hellonurse36

hellonurse36

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All Content by hellonurse36

  1. IABP and CPR

    hellonurse36 replied to Tornadochaser's topic in CCU, Coronary, Cardiac

    I can only speak for Datascope (now Maquet) as that is the one I use. If a pt codes you DON'T CHANGE ANYTHING with the machine...focus on the pt. As soon as the machine no longer senses an EGK to use...

  2. clot busters versus cath lab?

    hellonurse36 replied to akvarmit's topic in Emergency

    Our criteria in Eastern NC is a pt presenting to an ED with STEMI (ST elevated MI) should be on the cath lab table with balloon opened in culprit lesion withing 90 min of presentation. If pt presents...

  3. question regarding pacemakers and death

    hellonurse36 replied to nrsang97's topic in CCU, Coronary, Cardiac

    I spoke with our medtronic rep last week about this scenario. This is what he told me. All the newer MEDTRONIC pacemakers have AICD components (he stressed that this was how medtronic devices worked,...

  4. pa lines/swan ganz

    hellonurse36 replied to dayshiftnurse's topic in CCU, Coronary, Cardiac

    I have a whole setup that new RNs can "play with" and practice setting up. I also have a display board with the inside of the heart on it that I have glued a swan catheter in the correct position....

  5. question regarding pacemakers and death

    hellonurse36 replied to nrsang97's topic in CCU, Coronary, Cardiac

    [ How long does the AICD have to be exposed to the magnent before it stops? I am not sure how long the magnent has to be exposed before the AICD stopped.] I believe it stops immediately. "The reason...

  6. bedside report/end of shift report role play ideas

    hellonurse36 replied to KAH0508's topic in General Nursing

    I work in an ICU and we do report at the desk and then go into the room for bedside rounds. I agree that bedside report is not approriate...although I will repeat something to the oncoming RN in front...

  7. Really felt outnumbered today

    hellonurse36 replied to TazziRN's topic in General Nursing

    Tazzi, I went to a woundvac class and it was great. It was a lecture about skin breakdowns, staging pressure ulcers, treatment for different stages etc. Then there was a hands on part where we go to...

  8. How many 12's?

    hellonurse36 replied to fleur-de-lis's topic in General Nursing

    My hardest week ever was 5 on, 1 off then 4 on! Night shift! Not fun. Great paycheck!

  9. Low census?

    hellonurse36 replied to miko014's topic in General Nursing

    Yup. I am sitting at home today enjoying call pay due to low census. Not sure what's going on, but here (Eastern North Carolina) we have had several beds closed for over a month now when usually we...

  10. counter-regulatory hormone response resulting in hyperglycemia question:

    hellonurse36 replied to GingerSue's topic in General Nursing

    Our protocol states that a pt with 2 consecutive FSBS > 140 be started on an insulin gtt managed by the glucommander. "The Glucommander is a computer based system for controlling blood glucose by...

  11. complicastion of cpr

    hellonurse36 replied to bonanza's topic in General Nursing

    What kind of complications are you looking for? Do you mean how can things go wrong? What are bad outcomes? Are you speaking about in hospital or in general public CPR? -broken ribs/sternum are just...

  12. Senior Independent

    hellonurse36 replied to beth38's topic in General Nursing

    Beth, These goals look good, I can't think of anything better. I forgot how the "Nursing School Instructor's mind works!!" Boy am I glad those days are over...sounds like you are pretty close to...

  13. Senior Independent

    hellonurse36 replied to beth38's topic in General Nursing

    Hmmmm. Not sure I agree with your instructor. The time spent in clinicals INTRODUCES a student to all of these things, but one can always continue to improve them - in fact....that is what most new...

  14. Senior Independent

    hellonurse36 replied to beth38's topic in General Nursing

    Not sure what you are looking for or what type of unit you will be on, but I'll give it a try. 1. Learn how to program and run pumps, including (if they have this), using programable features for...

  15. I've got a question about BP

    hellonurse36 replied to shoegalRN's topic in General Nursing

    Here is a simple explanation (sounds like you have it all figured out now, but thought I'd add my 2 cents). To help you understand what is the systolic vs diastolic it helps to know how a BP cuff...

  16. Withdrawl of care

    hellonurse36 replied to saranurse's topic in MICU, SICU

    We have a palliative care team (MD and several FNPs) that are consulted. They review the case, meet with the family and try to establish appropriate goals of care. Most families find this very...

  17. Shaving heads to support cancer patients

    hellonurse36 replied to NicInNC's topic in Oncology

    British Columbia has a program called Cops for Cancer http://www.cancer.ca/ccs/internet/standard/0,3182,3278_367929__langId-en,00.html "What is Cops for Cancer? The Canadian Cancer Society's Cops for...

  18. Angiography/Angioplasty's , post SK admintration.

    hellonurse36 replied to Marchantia's topic in CCU, Coronary, Cardiac

    I believe it is a risk benefit decision. Most patients who receive thrombolyitics get it because they have ST elevation and present to a facility without a cath lab. They get the lytics and are sent...

  19. NaHCO3 for BP?

    hellonurse36 posted a topic in CCU, Coronary, Cardiac

    Last night I saw an order I have never seen before and I was hoping someone (Pawpaw John?!), could enlighten me. s/p code pt was very hypotensive - on Levophed @ 80 mcg/min, Dopamine @ 20 mcg/kg/min,...

  20. Need Help With Balloon Pump!!!!!!!!!!!!

    hellonurse36 replied to adean's topic in CCU, Coronary, Cardiac

    I went to an excellent class on IABP put on by a Datascope rep. They have a great website at datascope.com Click on cardiac assist at the top, then on the page that appears click on Educational...

  21. Mormon Undergarment

    hellonurse36 replied to GardenDove's topic in General Nursing

    Jen - There is a top and bottom for both males and females. Our garments are a constant reminder of the promises made with the Lord in the temple to live righteously and strive to follow His example,...

  22. Mormon Undergarment

    hellonurse36 replied to GardenDove's topic in General Nursing

    Good question. I am an endowed Latter day Saint (Mormon who has been to the temple and thus wear the garment you speak of - there are several styles/fabrics). I would say to leave it on if possible,...

  23. Extubated my patient

    hellonurse36 replied to BlueEyedRN's topic in General Nursing

    Dear BlueEyedRN First...I am sorry for your difficult night! Hopefully you are processing this. Do you have chaplains at your hospital? Our chaplains are available for staff too, what about employee...

  24. ekg strips...need help!!!!

    hellonurse36 replied to KellieNurse06's topic in CCU, Coronary, Cardiac

    I just logged on and it opened up. Are you trying randylarson.com/acls Or try this http://www.randylarson.com/acls/start.html Also, here is another good site....

  25. ekg strips...need help!!!!

    hellonurse36 replied to KellieNurse06's topic in CCU, Coronary, Cardiac

    I have always loved blocks (well, only on paper...don't really care to see third degree up on my pt's monitor!!). I had a great ECG teacher who made it really simple. First degree heart block - PR...