joeyzstj

joeyzstj LPN

CVICU, ICU, RRT, CVPACU

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All Content by joeyzstj

  1. QRS axis change

    joeyzstj replied to momandstudent's topic in CCU, Coronary, Cardiac

    We just had a discussion within the last month on here. Search for my name, and you should be able to find it easily since I dont have that many posts. If you look at leads I, II, or III on your ECG...

  2. First Patient Death..How do I deal?

    joeyzstj replied to RNXU's topic in MICU, SICU

    Yeah, its was late after a long day. I didnt mean that to sound harsh, however after reading it I realize that it did sound that way. The point that I was trying to make is that death is a fact of...

  3. floating and new admits to ccu

    joeyzstj replied to vwenzl's topic in CCU, Coronary, Cardiac

    OK, I work in CVICU, however the floating policies are pretty similar to CCU in my hospital. We have a list of dates of when people floated. We very rarely float critical care nurses to other units,...

  4. MICU/SICU vs. other units?

    joeyzstj replied to Joe NightingMale's topic in MICU, SICU

    LOL. We just had a transfer from the floor with a report of unstable "V-tach". I asked the girl on the phone "why are you calling me report and transferring and unstable V-tach?". Her response was...

  5. New to CCU and need advice on good resource guide and drug book!

    joeyzstj replied to mommymartinRN2b's topic in CCU, Coronary, Cardiac

    Robert Bojars "Perioperative care in cardiac surgery" is the best book I have ever owned. "The ICU Book" by Morino is great as well. Bojars is the best as far as im

  6. First Patient Death..How do I deal?

    joeyzstj replied to RNXU's topic in MICU, SICU

    Listen, SH!T happens and people die. It sucks for everyone and it makes you sick to think you might have missed something or you might have not done this or that. The fact is, the guy is dead. Hes...

  7. Endotracheal tube securement

    joeyzstj replied to findingmywayRN's topic in MICU, SICU

    When a patient is awake we use the tube tamer which is a device that is made specificially for ET tubes for long duration or awake patients. IT has a huge adhesive section that sticks to their cheeks...

  8. Endotracheal tube securement

    joeyzstj replied to findingmywayRN's topic in MICU, SICU

    Tape is fine in a sedated patient, however you dont want to use it in a patient who is awake in my opinion. You can make a take wrap that goes around the back of their head, however when secretions...

  9. MICU/SICU vs. other units?

    joeyzstj replied to Joe NightingMale's topic in MICU, SICU

    This made me laugh becasue it reminds me of a time before I worked in critical care as an RN. I was an RRT and I remember going into CVICU and thinking most of the time how it seemed pretty calm....

  10. Portacaths

    joeyzstj replied to LSRNgrad2008's topic in CCU, Coronary, Cardiac

    Contact your hospitals education director. He or she will be the one who can tell you for sure based on what your hospital policy is. We very rarely see them, and the times that I have had them I...

  11. Vitamin E

    joeyzstj replied to qt2168's topic in CCU, Coronary, Cardiac

    This is great information and very interesting, however I think its probably related to the fact that vitamin E can cause bleeding tendencies and can potentiate bleeding in combination with other...

  12. Funny Names

    joeyzstj replied to nurserynurse55's topic in NICU, Neonatal

    A hospital across the street from ours had a lady who names her kids; Orangejello (Or-on-juh-low) Lemonjello (Luh-mon-juh-low) Sh!Thead *spelling changed (Shuh-Theed) A lady who I work with that took...

  13. Neuro ICU to CRNA

    joeyzstj replied to gasmaster's topic in Neuro Intensive Care, ICU

    OK, LOL...........well, that makes no sense whatsoever in the argument of where to work for CRNA experience, but then again Ive never heard a CTICU/CVICU nurse, as you mentioned, complain of not...

  14. Critical care staffing and mandatory overtime

    joeyzstj replied to mcmars's topic in CCU, Coronary, Cardiac

    If we had mandatory overtime, everyone would quit. The fact is that the hospital CAN afford to pay you some incentive to work extra. My hospital does doubletime for extra shifts worked. The...

  15. IV Dobutamine + homecare

    joeyzstj replied to NRSKarenRN's topic in CCU, Coronary, Cardiac

    Im not sure, however I would assume they mean they assess on those days. Dobutamine has a very short half life. Due to this it is a continuous drip. It amazes me with some of the things they do...

  16. Have you had this happen to you?

    joeyzstj replied to labman's topic in MICU, SICU

    It happens all the time. It is so likely to happen that the companies that make the ET tubes make a kit to fix it when this happens. There is absolutely nothing you can do in most cases to prevent...

  17. LPN's Role in the ICU?

    joeyzstj replied to Nurse-o-Matic's topic in MICU, SICU

    I honeslty have never been to an ICU that used LPN's. I was a little shocked to see this. Nothing personal against anyone, but like many others, I am very glad thats not the situation where I work....

  18. propofol infusion syndrome

    joeyzstj replied to john 1947's topic in Neuro Intensive Care, ICU

    In my opinion the benefits of this drug outweigh the risks in many cases. Some of this research is pretty poor in my opinion. You could potentially pick this to death if you had to. One study...

  19. Should i have questioned this order?

    joeyzstj replied to traumaguy8's topic in MICU, SICU

    I would say that their was either some renal or cardiac envolvement if I had to guess. Ive given a lot of people 1 liter boluses with not adverse effects. The fact that the guy had other health...

  20. IABP and CPR

    joeyzstj replied to Tornadochaser's topic in CCU, Coronary, Cardiac

    I agree, and this directly contradicts the VERY NEW information they are printing in their manuals. The Datascope rep we use says quite the opposite. If you think about it, in ECG mode the timing is...

  21. Atropine

    joeyzstj replied to love-d-OR's topic in MICU, SICU

    We usually give it if the HR is less than 35-40. You have to look at the overall situation. A lot of 3rd degree heart block patients will have a HR of 35 and a blood pressure of 190/80. It...

  22. IABP and CPR

    joeyzstj replied to Tornadochaser's topic in CCU, Coronary, Cardiac

    The formation of clots on the balloon after being down so long are the main reason to keep it inflated

  23. Am I just a nervous new grad or is the ICU not for me?

    joeyzstj replied to Sterren's topic in MICU, SICU

    Well...........Hmm..........let me try to explain it like this, and then Im all out of explanations. I have worked in both environments and currently work in CVICU. In my CVICU day before yesterday...

  24. HELP!!! OB nurse transferring to ICU

    joeyzstj replied to italyrn's topic in CCU, Coronary, Cardiac

    Two great books that I like and would recommend for anyone in Critical Care are "Perioperative Care in Cardiac Surgery" by Robert Bojar and "The ICU Book" by Morino. I personally prefer the one by...

  25. Rythym question

    joeyzstj replied to Indy's topic in CCU, Coronary, Cardiac

    This is very strange an has definately caught my interest now. If I had an ECG of it Im sure we could figure it out. A notched T wave can represent many things. One of the common things it...