Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. CCSD (Coronary Care Stepdown) Nurse to Patient Ratio???

    Dinith88 replied to PSA, RN's topic in Cardiac

    At my facility, the ratio is maximum of 5:1. usually more like 4:1. There's an admit nurse on days and evenings which makes the nurses' lives a little better. BTW, It's one of the more difficult...

  2. Just a quick question concerning hypercalcemia and A-Fib!

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

    Hmmmm. I cant recall ever taking care of a pt whose AF was induced by hypercalcemia....but i know that it CAN cause rhythm problems (don't know exactly which ones..atrial, ventricular, or both??). How...

  3. Frustrated .....

    Dinith88 replied to cubRN's topic in General Nursing

    'Frustrating' may be too mild a term. 'orifice-head doc syndrome' is what the patient was suffering from most... How was your documentation? Did it in any way mention the fact that patient was...

  4. Symapathy is not easy

    Dinith88 replied to shannon8282's topic in General Nursing

    That nurse was a fool. I'm sorry you had to deal with such a person, but we're all not like that. 'Sympathy/empathy/considerate-to-people's emotions-pathy' is at the core of nursing (healthcare in...

  5. Is the nursing job market starting to go down the drain?

    Dinith88 replied to Love767's topic in General Nursing

    I have similar experiences as 3rdshift guy. Nursing is funnny as it has an inverse relationship with the economy in general. Meaning, when things get bad with the national economy (esp. job market),...

  6. Do you think a nursing instructor should have acute care experience?

    Dinith88 replied to gerinurse10's topic in General Nursing

    I think you're fully qualified to teach those aspects of nursing. I agree with fergus.. Alnamvet..office weenies??

  7. Opportunity to Jump to CNA in ICU

    Dinith88 replied to Havin' A Party!'s topic in MICU, SICU

    It's no big deal. If you've been an aid in MedSurg, you'll do fine in ICU as you'll be doing just about the same stuff. You'll have a better chance than most at getting hired because you'll soon be a...

  8. Natrecor and BNP's

    Dinith88 posted a topic in Cardiac

    We've been using 'Natrecor' more and more as of late for our CHF patients. Also, we routinely run BNP levels (BTNP) to watch where the pt's heart failure 'stands' and if he's responding to treatment....

  9. Natrecor and BNP's

    Dinith88 replied to Dinith88's topic in Cardiac

    i think the concensus is that drawing bnp's while a pt's on natrecor is basically useless as it will invariably miff the results. (that doc i've mentioned has ceased his bad behavior...hmmmmm :) ....

  10. Marriage to a Nurse-- Need HELP

    Dinith88 replied to NeedAdvice1234's topic in General Nursing

    Better call the wedding off. She'll work screwed up hours. She'll get blood-puke-poop-snot-and alot of other stuff splattered on her. She'll work holidays. She'll be at risk for needle sticks. She'll...

  11. What is your biggest nursing pet peeve?

    Dinith88 replied to ferfer's topic in General Nursing

    I hereby christen you a full-blown 'clubmember'. Welcome. It's nice to see that someone is a nurse before they're a nurse...and will be experienced as soon as they don their name-badge... Congrats and...

  12. performing EKGs

    Dinith88 replied to zacarias's topic in Cardiac

    I've seen several ECG's that "say" one thing but are cleary wrong. It should be pounded into all nurses' heads to "read the ECG, not it's interpretation.." (12-lead EKG 101) That being said, a...

  13. Critical care nursing

    Dinith88 replied to superaudree's topic in General Nursing

    Good posts! If i were to add anything it would be that critical care nurses have the most 'autonomy' when dealing with critical patients. By this, i mean in a crisis they're expected (and required!)...

  14. What is your biggest nursing pet peeve?

    Dinith88 replied to ferfer's topic in General Nursing

    Apologies all around. Sorry oldiebutgoodie. I have a habit of shooting from the hip and regretting it later. After thinking on this, i suppose i'd also be frustrated if someone was feeding me the...

  15. What is your biggest nursing pet peeve?

    Dinith88 replied to ferfer's topic in General Nursing

    Stupid nurses. Stupid nurses that're so stupid they don't realize they're stupid. STUPID. The worst of this breed are the stupid nurses that think they're "..more smarter.." than the rest.(and argue...

  16. Xygris question

    Dinith88 posted a topic in MICU, SICU

    Just curious... Are any of you using Xigris in your septic patients? And if so, how effective do you think it is? And have you had to d/c it because of bleeding? We'll use it on our 'sickest of the...

  17. Carotid Massage - very cool!

    Dinith88 replied to Sadie04's topic in General Nursing

    ...Back when i worked step-down we had a patient go into a fast SVT...i rush to the room to check things out and help if needed (was another nurses patient). This poor little old lady was diaphoretic,...

  18. Question Please

    Dinith88 replied to tnrn2be's topic in General Nursing

    Tell him to go sit on the toilet for 20 minutes...problem'll fix

  19. ED Interview

    Dinith88 replied to kitty118's topic in Emergency

    If you REALLY want in, just tell them that you're a regular viewer of NBC's "ER" and other such shows... and the real life 'reality in the ER', or 'Trauma 911' (are these shows?). Tell them the shows...

  20. watching my pt. die

    Dinith88 replied to leslie :-D's topic in General Nursing

    Screw the ativan. Give her the morphine. Make her comfortable. I'd personally keep her snowed and pain-free...but thats just me. Even if this lady isn't experiencing any physical pain, i'd give her...

  21. Where is the Unity in Nursing

    Dinith88 replied to duckboy20's topic in General Nursing

    In a nutshell....It's the fault of the WOMEN!! In all their hormonal splendor... eye-scratchy, cat-fighty, how-dare-you-think you're as smart as me splendor! (disclaimer:this is a joke.. please dont...

  22. Walking rounds for nurse to nurse report?

    Dinith88 replied to lyndac918's topic in MICU, SICU

    My unit does report like Zambezi's. It works very well for us. Why the switch to the walk-through? Has someone been complaining about finding patients and/or rooms in disarray(sp?)?? Or is this just...

  23. Cardiac Ablation

    Dinith88 replied to OCCHCanada's topic in General Nursing

  24. Cardiac Ablation

    Dinith88 replied to OCCHCanada's topic in General Nursing

    These days, ablations are routinely done and are highly successful, minimally invasive, and you'll get good drugs so that you wont care what they're doing Apparently, your fast heart-rate is being...

  25. Heart skipping beats....

    Dinith88 replied to stephera's topic in Cardiac

    Stephera, don't let all this talk freak you out. Palpitations (esp. pvc's) are very common, and MOST of the time benign. If you've had a stress-test and other stuff to 'check it out', your doc's...