oicu8bacilli

If your facility is truly capable of cathing emergent cases, then they have a unit that functions as an Interventional Cardiac Care (ICC) unit. They will clear a stable pt to ICU, PCU, etc so your ED to cath pt will get appropriate s/p cath care.

I'll leave the topic with the comment that I am very glad I'm done having kids, scared for the rest...but at least I'm done. Please send your mom to me and I'll ensure my newest nurses takes care of her post CABG, we'll roll the dice like you have w...

You should show FSP and other clot degredation in 7 to 10 days. As a nurse you should know that clots are going to be resolved as soon as your body recognizes the need to eliminate waste products. Pain after months needs investigating.

See a doc. When nurses get licenses to practice medicine....you'll get better advice. Then you'll see an abrupt lack of advice online. Nobody in their right mind is gonna give advice without a pt in front of them. BTW, H1 and H2 antagonists are av...

ok

i'm not arguing the fact that all nic folks are superhuman and possess skills unknown to mankind (never been a nurse from day one or not...must be a super alien gene pool you get new grads from). what does concern me is that you say that no matter h...

I get that blank slate person every now and then and have fun teaching until I realize why I am teaching. I too like to teach them things, but I really find that it's because he knows nothing and I feel like I am imparting the world on him. Now, wh...

The only reason I am amazed is because nursing programs don't teach to the critical care environments. I personally wouldn't have a new grad taking care of my 26 weeker, nor my mom with a fresh CABG. My kid has actually spent time in a crit care en...

maybe i should clarify between terms i use as "push" and "direct iv injection" - aka - "slow push". terms i keep in my head and derived from books. direct iv, slow, means 2-3-5 mins to me; whatever the books say. push, to me anyway, means squirt ...

I'm not talking about "easy to orient because I don't have to unlearn anything". I'm talking about the mental checklist of a thousand things that I go though immediately and unknowingly because I have a deep and broad crit care background. I'm cert...

really? i saw another post by a new grad asking about the first day as a new grad in the nicu and i thought it was a joke. am i to believe that the nicu has new grads monitoring preemies for subtle changes that might warrant a call or intervention ...

As mentioned above, it really depends on what and why you are giving it. Nurses are the experts at administration rates and routes. Docs are great at determining what drug to use. If you push Pepcid you could kill your pt, if you hang a bag to giv...

I agree about experience issues to become an ARNP, but what about a PA who has no experience and 4 years of college? What makes him so ready to be a provider versus an ARNP with just a year or two of nursing experience? The PA doesn't have any nurs...

I roll down the window and yell "someone call 911" as I drive off. If you have half a dozen certs and stop at a scene with supplies and you are asking to get sued. Make sure someone is calling 911 and move on. The guy collapsing with chest pain in...

Distracting injuries can be more distracting than you think though. Good triage includes a gut feeling for sure, but you but if someone just doesn't feel right to me...I start looking for things...no matter how the MVA person tells me he "feels". I'd...

Air Force here. Background is critical care. I don't know what I like about military nursing. I'm staying to retire, but free healthcare fosters NO responsibility on the part of my pts and they come in for the most benign things; clogging an alrea...

I just noticed...that is ALOT (as in ALOT!!) of toprol. It's basically a long acting beta blocker (same as lopressor/metoprolol, but long acting) I've had pt's on every form of BP drug...beta blocker...ACE...CCCB...nitrates....and monoxidil at the ...

Call the human resources department at any of the hospitals. Ones specific to the Port Charlotte/Punta Gorda area are St. Joseph's (a Bon Secours, PC), Fawcett Memorial (Columbia, PC), and Charlotte Regional Medical Center (Healthcare Management Asso...

Naturally, I can't speak for all nurses, but students have to understand that when they are in certain environments they may not understand all of the subtle yet very complex things that are going on. Under that peaceful hum of vents and pumps in the...

Funny you mention it. I see plenty of "spider bites". I have no idea why, but folks seem to get bitten by stuff in their sleep a lot. Some abscesses from these "bites" do come back as MRSA.

Yes. Lovenox was my other point (and heparin). What sense does stopping ASA make when AMI folks get Lovenox in the ED, then go to the Cath Lab and get 5,000 or 7,000 of heparin, then get on Integrillin (or some other 2b3a), then get ASA and Plavix ...

i too left a cardiac care unit and now work in a different area (ed for me). it took me a while to get used to running a 2l bolus wide open as well. i was so accustomed to using fluids sparingly in my heart folks that i forgot there are otherwise hea...

Florida will help with home loans if you become a RN. They were talking about school $$ too when I left. I lived in Port Charlotte (2 hospitals there) and worked in Punta Gorda (one hospital there), but nobody was offering free college at the time....

There was a book called "just the facts" I think. I don't know if they still print it. I never bought it, but some folks I went to school with had it. If I were in school today, I'd spend my $$ on a Palm and load it with software. It makes a grea...

Same here. If going to our cath lab you are getting ASA. Some folks like to give a bunch of Plavix pre procedure too. Naturally, all of our interventions are coming out on Integrillin or Reopro (hopefully integrillin) and we too use Syvek for a lot o...