Flyboy17

Flyboy17

EP/Cath Lab, E.R. I.C.U, and IVR

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All Content by Flyboy17

  1. Do men and women go into nursing for different reasons?

    Flyboy17 replied to European's topic in Men in Nursing

    I got into nursing because the owner of the farm I was working for was the director of critical services at our local hospital. She told me as a 20 year old male with no human health care experience...

  2. Double Standards

    Flyboy17 posted a topic in General Nursing

    Has anyone noticed a strong double standard among male and female nurses? As a male nurse I feel that I have to be extra vigilant and careful of any actions around many female patients of many ages. I...

  3. Steroid treatment for spinal cord injuries

    Flyboy17 replied to WRNCEN's topic in Emergency

    We follow the same practices in Virginia. However we also use induced hyperthermia to decrease swelling, however not to the point as we would with a cardiac arrest patient from the

  4. Any cath lab RNs required to take the RCIS?

    Flyboy17 replied to inthelab's topic in Cardiac

    At our current state our lab is not requiring an RCIS certification for the RN's that scrub. However it is recommended for the clinical ladder that is implemented with us. Further education is always...

  5. ER Nurses: What did you do before the ER?

    Flyboy17 replied to ivyleaf's topic in Emergency

    I managed a cattle farm before, during and after school to then work in the E.D. Since then I have moved to the Cardiac Cath

  6. Name that rhythm...

    Flyboy17 replied to *LadyNurse*'s topic in CCU, Coronary, Cardiac

    The QRS is not wide enough for Hyperkalemia. It is slow however it also has a slightly inverted t wave which commonly seen in patients with dig

  7. BBB

    Flyboy17 replied to cns121's topic in Cardiac

    Check out Lead 1 and you get your answer right away. LBBB you will see a deep rapid S wave in V1 and will almost always see a wide QRS in Lead 1. RBBB you will see a terminal R wave in lead aVR and...

  8. Shoes. Yes. Shoes.

    Flyboy17 replied to Ciale's topic in Emergency

    I love my Berkis made by

  9. Cath Lab Transfer ???

    Flyboy17 replied to jd74_RN's topic in Cardiac

    I moved from the E.D. to the cath lab 2 years and love it. My skills and knowledge has done nothing but increase. Cath Lab people seem to be the best to work with. In our lab call time can get old and...

  10. Name that rhythm...

    Flyboy17 replied to *LadyNurse*'s topic in CCU, Coronary, Cardiac

    Mobitz II with possible digoxin

  11. 'Us and Them' mentality

    Flyboy17 replied to Michelle123's topic in Emergency

    I am not a floor nurse, I am a Cath Lab nurse and ED nurse. I do all of those things but not while the floor nurse sits there and does nothing. I help and that is what we are there to do. Jonathan...

  12. 'Us and Them' mentality

    Flyboy17 replied to Michelle123's topic in Emergency

    I often times have seen when a floor nurse comes to the ED as a float, grabs the radio, grabs a chart, and then has a charge nurse telling her to get a patient upstairs because there is a bad trauma...

  13. Great moments in bad judgement

    Flyboy17 replied to emtb2rn's topic in Emergency

    Roofer number 1 shoots nail via nail gun into this hand. Upon screaming and cussing. Roofer number 2 looks up to see what happened and shoots nail into his own

  14. 12 lead EKG resources?

    Flyboy17 replied to turnforthenurse's topic in Cardiac

    I found this website recently while looking for content on an orientation manual I am putting together. It is an excellent reference and is free. Analysis and Interpretation of the Electrocardiogram...

  15. ER to cath lab nursing?

    Flyboy17 replied to barryme's topic in Cardiac

    I moved to the CCL after working in a very busy ED for 8 years and have never looked back. I do miss the traumas, shock, the laughs, etc. However I love what I have picked up from a cardiac point of...

  16. Cath Lab Trays

    Flyboy17 replied to tespinoza's topic in Cardiac

    We have the exact same policy regarding our trays in Virginia. We based our policy over our O.R. policies and procedures. The current belief system is that most made up trays, meds, devices, etc. are...

  17. Cath Lab Orientation

    Flyboy17 posted a topic in Cardiac

    I was recently asked to develop a Cath Lab orientation booklet and powerpoint. We are a new unit in Virginia and lacking the basic start-up manuals/policies. I am asking for information, checklists,...

  18. Cath Lab Orientation

    Flyboy17 replied to Flyboy17's topic in Cardiac

    I am on my second year in the Cath Lab and came from a very busy

  19. Closure device's being used in Cath Labs

    Flyboy17 replied to CarolMarie's topic in Cardiac

    Both or our docs prefer Perclose for all closable groin cases. We hardly ever have a failure and when we do it is always operator error. The Perclose is a great system however it does require more...

  20. What is the most interesting case you've seen in the ER?

    Flyboy17 replied to BigDiesel's topic in Emergency

    The most interesting case I have ever seen and will never forget was an ER patient, that was kind, friendly, and stated "Keep that Vicodin perscription. I'll just take Tylenol and Motrin!" Weird huh....

  21. Levophed Bolus

    Flyboy17 posted a topic in CCU, Coronary, Cardiac

    Recently during a code situation that involved a pt's RCA and V-Fib we maxed out on our Neo gtt, Epi gtt, and Levo gtt. We were then giving 3-5 minute bolus of epi and neo just keep his pressure up. I...

  22. Highest Troponin Levels You've Seen?

    Flyboy17 replied to Dogstar's topic in CCU, Coronary, Cardiac

    The best is not knowing how mad the RCA is and if they are going to have reperfusion

  23. Highest Troponin Levels You've Seen?

    Flyboy17 replied to Dogstar's topic in CCU, Coronary, Cardiac

    Just recently, after reopening a closed LAD that had been shut down for several days, the pts Troponin jumped all the way to 234. When we reperfused the vessel, all that troponin was just pushed into...

  24. Levophed Bolus

    Flyboy17 replied to Flyboy17's topic in CCU, Coronary, Cardiac

    All I know is that this was a lot of Alpha to have Neo, Epi and Levo.

  25. Levophed Bolus

    Flyboy17 replied to Flyboy17's topic in CCU, Coronary, Cardiac

    The pt's BP went throught the roof from 40-50s to 180 and never dropped back down below 110. We decreased his all of his gtts. The patient survived. Jonathan