JF808Rn

JF808Rn

CCRN-CSC

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All Content by JF808Rn

  1. CCRNs -CMC exam?

    JF808Rn replied to *RN123ABC*'s topic in CCU, Coronary, Cardiac

    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...

  2. CCRNs -CMC exam?

    JF808Rn replied to *RN123ABC*'s topic in CCU, Coronary, Cardiac

    you need post-op experience for the

  3. 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...

  4. Question about per diem ICU nursing

    JF808Rn replied to DizzyLizzyNurse's topic in Critical Care

    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...

  5. ECG interpretation

    JF808Rn replied to jtwing's topic in CCU, Coronary, Cardiac

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

  6. can ICU nurse handle 2 pts on the levophed same time

    JF808Rn replied to Snoopy54321's topic in CCU, Coronary, Cardiac

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

  7. Cordis/Introducers

    JF808Rn replied to kc4nrsng's topic in CCU, Coronary, Cardiac

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

  8. can ICU nurse handle 2 pts on the levophed same time

    JF808Rn replied to Snoopy54321's topic in CCU, Coronary, Cardiac

    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

  9. IABP and CPR

    JF808Rn replied to Tornadochaser's topic in CCU, Coronary, Cardiac

    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....

  10. Ambulate with Femoral Lines

    JF808Rn replied to Ruby Vee's topic in CCU, Coronary, Cardiac

    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

  11. IV bolusing a fluid overloaded patient

    JF808Rn replied to kanzi monkey's topic in CCU, Coronary, Cardiac

    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...

  12. Swan freestyle: Does Mean PAP Exist?

    JF808Rn replied to sonnyluv's topic in CCU, Coronary, Cardiac

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

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

    JF808Rn replied to rickard's topic in CCU, Coronary, Cardiac

    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...

  14. SVT vs Atrial Flutter

    JF808Rn replied to Misty1's topic in CCU, Coronary, Cardiac

    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...

  15. help with groin sheath pulls - any pointers?

    JF808Rn replied to kcmosue's topic in CCU, Coronary, Cardiac

    I have tried that "Hand Clamp" technique and using the fist technique also and I have to say that I like the fist technique much better! But I assess for a fem pulse first, then position myself to the...

  16. Off orientation, finally!

    JF808Rn replied to RedhairedNurse's topic in First Year After Licensure

    Same here. I thought orientation would never end. I didn't like how some of my preceptors hovered over my every move and thought. It felt so restrictive and it also threw the critical thinking skills...

  17. Help Phenergan & Picc Line????

    JF808Rn replied to 1_Dedicated_RN's topic in First Year After Licensure

    as a rule that we do at my hospital. if what ever you're giving is from the vial and if it's only about 1ml, it's best to dilute it. like ativan especially?! man, that thing is like syrup, so dilute...

  18. Meltdown at work

    JF808Rn replied to RiverNurse's topic in First Year After Licensure

    Here's something kinda similar or not. But I totally know where you're coming from re: feeling frustrated with coworkers etc. So at the hospital I'm at, we have 4 pts, no nurses aides and it's a mixed...