Surgical Hrt RN

Surgical Hrt RN

Critical Care Baby!!!!!

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All Content by Surgical Hrt RN

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

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

    Siri, I agree with your assessment 100%. An inotrope would have worked wonders for this patient. A little Dopamine or Dobutamine would have gone a long way. RV infarcts always need volume and...

  2. Leaving the ICU

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

    Well, as a nurse educator and ICU nurse, let me tell you, that this happens more than you could ever know. You did not fail them they failed you. You should have had weekly meetings with your...

  3. Wedge readings in PS, CPAP, PC, and APRV ventilation

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

    Absolutely.............peep affects HD's thanks for adding

  4. Chest Tubes

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

    You are very welcome.......glad I could

  5. Chest Tubes

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

    We have no policy per se, dressings are changed daily or as ordered and we cleanse the site with Chlorhexidine. More hospitals are using clorhexidine swabs now because so many patients are allergic to...

  6. Baby Powder at your hospital...

    Surgical Hrt RN replied to evans_c1's topic in General Nursing

    Ahhhhhhhhh to powder or not to powder that is the question!:chuckle I have worked in several different hospitals and all have had differing reasons on whether or not to use powder. One unit I worked...

  7. Poor ICU Nursing Care

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

    Ok, first things first, this should have never happened in a hospital, on any floor, let alone an ICU. Vital Signs need to be taken at a bare minimum every 2 hours in an ICU unless otherwise...

  8. Pulmonary Artery Catheter and Patients Mobility?

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

    Early ambulation of CABG patients has been proven to decrease their length of stay and speed up the healing process. So, in response to your question, YES, we get these patients up from bed to chair...

  9. Wedge readings in PS, CPAP, PC, and APRV ventilation

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

    I have worked as a Clinician in an ICU for over a year now. For all my new nurses I put together a hemodynamic packet and part of that included this info along with the waveforms. Hope this helps!...

  10. Can't stop the nightmares- please help

    Surgical Hrt RN replied to caren19's topic in Health, Stress Management

    When I first got out of nursing school I went straight into the ICU. I knew that this was the area and specialty for me. I have always prided myself on my tender heart and caring nature; it was one of...

  11. Oral care protocol

    Surgical Hrt RN replied to wendyp72's topic in CCU, Coronary, Cardiac

    Peridex also decreases the chance of sternal infection and MRSA. It has many great uses! Another poster mentioned Sage products....I LOVE them. The Sage rep told us that oral needs to be done a...

  12. MRSA question

    Surgical Hrt RN replied to elalpn's topic in Geriatric, LTC

    It is as common as the previous poster is suggesting! My healthy, 15 year old 6ft tall, 180 lb son just had community acquired MRSA! He was hospitalized, placed in isolation, and had a 10 day run of...

  13. Electronic vs. Paper Charting ~ Which do you like better?

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

    Boy are you RIGHT!!!! I HATE, ABHOR, and DESPISE Meditech! It is horrible. I left a hospital that was using a more updated computer system, and walked into this Meditech thing! I can't stand it! It's...

  14. Need help with rapid response team

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

    i am the nurse clinician in the icu where i work. i have been at this hospital for about a year. this hospital uses a response team. they call the emergency response team. if any nurse in the hospital...

  15. Do You Like Agency Nurses?

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

    just in case anyone cares....here is my opinion. lol :chuckle i have worked agency, registry and staff. i don't think that an agency nurse, registry nurse or staff nurse has anything more or less to...

  16. Acls Online

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

    Thanks for your input! I am just going to recertify the old fashioned

  17. Acls Online

    Surgical Hrt RN posted a topic in General Nursing

    It's time for me to re-certify for ACLS again. I was wondering if anyone has ever certified online. There is a website that offers re-certification through the American Medical Resource Group. My mom...

  18. This Burns My Britches!

    Surgical Hrt RN replied to leslie :-D's topic in General Nursing

    nothing burns me up more than this! i am an icu nurse and have been for over 6 years! i would never do this! i have to admit though i have come across quite a few nurses that have! it is disgusting!...

  19. This Burns My Britches!

    Surgical Hrt RN replied to leslie :-D's topic in General Nursing

    that's another thing i have seen too. patient's that refuse to let you reposition them. they know that they can breakdown but they refuse to budge. what do you do then? document, document,...

  20. This Burns My Britches!

    Surgical Hrt RN replied to leslie :-D's topic in General Nursing

    i agree 100%!!!!!!!! this is one of the first things i teach new orientees! did you know that it takes only 20 minutes for breakdown to start!!!!!!??????:uhoh21: of course we can't "visualize" it this...

  21. Criticism from Preceptor

    Surgical Hrt RN replied to Nursesuzi's topic in Nursing Career

    as a preceptor and a nurse clinician in the icu, i can say that this behavior is inappropriate and unacceptable. do you have a clinician in your unit? if so i would discuss this situation with her....

  22. undermedicating pain in the elderly

    Surgical Hrt RN replied to ktwlpn's topic in Patient Safety Issues

    this is a huge pet peeve of mine! these patients are clearly uncomfortable. medicate them!!!! a lot of surgeons that i have worked with lately have way undermedicated these pateints.......and then...

  23. The Art of Nursing

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

    I believe there is an art to nursing and I also believe that it is something that cannot be taught! You either have it or you don't. I guess the best way for me to share my feelings about this is to...

  24. Rift between MICU and SICU?

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

    i used to work in a large teaching facility for 5 years. we had an micu, an sicu, and a ashu (adult surgical heart unit). there was a rift between these units the size of the grand canyon! i could...

  25. I need some suggestions

    Surgical Hrt RN replied to nursestudentin05's topic in General Nursing

    how about women and heart disease? women have the fastest growing death rates with heart disease because their symptoms are often"silent" and far from what is considered to be classic.