delphine22

delphine22

Quality, Cardiac Stepdown, MICU

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All Content by delphine22

  1. Just passed my CCRN! Ask away!

    delphine22 replied to ONE-TWO--'s topic in Critical Care

    Congrats!! I'm using the Pass CCRN questions exclusively to study (I do well with questions, not with lectures or DVDs). Do you think they were representative of the actual test

  2. ICU RN Report- How does your unit do it?

    delphine22 replied to seamel's topic in Critical Care

    We do report sitting at desks outside the room, which I hate. It is comfortable and seems to give the Chatty Cathys license to sit and gripe about their day, family members, etc. I prefer to do it...

  3. critical care internship for ADN new grad in Florida

    delphine22 replied to Aloma7's topic in Critical Care

    Welcome to Florida! You should have no trouble finding a position, even as a new grad. The rumors of nursing shortages are quite true down here. Your Spanish is very useful all over the state, but...

  4. Pet peeve, bad practice, or overly critical?

    delphine22 replied to NewICU's topic in Critical Care

    In our unit, only those with central lines get CHG baths (not everyone, believe it or not), and it's q24, not necessaril within the first 12 hours of admission. So bathing isn't a regular part of the...

  5. Floating non-ICU RN's to ICU!!?

    delphine22 replied to Keri29's topic in Critical Care

    Like many, we will float PCU nurses to ICU, but they only take the PCU pts. They recently downgraded a bunch of our PCU floors to med/tele, so we often have up to 4 PCU "boarders" on the unit that...

  6. Cardiac Arrest/ MI

    delphine22 replied to benmca13's topic in Critical Care

    You're asking, why are some MIs instantly fatal and some last for days? It's about collaterals and compensation. It's also why you hear of the energetic 42-year-old man having a heart attack and...

  7. Levophed concentration and hospital policy.

    delphine22 replied to calivianya's topic in Critical Care

    Similar numbers in my hospital. At night, the ER doc, and the night hospitalist, who covers the whole house EXCEPT the ICUs. We have EICU for that. (And they cover not only the 3 ICUs in our...

  8. Algorithms in theory vs. in practice

    delphine22 replied to TLSpaz's topic in Emergency

    I don't understand your questions. Are you asking if we deviate from the ACLS algorithm during a code? My answer is, to my knowledge, we generally do

  9. Co2 in serum= HC02 and Anion gap

    delphine22 replied to wannadowell's topic in Cardiac

    What? That makes no sense. Just took a class today on ABGs and the RRT who taught it told me that if I had a CO2 reading from a gas, and one from a chem, use the serum value, it's more accurate. It...

  10. Could anyone help me better understand this code ?

    delphine22 replied to neurontin's topic in CCU, Coronary, Cardiac

    I had a pt with an AICD that coded (PEA), and about 10 minutes after we pronounced him, it fired. Scared the crap outta me while I was doing my postmortem

  11. CCRN book

    delphine22 replied to tee17's topic in MICU, SICU

    I keep hearing great things about her but I don't have time/ability to watch videos, and I don't learn as well that way. I wish she had a book or test

  12. Is there a place for non-confrontational nurses in ICU?

    delphine22 replied to TurtleLittle's topic in Critical Care

    MRI and CT are right by the ER in our hospital. If the ER sent a pt up without scanning them, and I had to bring them alll the way back down, I'd be spitting nails. Think of it this way. You are not...

  13. ICU pay differential?

    delphine22 replied to Mr. Murse's topic in Critical Care

    Sounds like, after you are comfortable, PCCN might be a good option for

  14. ICU pay differential?

    delphine22 replied to Mr. Murse's topic in Critical Care

    I was told basically that if I wanted a pay raise, I either needed to leave and come back, or change my status from FT to per diem and then switch back. My hospital does pay $3 an hour for CCRN, so...

  15. Pacemaker vs AICD, why the delay?

    delphine22 replied to qaqueen's topic in Cardiac

    I know there's a medicare waiting period. . .that's why sometimes pts are sent home on a lifevest for 90 days. This is for AICD only, not PPM. Ideally they shouldn't have to do two procedures, but I...

  16. CCRN book

    delphine22 replied to tee17's topic in MICU, SICU

    I haven't taken the test yet but I am using the Pass CCRN book. To clarify: I am using the questions online that came with the code inside the book -- the book itself is clear as mud. But the...

  17. Attorney to Nurse Career

    delphine22 replied to Brett73's topic in Legal

    Just curious: Once you all have more experience, do you think you will take your experience back toward legal nurse

  18. No More ED Report?

    delphine22 replied to FarmerFNP's topic in Medical-Surgical

    Had a few diff experiences with this. Hospital A, faxes an SBAR, usually a little incomplete. Then the nurse will call to see "if we got it." I will take that time to jump on the phone and ask any...

  19. Still Uncomfortable

    delphine22 replied to Clear Morning's topic in Critical Care

    Thanks for the update, great to hear a success

  20. Pregnant Oncology Nurse

    delphine22 replied to whitecp's topic in Oncology

    Keep in mind that pregnancy is not a disability, and employers that treat it as such by giving special accommodations open themselves up to litigation in the future. If your charges are "nice" and...

  21. bathing

    delphine22 replied to firstlight's topic in NICU, Neonatal

    Everyone one of our pts (I work adult MICU) with a central line gets a CHG wipe bath daily. Ambulatory pre-OHS pts on the adult cardiac stepdown floor I also work at take CHG showers BID. But I'd...

  22. Fluid bolus by gravity or pump?

    delphine22 replied to delphine22's topic in MICU, SICU

    My thoughts exactly and that's why I started this thread. I got a 500cc bolus in, by gravity without a pressure bag, through a 20g in the forearm in about 15 minutes. If I'm trying to raise blood...

  23. Miss Manners for Nurses

    delphine22 replied to Emergent's topic in Patient, Colleague Relations

    What about coworkers who turn the pressure up high to buy their kids' fundraiser popcorn/calendars/girl scout

  24. Atrial Fibrillation Increase...

    delphine22 replied to awire's topic in Cardiac

    I would be pretty peeved with a doctor who told me to go find my own answers instead of giving me his expert medical opinion, and who wanted to give me homework without being my teacher. Even if you...

  25. My first emergent PICC insertion

    delphine22 replied to francoml's topic in MICU, SICU

    You are a rock star! (seriously, they couldn't get a femoral line