StayLost BSN, RN

CVICU, CCU, Heart Transplant

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All Content by StayLost

  1. StayLost

    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. StayLost

    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. StayLost

    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. StayLost

    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. StayLost

    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. StayLost

    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. StayLost

    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. StayLost

    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. StayLost

    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. StayLost

    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. StayLost

    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. StayLost

    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. StayLost

    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. StayLost

    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. StayLost

    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,...
  16. StayLost

    ratio's with induced hypothermia patients

    StayLost replied to **LaurelRN's topic in CCU, Coronary, Cardiac

    Same here - 1:1 the whole
  17. StayLost

    Hospital Policy Vs. Unit Rules

    StayLost posted a topic in General Nursing

    The unit always comes up with new forms for us to fill out, some that make me uncomfortable and some that take up my time & annoy me - BUT ALL OF WHICH are NOT part of the legal chart. One of...
  18. StayLost

    Flushing IV sites with pressor drips

    StayLost replied to ONE-TWO--'s topic in CCU, Coronary, Cardiac

    Unlike teaching hospitals with a ton of residents, I have worked in private hospitals where it's not uncommon to run pressers through a PIV- like when it's the middle of the night and there is no...
  19. StayLost

    Hospital Policy Vs. Unit Rules

    StayLost replied to StayLost's topic in General Nursing

    What I am speaking about is not a summary provided by an EMR. It's a separate form that has fields for every body system where you pencil in key
  20. StayLost

    patient on IV Amidorone and PO Amiodorone at the same time?

    StayLost replied to raindrop's topic in Cardiac

    Amio bolus of 150 mg IV over 10 min and then started on a drip at 1 mg/min X 6 hours, then decreased to 0.5 mg/min continuously. When transitioning to PO, the drip is turned off after the second PO...
  21. StayLost

    sheath removal P&P (femoral)

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

    My hospital's practice: Lines are pulled by the department who placed the (i.e. Cathlab tech). This is because the nurse needs to be free to manage the patient. 1) Verify ACT 2) When the sheath is...
  22. StayLost

    Continuous CVP and infusions

    StayLost replied to RN RN RN's topic in MICU, SICU

    Sometimes we transduce a CVP just because we can.. a patient has a central line or even a PICC, so ... why not? In this patient population, I probably would leave it open to CVP, DRIP, & PT. I...
  23. StayLost

    Heart transplants and high risk cards, oh my

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

    #1 - There is a ton of stuff involved with a transplant work up. It's very complicated and there are many rules We used to give Isuprel to increase HR in Sinus brady, but not with post-of heart...
  24. StayLost

    New CCU RN-Do I need to purchase a cardiology stethoscope?

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

    I have a Master Cardiology and it's AWESOME. Where is it? In my closet. My current unit puts a cheap disposable one in each room, and they work just fine. I agree, save your money and get one down the...
  25. StayLost

    Tips for new grad looking to be hired into CICU

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

    I disagree. In my experience, nurses who transfer to the Critical Care from tele often have a difficult time adjusting their priorities, which in the ICU translates to bad habits. Besides, after 3...