you will get...
  16. zambezi

    Extubation?

    zambezi replied to steini's topic in MICU, SICU

    We usually have the RT and primary RN at the bedside. OUr patient's remain on 30-40% FIO2. Some of our RTs leave the patient on cpap while they run the abgs and some put the patient back on an simv of...
  17. zambezi

    Extubation?

    zambezi replied to steini's topic in MICU, SICU

    FYI- there have been previous posts on this with lots of good answers. But to answer your questions- yes. I know that in some places hearts are coming back extubated. OUr hearts come directly back to...
  18. zambezi

    Electronic Stethoscopes

    zambezi replied to LindaMarie76's topic in CCU, Coronary, Cardiac

    One of our cardiologists that is hearing impaired uses an electronic stethoscope (with headphone earpieces). I have never really asked him if he likes it...I don't think he has too many other options...
  19. zambezi

    8-month nursing and lacking skills

    zambezi replied to frogdog's topic in General Nursing

    FrogDog- I think that once you find an atmosphere that you like and feel supported in you will excel and get the skills you need. You sound like you have a good attitude and though the cards may not...
  20. zambezi

    Policy for notifying docs of change in vital signs

    zambezi replied to Celia M's topic in MICU, SICU

    We don't really have a set policy either...For our open hearts, we have a lot of standing orders and can start all kinds of drips/volume etc without calling...Our orders usually read call for sbp150,...
  21. zambezi

    Assessing Acute Coronary Syndrome

    zambezi replied to gwenith's topic in CCU, Coronary, Cardiac

    Those MI patients often seem to have this look to them...I know it when I see it but it is hard to put into describable words...it definately gives me that bad gut feeling and I do call the dr. when...
  22. zambezi

    Policy, Procedures, Protocals Monitor Techs

    zambezi replied to mj monitor tech's topic in CCU, Coronary, Cardiac

    Our monitor techs post strips at three scheduled times each shift (07, 11, 15, 19, 23, 03) and per any rhythm change (new rhythm, runs of whatever, couplets, bigemeny, etc...) Intervals (PR, QRS, QT,...
  23. zambezi

    Interesting beef with AED's

    zambezi replied to lapappey's topic in CCU, Coronary, Cardiac

    I agree, that an emt-b vs. a lay person that is related to the coding person may have a better chance of getting lead placement right. I also think that the patches plus the brown electrode would be...
  24. zambezi

    Interesting beef with AED's

    zambezi replied to lapappey's topic in CCU, Coronary, Cardiac

    I think making a five lead system with the typical lead placement would be too difficult for someone without training...not because alll laypersons are idiots but because if a lay person is using an...
  25. zambezi

    Nursing Uniforms - Feedback Requested

    zambezi replied to GouiMA00's topic in General Nursing

    With Respect, another NO here... I show my respect through my actions and with my professional (individual)