zambezi BSN, RN

CCU (Coronary Care); Clinical Research

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All Content by zambezi

  1. zambezi

    Preceptorship Expectations???

    zambezi replied to Ohmygosh's topic in General Nursing

    When I precept a student, I honenstly don't expect much as far as skills go, only because most people haven't had much clinical time. I would expect you to know the basics of assessment, starting IVs,...
  2. zambezi

    What Oregon towns/cities do you recommend working in and why?

    zambezi replied to fd5151's topic in Oregon Nursing

    Southern Oregon is beautiful and also offers smaller towns and lots of outdoorsy things to do. I also like
  3. zambezi

    Post Term Babies/Deliveries

    zambezi posted a topic in Ob/Gyn

    Hello! I Just have a quick question and wanted to get some of the experienced OB RNs thoughts. I have done a search on post term deliveries but didn't come up with any hits... Anyway, I am just over...
  4. zambezi

    Post Term Babies/Deliveries

    zambezi replied to zambezi's topic in Ob/Gyn

    Just wanted to say hi! Thanks for all of your previous responses. Despite not wanting to induce, she decided that she did not want to come on her own. The birth didn't go as I planned (at all really)...
  5. zambezi

    Post Term Babies/Deliveries

    zambezi replied to zambezi's topic in Ob/Gyn

    So I set up an "appointment" for the induction for monday the 24th- I will actually be 13 days post term at that point...All of my NSTs have looked good...I hope she comes on her own before then but I...
  6. zambezi

    Hmm...."You don't have to run"...no?

    zambezi replied to JSRN81's topic in MICU, SICU

    I usually jog to codes. I am not in an all out sprint, or even a run for that matter- but if I walked it would take me forever to get there. That said- awhile ago we had an experienced RN and a new...
  7. zambezi

    Post Term Babies/Deliveries

    zambezi replied to zambezi's topic in Ob/Gyn

    Thanks for the fast responses. Like I said the first NST was looked good and the second will be tomorrow. We are giving her 11 days post term (I am 8 post term currently) to show up on her own and if...
  8. zambezi

    Administering IV antibiotic bolus with concurrent IVT

    zambezi replied to wils0389's topic in General Nursing

    I typically run everything on a pump. If I have my NS at 125 cc/hr, I just use the secondary port, program in how fast I want the abx to run...it runs in my abx at the specified rate and then switches...
  9. zambezi

    Visitation and staying the night

    zambezi replied to optimisticSRNA's topic in MICU, SICU

    We have fairly lax visitation rules in our unit. The unit is closed between 630-800 both morning and night for shift change (unless there is something major going on with the patient- like life...
  10. zambezi

    Cone biopsy, bad experience

    zambezi replied to Labrys's topic in Ob/Gyn

    This is definately one procedure that I am so glad that I don't remeber. I had propofol during my cone...not sure about pain meds, I know I had about 25 mcg fentanyl after I woke up for mild cramping...
  11. zambezi

    Cervical Adenocarcinom in situ-> Info??

    zambezi replied to zambezi's topic in Oncology

    Sorry it took so long to reply! I had no symptoms. I went in for my yearly annual pap and it came back abnormal. A few weeks later I had the colposcopy after than which showed CIS (and when it was...
  12. zambezi

    Cervical Adenocarcinom in situ-> Info??

    zambezi posted a topic in Oncology

    Hello! Onc nursing is a bit out of my relam, sooooo.... I was wondering if any of you have any informtion on cervical adenocarcinoma in situ? I have done quite a bit of research on it (though none of...
  13. zambezi

    Common Drips Used in CCU

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

    Our most common drips are: Dopamine, Epi, Neo, Vasopressin (though this is a fairly new one for us), Nitro, Nipride, Heparin, Amiodarone, Propofol, Fentanyl, Primacor, Dobutamine, Cardizem Obvioulsy,...
  14. zambezi

    back to med surg...can I give meds thru a permacath?

    zambezi replied to Shell5's topic in MICU, SICU

    I double what dinith says. Our docs prefer that we do not use the dialysis lines for IV meds or lab draws (unless a direct order is written to do so). The exception is in the event of a code or near...
  15. zambezi

    Improvising the foley P and P

    zambezi replied to garciadiego's topic in General Nursing

    I am not even sure what #1 is... I usually place the drape under the patients hips but I don't consider it sterile (nor do I try to make it overly sterile). I just use it as a place to place my...
  16. zambezi

    swan lines

    zambezi replied to melinated's topic in MICU, SICU

    We check placement on the xray when the patient returns from the OR. The swan also has little markings on it that tell you how far in the swan is. However, everyones anatomy is different as well, some...
  17. zambezi

    What is a "Code Black"?

    zambezi replied to sugabuga's topic in General Nursing

    At our hospital it is also a bomb
  18. zambezi

    Living in fear of code blue

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

    I agree, try to go to as many codes as you can (but don't be one of those people that just clutters the room)...Try to take ACLS if you can- mostly just so you know what might come next...what drugs...
  19. zambezi

    maternity leave -- how long?

    zambezi replied to amyrae76's topic in General Nursing

    I am 29 weeks pregnant and plan to work as long as I can. I was unable to get short term disability (and unless you already have it, you probably won't be able to either since you are already...
  20. zambezi

    New Grad. Should I work in CCU?

    zambezi replied to rdiehl45's topic in CCU, Coronary, Cardiac

    I think that new grads can successfully work in an ICU environment- I did and so have many other before and after me. That said- I think that it takes a certain type of personality and the right...
  21. zambezi

    Getting pregnant on Nights

    zambezi replied to Giggles's topic in Geriatric, LTC

    I just recently got pregnant while working nights...the first month we tried no less...I was flipping back and forth though (two nights on, two off, four on, six off). If I were you, I would start a...
  22. zambezi

    What are the isolation precautions in your hosp. for pleural effusions

    zambezi replied to mjmmontana's topic in General Nursing

    We don't have any precautions for pleural effusions other than the standard
  23. zambezi

    Innapropriate comment at CODE?

    zambezi replied to Dinith88's topic in CCU, Coronary, Cardiac

    Technically, yes, I would say that it is inappropriate (esp. if family members were around, which I assume that they weren't) Would I have laughed- yes. I think that random comments such as this tend...
  24. zambezi

    Do ICU RN's sugarcoat things to patient's families?

    zambezi replied to mama2amaya's topic in MICU, SICU

    I definately agree with all of the responses thus far...I agree with papawjohn about thinking in terms of the the last 12-24 hours...it is just too hard (read: impossible) to predict what will happen...
  25. zambezi

    Do you think your employer is reponsible for paying for your ACLS training & cert?

    zambezi replied to Marie_LPN, RN's topic in General Nursing

    I too voted that yes, if it is required, the hospital should pay- our hospital has a little stipulation that it is required for the job- so if you are a new grad and haven't taken acls or something-...