Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. no monitor tech?

    Dinith88 replied to LanaBanana's topic in Cardiac

    hmmm. Do units exist that dont have at least one person at the station all the time??? :) OK. I've never worked a unit where a nurse wasnt either in the station or within earshot of the 'loud'...

  2. Intensivists

    Dinith88 replied to RoxanRN's topic in Neuro Intensive Care, ICU

    WE dont use them where i work. I'm not sure i even like the idea. When you say they manage '98%' of patient care, do you mean the unit uses less consultants/ologists (only 2% of the time??) If/when...

  3. no monitor tech?

    Dinith88 replied to LanaBanana's topic in Cardiac

    YOu're right, you dont understand how it works. First off, if the unit is 'telemetry' the nurses will be trained to read the monitors. Second, the monitors record everything that it 'thinks' is...

  4. Adenosine for rapid a-fib?

    Dinith88 replied to grace90's topic in Cardiac

    when a rhythm starts going 180's, it's sometimes difficult to distinguish a-fib versus other SVT's (can sometimes 'look' regular at those rates). As the other posters mentioned it's sometimes a...

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

    Dinith88 replied to Dinith88's topic in CCU, Coronary, Cardiac

    No...maybe you misunderstand. Cardiologist was holding conversation with the guy, not me. Dr was certain he had agreed. Family (obviously) was involved...and spoke w/dr and patient together shortly...

  6. Post CRAB clean

    Dinith88 replied to gradcare's topic in MICU, SICU

    Begalli you're being nice. It's usually specific to pubic lice...yuk..gag. In which case things should get better as soon as the nurses get a good insecticied(sp?) scrubbing/shampooing and quit...

  7. Why are emergency nurses not considered critical care nurses?

    Dinith88 replied to JessicRN's topic in Emergency

    And another point... An ER nurse who says "i'm a critical care nurse" is wrong...She should say "i do critical care" and she'd be much more accurate. An ER nurse who says "i do critical care nursing"...

  8. Mucomyst iv

    Dinith88 replied to msn2008's topic in CCU, Coronary, Cardiac

    We usually dilute it with juice or ginger-ale. Thats funny if you gave it in a shot-glass LOL! Stuff smells...It's one of those drugs that nurses warn one-another about.. "i'm opening and pouring...

  9. Mucomyst iv

    Dinith88 replied to msn2008's topic in CCU, Coronary, Cardiac

    When i've given it IV it's always been given in drug over-dose patients (tylenol)... (somehow protectes liver in a similar fashion). I've not given it IV for renal-protection post-cath. Only orally....

  10. questions about PVCs and mitral regurgitation

    Dinith88 replied to LanaBanana's topic in Cardiac

    As the other posters have said,PVC's are normal and happen in perfectly healthy people with perfectly healthy hearts. The nurse who told your mom 'it's no big deal' is mostly correct. Your mom should...

  11. Bird Flu pandemic and you.

    Dinith88 posted a topic in General Nursing

    If pandemic bird-flu were to kick off tomorrow...and you knew the healthcare 'system' were on the verge of being crammed with bird-flu sufferers...treated by 'us'...and you knew that by doing so you...

  12. Can I work in ICU despite back problems?

    Dinith88 replied to avlis's topic in MICU, SICU

    Yes you can work there. But be prepared for resentful co-workers who're ruining their backs because you're effectively not there if patient needs moved/picked up/turned. HOpefully you wont encounter...

  13. Why are emergency nurses not considered critical care nurses?

    Dinith88 replied to JessicRN's topic in Emergency

    In my opinion, emergency-nursing is a 'type' of specialty...amongst other specialties that consider themselves 'critical-care'. (anyone who monitors telemetry and is acls can be 'considered'...

  14. Who does your IABPs

    Dinith88 replied to TennRN2004's topic in CCU, Coronary, Cardiac

    nurses do our iabp's...an rt managing the pump is a silly notion (in my opinion). Where i work, rt's are very territorial as well, however we do adjust fio2 (and occaisionally other vent settings) but...

  15. Tmr

    Dinith88 replied to TennRN2004's topic in CCU, Coronary, Cardiac

    we have one surgeon who does this...though he does it at a sister hospital. He believes it to be a worthwhile procedure...and promised us (2 years ago) that we would soon be acquiring the laser...but...

  16. Pt Ptt Inr Huh?

    Dinith88 replied to Holly27's topic in Cardiac

    It may help for you to think of it like this... In order for blood to clot properly, a 'cascade' of events has to take place (look up clotting cascade in a&p books, etc.). There are several...

  17. Nurses as vectors

    Dinith88 replied to nurse2beeinthefuture's topic in General Nursing

    everyone who cares for cooty-carrying-infected types are ideal vectors. In fact, it's been proven that something like 50-75% of nurses (i made this number up, but i'm sure someone else knows it)...

  18. HIT in CABGs

    Dinith88 replied to TennRN2004's topic in CCU, Coronary, Cardiac

    Prior to iv-protonix came around, patients used to get iv-tagamet for stress-ulcer prophylaxis. Before we had the test for HIT antibodies, most surgeons would blame a post-op thrombocytopenia on the...

  19. HIT in CABGs

    Dinith88 replied to TennRN2004's topic in CCU, Coronary, Cardiac

    I dont think we're actually seeing 'more' HIT than in the past, however i think that because we're more 'aware' of the issue, we're checking for the antibodies on all our post-cabg thrombocytopenic...

  20. Removing Foley. Inhale or exhale?

    Dinith88 replied to Woman_in_love's topic in General Nursing

    ?? I dont think the inhale/exhale thing really makes any difference. It's just to distract the patient...to have them focus on 'something' rather than the task at

  21. eating our young?

    Dinith88 replied to happytobehere's topic in CCU, Coronary, Cardiac

    Wow. You better be careful...others will start to flame and dislike

  22. eating our young?

    Dinith88 replied to happytobehere's topic in CCU, Coronary, Cardiac

    Sounds like you have a fabulous new-nurse orientation process. Good. Now...take one of these nurses and cut her loose (when your fabulous orientation/introduction is over)...and compare her with a...

  23. eating our young?

    Dinith88 replied to happytobehere's topic in CCU, Coronary, Cardiac

    IN my experience (i'm just one of a gazillion CCU/ICU nurses), the nurses who have the better 'transition' are the ones with experience (be it med/surg, tele, whatever). New grads have a longer, more...

  24. lethal amylase levels?

    Dinith88 replied to Paravell's topic in General Nursing

    I dont think there's a 'lethal level' of amylase. The enzyme is spilled into the blood stream (as a result of pancreatitis, etc.) and then 'picked up' by the lab test. It's an 'indicator'/'result' of...

  25. Question On Mi

    Dinith88 replied to angelique777's topic in Cardiac

    to clarify, i meant that once the Dx of a-fib is determined, you can stop using svt, but it's still a 'type' of svt. (along with a-flutter, wpw, atrial tach, multifocal atrial tach,