cathlabrn replied to islandgirl97's topic in Cardiac
I am not sure what your duties are but these departments do require sedation. We are required to have ACLS to give sedation. I have been a cath lab nurse for 8 years and I came from a strong cardiac...
cathlabrn replied to Cabbagehead's topic in Cardiac
You always hope that grafts will last a long time. However, over time they could occlude. A patient could either need bypass surgery again if he is symptomatic. Many times if it is many years...
cathlabrn replied to rn undisclosed name's topic in Cardiac
I'm not sure if you mean SL or a Nitro gtt. With a pressure in the 90s, and chest pain, I would try the Nitro, especially knowing he's got severe disease. It's really necessary to dialate those...
Try this job for awhile. Set a time frame, if you don't change your mind in 6 months, then move on. For now accept the challenge and give those patients great care. A step down unit is a great...
We have done quite a few radials but I have never heard of a TR band. How does it work? We just use a syvek with a radial pressure band. You just tighten manually around the wrist. We can usually...
cathlabrn replied to Marchantia's topic in Cardiac
I definitely remember the Bad ole days, dutchgirl. When we first started angioplasty, you could count on v-fib showing up more than once in a case. Complications were part of everyday life. Stents...
They can be rolled onto their side with pillow support behind them. They are still able to keep their leg straight and also to get off of their back. Also, have them bend up the unaffected leg. This...
I have pulled alot of sheaths. I think the two finger method works best. Make sure you find that pulse and get on it. Hopefully, you are using some type of closure patch to help you out. The c...
I started on a very busy IMCU right out of nursing school and got plenty of med/surg experience. It was a very hard place to work but I learned alot. I am glad that I started
We are having alot of issues with blanket orders such as, "continue previous orders", "continue home meds", etc. Even after a procedure such as a normal angiogram, insertion of perma-cath,...
I've been a cardiac cath nurse a long time and I think every case is different. Whatever it takes as long as the patient is responding to your efforts in some way. Sometimes multiple shocks and drugs...
cathlabrn replied to cathlab_wink's topic in Cardiac
We try to use angioseal whenever we can. It has been great. We used syvek for years, but then changed to Chito and really haven't experienced any problems. What problems have you been having? What...
I have worked as a cath lab rn for 6 years. We have only one rn cross trained and that was his choice. Our call teams consist of 1 rn and 2 techs. Our techs are awesome. With the exception of a...