blucrna

blucrna

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All Content by blucrna

  1. St Elizabeth's/YSU CRNA Fall 2014

    blucrna replied to jtb83's topic in Student Registered Nurse Anesthetist

    First off congrats, getting into school is a huge accomplishment!!!! I always try to respect others opinions but let me put a Youngstown spin on things. I work at St E's in the cvicu and though I...

  2. 5% dextrose and cardiac outputs with a swan ganz catheter

    blucrna replied to BethanyBSNRN's topic in CCU, Coronary, Cardiac

    I've been meaning to grab one of our s/crna's about this. As soon as we get the pt post op we change all the dextrose bags to Ns. It just seems like a no brainer to start with NS given the need for...

  3. Open Heart Training

    blucrna replied to KRWICURN's topic in CCU, Coronary, Cardiac

    I agree. When money dictates patient care I think we all

  4. Leaving Phenylephrine on with an Epi Drip?

    blucrna replied to Dodongo's topic in CCU, Coronary, Cardiac

    I agree, having both gtts seems redundant. Any effects the neo is giving can easily be attained by simply going up on the

  5. New to CVSICU...cardiac gtts

    blucrna replied to Stormy8's topic in CCU, Coronary, Cardiac

  6. Extubation Difficulties

    blucrna replied to Nursingbride12's topic in CCU, Coronary, Cardiac

    Seems I'm too late but self extubation does wonders for these pts. Not that I advocate it but I've been there lol. This case does sound more like delirium than withdrawal. Your time frame would...

  7. Why not Levo?

    blucrna replied to EyeSeeYuRN's topic in CCU, Coronary, Cardiac

    I agree. The 3 L bolus and increased SVR (via pressors) are temp fixes but certainly enough to get you through until tPa busts up the clot. Levo is def a possibility worth considering but I guess you...

  8. bp in heart failure

    blucrna replied to samjoe's topic in CCU, Coronary, Cardiac

    I like that psu is trying to make you think. Simply put, lower bp (but not hypotension) is desirable because the heart doesn't have to work as hard to drive bp. This in turn decreases cardiac oxygen...

  9. Any ICU's ambulating vented patients?

    blucrna replied to hodgieRN's topic in MICU, SICU

    I've seen videos of this and its wild. We don't do it in my ICU (mixed ICU and CCU) but I've heard nothing but good things outcome wise as long as the pt can tolerate ambulation

  10. CCRN Practice Tests

    blucrna replied to DaughteroftheKing's topic in CCU, Coronary, Cardiac

    Congratulations

  11. chf and ventilator understanding

    blucrna replied to soon2bbam's topic in CCU, Coronary, Cardiac

    I agree. More info would definitely help answer the question. If its overload related a few days on a lasix or bumex may due the trick to alleviate that sob but if its ejection fraction related then...

  12. Amiodarone help!

    blucrna replied to Brama28's topic in CCU, Coronary, Cardiac

    I'm pretty sure amio can be given in any case of vtach pulseless or not. Its an antiarrhythmic agent and per acls the dose is 300mg iv push for the first dose and 150

  13. How stressful and rewarding is working in any intensive care unit?

    blucrna replied to Amine's topic in CCU, Coronary, Cardiac

    Very true Esme. When I was in nursing school every semester that went by my classmates slowly figured out where they wanted to work. (The PEDs/ob semester especially) I thought I'd be a med/surg nurse...

  14. Kudos to you neuro folks

    blucrna replied to IHeartDukeCTICU's topic in Neuro Intensive Care, ICU

    Ya neuro is a whole new world. I've been in the nicu for less than a month and probably learned more than I had in my entire critical care class for my bsn. You really have to stay on top of your...

  15. Why do Critical Care nurses look down their noses at Med-Surg nurses?

    blucrna replied to marisatheresa's topic in Critical Care

    Good for you yshell. I agree that post did come off with a "chip on my shoulder" vibe. I'm new to icu nursing but I started off Tele . I've run into a bunch of icu-rns that give others a hard time....

  16. Things to know on first day?

    blucrna replied to deflowerkidRN's topic in Neuro Intensive Care, ICU

    What's your background experience? I was a cardiac Tele nurse before starting nicu and the biggest thing for me was the terminology and common devices. know what a crani(otomy) is , subarachnoid...

  17. BP arm VS calf while running pressors

    blucrna replied to anarchy187's topic in MICU, SICU

    I agree. I would have pushed for an art line. It's in the best interest of the patient and provides you with up to the moment bps for

  18. Do you have to take CCRN exam to stay in ICU?

    blucrna replied to ~passionateSN~'s topic in Critical Care

    Ccrn is just a way to show your dedication and knowledge base when it comes to critical care nursing.. while it definately is nice to have, I haven't heard of any hospitals requiring it for

  19. Applying to multiple positions at one hospital system

    blucrna replied to esunada's topic in Job Search, Interview, Resume

    My advice is to apply to everything!! Being a fairly new RN (~1yr) I know plently of floor managers and the truth is nobdy really knows your appling to multiple jobs except HR. And they only care...

  20. Documentation in ICU

    blucrna replied to OnlybyHisgraceRN's topic in Critical Care

    My hospital uses EPIC computer charting so the days of long narratives are just about over. Like prior posts we can chart progress notes in the notewriter for cya purposes. I don't do assessments...

  21. 24/7 Video Cameras in ICU rooms

    blucrna replied to umcRN's topic in Critical Care

    Hmmm I never pondered about the "creepy" aspect of having cameras in the icu. When I went for my interview, they showed me the impressive 40+ inch screen with all the patient rooms broken up into...

  22. ICU in community hospital or Stepdown in academic hospital

    blucrna replied to SEWRN's topic in Critical Care

    I know you probably have decided which to take by now but I'm going to advise that you take the ICU position. For one thing it gets your clock started and it's experience that you can use to transfer...

  23. Gone off the deep end...reading texts for fun now!

    blucrna replied to missnurse01's topic in Student Registered Nurse Anesthetist

    Im in the same boat. i got a few anesthesia books on my kindle that i've been reading off and on. I remember when you couldnt pay me to read a book either, oh how times have changed. Finally got my...

  24. Average age of SRNA?

    blucrna replied to ICU, RN, BSN, B.S.'s topic in Student Registered Nurse Anesthetist

    I hear you CABGX4. I'm 23 now and start in the NICU at a lvl 1hospital nxt month with the goal of getting into school next fall and sometimes I wonder how admin boards really feels about us...

  25. ICU General Help

    blucrna replied to trulyblessed2's topic in Critical Care

    some new grads dont make the jump staight into the icu well however many do. Most grads are willing to learn and are receptive to being taught because they know there is a ton of stuff they dont know....