Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. Husband Trying to Discourage Me from Nursing

    Dinith88 replied to Dottie78's topic in General Nursing

    well........he may be kinda right...in a way...sometimes... I especially like the part about nurses not knowing anything..'ask the Dr.' etc... Is this not like HIPPA gone-wild? NUrses can get so...

  2. IV Dobutamine + homecare

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

    People in late stage chronic-CHF sometimes visit infusion clinics (once a week or so?) for symptom control, etc. (ie they profuse their kidneys, diurese, etc) and can minimize re-admissions for these...

  3. stress in er and icu

    Dinith88 replied to Maco's topic in General Nursing

    M/S nurses (withoutvtele experience of any type?!?) who get pulled arent assigned 'hard' or 'critical' patients (in plain english) so this isnt a good guage of true ICU stress. Also, you wont be...

  4. Pacemaker RN?

    Dinith88 replied to italianrn07's topic in Cardiac

    Look into Electrophysiology clinicians/RNs. These are the pacemaker specialists...they help insert them...they work with EP-docs...they work at EP clinics (for people with pacemakers, etc)... An EP...

  5. bundle branch blocks

    Dinith88 replied to NurseyPoo7's topic in General Nursing

    Perhaps the easiets way to quickly determine if the BBB is right or left is on 12-lead. Look at V1. If deflection is positive it's likey Rt BBB. if deflection is primarily negative...most likely a Lt...

  6. BP 50's/30's left arm, 130's/60's right arm--?

    Dinith88 replied to RNcDreams's topic in General Nursing

    Google 'subclavian steal syndrome' This is the most common cause of 'big' BP differences in arms...and these patients are nearly always asymptomatic (though if bad enough people can have...

  7. ER Nursing, Is it considered critical care?

    Dinith88 replied to NicNac's topic in Emergency

    just getting your goat i suppose. sorry!

  8. ER Nursing, Is it considered critical care?

    Dinith88 replied to NicNac's topic in Emergency

    You want an article? I digress. you are a critical care nurse. and an OB nurse... and a pediatric nurse... and an office nurse... and a psychiatric nurse... and you know how to spell diarrhea......

  9. ER Nursing, Is it considered critical care?

    Dinith88 replied to NicNac's topic in Emergency

    and..what if a patient strolls in having contractions...(duties of OB nurse)...hallucinations (psych nurse)...headache or diahhrea(sp?) (office?)....are you not performing these duties as well? Sounds...

  10. ER Nursing, Is it considered critical care?

    Dinith88 replied to NicNac's topic in Emergency

    This question always bothers a certain segment of ER nurses. ER nurses do see critically sick patients. But...they also see OB patients, pediatrics, medical, psychaitric, office-types, etc... So...to...

  11. tele/step-down nurses pulled to ICU

    Dinith88 replied to fusster's topic in Cardiac

    In my unit we'll on occaision get step-down nurses as 'floats' when we're under-staffed. We make a point to give them the 'easiest' (least unstable??) patients and never force them to care for anyone...

  12. Grades don't matter!

    Dinith88 replied to MissKitty21's topic in General Nursing

    :up:

  13. Grades don't matter!

    Dinith88 replied to MissKitty21's topic in General Nursing

    Spoken like a true...student. A dedicated one at that. ...you're not even a baby-nurse yet...so...your opinion is understood...but... to under-value or otherwise say that nursing fundamentals...

  14. chest tubes

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

    Thats incorrect. Tamponade is a real issue post-CABG...which is a primary reason why these patients have (usually) 2 mediastinal chest-tubes. Clamping these tubes immediately post-op can quickly...

  15. A-lines vs. Central Venous lines

    Dinith88 replied to zlatamoya's topic in MICU, SICU

    OK gotcha...your initial post stated otherwise...so iresponded to that

  16. A-lines vs. Central Venous lines

    Dinith88 replied to zlatamoya's topic in MICU, SICU

    Whoever explained that to you was wrong. You can clamp down HARD on a groin...not so on someone's neck (for many reasons). Think about it...would it be easier to control an inadvertant puncture of a...

  17. Grades don't matter!

    Dinith88 replied to MissKitty21's topic in General Nursing

    LOL. I can smell it toasting as well! (and good post btw...in that it's getting bazillions of responses!) I understand your points. I think the reason it got alot of negative reaction is that you...

  18. A-lines vs. Central Venous lines

    Dinith88 replied to zlatamoya's topic in MICU, SICU

    No. it all depends on where the tip of the catheter sits (SVC/RA) rather than where it's

  19. A-lines vs. Central Venous lines

    Dinith88 replied to zlatamoya's topic in MICU, SICU

    2 big reasons why IJ/SC sites are preferred over groin sites... 1) a patient usually cannot ambulate with groin line (risk of bleeding, etc.) 2) Just like mom used to say..' the groin is a dirty...

  20. Grades don't matter!

    Dinith88 replied to MissKitty21's topic in General Nursing

    Sorry misskitty...grades dont matter. Or...i should say that A-students DONT translate into great nurses. NUrsing-schools are rigorous enough so that anyone who passes them and passed boards has...

  21. Milking chest tubes

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

    Good question! I had a similar interest in this a year or so ago... If you're looking for reputable 'evidence' one way or another, the Cochrane people conducted a literature review up through 2007....

  22. How do I stand out above the crowd?

    Dinith88 replied to JettaDP's topic in MICU, SICU

    The best way to get hired as a new grad in ICU is to get a job there as a tech/intern/aid/whatever and 'gel' with the staff, display a good work ethic...and be a likeable person. All the ICU-smart...

  23. CVVHD, still confuses me!

    Dinith88 replied to mona4522's topic in General Nursing

    Actually, most places require the icu nurse to do it rather than call in a dialysis nurse. This may work for your institution, but it's not cost effective and can be detrimental to the patient. If you...

  24. MI with No damage?

    Dinith88 replied to Priddyeyez's topic in General Nursing

    You're correct. "infarction" means myocardium has been lost...whether a large area or not. We know this because enzyme elevation (specifically troponin) is released as a result of myocardial cell...

  25. Bowel Management

    Dinith88 replied to Sunshine97's topic in CCU, Coronary, Cardiac

    bowel management? this is why i (at times) think my entire existence (or at least my career)