Heartman

Heartman

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All Content by Heartman

  1. watching my back

    Please everyone do protect your back! RN for 21 years and because of improper lifting for all that time,I herniated L4-L5. Surgury last June and just got back to work on "light duty" in September....
  2. Back injury returning to work

    Greetings all, I'm a critical care RN and have been since '81. Last June my chronic low back pain developed into incredible back pain with siatic pain on the R. This resulted in surgery to remove the...
  3. Dopplers on your crash cart?

    Thanks I'll check it
  4. Swan questions

    In over twenty years of critical care nursing I've seen one blown PA. Nothing you can do unless you have a thorasic/vascular team in the OR standing by. We didn't have this. MSO4 for comfort as pt....
  5. Dopplers on your crash cart?

    I agree, dopplers are easy to use. Anyone can learn in about 1 minute. I would be interested in getting one for myself. I frequently detect my own pulse in my fingertips when palpating for a pulse....
  6. Fresh CABG Patients

    Always with Swans. Usually with propofol, NTG and dopamine @ renal dose. Docs pay no attention to PCWP. Swan is usually DC'd by following
  7. Things Patients Have Taught Me NOT To Do

    Never wind up drunk in the ER telling the Doc to go **** himself repeatedly. This angers the physician. The physician has pavulon and an Ambu bag. He whispers in your ear. " Now I'm breathing for you....
  8. What does CZI mean?

    I'm working in a SICU new to me and they call insulin gtts here "CZI". They've been calling them that for so long that no one can remember what it means. I've done a couple of searches with no...
  9. I'm a guy. Wearing white and have always worn white. In my hospital just about anything goes. There is a dress code but no one seems to enforce it. All the rest of the staff wear colors instead of...
  10. Dopplers on your crash cart?

    I have used a doppler in codes when one is available. I have not seen them generally included on the crash cart as standard equipment but think it would be a good idea. In the PEA algorithm if no...
  11. Traumatized by nursing - advice needed

    Dear Steph, I agree with crjnursewarrior. We all have bumps in the road. Dust yourself off and keep trying. You need to shop for a good orientation program. I've neen a nurse since '81 and I'm sure I...
  12. First Foley

    Speculating, So well said. I have always worked in hospitals and make it a point to know the name of everyone I come in contact with. All the ancillary staff, from supply , pharmacy, lab, x-ray, OR,...
  13. I made a med error

    A lesson to us all. Get malpractice insurance, it's less than $100 per year. I don't know how good it is, thankfully never needed to find out. Walter
  14. Facial hair?

    Wearing a full beard. Must wear a positive pressure hood for airborn bacteria situations but this only happens a couple time a year wear I work. I'd shave if it became a problem. Walter
  15. 2 Things...I Need Some Input!

    Nurse since '81 Never thought about it.
  16. I would not encourage anyone to be a nurse!

    I've been an RN since 1981. All but six months in Critical Care areas. Nursing has been good to me. I have been able to buy a house, support a family and keep two new or fairly new cars in the...
  17. ICU nursing in USA ?

    Dear Paul, I would have to agree with the previous poster, that ICU nursing is quit variable through out the United States. I can tell you a little about my experiences. I graduated from a 4 year...
  18. what stethescope do you recommend

    Check out the Littmann II SE. Cost is $45 to $50. Available online from multiple venders. This is a quality scope for every thing you will probably need. Lung sounds, bowel sounds, carotid bruits etc....
  19. what stethescope do you recommend

    Over twenty years ago a stethescope salesman told me " It's not the stethecope, it's what you have between the earpieces" One of those thoughts that has always stayed with me. Especially in July when...
  20. PDA use

    Greetings, Considering purchase of a PDA (hp iPAQ) for use in the SICU. I like the idea of having all that info at my fingertips. Any suggestions for what kind to get and what software to purchace?...
  21. Help with a case?

    Don't want to seem heartless but this guy needs a code status. Sounds like a family meeting with the Docs is in order for this pt. What does oncology say? Can they treat his CA? Has the pt. stated...
  22. Got any funny acronyms at your ER???

    Regarding the little old nursing home pt. that upon arrival is confused, disoriented, tachycardic, hypotensive, and not making any urine. After rehydration with about 3 liters normal saline, he wakes...
  23. Snow emergency excuse?

    Rhode Island winters are typically unpredictable but we do occassionally have significant snow. It seems that it has been a matter of pride to get in to the hospital through the worst that mother...
  24. ICU clinical advise

    I've been a Critical Care RN for over twenty yearsand I love to have a student to teach. I like to have someone who is into what we are doing. They are not expected to know everything but I do expect...
  25. PDA use

    Thanks for the hint. I'll check it out. TIA stands for Thanks In Advance. Heartman