Surgical Hrt RN

Surgical Hrt RN

Critical Care Baby!!!!!

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All Content by Surgical Hrt RN

  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...

  2. Descripton of tracheal secretion

    Surgical Hrt RN replied to Vikingnurse's topic in MICU, SICU

    :lol2: Too

  3. Milrinone vs Dobutamine

    Surgical Hrt RN replied to mark2climb's topic in CCU, Coronary, Cardiac

    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...

  4. chf question

    Surgical Hrt RN replied to getoverit's topic in MICU, SICU

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

  5. help needed for calculating drip rates

    Surgical Hrt RN replied to anfe's topic in CCU, Coronary, Cardiac

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

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

    Surgical Hrt RN replied to Natef26's topic in MICU, SICU

    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...

  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...

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

    Surgical Hrt RN replied to Natef26's topic in MICU, SICU

    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...

  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...

  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...

  11. Which pressor to use???

    Surgical Hrt RN replied to cardiacRN2006's topic in MICU, SICU

    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...

  12. Milranone and B/P

    Surgical Hrt RN replied to MacNurse's topic in CCU, Coronary, Cardiac

    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...

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

    Surgical Hrt RN replied to Dinith88's topic in CCU, Coronary, Cardiac

    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...

  14. EKG training and ACLS

    Surgical Hrt RN replied to MistyDawnRN06's topic in MICU, SICU

    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...

  15. ICU RN's responsible for CRRT or CVVH

    Surgical Hrt RN replied to graciev's topic in MICU, SICU

    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...

  16. CVVH and the 1:1 assignment

    Surgical Hrt RN replied to SnowymtnRN's topic in MICU, SICU

    :yelclap: :yeahthat: I could not have said it better myself!

  17. CVVH and the 1:1 assignment

    Surgical Hrt RN replied to SnowymtnRN's topic in MICU, SICU

    yet again i must say that i agree that this was unsafe.....hence i no longer work there. yet, this hospital rakes in billions of dollars and as i mentioned before, acheived magnet status, which in my...

  18. Right Ventricular Infarct--thing I thought I knew...

    Surgical Hrt RN replied to papawjohn's topic in CCU, Coronary, Cardiac

    bun and creatinine are lab values that tell how good or bad the kidneys are functioning, and how dry a patient is. the higher the bun the drier the patient. creatinine is more specific for kidney...

  19. carriers for drips

    Surgical Hrt RN replied to avado's topic in MICU, SICU

    papaw, man are you right! i can't tell ya how many times i have seen piggybacks hanging with drips! yikes!!!!! people just need to be really careful where drips are concerned, and you certainly said a...

  20. CVVH and the 1:1 assignment

    Surgical Hrt RN replied to SnowymtnRN's topic in MICU, SICU

    the patient population was neither poor or uninformed. they came from all over the country to have surgery by these surgeons. i agree that it is highly unsafe, and if that isn't enough....this...

  21. carriers for drips

    Surgical Hrt RN replied to avado's topic in MICU, SICU

    i agree with some of what you say here. however, a carrier is just there to help keep the line patent. when a doc orders a kvo rate isn't it usually at like 20 - 40 cc's? the 10cc's does not affect...

  22. carriers for drips

    Surgical Hrt RN replied to avado's topic in MICU, SICU

    Preference would be my answer. I have seen Dopa running by itself at 1.5mcgs. But for me personally, I like carriers, so I usually hang a 0.9 and run it at 10ccs. Also, you may want to check your...

  23. Oral care protocol

    Surgical Hrt RN replied to wendyp72's topic in MICU, SICU

    we use sage products, which are great! the sage rep had some great studies and research about reducing vap, by doing oral care a minimum of every 4 hours. i do it at least every 2 hours if not every...

  24. Hardest Equipment to work with in Nursing

    Surgical Hrt RN replied to hrtprncss's topic in MICU, SICU

    papaw, i sure hope that you are a preceptor! i love your analogy! as a preceptor myself, i am always thinking up "scenarios" to explain things to my patients and orientees! this one is great, nice...

  25. CVVH and the 1:1 assignment

    Surgical Hrt RN replied to SnowymtnRN's topic in MICU, SICU

    hold on to your hats everyone...............the hospital that i worked at for 6 years always paired their cvvh patients, usually with someone waiting to go to tele. this was in a very high acquity...