juraviel

juraviel

SICU, NICU, CCU, CIC, ICU, MICU

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All Content by juraviel

  1. RAP/CVP measurement with a temp dialysis cath.

    juraviel posted a topic in CCU, Coronary, Cardiac

    Just wondering if anyone has any thoughts on the accuracy of measuring RAP/CVP with a temporary dialysis cath. versus a swan or TLC. I thought I remembered reading somewhere that using a temporary...

  2. Eating our young and more...

    juraviel replied to campbellrn68's topic in Patient, Colleague Relations

    I agree, stories like this are always terribly one

  3. Fired from my first nursing job, before one year

    juraviel replied to mightynurse1's topic in General Nursing

  4. Fired from my first nursing job, before one year

    juraviel replied to mightynurse1's topic in General Nursing

    Because simply disagreeing with someone is not disrespectful. If I had said "you are an idiot and I disagree with you" that would of been

  5. Fired from my first nursing job, before one year

    juraviel replied to mightynurse1's topic in General Nursing

  6. Fired from my first nursing job, before one year

    juraviel replied to mightynurse1's topic in General Nursing

  7. Fired from my first nursing job, before one year

    juraviel replied to mightynurse1's topic in General Nursing

    My guess is that the op will have a similar problem to this at every facility he or she works. The op is probably judging everyone he/she interacts with and makes no attempt hide it. I would be...

  8. things said wrong that drive you crazy

    juraviel replied to SDALPN's topic in Private Duty

    I don't know if any one said this one but I can't stand when people say Bun instead of

  9. How do you get out on time?

    juraviel replied to Riseupandnurse's topic in General Nursing

    There is more then one shift for a reason. Giving late meds is one thing, but starting the blood should be passed to the next shift. In my experience those who are always late are that way for a...

  10. Trasducer leveling

    juraviel posted a topic in CCU, Coronary, Cardiac

    Anyone ever use a laser level for this. I am trying to find out where they can be bought or what company makes

  11. Trasducer leveling

    juraviel replied to juraviel's topic in CCU, Coronary, Cardiac

    yeah sorry that's what I was talking about. I used one in a neuro/surgical icu but couldn't remember who made

  12. Transvenous Pacemaker

    juraviel posted a topic in CCU, Coronary, Cardiac

    What kind of policies do some of your hospitals have concerning turning patients with transvenous

  13. Transvenous Pacemaker

    juraviel replied to juraviel's topic in CCU, Coronary, Cardiac

    well yes I'm aware of turning to avoid pressure ulcers and help with breathing, what I was asking about is the pt with the transvenous pacemaker. Some places have restrictions on turning due to the...

  14. "If you want to be a doctor, go to medical school"

    juraviel replied to poppy07's topic in MICU, SICU

    I seem to remember discharging a pt who was to be new to home o2 and that certain level of spo2 must be documented on a certain level of oxygen in order for the pt to be able to receive insurance...

  15. Opening a new heart program

    juraviel replied to lotlie's topic in CCU, Coronary, Cardiac

    I find myself wondering, what kind of MD would be willing to preform CABG's under these

  16. Intra-Abdominal Pressure Monitoring

    juraviel replied to NeosynephRN's topic in MICU, SICU

    I noticed while I was traveling that its much more common at teaching hopitals then anywhere

  17. Insulin during cardiac arrest?

    juraviel replied to kimmie518's topic in MICU, SICU

    As stated in previous posts insulin and dextrose do not start working for 20-30 min. So if you are trying to correct hyperkalemia your drugs of choice will be calcium or bicarb. The onset of action...

  18. ED - Common Meds

    juraviel replied to Misty1334's topic in CCU, Coronary, Cardiac

    You can always just say "I don't know" If your preceptor has a problem with that answer then he shouldnt be your

  19. chest tubes

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

    It seems to me that you might want to read up on cardiac tamponade. The pericardium can not hold well over the amount of blood circulating in the

  20. ? Is PRN Travel Nursing Allowed?

    juraviel replied to SDS_RN's topic in Travel

    Usually hospitals will not let you work for them as a traveler in affiliated

  21. Metropolitian Methodist Hospital San Antonio, TX

    juraviel replied to icu_nursie76's topic in Travel

    I traveled with RN network for 3 years. I am not currently traveling as I am starting school again this month. I was there last summer. The pay was not bad, but it could of been extraordinary and...

  22. Metropolitian Methodist Hospital San Antonio, TX

    juraviel replied to icu_nursie76's topic in Travel

    I worked there and honestly that place was the worst assignment I ever had. They treat you like crap. They float you all the time, including to ER without any cross training. Now I don't have a...

  23. How frequent BP's on vasoactive meds?

    juraviel replied to nursecass's topic in CCU, Coronary, Cardiac

    Both is a bit of over kill here. If they correlate then checking with the NIBP cuff doesn't need to be done q15 min. And if for some reason you are checking q15 min with the NIBP cuff make sure its...

  24. what do you guys think of my working conditions?

    juraviel replied to BandEmom's topic in CCU, Coronary, Cardiac

    That says it all. Its a step down so 3-4 ratio is about

  25. Strike Nursing

    juraviel replied to TravelingBSNRN's topic in Travel

    I bet they print that money in the basement of the hospital. It doesn't matter if the money comes from insurance or the hospital. Ultimately someone is responsible for it. It doesnt grow on trees....