WalkieTalkie

WalkieTalkie RN

CVICU

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All Content by WalkieTalkie

  1. Doctor as a patient

    WalkieTalkie replied to love-d-OR's topic in General Nursing

    I call my patients who have PhDs in other areas Mr. and Mrs., so why is it necessary to call someone "doctor" unless they specifically request it? I don't want to be referred to as Nurse so and so...

  2. Bad night last night

    WalkieTalkie replied to RN1982's topic in General Nursing

    I love those kinds of patients... keeps you on your toes. After you take a few of them you will learn how to deal with the multitude of interventions, meds, treatments, and whatever else the patient...

  3. Magnet and the "Hilton Hospital" Mentality

    WalkieTalkie replied to Tait's topic in General Nursing

    To me Magnet is a PR stunt. I haven't noticed anything different about our hospital since getting it... the only slight difference is that they ask yearly if we are ASN or BSN and if we are working...

  4. "Spoiling" patients?

    WalkieTalkie replied to RuRnurse?'s topic in General Nursing

    For some reason this reminds me of when I was in college and someone put regular dish soap into our industrial dishwasher. The e-mail we got said "While the intentions may have been good, the results...

  5. Gift for a preceptor?

    WalkieTalkie replied to rkitty198's topic in General Nursing

    Gift cards are always a good option, but I never feel anything more than a nice "thank you" card is necessary... especially from students since I know they don't have any $$$ right after their...

  6. can the family reverse a patient's decision?

    WalkieTalkie replied to DNM-BSN's topic in General Nursing

    How sad I've seen this happen at my hospital

  7. ECMO - Will We Have Sufficient Capacity for the Fall/Winter Flu Season?

    WalkieTalkie replied to indigo girl's topic in Disaster Preparation

    This is how my hospital does it... We do have enough perfusionists available to continue a regular OR schedule, but they are frazzled after a few days of

  8. Did any of you find Tele interesting?

    WalkieTalkie replied to Joe NightingMale's topic in CCU, Coronary, Cardiac

    You might like something more cardiac related such as a cardiac progressive care unit (CPCU). We have one of these at my hospital and they mostly get either post-op (but mostly stable) CABGs, valve...

  9. ECMO - Will We Have Sufficient Capacity for the Fall/Winter Flu Season?

    WalkieTalkie replied to indigo girl's topic in Disaster Preparation

    I think that adult ECMO will not be widely used for the treatment of flu as the benefits of treatment are limited to a very select patient population. I think my hospital has 4 Centri Mag units that...

  10. blood administration

    WalkieTalkie replied to jennifers's topic in First Year After Licensure

    I routinely give PRBCs without a pump using wide-bore tubing and a pressure bag, if necessary. Depends on if the patient is crashing or not and other contraindications, such as CHF and renal

  11. Does anyone know the average cost per day per patient for ICU?

    WalkieTalkie replied to pH7.40's topic in Critical Care

    I know that just for a patient (non-isolation) to occupy one of our ICU rooms, they are charged something like $900 a day. That doesn't include anything else but the room. Throw in monitoring, a vent,...

  12. Incorporating ECCO

    WalkieTalkie replied to PrairieRN's topic in CCU, Coronary, Cardiac

    I can tell you how not to do this. When I took ECCO, we were required to take it online in our own spare time. We were not paid to take it, so most of us tried to take it at work as opposed to at...

  13. Enjoy complications...which unit would be best?

    WalkieTalkie replied to Joe NightingMale's topic in General Nursing

    ER or pretty much any number of ICUs... I work in the CVICU, and you never know when your patient who is doing seemingly well will suddenly start bleeding out, develop an arrhythmia, or any other...

  14. Low Platelet Count

    WalkieTalkie replied to RNScott's topic in MICU, SICU

    Did he receive heparin at all for the CRRT or for any other

  15. How high have you titrated levophed?

    WalkieTalkie replied to racing-mom4's topic in MICU, SICU

    I've had some patients who I've titrated up to only 18-20 mcg/min without any real change in pressure. I've also had patients where I've titrated up to 30 mcg/min and had increased pressures. It...

  16. hospital policy on Facebook, cellphones= suspension

    WalkieTalkie replied to ChristinaEDRN's topic in General Nursing

    I know of a couple of techs in our ER who got fired for uploading stupid (non-patient related, but taken in the hospital) pics on Facebook. Just don't do

  17. Silly reason for ER visit?

    WalkieTalkie replied to DolceVita's topic in General Nursing

    Buddy tape it and call it a

  18. Working with the mentally ill...No, not patients, other RN's

    WalkieTalkie replied to sassyrn333's topic in MICU, SICU

    Yeah, I'm one of those ICU & AD/HD types :) I'm not usually a butt,

  19. Gender and Pain Management

    WalkieTalkie replied to coffeeluvinRN's topic in CCU, Coronary, Cardiac

    How well does this work? It seems like a great idea in

  20. How do all the experienced ICU nurses feel about....

    WalkieTalkie replied to student200977's topic in MICU, SICU

    Really? I was simply trying to emphasize that it's not necessary to have experience to be a good nurse as a new grad in the ICU. I'm certainly not condescending to floor nurses, I just recognize...

  21. breakaway lanyards?

    WalkieTalkie replied to alices's topic in General Nursing

    Lanyards? LOL, I quit wearing those the first time I bent over and dipped mine in a pile of

  22. Support for life support?

    WalkieTalkie replied to ToxicShock's topic in General Nursing

    I sooooo wish I could have said this to a few

  23. Question about C-diff

    WalkieTalkie replied to kappykatlpn's topic in Infectious Disease

    "How is C. difficile-associated disease usually treated? In 23% of patients, C. difficile-associated disease will resolve within 2-3 days of discontinuing the antibiotic to which the patient was...

  24. Am I being too sensitive?

    WalkieTalkie replied to AmericanChai's topic in General Nursing

    I like the ad, and I agree, whoever designed it probably has no idea what a trach or a PEG looks like. Just looks like deflating a beach ball or something to me, but I can see where you are coming...

  25. So, Can I do this someday?

    WalkieTalkie replied to palmettogirl's topic in CCU, Coronary, Cardiac

    I started as a new grad in the CVICU. I had previously worked many years as a tech, with experience in a nursing home, SICU, and ER. I personally love taking care of the really sick patients. If...