Surgical Hrt RN

Surgical Hrt RN specializes in Critical Care Baby!!!!!.

Latest Activity

1. Need Advice- stressing!

   Surgical Hrt RN replied to beachbum3's topic in General Nursing

   i have been a nurse for over 10 years. i went to college after i had my children, so it wasnt something i did straight out of high school. like you, my life was tumultuous before and during nursing school. by the time graduation rolled around i was s...

2. Descripton of tracheal secretion

   Surgical Hrt RN replied to Vikingnurse's topic in MICU

   :lol2: Too funny!

3. Milrinone vs Dobutamine

   Surgical Hrt RN replied to mark2climb's topic in CCU

   where i first learned cvicu nursing primacor was the drug of choice. it worked great! however, it could cause some hypotension so you need to be careful when using it. the last few years, in a different hospital, dobutamine was the drug of choice. i ...

4. chf question

   Surgical Hrt RN replied to getoverit's topic in MICU

   AMEN!!!!!! I HATE when docs order a BNP while on Natrecor! Pointless....but I am just the nurse what do I know?

5. help needed for calculating drip rates

   Surgical Hrt RN replied to anfe's topic in CCU

   That would be totally awesome!!!!!! I swear nurses need to gain control of hospitals! Life would be so much easier!

6. ICU nurse to pt ratio "norm" on your unit?

   Surgical Hrt RN replied to Natef26's topic in MICU

   I totally agree with you! However.....Thank God I was not working there anymore when this incident happened. Things like this happen all the time though. Things really need to change. As I mentioned before, nurses are patients GREATEST advocates. I k...

7. ICU nurse to pt ratio "norm" on your unit?

   Surgical Hrt RN replied to Natef26's topic in General Nursing

   I totally agree with you! However.....Thank God I was not working there anymore when this incident happened. Things like this happen all the time though. Things really need to change. As I mentioned before, nurses are patients GREATEST advocates. I k...

8. ICU nurse to pt ratio "norm" on your unit?

   Surgical Hrt RN replied to Natef26's topic in MICU

   ok nurses hold on to your hats for this one!!! the hospital that i left is currently staffing nurses 4:1!!! can you believe this! hence, why i left! i just spoke with a nurse that still works in that unit and she told me a horrific story....so here i...

9. ICU nurse to pt ratio "norm" on your unit?

   Surgical Hrt RN replied to Natef26's topic in General Nursing

   ok nurses hold on to your hats for this one!!! the hospital that i left is currently staffing nurses 4:1!!! can you believe this! hence, why i left! i just spoke with a nurse that still works in that unit and she told me a horrific story....so here i...

10. sheath pulling tips

    Surgical Hrt RN replied to kcluvlee's topic in Cardiac

    Two finger method is the way to go. You also want to hold pressure at least 2 fingerbreadths ABOVE the puncture site. This allows you to still see the site while holding pressure. Most people think that holding with a fist works better, but you have ...

11. Which pressor to use???

    Surgical Hrt RN replied to cardiacRN2006's topic in MICU

    I agree with most everyone here who said that Levo would be there drug of choice for this pt. What type of infarct was it? If it was right sided volume would be the only thing that would truly help this patient.

12. Milranone and B/P

    Surgical Hrt RN replied to MacNurse's topic in CCU

    My experience with Primacor has been much the same with the hypotension. However, it works great to reduce the SVR while increasing the CO/CI. You have to keep in mind though, that it WILL decrease your blood pressure related to the afterload affects...

13. A few minutes meant difference between life-or-death...or something

    Surgical Hrt RN replied to Dinith88's topic in CCU

    god was working overtime that day! you know it is funny how things unfold during a shift......and, how personally involved we can become. it is extremely difficult in situations such as these to leave your personal feelings aside. while this man at ...

14. EKG training and ACLS

    Surgical Hrt RN replied to MistyDawnRN06's topic in MICU

    mistydawn, how in the world can they expect you to work in an icu without ekg certification? legally, you should not be documenting strips without the certification. jcaho would flip over something like this and a lawyer would have a field day with ...

15. ICU RN's responsible for CRRT or CVVH

    Surgical Hrt RN replied to graciev's topic in MICU

    we set up, maintain, troubleshoot, etc our cvvh machines, pt ratio is 1:1. i have worked in hospitals where dialysis came and set it up, and hospitals where we set it up. my personal preference is to set it up. prisma set up is sooooooo user friendl...