delphine22

delphine22

Quality, Cardiac Stepdown, MICU

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All Content by delphine22

  1. protocol for post CABG patients

    delphine22 replied to LASD95's topic in Cardiac

    Daily weights, i&o and chest tube drainage q shift (more often if condition warrants). I don't recall a lot of ekgs unless they are in post op afib, being digitalized, etc. Walk 4x a day, lots of...

  2. Cardiac Stepdown unit 5:1 patient ratio...is this normal???

    delphine22 replied to jaznia15's topic in CCU, Coronary, Cardiac

    Our ratio at night is 4-5, during the day anywhere from 3-5. We get float nurses often and we are careful with giving them a pt that is a heart or lung, vs a pt that really is less acute than our...

  3. How to develop ICU critical thinking skills and move away from being "task" focused

    delphine22 replied to midnitej's topic in MICU, SICU

    Great examples here, please keep them

  4. Herzing Nursing Program

    delphine22 replied to jordan1230's topic in Florida Nursing

    Are you serious?? I did my ADN at a local community college in Florida and mine cost

  5. My charge nurse goofed

    delphine22 posted a topic in Gastroenterology

    On a cardiac PCU, new part time job, got a call from my charge nurse while I was in the middle of service recovery with a very difficult pt. "Help, my NG tube is clogged!" I knew she wasn't a new...

  6. Maximum number of IV meds & lines

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

    More lines, more lines and more lines. At least 2 peripherals if possible in addition to the central lines. I've often seen pts with IJ and fem CVCs, or a triple lumen femoral or SC dialysis cath...

  7. CPR in Prone Position

    delphine22 replied to Codeblue1982's topic in MICU, SICU

    Dumb question: How would you do epi if you're not doing compressions to move the drug around the

  8. Traveling with school-age kids

    delphine22 posted a topic in Agency Nurses

    Hey guys/gals, want some opinions on how this has worked for you. Hubby and I want to do a year of traveling with our daughters -- four 3-month assignments, all over the US. We want to do this in...

  9. Tele/surgical Skills

    delphine22 replied to Nurse J1112's topic in Cardiac

    I'm not sure what you're asking. What did you do while on the unit? Put that down. If you can't remember that you did transcutaneous pacing, then you don't know how to do it well enough to list it...

  10. How Cardiac meds r/t BP and HR

    delphine22 replied to Twisted Nurse's topic in Cardiac

    Another way is to go by disease: there are different meds you would give for hypertensive crisis vs afib RVR. When I hear "afib in the 160s" as my diagnosis in ER report, I am already preparing a...

  11. Traveling with school-age kids

    delphine22 replied to delphine22's topic in Agency Nurses

    Personally, I want to just travel during the summer, I was just trying to get some feedback and see if ANYONE had made it work before I put my foot down to hubby and say absolutely not.

  12. Agency vs Permanent Job

    delphine22 replied to ggcolonnello's topic in Agency Nurses

    I was working full-time with benefits at one hospital, and agency at another, because the agency pay was more than OT pay at my home hospital. (Because I'd have to work 4 hrs of straight time to get...

  13. CSICU same as CVICU? Interview HELP!

    delphine22 replied to Nurse7970's topic in CCU, Coronary, Cardiac

    They probably need more staff on the CV floor. Open hearts are 1:1 so if they can train someone up to take care of those pts it's abig help. Also I guess they thought you were awesome. :-)...

  14. New Stepdown/Tele Job

    delphine22 replied to JackiRN's topic in Cardiac

    Sounds like you might be pulling lines after caths. Review the entire cardiac cath procedure and groin management. Practice palpating femoral, pedal and post tib pulses on all your family members,...

  15. Discussing medication side effects

    delphine22 replied to joslina's topic in Cardiac

    Our EMAR lists common side effects for most drugs, as a reminder for the nurses when we are scanning the drugs, so we can go over side effects of each during each pass. We don't have any formal flags...

  16. Should a student nurse take ACLS?

    delphine22 replied to joshmiller2010's topic in Cardiac

    Do states still give CEUs for ACLS renewal? Florida doesn't anymore, just the initial, even if you take the darn 8-hour in-person renewal

  17. Job roles of Nurse Assistants in the CVICU..

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

    Find out if the facility has a position called a "nurse tech," or there are different names for it; it's a CNA who is partly through nursing school. These have a slightly wider job description. At...

  18. Should a student nurse take ACLS?

    delphine22 replied to joshmiller2010's topic in Cardiac

    Absolutely. You can't pass ACLS unless you have a good grip on rhythms. (Study study study beforehand.) My whole nursing class got together and got the school to do it for them the last semester; I...

  19. Pre-Employment Testing

    delphine22 replied to LeavingTeaching4RN's topic in Agency Nurses

    Ummm no, the answer is B. Well, technically it's "find someone to replace you," not "ask the nurses to cover for you." These questions are weird. For the OP, I had to take a separate telemetry test...

  20. Time management and organization

    delphine22 replied to sdupnik's topic in Cardiac

    -- Find a good "brain" that you like and works for you. By this I mean a pre-formatted report sheet or SBAR that has all the info you need for your pt at a glance. Sneak a peek at your coworkers'...

  21. meds through a swan

    delphine22 replied to newbie'13's topic in CCU, Coronary, Cardiac

    Just took our facility's Swan class today (haven't used one yet), they said we could use the proximal injectate port for push meds (Lasix, morphine, etc) but shouldn't use for infusions, especially...

  22. Do you ever hold Lantus?

    delphine22 replied to SleeepyRN's topic in Diabetes, Endocrine Nursing

    You can't hold Lantus unless there are parameters (there usually aren't, because it shouldn't be held). It's not sliding scale, you don't have permission to just withhold it without speaking to the...

  23. do you mask/bag during DNI

    delphine22 replied to SarahT1974's topic in CCU, Coronary, Cardiac

    I respect your disagreement. Maybe I didn't characterize the situation well. I made it clear to everyone involved that it was the patient's decision. "I'm OK with it either way," she said. "But...

  24. do you mask/bag during DNI

    delphine22 replied to SarahT1974's topic in CCU, Coronary, Cardiac

    Hell yes. He knows I would, too. I'd just make sure I'm present for any sedation vacation so I could help calm him down when he wakes up. Sometimes when people have irrational fears they need...

  25. Facility Orientation for Agency Nurses?

    delphine22 replied to BLCRN's topic in Agency Nurses

    Basically your orientation should extend to "what is different here than other hospitals you've worked at." A tour should show you where the crash carts are, what the codes to the doors are, when the...