zambezi BSN, RN

CCU (Coronary Care); Clinical Research

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All Content by zambezi

  1. zambezi

    extubation after cabg?

    zambezi replied to rehab nurse's topic in CCU, Coronary, Cardiac

    Rehab nurse- Glad to hear your dad is feeling a little better. Those blood sugars will probably even out once he starts eating a little more and his body is less stressed...As for his nausea- is he...
  2. zambezi

    family presence during CPR

    zambezi replied to beth38's topic in General Nursing

    I think that it is appropriate to have the family there for some codes. It depends on the family and the situation...I have some some pretty nasty gi bleed codes that I would not ever wish for a...
  3. zambezi

    Share Your Funniest Patient Stories...

    zambezi replied to Trvln Nurse's topic in Nursing Humor

    I live in a fairly small town and my husband is a small business owner and has lived here all of his live. About a year ago, I had a patient come into my unit post heart attack and stent placement. He...
  4. zambezi

    Mechanical ventilation weaning to extubation protocols?

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

    OUr patient's also come up on simv, rate 10, fio2 100%, peep 5, psv 12. After the first abg on admit, we usually wean down at least to fio2 of 40% (as patient tolerates, of course). If patient still...
  5. zambezi

    Scrubs and T-shirts

    zambezi replied to bobnurse's topic in General Nursing

    Personally, I always wear a long sleeved t-shirt underneath my scrub top. I just get too cold without it- even in summer. I don't like scrub jacket...they just get in my way...I don't think that I...
  6. zambezi

    Best Anatomy & Physiology Flash Cards?

    zambezi replied to PennyNickelDime_RN's topic in General Students

    I had to make my own flash cards to really learn the information. I just went throuh the book, writing down information and making my own flashcards that I could review whenever/wherever...it help me...
  7. zambezi

    Tympanic temps in ICU?

    zambezi replied to erinnRN's topic in MICU, SICU

    We use tympanic...we do have oral available...of course, if they have a swan we use that...if the patient gets a foley in the er they come up with temperature sensing probes that we can (but don't...
  8. zambezi

    ABG Analysis

    zambezi replied to RainDreamer's topic in General Nursing

    This is the really quick, non detailed way that I think about it (without getting into compensation or mixed/acid base issues) First, I look at pH...normal is 7.35-7.45...So is the pH that I am...
  9. zambezi

    imposter nurse????

    zambezi replied to lllliv's topic in General Nursing

    When I took the boards two years ago, I had to bring a picture (passport size/requirements) and my drivers license to my NCLEX testing site, the two were compared and I had to give all ten...
  10. zambezi

    What's the difference between CCU AND CICU?

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

    The letters have multiple meanings depending on where you work. Our unit is a CCU- Coronary Care Unit...our intensive care unit for heart related issues...we are rebuilding and the "new" unit will be...
  11. zambezi

    Iabp

    zambezi replied to mcline's topic in Cardiac

    You can only correctly time an iabp in a mode that shows an assisted cycle and an unassisted cycle (ie: 1:2 or greater). I really like the timing guidelines that our arrow rep taught us...it makes a...
  12. zambezi

    hypothetical ? about defib a pregnant patient

    zambezi replied to lifeLONGstudent's topic in Cardiac

    I too am unaware of what the effect of electricity will have on the baby...however, it is safe to say (as Angie did) that if the shocks are not delivered, neither will live (or the mother may pass on...
  13. zambezi

    Learning DVD's

    zambezi replied to 11:11's topic in MICU, SICU

    I don't know about dvd but we use use a computer based program (ECCO??) for all our new hires...we also refer to the http://www.pacep.org
  14. zambezi

    Moving to critical care nursing

    zambezi replied to KCRN13's topic in MICU, SICU

    I agree with the answers so far. I think it depends on how you learn, how you integrate information, patient presentation, basic skills, etc and what you like. I was a new grad that started in a...
  15. zambezi

    What do you do with critical lab values when they are called from the lab dept?

    zambezi replied to pk1's topic in General Nursing

    Truthfully, I rarely call critical lab values unless it can't wait (I work nights)...really it just depends on what is going on with the patient. I work in a cardiac unit so many of our critically...
  16. zambezi

    Starting your first night shift ever

    zambezi replied to Nursesuzi's topic in Ob/Gyn

    I agree with those that say that you will have to try some different things to find what works for you. Personally, I usually sleep from 1 or 2 until 500 pm and then leave for work at 610 at night. I...
  17. zambezi

    Are we Autonomous Nurses or Employees?

    zambezi replied to UM Review RN's topic in General Nursing

    I think that we are both autonomous and employees (is that possible?). I can make autonomous decisions/plans of care within my scope of practice and per hospital policy...We certainly have guidelines...
  18. zambezi

    Anyone out there doing carotid stents??

    zambezi replied to dianah's topic in Radiology

    we are just kicking off our program starting to do stents...we have the standing orders written but I have not seen a patient come through yet. I'll bring out protocol home and let you kknow what we...
  19. zambezi

    Which leads do you monitor your CABGs in?

    zambezi replied to my2sons's topic in MICU, SICU

    We use II and
  20. zambezi

    Sedation protocol

    zambezi replied to sockov's topic in MICU, SICU

    We really only use propofol in our unit...our population is primarily cardiac surgery or post cardiac arrest/or cardiac issue that reqires intubation...on rare occassion we do use a versed or ativan...
  21. zambezi

    New grad question about med/surg and cardiac floor

    zambezi replied to mrdoc2005's topic in General Nursing

    I think that if you want to work with cardiac patients, you should. A general tele floor will give you the variety that you desire just with a little more cardiac...our tele floor has all kinds of...
  22. zambezi

    Open Heart 1:1

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

    It is quite interesting to read the diffferent ways that our units are set up. I work in a mixed Cardiac Surgery unit and Medical Cardiac Unit...We have 16 beds...set up in a square, with four beds on...
  23. zambezi

    Need help with rapid response team

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

    We don't do this at my hospital...Currently, if a patinet on the floor is having difficulty, the RN can call RT to evaluate/assist and call the dr. to have the patient transferred...If it is bad...
  24. zambezi

    When do I start looking?

    zambezi replied to LisaG21's topic in General Nursing

    I personally would start putting my feelers out about two semesters before I graduated...start solidifying a position your final term of school...Then when you graduate you are hired...Most hosptials...
  25. zambezi

    SCD's and TED hose

    zambezi replied to arkierns's topic in General Nursing

    I work in the CCU where we care for many post op cardiac surgeries...We used to only use TEDS but the new orders have changed and now we are doing SCDs while in the unit and TEDS when they go to our...