Nitecap

Nitecap

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All Content by Nitecap

  1. Open Heart 1:1

    At the DeBakey Heart center in Houston fresh cabs are never 1:1 unless the pt has a Balloon or VAD. We couldnt possibly staff the unit being 41 beds and admitting 12-20 pump cases a day. We have no...
  2. To add to the above. From what I have seen as an ICU nurse is that MD's may chew out RN's that display less confidence in their own descision making whether male or female. If you are an astute...
  3. I do observe freq that women nurses may bring some perhaps at home stress to the work place and portray more generally neg attitudes maybe not necessarily toward pt's but pt's sense this. Now all you...
  4. Be assertive people. I am a male nurse and dont see much of a diff. The Rn's that get walked on are the RN's that let it happen. The work place is sometimes a very aggressive and hectic environment...
  5. I got an interview to Baylor yesterday also and will def. be attending. Have one at TWU in Feb. Taking CCRN in 2wks so can't get TCU interview set up until then. I know students at both programs and...
  6. Isn't this thread like 4-5 months old. Please quit bumping this thread back up. The debate between the 4-5 original peeps is over, quit trying to start a fire on the forum with ancient threads....
  7. Methodist summer internship, Houston

    Blah Blah
  8. Methodist summer internship, Houston

    No Way
  9. Ok here is my delima. I have been studying for the GRE for about 2.5 months now and am miserable and am ready to get it over with but am not yet confident enough to sit it. I took the princeton...
  10. Going to take it soon. My math scores pretty much carry me though so I have invested alot into the math. I have been scoring high 600's on math and 350's to 400's in verbal. Anyways enough about...
  11. I am extremly disciplined and have put in coutless hours over the past 2.5 months into this GRE. Wish I could take the thing tommorrow but want to work out my work schedule so I can have a least...
  12. which one do you use in your cvicu?

    Any invasive line known to man IABP Vads = De Bakey, thoratec, novacor, heartmate, abio med, bimedicus Ecmo BIS monitoring CVVHDF All Descending TAAA have spinal drains where we transduce spinal...
  13. Do new grads belong in the ICU?

    Go Yo Yo
  14. Do new grads belong in the ICU?

    No
  15. Vasopressin for Septic Shock

    We use a ton of vaso drips in the CTICU that I work in. Different MD's have their preference. Some use norepi, some vaso. Pt's do very well with the vaso. .9 u/kg/min is the max we usually titrate...
  16. Blah
  17. Yeah Yeah
  18. Debakey VAD

    The anti coag we use is heparin. If heparin AB positive then agatroban. Usually on asprin as well. We have strict coag protocols and must draw TEG coag level every morning in addition to either q 6...
  19. Debakey VAD

    Yo
  20. Chest compressions on open heart pt/sternectomy?

    Iyeah
  21. ICU delirium (?) whaddayaknow?

    We use vitamin H. Haldol start with 2.5mg ivp and titrate up to desired effect, usually 2.5-5 q 1-2. It has minimal effect on CV system. If this doesnt work we may start a little
  22. Night-shift in ICU

    Why dont you just switch to days if the nights are not agreeing with you. Nap time, what is this kindergarden? Never heard of an ICU RN getting nap time on shift, thats crazy. Maybe a cat nap on...
  23. At our instituion we occassionally bring in a reg vent used in ICU if problems with oxygenation arise. Many times we call RT to bring in a vent to put the pt on Bilevel so we can administer higher...
  24. Yes that's what ecmo is. We only use it maybe for a lung or heart transplant or someone in total RV failure that cant tolerating going back to or for a RVAD or