graciev

Latest Activity

1. Need help with Temporary Pacers!!

   graciev replied to ALCCRN's topic in CCU, Coronary, Cardiac

   We really need to come up with a good way to teach sensitivity, it messes with peoples minds, even people who know what they mean to say cant explain it well. The brick wall is a good metaphor. I was...

2. any advice on shoes?

   graciev posted a topic in General Nursing

   Not the most "critical" topic, but what shoes/clogs/whatever have you found to be the most comfortable to wear on those long 12+ hr shifts? Thanks, Grace (whose feet are really starting to

3. placing atrial epicardial wire into ventricular port of pacer

   graciev replied to graciev's topic in MICU, SICU

   Guess I should clarify, they request the DDD mode with just the atrial wire in the v port, I think they think that somehow the lone wire in the atrium is sensing the atrial and ventricular activity....

4. placing atrial epicardial wire into ventricular port of pacer

   graciev replied to graciev's topic in MICU, SICU

   One of the questions I have, is if the atrial wire is placed into the V port of the pacer, the the only electrical activity being sensed would be from the atrium. To program the pacer, then, because...

5. placing atrial epicardial wire into ventricular port of pacer

   graciev replied to graciev's topic in MICU, SICU

   The reason that I submitted this questiton is because post open heart surgery we have quite a few instances where the atrial wires will just not work and the CT docs often have us try switching the...

6. placing atrial epicardial wire into ventricular port of pacer

   graciev posted a topic in MICU, SICU

   Does anyone have experience with placing an atrial pacing wire into the ventricular port of a pacer in order to increase the available output? Is there anything special we need to know about the rest...

7. Common Drips Used in CCU

   graciev replied to DangJ's topic in CCU, Coronary, Cardiac

   amiodarone, heparin, diltiazem, amicar sometimes,

8. Taken AACN CSC test?

   graciev replied to openheartmom3's topic in MICU, SICU

   Took the test last year, fortunately passed!!! Don't remember specific questions but it was almost all medical, i.e. what drips, vent settings, tx, etc. There seemed to be quite a few judgement calls...

9. Cabg, Iabp, Crrt

   graciev replied to sway's topic in MICU, SICU

   I think it depends on the staffing and longevity of the nurses in your unit. If you have a stable staff and don't desperately need new open heart trained nurses I suppose the feeling is that they can...

10. ICU RN's responsible for CRRT or CVVH

    graciev posted a topic in MICU, SICU

    What do you think about ICU RN's being responsible for setting up, troubleshooting and maintaining CRRT devices? Do you do this in your ICU and if so, what is your staffing ratio? If there are not a...

11. Do 'goodlooking' nurses earn better salaries?

    graciev replied to Tony35NYC's topic in General Nursing

    Attractive people, nurses included, have an easier time of things in a wide variety of situations, including the healthcare setting. Although I have observed my more attractive colleagues being the...

12. av pacing in afib?

    graciev posted a topic in MICU, SICU

    If you are AV pacing a patient (for example post cardiac surgery via epicardial leads) and the patient goes into afib with a slow ventric response, would you continue the AV or just use the V????...

13. ACLS and PALS online courses - important

    graciev replied to charles-thor's topic in Certified Registered Nurse Anesthetist, CRNA

    I have heard that the Kaiser system here in California does NOT accept the non-AHA cards. A shame.

14. Chest compressions on open heart pt/sternectomy?

    graciev posted a topic in MICU, SICU

    Is there a consensus on whether to do chest compressions during a code on a fresh open heart patient??? Or one who has had a sternectomy and "flap grafts"? We have been arguing over this for a while...

15. maximum mandatory overtime?

    graciev replied to graciev's topic in California Nursing

    Gomer, Thanks so much for your reply. I have tried to find a specific regulation on the internet, but I guess Im a hopeless searcher. Would you happen to have an idea on where to find some document...