StayLost BSN, RN

StayLost has 5 years experience as a BSN, RN and specializes in CVICU, CCU, Heart Transplant.

Latest Activity

1. 

   Phasing out CNS

   StayLost replied to marigoldey's topic in Clinical Nurse Specialists, CNS

   I just stumbled upon this post. As a nurse manager in CT surgery, I have worked with the most amazing group of Clinical Nurse Specialists. I can speak for the ICU-- this is such an important role....
2. 

   analgesia before cardioversion

   StayLost replied to mrnewman's topic in NCLEX Exam, Programs

   The gold standard for Cardioversion is Propofol Rapid IVP right before shock is delivered. There are times when a patient is symptomatic and can not tolerate the hypotensive effects of proposal,...
3. 

   ICU burnout?

   StayLost replied to infinitynotzero's topic in Critical Care

   I work in New York City. It's the norm here for ER nurses to oversee 16 or more
4. 

   DDAVP administration with fresh hearts

   StayLost replied to tigerita's topic in CCU, Coronary, Cardiac

   We routinely use Amicar as well. If there are problems with bleeding, it's not uncommon for our patients to receive DDAVP in the
5. 

   Art line question

   StayLost replied to forgop's topic in Critical Care

   It would be impossible to answer this questions without being there. Was there a proper waveform with diacritic notch? Were you able to draw back any blood? What was the difference between the...
6. 

   PA catheter help/question

   StayLost replied to Teddy11's topic in CCU, Coronary, Cardiac

   The patient does not need to be flat for zeroing lines- in fact, the lines don't even need to be connected to the patient to be zero'd. We lay patients flat when we zero so that we can get the most...
7. 

   ICU RN Report- How does your unit do it?

   StayLost replied to seamel's topic in Critical Care

   YES! IMO, this is how an experienced nurse gives report- don't need to know how long the bypass/XClamp time was for a patient going to the floor. If at any time I need to know about the patient's...
8. 

   Help re: PA catheter care

   StayLost replied to Teddy11's topic in Critical Care

   Your patient does not need to be flat when changing the pressure lines to a swan What I usually do is kink the PA and CVP before inserting the new line, then draw back any possible air from the new...
9. 

   drips during a code

   StayLost replied to DogLover17's topic in CCU, Coronary, Cardiac

   I have worked with cardiologist that will run dopamine wide oven during a code, especially with
10. 

    Swm rn seek ecmo rn. M/f no pref

    StayLost replied to wb4inc's topic in CCU, Coronary, Cardiac

    At my current hospital we do not get any compensation when caring for ECMO patients. In the past I worked for a hospital that would pay me an additional $8.00/hr for VAD/VA ECMO patients. Should an...
11. 

    CPR in Prone Position

    StayLost replied to Codeblue1982's topic in MICU, SICU

    At this point it's time to consider either VV ECMO or discuss withdrawing. I would not attempt CPR while a patient is
12. 

    Afterload and BP...So Confused!!

    StayLost replied to KrCmommy522's topic in MICU, SICU

    As a cardiac nurse, let me take a stab: Afterload is the pressure that the heart must pump against. SVR (System Vascular Resistance) calculated value we use to evaluate afterload. We calculate the...
13. 

    Maximum number of IV meds & lines

    StayLost replied to nursebettee's topic in CCU, Coronary, Cardiac

    TPN always needs it's own dedicated port Bicard should be run though it's own dedicated like, as its incompatible with virtually every
14. 

    What's CVICU like, really?

    StayLost replied to calivianya's topic in CCU, Coronary, Cardiac

    CT patients can go to sh** on you faster than any patient - extubated and sitting up one 1 minute & bleeding with a MAP in the 40's the next. I had a patient completely exsanguinate in less than...
15. 

    Would you take a $3 hr pay decrease for better ratios and working conditions?

    StayLost replied to Emergent's topic in General Nursing

    I much rather get paid less and have a better work environment. I was just talking about this last night with a coworker. My last job was amazing- New equipment, higher quality supplies, more staff,...