StayLost BSN, RN

CVICU, CCU, Heart Transplant

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All Content by StayLost

  1. StayLost

    Proning ARDs patients

    StayLost replied to catamounts303's topic in MICU, SICU

    Yes, sort of a padded cage that supports the body. It doesn't help to treat the ARDS per se, but it does help with hypoxia which is secondary to ARDS. ARDS disrupts gas exchange. When you place a...
  2. StayLost

    Proning ARDs patients

    StayLost replied to catamounts303's topic in MICU, SICU

    At my last job we had a large number of ARDS patients and used rotoprone bed pretty regularly. It really is amazing how well the beds work once you find their "sweet spot". I Remeber having to place...
  3. StayLost

    The benefits of therapeutic hypothermia in a comatose pt after arrest?

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

    Therapeutic hypothermia is NOT recommended for patients who suffered an UNwitnessed arrest. This is because the length of down-time is important to determine if a patient is a candidate, simply...
  4. StayLost

    Staffing of ECMO patients

    StayLost replied to jrsquire1's topic in CCU, Coronary, Cardiac

    At my current unit our ECMO patients are always 1:1 in my current job. If paged, profusion shows up in minutes. It was a big change from my last unit where we were often 2:1 with profusion at the...
  5. StayLost

    Documenting IABP numbers

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

    This is my practice for checking timing. We do not document the unassisted bps when the pt is on 1:1- we leave them
  6. StayLost

    analgesia before cardioversion

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

    Ive been a CCU nurse for years and different institutions. In my experience the most common medication used for cardioversion is about 5ml of diprivan rapid IVP right before the shock is delivered....
  7. StayLost

    More $$/hr for CCRN?

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

    I get about $1.20/hr here in NYC for my CCRN certification. Doesn't seem like much, but adds up to more than
  8. StayLost

    Not qualified for CCRN will CMC certificate work?

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

    This is taken directly from the AACN website: "...[Requirements for CMC subspecialty certification include] A current, nationally accredited NCCA (National Commission for Certifying Agencies) or ABNS...
  9. StayLost

    Not qualified for CCRN will CMC certificate work?

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

    This is taken directly from the AACN website: "...[Requirements for CMC subspecialty certification include] A current, nationally accredited NCCA (National Commission for Certifying Agencies) or ABNS...
  10. StayLost

    Impella vs IABP

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

    The last post is a great explanation. When the Impella first came out, we were told by the reps that in the future it would replace the IABP, which is NOT true. There are many times that the IABP is...
  11. StayLost

    Ethical Question About Pacemaker

    StayLost replied to Nursingbride12's topic in CCU, Coronary, Cardiac

    In my experience it is expected that an ICD will be discontinued when supportive care is withdrawn. The physician will write an additional order to have device rep turn of ICD. The rep will NOT turn...
  12. StayLost

    PAWP

    StayLost replied to LNRN11's topic in CCU, Coronary, Cardiac

    A little off topic, but want to throw in there that I find the Vigileo useless. The first time I encountered it was when I worked as an Organ Recovery Coordinator & I quickly learned that it was...
  13. StayLost

    PAWP

    StayLost replied to LNRN11's topic in CCU, Coronary, Cardiac

    Yes, but it depends on the physician. It's common for our transplant docs to ask us for daily
  14. StayLost

    CCRN Certification

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

    AACN Website states, "The clinical setting [for CCRN candidates] may include, but is not limited to ICUs, CCUs, emergency departments, trauma units, interventional radiology/cardiology units, or...
  15. StayLost

    How extensive can RN discuss with patient

    StayLost replied to Born_2BRN's topic in Patient, Colleague Relations

    Patients have a right to review any part of their chart at any time, including labs and progress notes... With that said, I use caution to not step on the doctors toes or diagnose. For instance, if I...
  16. StayLost

    Lab Skeletons/ "fishbone"

    StayLost replied to Vespertinas's topic in General Nursing

    I work in the ICU and write down the standard chemistry & hematology fishscales on my flow sheet with every patient. You can quickly access lab values when you need them! I make sure every nursing...
  17. StayLost

    Traveling in hospital with the patient

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

    Frankly, I find it hard to believe that any prudent nurse who is caring for a patient with heart failure, so profound that they require an IABP, would feel that it's safe for this patient to leave the...
  18. StayLost

    Nursing Documentation in ICU

    StayLost replied to trixie's topic in Critical Care

    Q4
  19. StayLost

    You are doing gods work... semi rant, wondering what its like for the rest of you

    StayLost replied to Sirapples's topic in MICU, SICU

    Oh gosh, this is me! This happens all the time, most commonly when patient's family's can't let go --- I pray my whole shift that my frail, 80 or 90 year old won't code so I don't have to break her...
  20. StayLost

    Silly to have this clarified?

    StayLost replied to Lahryn04's topic in Patient Medications

    Um, let me just clarify , Protonix is infused at 8mg/hr -- that is standard dosage! It doesnt matter how big or small the pt is, 8mg/hr is is the "staple" or "standard" dose of Protonix for GI...
  21. StayLost

    Anyone have NPs in their ICU?

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

    Some of our doctors have ACNP's that round on our patients. They are seasoned ICU nurses with many years of bedside experience. And as the previous poster said, they also have prior experience...
  22. StayLost

    Traveling in hospital with the patient

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

    There is no time I would ever NOT bring a defibillator with any of my patient, especially one that is vented. I think the poster "graciD" covered everything. If the pt is vented, RT has to come...
  23. StayLost

    Swan-Ganz Use

    StayLost replied to TexRN08's topic in CCU, Coronary, Cardiac

    I was one of those who learned from academia that "Swans are bad", and our university teaching hospital didn't use them b/c they are unsafe & inaccurate. Now as a nurse in almost every patient...
  24. StayLost

    New entry-level Masters program at U of A!!

    StayLost replied to Cid13's topic in Arizona Nursing

    Yes, I am a graduate of the UA traditional program and there were quite a few students who already had an undergraduate degree. One student already had a PhD and was in our cohort. Best of luck to...
  25. StayLost

    Quitting more than one addiction

    StayLost replied to Nursetastic's topic in General Nursing

    This week we had a pt detoxing in the ICU after having a cath & stent placed. Pt ended up in 4-point restraints after trying to hit his wife, thrashing around, & sating in the low 80's on a...