guest239592

guest239592

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All Content by guest239592

  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...

  16. Vent: MD visitors who are NOT intensivists

    guest239592 replied to Rabid Response's topic in MICU, SICU

    Thanks, your screen name is pretty clever

  17. Vent: MD visitors who are NOT intensivists

    guest239592 replied to Rabid Response's topic in MICU, SICU

    I work in a large high risk CVICU. I haven't had this issue before with MD visitors, but have definitely had this issue MANY times with family members/friends of family who are nurses, physical...

  18. IABP

    guest239592 replied to AnnieRN's topic in MICU, SICU

    I work in a 30 bed CVICU, largest CV unit in Wisconsin that takes the highest risk patients in the state. We see IABP A LOT (I'll be trained in March, can't wait!) Our training is 1 8 hr class. When...

  19. ICU RN's responsible for CRRT or CVVH

    guest239592 replied to graciev's topic in MICU, SICU

    In my unit (30 bed CVICU, largest in the state, and takes the highest risk pt's of the state) we use CVVH A LOT. We use the NxStage Machine (Which I hate by the way, had way less issues when we used...

  20. Vasopressin- Usage and dosing

    guest239592 replied to trvlnurs's topic in MICU, SICU

    I work in a Cardiovascular Intensive Care Unit. We use vasopressin ALL THE TIME. Our surgeons hate levo and phenylephrine (and there's research that suggests pt's having low endogenous vasopressin...

  21. The worst code you've seen?

    guest239592 replied to jesshopper12's topic in General Nursing

    My second code I was part of at my summer internship in the med/surg ICU. It was the last day of my internship, i happened to stay late that day for a 16 hour shift to help out due to short staffing...

  22. Discontinuing IJ turned into a Rapid Response

    guest239592 replied to Manatee111's topic in Patient Safety Issues

    I'm an RN in a very large CVICU and we D/C IJ Cordis all the time. I agree with everyone else that you should always have pt lying flat as tolerated for just about any central line removal, esp an IJ....

  23. Amazed with Nipride

    guest239592 replied to RNBEAUTY2003's topic in MICU, SICU

    Sounds like you did a great job. I work in CVICU so we use nipride all the time for the immediate post-op period. Nipride is a great drug but can be tricky to find the right amount the pt needs....

  24. What PDA/ Smartphone are you guys currently using?

    guest239592 replied to sweetsmuckers's topic in Arizona Nursing

    I have an ipod touch and LOVE it as a PDA. There are a bunch of free programs out there are decent if you look in the app store under the health/medical category. The ones i have are epocrates,...

  25. hospira symbiq pumps?

    guest239592 replied to annreese's topic in General Nursing

    Those pumps can support two channels. They look pretty flashy w/ a good-looking user interface, colorful, touchscreen etc. HOWEVER... I have had a lot of horror stories. I was a student nurse intern...