ChelleChelle

ChelleChelle

Critical Care, Cardiac, Education

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All Content by ChelleChelle

  1. CNS as Educators

    ChelleChelle posted a topic in Clinical Nurse Specialists, CNS

    I'm going back to school to attain my MSN and am trying to decide between the CNS tract and the educator tract. Also debating on whether I want an on-line program or a "sit your butt" in the classroom...

  2. Specialty Certification Champions??

    ChelleChelle posted a topic in Nursing Educators, Faculty

    Has anyone out there set up a in-house program to promote specialty certification? What creative or innovative strategies did you employ in order to create a culture of certification in your

  3. CCU vs CTSU vs. CICU?

    ChelleChelle replied to momathoner09's topic in CCU, Coronary, Cardiac

    depends totally on the hospital that you are inquiring at: i've worked at many different hospitals and they all called their open heart surgery unit something different. inquire at the hospitals in...

  4. Anyone else studying for CCRN exam?

    ChelleChelle replied to deeDawntee's topic in General Nursing

    Hi All, I haven't read any of the posts on this thread for 3 weeks or so...........so was very happy to read all of the notes from those who recently achieved their CCRN. Congratulations! :balloons:...

  5. Anyone else studying for CCRN exam?

    ChelleChelle replied to deeDawntee's topic in CCU, Coronary, Cardiac

    Hi All, I haven't read any of the posts on this thread for 3 weeks or so...........so was very happy to read all of the notes from those who recently achieved their CCRN. Congratulations! :balloons:...

  6. Arterial Line Accuracy - help!

    ChelleChelle replied to MarySunshine's topic in MICU, SICU

    MarySunshine, It sounds to me like you are describing the difference between "pole-mount" transducers mounted on an IV pole in a transducer holder with the transducer stop-cock at the level of the...

  7. Nitrates, Desaturation & pulmonary shunting

    ChelleChelle replied to Toby's mum's topic in CCU, Coronary, Cardiac

    I agree about the methemoglobinemia................but there is also a component with the vasodilators that increases perfusion to non-ventilated alveoli which contributes to the increased shunt or VQ...

  8. Losing my mind

    ChelleChelle replied to sassyRN73's topic in MICU, SICU

    Hello mdinelle, Yes! Absolutely it will get easier with time. It sounds to me that you are comparing yourself..............a new grad with 4 weeks experience to a preceptor with at least 2 years...

  9. Nitrates, Desaturation & pulmonary shunting

    ChelleChelle replied to Toby's mum's topic in CCU, Coronary, Cardiac

    One of the complications of nipride as well as nitrates is pulmonary shunting. Some patients are more sensitive than others. I can even remember a patient that we used hurricaine (benzocaine) spray...

  10. Specialty Certification Champions??

    ChelleChelle replied to ChelleChelle's topic in Nursing Educators, Faculty

    Hello Windward Oahu RN, Thanks for your response and I appreciate the honest answer. The hospital that I work at offers a one-time specialty certification bonus. In your mind is that enough? Or would...

  11. ACLS Differential Diagnosis

    ChelleChelle replied to MrsRudicen's topic in CCU, Coronary, Cardiac

    I originally learned them as: CHEAP MD Cardiac Tamponade Hypoxia, Hypovolemia, Hydrogen Ions, Hyper (Hypo) glycemia, Hyper (hypo) kalemia Embolus PE and Embolus MI Acidose Pneumothorax Myocardial...

  12. Anyone else studying for CCRN exam?

    ChelleChelle replied to deeDawntee's topic in General Nursing

    Hi CVICU RN, A little pre-test jitters are normal. Everybody gets them. Do you have the 88 page application packet? Go through the packet and do all the test questions in there (even the PCCN, CMC,...

  13. Anyone else studying for CCRN exam?

    ChelleChelle replied to deeDawntee's topic in CCU, Coronary, Cardiac

    Hi CVICU RN, A little pre-test jitters are normal. Everybody gets them. Do you have the 88 page application packet? Go through the packet and do all the test questions in there (even the PCCN, CMC,...

  14. discarding propofol?

    ChelleChelle replied to funeek8RN's topic in MICU, SICU

    Check with your hospital pharmacy to see if your institution has a specific policy. Because it it is a glass bottle, I put it in the biohazard trash (all glass items go in there) or in a needle

  15. Vap

    ChelleChelle replied to WSH-RN's topic in CCU, Coronary, Cardiac

    As at other institutions we use the IHI Ventilator Bundle 1. HOB up 30 to 45 degrees unless medically contraindicated 2. Sedation Vacation or Daily Awakening 3. Peptic Ulcer Prophylaxis 5. DVT...

  16. Dic

    ChelleChelle replied to ItalianRN's topic in CCU, Coronary, Cardiac

    Hi Italian RN, Do you have a specific reason for asking this question?? The reasons for a patient going into DIC are many, and the outcomes are varied. DIC is never the primary problem...........it is...

  17. Pccn

    ChelleChelle replied to Princess Pam's topic in Cardiac

    Hi Princess Pam, I posted this response earlier today for another user. Happy to repeat it here for you: I took the PCCN exam about 2 months ago along with about 9 other nurses from my hospital. Of...

  18. Has anyone taken the PCCN exam?

    ChelleChelle replied to skcrn's topic in Cardiac

    Hi skcrn, I took the PCCN exam about 2 months ago along with about 9 other nurses from my hospital. Of the group of 10..........7 passed. 3 nurses did not pass on the 1st attempt; 2 of those 3 have...

  19. Tripler ?

    ChelleChelle replied to lovingmom's topic in General Nursing

    I arrived in Hawaii as a travelling nurse in 1990 and have been here ever since. My husband and I always thought we would move back to the mainland after about 1.5 years..........but now, 17 years...