eprn

eprn

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All Content by eprn

  1. Syncope........

    eprn replied to CardioTrans's topic in Cardiac

    Syncope is tricky, and there are many, many causes for it. Like I said, it can be an extensive workup. As far as your axis deviation, it's generally meaningless by itself. Let him continue his...

  2. Syncope........

    eprn replied to CardioTrans's topic in Cardiac

    Yeah, you may need an extensive workup, such as the ol' tilt table or an EP study. If they just can't figure it out (even after the event monitors, holters, studies, etc.), they may implant a loop...

  3. My son has SVT Questions

    eprn replied to PegRNBSN's topic in Cardiac

    SVT is one of those things that many people treat as a nuisance. However, it also tends to get worse (i.e. more frequent and longer episodes) as time progresses. Eventually, most people get sick of...

  4. My son has SVT Questions

    eprn replied to PegRNBSN's topic in Cardiac

    Yes, I want to know what happened, too. SVT ablations come in many flavors. The most common is AVNRT or AV nodal reentrant tachycardia where there are essentially two pathways an impulse can take down...

  5. Patient with pacer/AED is DNR

    eprn replied to oldnewnurse's topic in Cardiac

    Whoa, boss: I'm not saying that you can't put a magnet on it. I just think it's kinda irresponsible to assume that the magnet will magically take care of the problem. An ICD (or even a pacemaker) is a...

  6. Patient with pacer/AED is DNR

    eprn replied to oldnewnurse's topic in Cardiac

    With the recent problems with some Guidant devices, many of the magnetic reed switches were turned off, meaning that they will not respond to a magnet in any way. In Guidant devices, this feature is...

  7. Pacer Placement

    eprn replied to NeuroNP's topic in Cardiac

    That is interesting. Maybe there's a scheduling conflict. On the other hand, there could be some political intrigue as

  8. What part...

    eprn replied to NurCrystal22's topic in Indiana Nursing

    Oh, and I even know how to spell "Cincinnati." It helps to slow down when you're typing that

  9. What part...

    eprn replied to NurCrystal22's topic in Indiana Nursing

    Okay. I'll start. I'm an RN (for 6 years now). I'm in Dearborn County (just west of Cicninnati). I've always worked in Cincinnati, OH and I don't even have an IN license yet. Oh, and I graduated from...

  10. Pacer Placement

    eprn replied to NeuroNP's topic in Cardiac

    Not all cardiologists may implant pacers. A cardiologist either needs to have gone through device training or an entire electrophysiology fellowship to be an implanter. Otherwise, they will have to...

  11. RN license renewal question

    eprn replied to emmalou's topic in Legal

    This time of year in Ohio (due to the other last-minute people), you can probably expect it to take 4-5 weeks for processing. You can apply online now, and the information was included with your...

  12. Quit after 4 weeks, now what...

    eprn replied to nursecarebear's topic in First Year After Licensure

    Let me start by saying: Don't give up the ship! It sounds like your old facility had a lousy training program. These problems should've become apparent long before now and should have been...

  13. Did You Get A Sign On Bonus?

    eprn replied to TLC RN's topic in First Year After Licensure

    A few years ago one of the hospital systems here in town offered $30,000 for cath lab/EP nurses. They were required to stay for 3 years. Well, the three years just ended and now there's an exodus...

  14. So I'm wearing a Holter monitor....

    eprn replied to Jenni_RN's topic in Cardiac

    I'd have to agree with those suggesting that you find an EP. Most SVT is relatively easily induced during a study and they can usually ablate it then and there. People with these tachycardias...

  15. Patient with pacer/AED is DNR

    eprn replied to oldnewnurse's topic in Cardiac

    I've been programming devices for years, and I encounter this problem often. The physician needs to write a very specific order for what he/she wants. Have the rep (or your hospital's device people)...

  16. bsn starting salaries

    eprn replied to bsm03d's topic in Ohio Nursing

    You know, I forgot to mention a little bit of precious info about the Cincinnati market. There is no BSN differential, and that sucks. Just thought I'd

  17. Cincinnati

    eprn replied to galaxy781's topic in Ohio Nursing

    The UC accelerated pathway program was great. I was there six years ago, when we had to do 25 credit hours/quarter (If you didn't go postal first, you graduated). Just watch certain faculty...

  18. Cincinnati: Bethesda North ?'s

    eprn replied to Sunnydays's topic in Ohio Nursing

    B North is pretty much a carbon copy of every other Cincy tertiary hospital. The pay scale is pretty much identical (I've worked/interviewed at most). The real plus about BN is the neighborhood,...

  19. bsn starting salaries

    eprn replied to bsm03d's topic in Ohio Nursing

    In Cincinnati it's hovering between $18-$19 per

  20. What do you NOT like about Cath Lab????

    eprn replied to wayover20's topic in Cardiac

    I worked a cath lab for a few years (and I'm now in industry). Undoubtedly the worst thing was call--both getting called in in the middle of the night as well as holding patients for hours on end in...

  21. av pacing in afib?

    eprn replied to graciev's topic in MICU, SICU

    I double-ditto. The atrial rate for a patient in a-fib can be much greater than 300 bpm. You can't overdrive pace it. There are pacemakers that can deliver extra atrial pacing when a pt. has pac's to...

  22. EP Question

    eprn replied to Dinith88's topic in Cardiac

    It's funny that you mention the reimbursement for the a-fib ablations. I think you're right. EP is not (entirely) beyond the "move the meat" mentality. Yes, the A-fib ablations are out there for...

  23. EP Question

    eprn replied to Dinith88's topic in Cardiac

    Some people have an arrhythmia that wasn't ablatable, so we do an AV node ablation if medications don't control their symptoms. Does that make

  24. EP Question

    eprn replied to Dinith88's topic in Cardiac

    AV node ablations are pretty common, and we do it maybe 2 times a week. We usually reserve it for people who haven't responded to medical therapy or ablation AND who are totally miserable. We can...

  25. how many times can a human be defibrillated?

    eprn replied to TinyNurse's topic in CCU, Coronary, Cardiac

    Regarding the surgeon who was annoyed that his patient was shocked so many times: If they're in VF, they need a shock. Period. Electricity is really the only thing that fixes VF, so the surgeon's...