Dinith88

Dinith88

CCU/CVU/ICU

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All Content by Dinith88

  1. (Vent) Busy night...unsafe?

    Dinith88 replied to jbp0529's topic in CCU, Coronary, Cardiac

    Thats ridiculous and unsafe. Is your unit understaffed and/or is this a common scenario? I dont know if i'd stick around if this happened more than once. This is a recipe for disaster (luckily you...

  2. Troponin and CABG

    Dinith88 replied to Tele_Nurse4u's topic in Cardiac

    Sorry..the child in me got a laugh out of your

  3. Beautiful Women are Everywhere! how will I focus?

    Dinith88 replied to JurassicNurse2b's topic in Men in Nursing

    working in a female dominated world can have its merits... (even the juvenile, hormone-ravaged boy-slut kind)... but...then you'lll marry one of these 'hotties'....and you'll soon find working with...

  4. Rapid Response Team and Families

    Dinith88 replied to Grumpy's Girl's topic in MICU, SICU

    eamon66, Thank you for agreeing! (though i wager you'll soon be showered with cyber pies-in-the-face for agreeing with me) I think the link provided was an interesting article in that it showed a...

  5. 'average' patient/staff ratio?

    Dinith88 posted a topic in Emergency

    Is it normal or 'average' staffing in your ED to have 1 nurse paired with 1 paramedic for every 4 patients? I'm curious as an ER nurse who works at a nearby hospital mentioned this to me... and i...

  6. Rapid Response Team and Families

    Dinith88 replied to Grumpy's Girl's topic in MICU, SICU

    whatever. call it a 'successful program'....i call it a well intentioned but misguided over-kill knee-jerk response to a tragic event. i doubt this will ever take hold in the vast majority of...

  7. Rapid Response Team and Families

    Dinith88 replied to Grumpy's Girl's topic in MICU, SICU

    Are you serious? Your hospital is allowing FAMILIES to call RRT? That's (for lack of a better term) stupid. S.T.U.P.I.D. I almost didnt want to respond to this...and i hope you're not

  8. Vent settings?

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

    I wonder how the Aussies get along in critical care?... respiratory therapists dont even exist there. They probably dont use ventilators down under i'd bet...because there arent any RT's to educate...

  9. Milrinone vs Dobutamine

    Dinith88 replied to mark2climb's topic in CCU, Coronary, Cardiac

    Depends on which company they've invested in I see Dobutrex WAY more than Primacor...not sure why. I suppose i can ask because now i'm curious as

  10. thrombocytopenia

    Dinith88 replied to haji's topic in MICU, SICU

    There's really no way to guess. Pt will need a work-up. HIT is a possibility, sepsis (of course), several antibiotics can cause the drop, etc., etc. It's hard to even attempt a guess because there're...

  11. CHF question

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

    the point about bi-ventricular pacemekers is valid...but, bi-v pacemakers are not indicated for 'rescue'-type situations (someone with acutely decompensated chf). once stabilized, bi-v can then be...

  12. should I get more experience??

    Dinith88 replied to RN28MD's topic in CCU, Coronary, Cardiac

    Hey...anyone got some salt and a fork? If you've already been doing med-surg, etc. you're experienced enough. Just apply. You'll learn what you need to when you're there. Like the above poster said,...

  13. Concerns: Actions outside of scope of practice

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

    :yelclap: I second

  14. Radio frequency ablation

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

    Hey, is siri an allnurse-nazi or what!!??! (just teasing siri...before you cut this one up too!) Anyway, apparently with a simple google-search you can find lots of info on maze-procedures. Here's a...

  15. Radio frequency ablation

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

    I just have a quick question ...if your surgeon doesnt put these patients on bypass, is he doing a maze on a beating heart??? Thoracotomy approach with bypass standby is still much more invasive than...

  16. Radio frequency ablation

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

    Thats unusual. MOst wont. The patients take on all the risks associated with open-heart surgery, by-pass machine, etc.. MOst doctors/surgeons (just ask them) would reccomend rate-control/drugs...or an...

  17. Radio frequency ablation

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

    Actually, what the MAZE procedure does (in a nut-shell) is 'burn' concentric 'rings' around the pulmonary veins in the left atrium. It's been found that a large percentage of A-fibs are initiated by...

  18. atrial fibrillation versus atrial flutter in comparison

    Dinith88 replied to RVMI73's topic in Cardiac

    Actually, just a quick clarification regarding 2 points... 1) 'Irregulary irregular' means a rhythm that is 'irregular' at intervals...rather than constantly irregular. Man, is that confusing or what...

  19. Teaching vs. Non-teaching hospital

    Dinith88 replied to ericdb68's topic in MICU, SICU

    My vote is for non-teaching hospitals. Who wants to learn stuff anyway? That sux. I'd much rather not

  20. Concerns: Actions outside of scope of practice

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

    I suspect you're a new grad, or you're very new to ICu (esp. Open hearts!), or just need to get used to it. Like most have said, there're usually standing orders. Or... you do it...then let the doc...

  21. SBAR Reporting in Critical Care

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

    THats exactly it. SBAR was instituted because of nurse-dummies calling doctors (or other nurses) and not knowing how to communicate. It *should* be humiliating to a 'good' nurse that she is being...

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

    Dinith88 replied to JessicRN's topic in Emergency

    You should put up a poll "Are ER nurses prediatric nurses?" You see WAY more sick kids than critically sick patients (children or adults) on a daily basis. But then you may be threatening the 'other'...

  23. is it normal to feel overwhelmed as new nurse in CTICU

    Dinith88 replied to cvicu80's topic in CCU, Coronary, Cardiac

    NO, that is unusual. You should know everything by now.

  24. A Day in the life of a Trauma/Neuro ICU RN

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

    OK then,. Stay out of the neuro-trauma unit if it's boring to you. If you're enquiring because you'd like to be bored (sit down?) you'd be doing the patients/units an injustice. If you're not bored in...

  25. ER Nurse requirements by state

    Dinith88 replied to burnay76's topic in General Nursing

    It's a facility preference...not a state regulation. No need for icu-type experience, though that always helps. Really just depends on how much need the er/hospital