CCL RN

CCL RN RN

Cath Lab/ ICU

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All Content by CCL RN

  1. ACUTE MI -PT/INR results! I need explanation!

    Nope. We anticoagulate pts in the CCL because we are placing wires, balloons, and stents in their coronary arteries. For a STEMI, they get an ASA and hep bolus, to keep the blood thin and easy to flow...
  2. Who said you shouldn't be there? This is another example of people reading, and wanting to hear what they want to hear. To be blunt, your clinical experiences mean nothing. I am not saying that new...
  3. Yes. I was a new grad once. And I brought nothing to the table but liability and debt! What do think? That a new grad brings vast nursing judgement and experience? If you think otherwise, then you are...
  4. No, I'm not. I'm telling you how it is. You can choose to ignore it if you
  5. New nurse, Second Medication error, Scared

    This is why I check my MARs many, many times throughout the shift. Our unit clerk can toss a new med on my MAR without me knowing it. Sometimes she walks up to my desk and does it. So you must Check...
  6. What are the top 5 medications YOU administer daily?

    Fentanyl, versed, heparin, angiomax,
  7. And therein lies the point of this whole thread. In a nutshell. This is why THIS internship was born, and why more internships will begin to sprout. I don't question why that particular person is...
  8. The nutrition problems are the least of this patients problems. Respiratory issues, Infection (active infection, DHT, CL, etc) Fluid volume deficit r/diarrhea, skin integrity, etc The...
  9. Top 10 Reasons Against Unions

    I live in a right to work state too. For the past 3 years we've received no raises, NO raises. In this economy I don't expect to see one next year either. And our health benefit costs skyrocketed by a...
  10. Oxygen Administration for Trachs

    100% Why would you assume you only use a mask? We've hooked trachs to vents all the
  11. ICE " in case of emergency " apps worth it ?

    Like I said, if you broke into my phone *without* erasing all the data in it, you'd figure out who to call, utilizing nothing than simple common
  12. time and a half?

    Also, your differential doesn't get multiplied into OT. So 1.5x would be $21+2 differential (14x1.5+2). So $23
  13. time and a half?

    That's up to your particular workplace. I didn't get OT
  14. I don't get the blurb on the iPad-so I ignore those
  15. ICE " in case of emergency " apps worth it ?

    Limited value? Just call my husband if nreed be..anyone with half a brain can figure out who that is on my phone contact list, that is, if they don't erase all data first by trying to break
  16. What grosses YOU out?

    One time, I suctioned this lady who was a mouth breather. She had low sats... I had to do aggressive suctioning, and I pulled out the entire inner layer if her mouth! I totally gagged as it was really...
  17. Touch of sarcasm? Or
  18. Wow! Chemistry helps me understand the world better, not just nursing. However, I took a few years more of chem then was required by my ADN
  19. Ambu bag with COPD patient question..

    They are dead-they need 100% FiO2! Once we resuscitate them (hopefully) then we can work out their medical Hx, weaning off the vent, etc. But a code is a code and everyone needs high flow O2 in that...
  20. Levophed shortage

    We were told the levo was recalled. They busted open our code cart and took it from us! Neo, dopa, epi, fine. But nothing works for septic shock like leophed! I like levo the best. We also had a...
  21. ICE " in case of emergency " apps worth it ?

    I hope they look elsewhere than just a phone! My iPhone has auto-lock and will erase all the data if too many attempts are made to break the code. If you have service dogs, id definitely look
  22. Sounds a lot like me n nuring school. I went to lecture because I had to, but I drew all over my notes to keep me from getting bored or falling asleep. I never freaked about anything related to...
  23. ED Admissions Right At Shift Change

    As an ICU/CCL nurse, I can somewhat sympathize. However, as an ICU nurse, I can take a pt with minimal to no report and still know what to do. ED nurses don't do head-to-toe assessments. The do...
  24. Standing orders for chest pain

    Pts rarely, if ever, c/o of an "mi" MIs that are missed are those that complain of nausea, indigestion, DB/SOB, shoulder pain, etc, etc. In fact, lots of NSTEMIs present with very vague symptoms. Many...
  25. IV Gauge for CT

    Glad I could