guest239592

Latest Activity

1. Question from New Grad RN regarding ICU/first job

   guest239592 replied to Benj2610's topic in MICU, SICU

   Worked in a high-risk 30 bed CVICU as a new grad for 3 years and am in anesthesia school now. I work with PACU nurses on a daily basis and I have never met a PACU RN who was not required to be an ICU...

2. How do you master inotrope titrations?

   guest239592 replied to Veronica22715's topic in Critical Care

3. How did you handle your first patient dying?

   guest239592 replied to rubato's topic in Patient, Colleague Relations

   My first patient death was the summer after my junior year in nursing school when I was a Summer III intern at Mayo Clinic in one of their ICUs. The pt was in septic shock admitted from the floor,...

4. The worst code you've seen?

   guest239592 replied to jesshopper12's topic in CCU, Coronary, Cardiac

   Where do I start?? Too Many... This one though has stuck with me for awhile (wasn't my pt thank God) Transferred a pt to our unit at 2300 from small outlier hosp with initial unstable angina, suspect...

5. CSC Exam in a couple weeks. Need advice!

   guest239592 replied to KymmD77's topic in CCU, Coronary, Cardiac

   Believe me you have more than enough experience to take the exam. A lot of it is integration of clinical picture (pt signs and symptoms, swan numbers, drips) to intervention. I worked in a CVICU as a...

6. Book recommendations!

   guest239592 replied to hanalei321's topic in CCU, Coronary, Cardiac

   Cardiac Surgery Essentials for Critical Care Nursing (search on Amazon). It LITERALLY takes you step by step through the entire postoperative process for CV surgical patients, addresses multiple...

7. CSC Exam

   guest239592 replied to NeuroNP's topic in CCU, Coronary, Cardiac

   I feel like I had a somewhat similar experience to you (2 yrs CVICU experience when I took the CSC, (started in CV as a new grad so only experience I had), passed CCRN 2 months prior to taking CSC,...

8. This is EXACTLY why I don't like taking Verbal orders

   guest239592 replied to OnlybyHisgraceRN's topic in Patient Safety Issues

   In this situation, the physician is not acting appropriately or in the best interest of his patient. As others have posted, check your hospital's policy because most are taking a hardline stance...

9. Swan-Ganz Use

   guest239592 replied to TexRN08's topic in CCU, Coronary, Cardiac

   Here's my take, as many of the posters have previously said, depends on your facility, Docs, and diagnosis. I work at the largest hospital in the state with the largest CVICU in the state taking the...

10. St. Mary's University of Minnesota CRNA Interview

    guest239592 replied to fyjsvw's topic in Student Registered Nurse Anesthetist

    I'm in as well!!! Congrats to those who got in, as well as those on the waiting list. From Minneapolis originally (in Milwaukee now) Can't wait to get back

11. ? for CVICU Nurses!

    guest239592 replied to my2sons's topic in MICU, SICU

    Fent gtt with bolus orders on all patients, generally weaned off by morning if extubated, taking PO etc. Dilaudid while intubated Morphine 2-4mg IV q1hr Vicodin 1-2 tabs q4hr Oxycontin 5-10mg q2hr...

12. staffing

    guest239592 replied to matthewrn03's topic in CCU, Coronary, Cardiac

    I work in a high-risk CVICU (we do VAD, Transplant, IABP, CVVH, ECHMO etc. etc.). Machines with the exception of long-term VADs are always 1:1, though recently they've been starting to pair more fresh...

13. If you were my preceptor......what should I know?!

    guest239592 replied to FLancaster11's topic in Critical Care

    I've been a nurse now for almost 2 years, like you I started out as a new grad in the highest risk cardiovascular intensive care unit in the state (What was I thinking!?!? :) I did have a summer...

14. How to decrease pain during foley cath or straight cath procedure

    guest239592 replied to sameyjaney's topic in General Nursing

    A lot of nurses on our unit had no idea we had it as a system-wide policy standing order. Unfortunately now they took it off our policy orders because apparently someone thought a pt could become...

15. How to decrease pain during foley cath or straight cath procedure

    guest239592 replied to sameyjaney's topic in General Nursing

    Some facilities have standing orders for this, others will require a physician order, but definitely use Urojet which is lidocaine jelly. Basically it comes prepared as a prefilled syringe that screws...