nightshift82

nightshift82

CCU

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All Content by nightshift82

  1. Many years ago some nurses who cared for patients complaining of pain or urge to urinate post foley insertion would deflate the balloon,re-adjust the catheter and re-inflate the balloon. I would never do this because this because it was not sterile....
  2. Post Foley catheter insertion balloon deflation/reinsertion

    Thanks you are correct. I was also upset about the intervention of deflating the balloon and inserting it higher and then re-inflating. Is this a practice that others are doing? Any thoughts?
  3. Post Foley catheter insertion balloon deflation/reinsertion

    The catheter has been in place for a few days...they are deflating the balloon, not taking it out but advancing it higher...thinking that it may be in the neck or urethra...still not sterile. Anyone heard og this practice?
  4. IABP: Why is augmentation better in 1:2?

    I work at a small community hospital which used the Arrow/Teleflex IABP for years and we have recently switched from Arrow AutoCAT II to Datascope Cardiosave Hybrid. There was very little support from the company compared to Arrow which is very frus...
  5. IABP: Why is augmentation better in 1:2?

    Thanks for your response...I thought I was crazy. One of the patients died and the other for possible LVAD at the transfer hospital. I did speak with the Datascope RN for our region and confirmed the same 1:1 for frequency. I have not been able to ...
  6. IABP: Why is augmentation better in 1:2?

    Sorry I forgot to add that I do not know the LVEDP and both were SR-ST not AF and were large AWMI. I did not take care of them but was posed the question. Also with this same console I did care for a patient who had a great ECG and R wave...no arrh...
  7. ratio's with induced hypothermia patients

    1:1 until rewarmed
  8. Arterial Line Question

    I have a question about getting all the air out of the bag before you prime the line and then > to the 300mm of pressure. For years I have always taken great pains to remove the air before I prime the pressure bag. I read ? an article some whre ...
  9. Anyone using 2% chlorohexidene bath packs?

    I work in a community hospital, Cardiac Intensive Care (mix of MICU/occ SICU and Cardiac(PCI)) rare if any trauma and no open heart. Our nurse manager who took away our packaged bag baths over a year ago due to ?cost (using basins and washcloths agai...
  10. Anyone using 2% chlorohexidene bath packs?

    Thanks for the information. Will be interesting to hear your results.
  11. Anyone using 2% chlorohexidene bath packs?

    Thanks so much. Great information! I have the same concerns. Some of the articles were vague and did not give full disclosure of the study design but I have since gotten more information. We did have 3 over the past 6mos. 0 for the previous 3yrs. O...
  12. Anyone using 2% chlorohexidene bath packs?

    Thanks for the spelling correction. I have found the internet is very forgiving in regards to my spelling.
  13. Anyone using 2% chlorohexidene bath packs?

    Thanks for the article. I found some others and one that discussed that perhaps it is a good prevention but each hospital should look at the infection rate prior to instituting a policy. They all seem very positive in regards to risk vs benefit.
  14. Anyone using 2% chlorohexidene bath packs?

    Of course I did not mean to openly give the email without permission and then it could be shared privately. I have no problems with a lit search as previously stated but it is always helpful not to have to re-do the search if someone has that inform...
  15. Anyone using 2% chlorohexidene bath packs?

    Thanks! Is this is a daily bath? And is there a way you could inform me of the nurse educators email in order to save same time regarding the research? Is there a company that supplies these for you?
  16. Discontinued/held current medsor never started home meds

    You are correct. We are about 60% electronic. Our MAR's and all drug rec forms for transfer are electronic for printing only. The original Med rec for home meds is not and neither are the MD orders and progress notes. We will be all electronic in ...
  17. Our hospital years ago would send a message after 3 days of a "held" medication to make sure it was to continue to be held or did it need to be restarted. About 7 yrs ago this was stopped and if a med was ordered to be "held" then it was automaticall...
  18. Discontinued/held current medsor never started home meds

    We also have the Med Rec form (in use for 3 yrs) and it is put into the order section fro the MD but it is a joke because the person who signs is the nurse. We don't fax it to Pharmacy but some told me we may be doing that soon. Does the MD sign it...
  19. Discontinued/held current medsor never started home meds

    The same happens for us. The "hold" becomes a automatic dc but the problem is just that...sometimes it needs to be re-ordered and when that does not happen it can cause the problems I described. I was wondering if others had the same problem and h...
  20. Proning

    I work in a small community hospital and the manager of the CCU and ICU is considering purchasing a bed for proning. We don't have that many maybe 10 patients or less per that have been proned. The past month the Pulmonary Doc decided 3 needed to be ...
  21. Proning

    Wow you must secretly be working at my hospital! The exact same thing happens here. The only good or bad is that they are on for a week at a time. We have 4, 2 of which are not like that but the other 2 have the same stupid behaviors. It is very ...
  22. Proning

    Thanks for the information. I guess there is really nothing about this that makes it easy. Would be good if we knew it was all worth while and perhaps you are correct in that it does not occur soon enough?
  23. DHMC Nurse Residency Program

    Thanks for the input. Too bad this thread is not connected w/ the students so they know they don't have to sign such contracts and they are not the "Norm". I know this has been discussed in my daughter's "Leadership in Nursing Class" and all of her...
  24. DHMC Nurse Residency Program

    I am, what can I say:redbeathe Am always willing to learn.
  25. Protocol for Heparin gtt, primary or secondary?

    Only drugs we have running as piggyback or secondary are antibiotics. If a drug was compatible w/ heparin, dopamine, levo,etc that is to be attached at the Y site below the pump and then that drug would be running on it's on designated pump. It has...