joeyzstj

joeyzstj LPN

CVICU, ICU, RRT, CVPACU

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All Content by joeyzstj

  1. easy way to remember drips...

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

    I carry a Tarascon Pharmacopia (sp?) book. Most of it just comes by using the drips over and over each

  2. Level One used for rapid infussion of fluid

    joeyzstj replied to bullseye's topic in MICU, SICU

    Studies show that after about 4 hours, the risk for bacterial growth in tubing increases. Ive never had to use a rapid infuser for 4 hours. Usually if they are bleeding that bad they need to go to...

  3. Rapid Response Team and Families

    joeyzstj replied to Grumpy's Girl's topic in MICU, SICU

    My facility allows it as well. If a family feels that a floor nurse isnt giving them the attention they need in a change of pt status situation, they can pick up the phone and call the operator who...

  4. increasing critical care knowledge for hire

    joeyzstj replied to 2bnurse_it's topic in MICU, SICU

    The ICU book by moreno and Perioperative care in cardiac surgery by Robert bojar. Bojar's book is the

  5. "If you want to be a doctor, go to medical school"

    joeyzstj replied to poppy07's topic in MICU, SICU

    I wouldnt worry about it at all. I work with a hospitalist who is of middle eastern decent and has a very profound hatred of most males she comes in contact with. Our whole hospitalist group is...

  6. Nursing Student Needs Help about her pt tomorrow

    joeyzstj replied to JdNNurse2B's topic in MICU, SICU

    A lot of pain medication and slooooowly turn to each side with someone watching all of your tubes as Sharrie mentioned above. The patient has been through a lot and unfortunately you can move him...

  7. What would you do for this patient?

    joeyzstj replied to UM Review RN's topic in CCU, Coronary, Cardiac

    Sorry, I just realized you asked what would I do on a floor. You did the right thing. This patient needed to be transfered to Critical Care with a Bp of 60's. The patient should never have been...

  8. What would you do for this patient?

    joeyzstj replied to UM Review RN's topic in CCU, Coronary, Cardiac

    I personally would have given the patient a little fluid while I was waiting on pharmacy to send me up 50 grams of albumin for volume expansion and to draw some of the fluid back into circulation. I...

  9. Chest compressions on open heart pt/sternectomy?

    joeyzstj replied to graciev's topic in MICU, SICU

    Our surgeons are pretty strict about not doing compressions unless the patient is 1-2 weeks post op, however we do it anyways most of the time until the surgeon gets to the room

  10. BP cuff or A line

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

    We always use the A-line when possible. The manufacturer of the A-line we use has informed our facility that in the presence of hypertension to double check with and NIBP and go by the cuff. If the...

  11. Organic Chemistry? HELP!

    joeyzstj replied to iceman1613's topic in Student Registered Nurse Anesthetist

    Im currently enrolled in the University of New England's O chem class. It is all online. Its definately a tough

  12. **Aspiring CRNAs....Did YOU like working in the ICU?**

    joeyzstj replied to SoReady4CRNA's topic in Student Registered Nurse Anesthetist

    Grab a copy of "The ICU book" by Morino or "Perioperative care in cardiac surgery" by Robert Bojar and READ, READ, READ!!! Critical Care is an intense place to work and the last thing someone wants...

  13. CVICU experience for CRNA

    joeyzstj replied to acinbg's topic in Student Registered Nurse Anesthetist

    A lot of the places I have talked to prefer CVICU experience. My CVICU gets all of the standard stuff (Hearts, Triple A's, Valve repairs, PV cases, Balloon pumps, VAD's, open chests, multiple codes,...

  14. proning patients

    joeyzstj replied to tree22_RN's topic in MICU, SICU

    Do you use APRV ventilation at your

  15. proning patients

    joeyzstj replied to tree22_RN's topic in MICU, SICU

    Stryker makes a good bed for this, however studies have shown that you can turn someone at about a 45 degree angle on standard rotation and have the same effects. Your goal is to change up the V/Q...

  16. 4 hour code blue

    joeyzstj replied to Morettia2's topic in CCU, Coronary, Cardiac

    One question..........and Im smiling while Im asking, but how is he A&O X3 while he is intubated? :). Nice work. It makes all the other BS you have to deal with worth it when you perform...

  17. chest tube removal

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

    In my unit we pull all chest tubes, PA caths, lines and pretty much anything else. We assist with Balloon pump DC's. We pull pacing wires, ect, ect. I work in a great CVICU where we have a lot of...

  18. arterial & venous sheath

    joeyzstj replied to boknoy26's topic in CCU, Coronary, Cardiac

    Excellent idea. I have actually had to do this recently. Transducing is a great way when all else

  19. Book for CV-ICU

    joeyzstj replied to CoCo612's topic in CCU, Coronary, Cardiac

    Bojar is the best book I have EVER read hands down. I recently talked my director in to supplying it for all new employees. I read it everyday just as a refreasher. In my opinion, Kathy whites book...

  20. learning to intubate

    joeyzstj replied to cube's topic in Certified Registered Nurse Anesthetist, CRNA

    I have always found intubating to one of the more difficult things in medicine to perform. If you consider the training.............most of the time you are either doing it on a dummy, learning in a...

  21. which ICU?

    joeyzstj replied to poppy07's topic in Student Registered Nurse Anesthetist

    I just spoke to a CRNA yesterday about this who was on an admission board for a major University and he told me that his University preferred CVICU experience over anything else. This is due to the...

  22. Levophed vs. Neo

    joeyzstj replied to hell000nurse's topic in MICU, SICU

    This is how most of our surgeons prefer to run it as well. The anesthesiologist that I work with make little distinction between NEO and LEVOPHED. They seem to use Neo more for Anesthestic induced...

  23. How long did it take you to get accepted into CRNA school?

    joeyzstj replied to Nicole23RN's topic in Student Registered Nurse Anesthetist

    My my eperience I disagree with this statement. I have oriented both floor nurses and new grad GN's. I would take a New GN any day that I could be in charge of hiring. We have a few that were hired...

  24. does anyone use swans anymore?

    joeyzstj replied to squirlkeeperCCRN's topic in MICU, SICU

    We use the all the time. Almost all of our patients have had or do have one. It is especially important in post op acbs and valves and nice with someone with poor cardiac function in general. I...

  25. Eicu

    joeyzstj replied to nyck76's topic in MICU, SICU

    That might the case in Miami, however it is not the case in a lot of places. I have worked for several hospitals and an agency and one hospital I worked for specificially hates it BECAUSE they are...