JF808Rn

JF808Rn has 4 years experience and specializes in CCRN-CSC.

JF808Rn's Latest Activity

1. 

   CCRNs -CMC exam?

   JF808Rn replied to *RN123ABC*'s topic in CCU

   The CSC exam, I feel, was a lot easier than the CCRN. Reason being, if you work in CV/CTICU, you see these types of patients quite frequently. That being said, the CSC solely tests you on your post-op management knowledge. Additionally, there are some things that they ask you about from a medical point of you. So I'd look into things like cardioplegia, anesthetic choices, post-op pain management and VADs (L or Bi). Hope this helps!
2. 

   CCRNs -CMC exam?

   JF808Rn replied to *RN123ABC*'s topic in CCU

   you need post-op experience for the CSC.
3. 

   Anyone who took the cmc (cardiac medicine certification)

   JF808Rn replied to Sean,BSN,RN,CCRN's topic in General Career

   Just wondering if you took the test. Am planning on doing it, but don't quite no what to study. The CMC seems way to broad unlike the CSC which I have.
4. 

   Coding

   JF808Rn replied to RNDude100's topic in Cardiac

   I 10 fold agree to this. If you have an amazing Code Leader/MD that knows what they're doing, then the code will run so smooth; regardless of the outcome. But if you have a a new resident on rotation or a fried out RN, then you can assume the outcomes and emotions of the code...
5. 

   Question about per diem ICU nursing

   JF808Rn replied to DizzyLizzyNurse's topic in Critical

   I agree with GrnTea. ICU/Critical Care is so much more than MV type patients. It also helps that you have your experience as a LPN, but again there is far much more you would need to encounter before picking up ICU; let alone as per diem. Good luck and hope things work out for you soon.
6. 

   ECG interpretation

   JF808Rn replied to jtwing's topic in CCU

   Here in the Pacific Northwest, we're gifted with an ECG guru! Google Carol Jacobson Rn. She presents at many conferences on ECGs etc.
7. 

   Quick question about ACNP program at UC San Francisco

   JF808Rn posted a topic in Post Graduate

   I was just wondering how quickly do they reply back in regards to admission or no admission into the program? A friend had told me, who is in the FNP program, that the school did not let her know of her admission until 3 weeks of school starting. Just wondering and hoping!!!
8. 

   can ICU nurse handle 2 pts on the levophed same time

   JF808Rn replied to Snoopy54321's topic in CCU

   I tend to err on the side that a ICU patient is never stable till they get transferred...
9. 

   Cordis/Introducers

   JF808Rn replied to kc4nrsng's topic in CCU

   saline lock should do it w/ a flush @ every shift change. at least that's SOP at my facility.
10. 

    can ICU nurse handle 2 pts on the levophed same time

    JF808Rn replied to Snoopy54321's topic in CCU

    i too find this is funny! I've had a 2 pt assignment when one pt was on levo & vaso while the other was on dopa & levo! Glad that admin stepped in to oust such a lazy disgrace...
11. 

    IABP and CPR

    JF808Rn replied to Tornadochaser's topic in CCU

    We've been using a lot of IABPs on our post OHS patients lately and yes, they've been meeting some hard times also and have been coding: bad heart pre-op will most likely be a worse heart post-op. Anyways, my unit CNS, manager, and IABP rep that we work with advises to place the IABP in semi-auto and on AP. From there, the IABP will go off the pressure generated from compressions and try and work that way. But if this code is looking to be a long one, the balloon can only remain uninflated for 30 minutes. After that, it has to go... Hope this helps!
12. 

    Ambulate with Femoral Lines

    JF808Rn replied to Ruby Vee's topic in CCU

    At my hospital, we dont even raise the HOB. But we do put them in reverse trendelenberg. The risk is too high and perforating a major vessel is never a good thing...
13. 

    IV bolusing a fluid overloaded patient

    JF808Rn replied to kanzi monkey's topic in CCU

    if she has/had a PICC or TLC etc, transduce a CVP off of that. Also, I noticed that she didn't have a Hx of HTN. Maybe she did? Who knows... I say this for one thing... Pts with htn need higher filling pressure. And if you perfuse kidneys, that likes a higher pressure, with what may be "text book normotensive" you're not meeting the demands of her renal perfusion.
14. 

    Swan freestyle: Does Mean PAP Exist?

    JF808Rn replied to sonnyluv's topic in CCU

    you can say that again! no better way to explain it than this way!
15. 

    Early Mobilization after Open Heart (what does this mean to you?)

    JF808Rn replied to rickard's topic in CCU

    At my facility we do a "4x4" goal... So as soon as the patient has arrived in the ICU room... We have 4 hours to extubate. Restart the clock... Then the 2nd block of 4 hours is trying to get the patient to dangle at the bedside. Restart the clock... The 3rd block of 4 hours is goaled to remove the PA catheter if the patient has been off of vasopressors for at least 2 hours. Restart the clock... Then the last block of 4 hours is dedicated to getting the pt up to a chair for a couple hours and ready for transfer to the floor. Hope this helps!
16. 

    SVT vs Atrial Flutter

    JF808Rn replied to Misty1's topic in CCU

    yea. a 12 lead ekg is great. but if in case you don't have the time to wait around for one and if you're losing bp because of no preload. a quick way to check is with adenosine. done correctly you'll either see the flutter or stop the SVT... Hope this helps!