TLCinCICU

TLCinCICU

cardiac ICU

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All Content by TLCinCICU

  1. When pulling sheaths after a cath...

    TLCinCICU replied to qt2168's topic in CCU, Coronary, Cardiac

    I do have a wicked little visual I use in reminding patients not to move their leg while a sheath is still in place - providing they need it. I hold up my pen and say "This is that line in your leg."...

  2. Can't believe they do CRRT this way...

    TLCinCICU replied to jbp0529's topic in MICU, SICU

    You are doing exactly as you should in blowing the whistle. The practices you describe are very bad practice. Those nurses need to know exactly how they are putting their patients at risk. We went...

  3. What has been your sickest patient

    TLCinCICU replied to richard1980's topic in MICU, SICU

    My sickest was just recently. He was a Marfan's patient who arrested while swimming laps. By the time my shift was over, there was a vent and an IABP in his room. He had a PA catheter. He was on...

  4. Acute Dialysis - CRRT : Role of Critical Care Nurses or Renal Nurses?

    TLCinCICU replied to bluefabian's topic in MICU, SICU

    CRRT/CVVH is 1:1 on my nursing unit and is the responsibility of the ICU RNs, from set-up to dc. We require attendance in our unit-taught class and an orientation period (only about 4 hours) in order...

  5. Male nurse crying!!!

    TLCinCICU replied to ClassQ1's topic in Men in Nursing

    I had one experience where I had removed a patient's wedding band just before we withdrew life support. As I placed the band in his wife's hand, she just started quietly sobbing. It was my second...

  6. Discrimination towards male students? Need advice.

    TLCinCICU replied to Dabuggy's topic in Men in Nursing

    I've now been an RN a bit over 8 years. Luckily, the only thing I might even call bias or discrimination was during the quarter we covered labor & delivery. I attended a small community college...

  7. When pulling sheaths after a cath...

    TLCinCICU replied to qt2168's topic in CCU, Coronary, Cardiac

    Our management has passed onto us that sandbags fail to meet Joint Commission standards. They don't allow for the visual check of the site. So we simply aren't allowed to use them any

  8. ICU vs ER

    TLCinCICU replied to silentRN's topic in Men in Nursing

    I worked pulmonary/telemetry as a new grad. I then transitioned to an intermediate care unit, with long-term, vent-dependent patients. That was just enough of a taste of ICU level care that I...

  9. When pulling sheaths after a cath...

    TLCinCICU replied to qt2168's topic in CCU, Coronary, Cardiac

    We pull sheaths nearly every day. Our options are a Compressar clamp, a Femostop, or manual pressure. Sheaths are not to be dc'd until the ACT is This is basically how I pull them now: I position...

  10. Visitors are OUT OF CONTROL!!!

    TLCinCICU replied to paperdreams's topic in General Nursing

    I work in a CICU where the only times we DON'T allow visitation are between 6:30 and 9 am and 6:30 and 9 pm. Visitors always have the potential to be annoying and can exhibit a gift for getting in...

  11. Ever heard of fomites, doc?

    TLCinCICU replied to Scooter321's topic in General Nursing

    I have seen everything the others are listing in their replies. Isolation gear may as well not exist, when it comes to those who use the title "Doctor". The best is one of our newer CV surgeons. He...

  12. Gay Nurses... help!

    TLCinCICU replied to quakerkid's topic in Male Nursing Students

    It really depends upon the setting where you practice. I wouldn't have volunteered one iota of personal info while I was a new grad back in western Kentucky. I would have used every "therapeutic...