WalkieTalkie

WalkieTalkie RN

CVICU

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All Content by WalkieTalkie

  1. Top 10 CT-ICU drugs

  2. VENT - Sickle Cell Crisis patients

    Our hospital started getting case managers involved with our sickle cell frequent flyers. When I worked in the ER, I knew a few of their routines well enough to know exactly how many saltines, one...
  3. what medical drama would you be cast in as a nurse?

    Hmm... I'd think I'd be Nurse Jackie... minus the addiction
  4. Top 10 CT-ICU drugs

    We actually very rarely use protamine... I've seen some very nasty anaphylactic reactions to it. We do use a lot of milrinone, as we are a transplant center with a lot of heart failure patients. I...
  5. Top 10 CT-ICU drugs

    Yeah, every post op heart comes back on insulin... OP, you'll soon learn that inotropes elevate your patient's glucose (in addition to the stress response). The pathophysiology behind this mechanism...
  6. Top 10 CT-ICU drugs

    amiodarone epinephrine dobutamine dopamine phenylepherine norepinephrine vasopressin diltiazem nitroprusside nitroglycerin
  7. Are you able to put away money for your retirement?

    Yes, I put 5% (matched) into my work's 403(b). I also invest $50/month separately into a mutual fund, and occasionally I put money in a regular 401(K). In total, I probably invest about $300/month....
  8. Is the Job Market SLowly Improving

    It's worse at my hospital. There is no overtime to be found at all. They are not hiring anyone new from outside the hospital at this time, and they have stopped all sign on bonuses. Additionally,...
  9. Do degrees mean nurses will not 'dirty' their hands?

    Um, heck no... I have a BSN and CCRN, and I'm still wiping up
  10. I'm very disturbed by this

    No offense, but if I were the patient, I'd rather wait for the ambu... just do compressions. Look at the evidence and you'll see that it's not really worth it!...
  11. Hypothetical Question about Seeing Something at Work...

    Why does it matter? I hug my co-workers from time to time, both male and female. Someone might deem it "affectionate" but most of the time it's after one of them had a bad night, lost a patient, or...
  12. Nurse with potty mouth.

    I had never heard such potty mouths until I started my tech job in the ICU. It only got worse in the ER. Now I have one too... I really have to watch it sometimes! I don't do it around my patients...
  13. stupid mistake(my fault) may get me fired.

    It sounds like a Pleruex
  14. I'm very disturbed by this

    Since new evidence shows that the "A" part of "ABCs" is not as important as defibrillation/CPR, there's no way in heck I'd ever give mouth-to-mouth on a patient or a stranger. If it was outside the...
  15. So who do nurses marry or have as civil partners???

    Just saying... you can be in a relationship with someone who hates Valentine's day, as me and my gf
  16. So who do nurses marry or have as civil partners???

    Hah, I'm currently in a relationship with a cop, and I've been in relationships with all the others, except a
  17. arterial sheath puling post cath

    I'm not sure if you can get to this site without logging into AACN's site first, but here's the article from Bold Voices regarding who should pull sheaths:...
  18. Proning

    I agree with you 100% on this. Unless we're immediately putting them on ECMO, we should begin the proning process. It seems that it usually takes a couple of days before the docs consider it! I've...
  19. a new grad's gripes

    Yep, been there, done that... got over it (or at least pretended to), and my life got a lot easier
  20. Texas catheter help

    I've always wondered why it is called a TEXAS cath... everything is definitely not bigger in
  21. Sodium Phosphate

    I use it on our SLED patients as a PO4 replacement all the
  22. Is this normal?

    If you're questioning that it may be a problem, do the sensible thing and call the doctor. It really depends on where the fracture is and the stability of the fracture. Don't let the patient hang,...
  23. Are swans going "out of style?"

    I've also heard this regarding systems such as Vigileo, but I have not seen the devices in use yet. I'm very interested in these systems. We use a lot of Swans on my unit, but we rarely wedge or do...
  24. How can someone even be like that?!

    Wow, my mouth is literally gaping in astonishment! *hugs* I'm sorry your family feels this way. They obviously don't understand the profession of nursing. I also started nursing school as an...
  25. I promise to never forget.....

    Glad you feel this way... I think the same thing. I was a CNA for several years prior to becoming an RN. The techs on my floor sometimes look at me like I'm crazy because I will help them do their...