aCRNAhopeful

aCRNAhopeful

CVICU

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All Content by aCRNAhopeful

  1. Critical Pt and More stable Pt

    aCRNAhopeful replied to BellaInBlueScrubsRN's topic in MICU, SICU

    Wow that would be annoying. I guess I would say something like "I wish I could do that for you but it really isn't a good idea for me to be leaving the floor today d/t some other obligations. The...

  2. IV Push Questions from nursing student

    aCRNAhopeful replied to glovedgoddess's topic in Nursing Student Assistance

    Real world answer: Just push it into one of the Y ports higher up on the line and let the pump carry it in. Of course you have to make sure they are compatible first and of course you dont want to do...

  3. microteaching on temporary pacemaker

    aCRNAhopeful replied to igsoon's topic in CCU, Coronary, Cardiac

    I was wondering the same thing. Would the audience benefit from a review of pacemaker problems such as failure to capture/sense/pace and what to do about

  4. Do you stop vasopressors(/inotropes) during a code?

    aCRNAhopeful replied to Sedate&intubate's topic in CCU, Coronary, Cardiac

    Someone should start another line but in the meantime I've disconnected the gtts, pushed the drug, and reconnected the gtt. Probably not the "right" thing to do but essentially your stopping the gtts...

  5. Floor nursing vs ICU nursing

    aCRNAhopeful replied to faithrn2002's topic in MICU, SICU

    Different kinds of busy yes indeed. But at least with the latter, you were able to optimize the care of a critically sick patient where as with the former, you ran back and forth hoping to god that...

  6. Floor nursing vs ICU nursing

    aCRNAhopeful replied to faithrn2002's topic in MICU, SICU

    I can't imagine what goes through the mind of med surg nurses that enjoy their job. This is not meant as a disrespect in any way I just don't see anything enjoyable about it whatsoever. The days where...

  7. Does this follow ACLS guidelines?

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

    Then skip atropine and pace em if its symptomatic bradycardia. But as I think about it, wouldnt all heart transplants need a pacemaker? I've never dealt with that patient population but I'd think you...

  8. Critical care residency for CRNA school

    aCRNAhopeful replied to talknw's topic in Certified Registered Nurse Anesthetist, CRNA

    Agree with previous post. The nursing critical care residency will not count. Need to be a staff RN for minimum one year experience. Almost always this experience is ICU of some kind. Some will accept...

  9. Advice for "seasoned" nurse moving to ICU

    aCRNAhopeful replied to General E. Speaking, RN's topic in CCU, Coronary, Cardiac

    Don't feel bad that's a good thing IMO. I do the exact same thing when someone tells me, "Hey your patients getting a balloon pump they arent doing so well." My eyes probably light up and a slight...

  10. New to ICU? What have you learn so far?

    aCRNAhopeful replied to RN28MD's topic in MICU, SICU

    This thread should probably be made a sticky. It's already filled with excellent tips and hints for people new to ICU and it would be great for people to continue to add to

  11. Terified

    aCRNAhopeful replied to Zaphod's topic in CCU, Coronary, Cardiac

    I was going to mention the same thing regarding IVs. OH patients should have the best IV access in the hospital with a swan and an introducer/cordis. The swan introducers we use have an infusion port...

  12. Ambulate with Femoral Lines

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

    You were referring to venous femoral lines right? An arterial femline or artieral femoral sheath would be a terrible idea. You would need several mops to clean up that

  13. Deciding to call MD

    aCRNAhopeful replied to TangoLima's topic in MICU, SICU

    I agree with the others. If you admit a patient with something going on that isn't right like unacceptable VS and you don't have anything in place to fix it, then call and say "Hey I'm just wanting to...

  14. Bad code

    aCRNAhopeful replied to sk8rn's topic in Emergency

    I'm not an ER nurse but isn't that part of every code? What I mean is ruling out the H's and T's or whatever. I'm not criticising you in the least bit either I'm just thinking out loud. It would stand...

  15. New to ICU? What have you learn so far?

    aCRNAhopeful replied to RN28MD's topic in MICU, SICU

    To add to the last few posts: always make sure the pump is programmed to run out of volume before the bag of pressors does and the pump sucks air. You might find yourself like me, fantically digging...

  16. Cardioversion question

    aCRNAhopeful posted a topic in CCU, Coronary, Cardiac

    Why is it necessary to have the leads from the crash cart connected to the patient when doing a cardioversion? Since you can get a rhythm and even sync the QRS's using quick combos alone, why do you...

  17. Normal CVP?

    aCRNAhopeful replied to nursingdude78's topic in MICU, SICU

    I agree, I don't think that the "keep CVP >12 for vented pts" is necessarily correcting a falsely elevated CVP because like meandragonbrett said, the amount false elevation depends on the amount of...

  18. I am physically sick with worry :(

    aCRNAhopeful replied to SmithTNRN's topic in General Nursing

    Just imagine all of the toxins and chemicals we are all exposed to every day and never know about it. This is probably no different. You MAY have touched a TINY amount of methotrexate and then...

  19. Hyperdynamic circulation

    aCRNAhopeful posted a topic in CCU, Coronary, Cardiac

    When you have an open heart patient who is hyperdynamic with a cardiac index in the 4+ range, do you care? My CABG patient the other day had a cardiac index in the mid 4 range, SVR in the 400-500s, BP...

  20. Hyperdynamic circulation

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

    Good stuff everyone, thanks! I learned a few things

  21. New to ICU? What have you learn so far?

    aCRNAhopeful replied to RN28MD's topic in MICU, SICU

    Learn to trust yourself and like fiveofpeep said, when making decisions that push the envelope (ordering tests etc) check with someone else first. When in a crisis, try your best to jot down simple...

  22. how did you become a crna?

    aCRNAhopeful replied to Reminisce's topic in Certified Registered Nurse Anesthetist, CRNA

    The process is right, however it may be beneficial to just get your BSN from the get-go and skip the ASN step. When you sign up for classes, take some classes that may go towards CRNA prereqs. For...

  23. CCRN Test

    aCRNAhopeful replied to luvmylab's topic in MICU, SICU

    Does anyone know where to get the Pass CCRN CD without buying the entire

  24. Is putting 'BSN' on badge snobbish?

    aCRNAhopeful replied to funmom's topic in General Nursing

    Reference

  25. Do your ICUs/hospitals offer all therapies?

    aCRNAhopeful replied to CNL2B's topic in MICU, SICU

    Whats