RNpatterson
has 3 years experience and specializes in Mechanical Circulatory Support.
Hi!! I love cardiac! have always loved cardiac! and will always love cardiac! I started out in a cardiothoracic ICU and have since found my calling as a VAD coordinator.
RNpatterson replied to dbell198's topic in Cardiac
I'm a VAD coordinator at my hospital. No certification that I am aware of. Cardiac ICU background with VAD experience is quite common for coordinators. Once in the role, there are opportunities for...
Ketamine isn't as scary as it sounds. I know our facility has a lower max dose on the floors compared to the ICU and it can really help with pain control (amio, cardizem, heparin all fair game on the...
I started on a smaller CVICU first and I worked on the unit as a tech while in school which helped once I became a nurse. Being overwhelmed is good when you're new - it means you're learning. At that...
The IABP only offloads the heart by about 15% which is often all is needed. The impella tends to offer more assistance and the newest model has the ability to offer full cardiac assistance. Balloon...
RNpatterson replied to californiarnbsn's topic in Cardiac
Ask tons of questions! I always ask my orientees what their background is and what kind of patients they have taken so far in orientation, and what kinds of patients or skills they want to work on......
Oy... VAD coordinator from step-down? All of ours have at least a decade of CVICU experience on units utilizing VADs. I can't speak for the rest of the nation or for anyone else's experience...
I haven't done any research on the topic but I can say our facility does them fairly quickly; we generally try to get it done before lifting sedation. It's rare, but sometimes they'll do it...
We're pretty spoiled with our post-ops as well. We single our post-ops until extubated and dangled (mobility is HUGE in our ICU). If a pt is extubated toward the middle or end of the shift, they are...
Our facility uses weight-based protocol but pharmacy uses the weight to determine a starting rate and bolus dose - that's the only time weight is factored into our use. The order set then shows the...
Update --- I have seen many threads and posts about RNs wanting to leave their jobs and start a new field. I look back on this post and almost can't believe I wrote it. I really enjoy my job! While I...
I was hired as a new grad into an inner-city ICU and absolutely loved my job and everyone I worked with. After a year, my husband and I had the opportunity to move out of state which I was quite happy...
I'm moving to Seattle next month from Michigan. I applied to UW, VM, Northwest, and Swedish - within a week I had interviews lined up with all of them, last week I flew out and was offered jobs at all...
Good point and that brings up another question I have. We're planning on living somewhere downtown (where I get a job will help guide where specifically)... Is public transportation a reliable...