joeyzstj

joeyzstj LPN

CVICU, ICU, RRT, CVPACU

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All Content by joeyzstj

  1. Does anyone know the average cost per day per patient for ICU?

    joeyzstj replied to pH7.40's topic in Critical Care

    Somewhere around there....for a 24 hour period. If you add in a vent and drips it can easily double. A vent runs about 1200-1500 a day. Consider that a bad of Cardene may run $500 or more. Saving...

  2. rapid response team

    joeyzstj replied to TulsaTime's topic in MICU, SICU

    No offense, but most of that sounds like things that other people are already assigned to do. Checking on patients on the floor that might need to go back? Are the floor nurses or step down nurses...

  3. Most Common CV-ICU Surgical Procedures

    joeyzstj replied to lpn2crna1day's topic in CCU, Coronary, Cardiac

    Robert Bojar's "Perioperative Care in Cardiac Surgery" should be given to every new person that comes into CVICU in my opinion. I had a CV Surgeon give it to me years ago and Ive convinced about 25...

  4. New grad accepts cvimcu-need advice to prepare

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

    I often reccomend that my new grads buy "Perioperative Care in Cardiac Surgery" by Robert Bojar. Its a great book that covers almost every aspect of what you need to know. One thing you can start on...

  5. Cardiac Preload and Afterload

    joeyzstj replied to orca1's topic in CCU, Coronary, Cardiac

    www.pacep.org has an entire hemodynamic quiz/education program. Im not sure if the administrators will allow you to view a link to another website in this reply, but if so check it out. Its very...

  6. CABG

    joeyzstj replied to richard1980's topic in MICU, SICU

    We have a CVICU, ICU and a CCU. CVICU takes all CVOR cases that our docs feel are too sick to be recovered in PACU. ICU takes Neurosurgical, trauma, ect. CCU is more of a medical management ICU for...

  7. Question about MD/CRNA and my son's surgery

    joeyzstj replied to labcat01's topic in Certified Registered Nurse Anesthetist, CRNA

    Give me the CRNA any day. I work with many CRNAs and MDAs closely every day. I will take a CRNA over and MDA any day of the week. I always laugh when patients come in the the hosptial insisting on...

  8. Looking for a great ICU flow for RNs to organize their shift

    joeyzstj replied to christen13's topic in MICU, SICU

    Honestly, I just go by memory. I work with people who lose their minds if they misplace their "memory sheets". I orient a lot of new nurses. Some make up sheets based on body systems and some just...

  9. Cardiac Preload and Afterload

    joeyzstj replied to orca1's topic in CCU, Coronary, Cardiac

    Think of preload in relation to a rubber band. If you remember back to Anatomy and Physiology class, there is an optimal point in which you can stretch a muscle fiber and it will have the most...

  10. CCRN format

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

    Watch the Laura Gasparis disks and you will be fine. If you have worked the required amount of time to take the CCRN and watched the disks it really isnt that

  11. Tampanode Precautions after pulling epicardial pacer wires

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

    DNPStudent........the more experienced nurse was possible right or wrong depending on what she was referring to as the method of tamponade. There are different types of chest tubes and drains....

  12. Vasoactive meds/ Inotropes + Rate

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

    Think of the drugs joining at the Y in the tubing as a fast moving river with someone standing on the side with a garden hose driping into the river at a specific rate. No matter how fast the river...

  13. Anyone apply to Newman?

    joeyzstj posted a topic in Student Registered Nurse Anesthetist

    Anyone here apply to

  14. Got told our/ any neuro ICU is not really an intensive care unit

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

    I do agree with

  15. Got told our/ any neuro ICU is not really an intensive care unit

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

    Think about the need for a specific knowledge base when considering the statement that you just made. The brain is a very important organ.......argueably the most vital in terms of keeping the body...

  16. New grad RN - question about afib, RVR, PVC's

    joeyzstj replied to asiajade71's topic in CCU, Coronary, Cardiac

    Techinically anything 3 beats or over is a "run". Afib with RVR can turn into a run or a wide complex svt that is commonly mistaken for V-tach. Vtach is usually faster then 130 beats per minute. Im...

  17. What to expect after CABG

    joeyzstj replied to Mommy_of_3_in_AL..RN's topic in CCU, Coronary, Cardiac

    The national average weaning time is aprox 5 hours from hitting the unit until extubation. Some facilities measure times differently and perform reversals differently. We do a complete wake up in...

  18. Flow

    joeyzstj replied to hepatocyte62's topic in Neuro Intensive Care, ICU

    I hope Im understaning what youre asking correctly. Flow and pressure are related, but quite different. If you think about SVR/PVR which is a measurement we derive from MAP-CVP/CO x 80. The normal...

  19. Things you'd like the ER to Know

    joeyzstj replied to CraigB-RN's topic in MICU, SICU

    That there are other pressors besides dopamine. And furthermore, dont give dopamine to a tachycardic patient. I swear, our ER doesnt know what Neo

  20. Swan- Pa question

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

    Are you meaning the PA port or the VIP infusion port? We use the VIP port (infusion port) all the time. Ive never personally had to run anything through the PA line itself. In an emergency you can...

  21. Bed Bath stress

    joeyzstj replied to lukesmama's topic in MICU, SICU

    This sort of thing is what makes nursing school a joke in my opinion. Instead of working on things such as what a normal or abnormal QRS looks like or working a code or treating hypotension, they...

  22. Tell me what could have happened, and did I miss something?

    joeyzstj replied to dorie43rn's topic in MICU, SICU

    First of all, CPAP doesnt treat Respiratory Arrest, so Im curious as to what her condition was after the arrest. You need something with a backup rate on it. In some cases BiPaP will suffice, and in...

  23. Ventilaion post CABG

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

    SIMV is pretty well the standard of care in most facilities for post-op hearts. This primarily has to do with the difference in the mechinism behind how each mode ventilates. A/C can cause a cyclic...

  24. Vent: CV pt that should have gone back to OR (long)

    joeyzstj replied to jbp0529's topic in MICU, SICU

    ITs happens to us all. Good Docs, Bad ones.............they all have their days. I live in an area that according to national STS data gets very very sick patients in comparison to the rest of the...

  25. looking for some cardiac experts

    joeyzstj replied to Guest219794's topic in CCU, Coronary, Cardiac

    Its funny you bring this up. I just attended a lecture where many examples of this were given. They showed how people place the V lead in say........the V3 spot and still use V1 monitoring on the...