ambersky004 BSN, RN

CardiacStep-down/Progressive Care Unit

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All Content by ambersky004

  1. ambersky004

    HEPATOPULMONARY SYNDROME

    ambersky004 posted a topic in Critical Care

    Has anyone encounter this term Hepatopulmonary syndrome due to liver cirrhosis? There was a patient situation where he came in due to ascites, generalized edema, had pmHx of TIPS, +meth/cocaine...
  2. ambersky004

    Anterior Stemi w/ successful ppci then develop self limiting vfib?

    ambersky004 posted a topic in CCU, Coronary, Cardiac

    10 hrs Post pci, pt develop a vfib but was self limited when night nurse check on her. Night doc said it was torsades though mg level is normal. Still was given 2 gm of magnesium. Now, cardiologist...
  3. ambersky004

    Anterior Stemi w/ successful ppci then develop self limiting vfib?

    ambersky004 replied to ambersky004's topic in CCU, Coronary, Cardiac

    Thank you
  4. ambersky004

    Retroperitoneal Bleeding

    ambersky004 posted a topic in CCU, Coronary, Cardiac

    How does retroperitoneal bleed develop after post pci? What are the possible causes of it developing? I was assisting in removal of arterial sheath with my co-worker, I was not able to monitor...
  5. ambersky004

    Techniques on Femoral Arterial Sheath removal?

    ambersky004 replied to ambersky004's topic in CCU, Coronary, Cardiac

    Thanks for that description! Pt was tender to the touch in her inner thigh area while she pointed the site. Do you think the venous sheath was causing it? Anyway, I pulled arterial sheath then...
  6. ambersky004

    Techniques on Femoral Arterial Sheath removal?

    ambersky004 posted a topic in CCU, Coronary, Cardiac

    What are your techniques in removing femoral arterial sheath removal? If you are about 90 lbs in weight, does it matter or not when applying manual pressure to the femoral artery? Do you all have...
  7. ambersky004

    Techniques on Femoral Arterial Sheath removal?

    ambersky004 replied to ambersky004's topic in CCU, Coronary, Cardiac

    Thank You wedgepressure. What is retrograde and antegrade stick? Can you describe it? I always feel doubtful when I pull sheaths because I am small but if I do have obese patients, I let a larger...
  8. ambersky004

    What should I consider before transferring from cardiac stepdown unit to outpatient surgery/in hospital GI Lab?

    ambersky004 replied to ambersky004's topic in General Nursing

  9. ambersky004

    What should I consider before transferring from cardiac stepdown unit to outpatient surgery/in hospital GI Lab?

    ambersky004 posted a topic in General Nursing

    I have worked for 6 yrs now in cardiac stepdown/tele progressive care unit. 2 yrs ago, I posted about my burnout. But I thrive and stick with it again for couple yrs. Last yr covid pandemic, our floor...
  10. ambersky004

    What should I consider before transferring from cardiac stepdown unit to outpatient surgery/in hospital GI Lab?

    ambersky004 replied to ambersky004's topic in General Nursing

    Libra nurse Thank You. I do enjoyed being at the bedside. But for the past 2 yrs I have been more depressed. I have never tried changing jobs. So this is my first time moving to a different...
  11. ambersky004

    What should I consider before transferring from cardiac stepdown unit to outpatient surgery/in hospital GI Lab?

    ambersky004 replied to ambersky004's topic in General Nursing

    Libra nurse Thank You. I do enjoyed being at the bedside. But for the past 2 yrs I have been more depressed. I have never tried changing jobs. So this is my first time moving to a different...
  12. ambersky004

    transferring from cardiac stepdown unit to outpatient surgery/in hospital GI Lab?

    ambersky004 posted a topic in Gastroenterology

    I have worked for 6 yrs now in cardiac stepdown/tele progressive care unit. 2 yrs ago, I posted about my burnout. But I thrive and stick with it again for couple yrs. Last yr covid pandemic,...
  13. ambersky004

    Need advice on switching from med-surg to GI Lab!

    ambersky004 replied to sbwpaso's topic in Gastroenterology

    I am also going for an interview in GI las/outpatient surgery. I have been a nurse in a cardiac stepdown unit for 6 yrs now which I enjoyed and enhanced my assessment skills. But I am feeling rot in...
  14. ambersky004

    What should I consider before transferring from cardiac stepdown unit to outpatient surgery/in hospital GI Lab?

    ambersky004 posted a topic in Nursing Career

    I have worked for 6 yrs now in cardiac stepdown/tele progressive care unit. 2 yrs ago, I posted about my burnout. But I thrive and stick to my unit again for couple yrs. Last yr covid pandemic,...
  15. ambersky004

    Caregiver Fatigue

    ambersky004 posted a topic in Patient Safety Issues

    I worked in a busy cardiac step-down unit/progressive care unit. For some reason over the weekend our unit was closed down due to low census. I came in the next morning and started my routine. We...
  16. ambersky004

    Caregiver Fatigue

    ambersky004 replied to ambersky004's topic in Patient Safety Issues

    Thank
  17. ambersky004

    Caregiver Fatigue

    ambersky004 replied to ambersky004's topic in Patient Safety Issues

    Thank
  18. ambersky004

    US citizen

    ambersky004 replied to Liezel Jade's topic in Philippines

    Here is the steps on application by examination in California Board of Nursing. Maybe it will help you start the process. ?
  19. ambersky004

    US citizen

    ambersky004 replied to Liezel Jade's topic in Philippines

    Have you visited the CGFNS website? It They help you do the credentialing of your nursing transcripts from the Philippines. You do not need to take the Philippines NLE if you plan to work as a nurse...
  20. ambersky004

    Flash Pulmonary Edema after Blood Transfusion

    ambersky004 posted a topic in CCU, Coronary, Cardiac

    My Easter Sunday at work was unfortunately quite challeging. I came in to work that morning, had a patient that became lethargic and in respiratory distress even with bipap support. She was given a...
  21. ambersky004

    I feel like I caused a patient's death and I can't get over it

    ambersky004 replied to jane82's topic in Patient Safety Issues

    Don't be too hard on yourself. I know it takes a toll on you or might even feel like a nightmare. It is hard when your patient dies on your shift. You have questions. Instead of ruminating those...
  22. ambersky004

    5 yr Nurse Burnout

    ambersky004 posted a topic in General Nursing

    I have been a nurse for almost 5 yrs now in a cardiac step-down unit/progressive care unit. This year, i feel like I am in a rut. I love being a nurse but lately at work, I am more grumpy and just...
  23. ambersky004

    5 yr Nurse Burnout

    ambersky004 replied to ambersky004's topic in General Nursing

    The topic of workplace incivility calls to mind. Our beloved profession can be taxing on the body and spirit. With all of the pressures we face in our units every day as we take care of patients with...
  24. ambersky004

    5 yr Nurse Burnout

    ambersky004 replied to ambersky004's topic in General Nursing

    Nightnerd, what you wrote just summarizes about what I am feeling and thinking. Sometimes, I come to work happy and confident, sometimes I come to work questioning my worth and feeling like I am not...
  25. ambersky004

    5 yr Nurse Burnout

    ambersky004 replied to ambersky004's topic in General Nursing

    I feel the no tolerance sometimes on their unrealistic expectations. I am trying to use some of my PTO hours for some break away from