CCL RN

CCL RN RN

Cath Lab/ ICU

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All Content by CCL RN

  1. Closure device's being used in Cath Labs

    No, and no. And we have some who use the radial approach for STEMIs. They don't need a site rite that's for sure. My last lab didn't use a site rite for radial approach either, or use any pads. Must...
  2. Nope. Not using them at all... Eta:we do restrain AICD pts
  3. Closure device's being used in Cath Labs

    We almost NEVER use closure devices. For just about everything, we use our hands.... If the very rare situation arises where we use a closure device, it would be an angioseal. In the past year, we've...
  4. Advice

    ICU in a small community hospital sounds dreamy. I'd pick that above just about anything else. No IV teams, compartmentalized this or that...you do all this thinking on your own. You make due, learn...
  5. HR drop/rhythm change during sleep..Would you call Doc?

    You absolutely made the right choice! You were there, assessing your pt and using your nursing judgement....and you were
  6. Any happy RN BSN nurses in the seattle area?

    Too bad I'm not qualified to answer your
  7. HR drop/rhythm change during sleep..Would you call Doc?

    Yes and no.Yes, I've seen this often. No, I would not have
  8. RCP medication administration in Ca Cath Labs.

    Hmm. Trying to find the best way to answer this....Whoever is at the table scrubbed in can do these things in the states I've worked in under the direct supervision of the MD. It can be a rad tech,...
  9. Standard practice for arterial line pulls

    No thanks....nothing works better than my
  10. this did not make sense to me.

    Perhaps the blockages aren't in the coronary arteries, perhaps this is a peripheral case. Or, the blockages in the fem area prevented a fem approach, hence the initial radial approach. Or perhaps this...
  11. Standard practice for arterial line pulls

    Pulling an arterial sheath is *nothing* like pulling a peripheral IV. And pressure is held longer than 5-10 mins. We hold a good 20 and then lighten up for the next 10. Since the OP specifically...
  12. Standard practice for arterial line pulls

    Send staff down to the lab and they will get all their pulls in one day. We've really backed off from closure devices
  13. ECG leads for echo stress test

    Just like a 12 lead and the echo tech will let you know if they need to be moved when she does her rest echo.Make sure they are taped on there-artifact is inevitable but reducing it is the most...
  14. Cath Lab RN Interview

    You would nt be qualified to work in my Cath lab. Our nurses require critical care experience.You have to be comfortable mixing drugs, running the IABP, pacing, running multiple drips, etc,....all...
  15. the instructions are all in the supplied fingerprint packet and are pretty clear to read. If you make a mistake, then it will certainly delay licensure. This has nothing to do with why they won't...
  16. Out Of state applicants must be fingerprinted in addition to the regular application process. This can take 6 weeks. WA allows one to practice under a temporary permit which they issue PDQ after the...
  17. Any Cath Lab Nurses???

    I wear a good amount of lead all day and have to run around constantly in the room (while wearing this lead). I'm also constantly pushing my pts around the hospital. Picking them up from the floor,...
  18. In Seattle? Uh, no. That won't even get you into a cheap apartment (with your deposits and such). I've said this a few times before on this site, but I had absolutely no problems getting a job here...
  19. Exactly.
  20. Wave of the
  21. Drawing blood after stent placement.

    Was the pt a radial cath? Or brachial access? If that's the case, it's only an issue to place a tourniquet on the affected
  22. Interview at Harborview, what to expect?

    Waaaaay back now...ive had no problems landing several interviews and job offers with my
  23. Cath Lab Recovery?

    In all the labs I worked in, the holding area pulls the sheaths unless they are going to the ICU. That's just a standard of care. So yes, they pull lots of sheaths. In the ICU, you have a smaller pt...
  24. Can salary change, after one year experience?

    Union here-we get a raise every year. Caps at 30
  25. What field of Nursing has the least, and most math?

    yup. Lots of math in the ICU that my lovely Alaris pumps do for me. Sure, there's a possibility I may have to do the math myself, and it's good to know the dosages and calculations and all, but in...