LNRN11

LNRN11

Cardiovascular ICU

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All Content by LNRN11

  1. Neo/Levo

    Out of curiosity, do any other hospitals make Neo/Levo combination drips rather than having two separate? Some of our docs are big on that at my facility, but I feel like it makes it confusing for...
  2. Neo/Levo

    Yeah, I'm not a fan. Our cardiologists in particular seem to like it. When I see it running, I'm just like,
  3. ICU Nurse in USA To Ask Questions Of

    You will certainly still have some say so as far as the ventilator is concerned. Most RTs are good about collaborating, like previous posters have stated. I work in CV surgery and all of our open...
  4. Hyperkalemia a ticking time bomb?

    I would most certainly have been alarmed in that situation. 2 1/2 hours?! I get that the house sup probably had a multitude of things going on, but yikes! Hospitals have got to quit sending...
  5. I think it depends on your location, because I ran into the exact opposite problem. When I was a new grad, no ICU in my area wanted me. I know there's a lot of places that like new grads because they...
  6. Looking to transition out of ICU

    Cath lab definitely has transfer friendly devices, but they also pull sheaths all day in recovery. It is very hard on the shoulders and hands holding manual pressure like that. I work in CVICU and...
  7. PA catheters/swan ganz

    If you get a chance to lay hands on one, I guarantee it will start to make more sense. I work in a CVICU and every single one of our open hearts comes back with one. They have not, by any means, gone...
  8. Question???? Please reply

    ^^^ Exactly what they said. It can take people quite awhile before they wake up from Versed, especially if they already have renal or hepatic issues. Diprivan is very quick! I've had patients where...
  9. Overloaded new m/s nurse.

    I feel for ya. I definitely remember being there not too long ago. Med-Surg is rough. I really commend those nurses that stick with it for years or even their whole careers. I did M/S for about ten...
  10. Any ICU nurses come from med/surg?

    I did! It's totally doable! :) I worked M/S for about ten months. I was on orientation with a preceptor for two months when I transferred to CV. It was actually the perfect amount of time, too. I was...
  11. Open Heart Training

    We don't have a formalized program either. If you're a new grad on my unit, they stick you with a preceptor for three months. If you come with some prior nursing experience, you're with a preceptor...
  12. Getting an ICU position as first job

    Speaking as a relatively new nurse (two years in), I have to agree w/ the two previous users. Sometimes, even a sparkling resume won't get you an ICU position right out of school. I remember getting...
  13. vent about floating

    I hear you! I work CVICU and get floated pretty frequently to SICU, MICU, and ER. It's so irritating because we purposely sign up for OT days on my unit so we aren't understaffed. The other units...
  14. Calling all new grads/new to the ICU starting Feb. 2013!!!!

    Ktlitz, the CVICU I work on has been. Our entire unit closed the week of the 4th. It's starting to pick back up,
  15. PAWP

    Just curious, do very many facilities wedge anymore? I know this topic has been posted before, but it looks like the threads are several years old. We don't personally wedge at my hospital, but I'm...
  16. Funniest Things Doctors say!

    We had a younger gentleman on our unit who was incredibly rude to the nursing staff and pretty much anyone he encountered. One of our female surgeons was on call that weekend and rounding for her...
  17. PAWP

    Completely agree w/ you, StayLost! We rarely use them because of the discrepancies. I had one a few months ago and my CT surgeon had me hook up a CO/CI injectate syringe and shoot an index. It was way...
  18. Crazy days when I take a CABG

    Sounds very similar to the facility where I work. That's part of the reason why I'm on night shift. I have a year of CV experience under my belt, and I know I couldn't handle the pace of day shift...
  19. Floating

    I work CVICU and we are expected to float just about everywhere; SICU, MICU, ED, Med-Surg, you name it. On occasion, we will get nurses floated to us, but we only give them patients they are used to...
  20. Shift change and visitation in ICU/stepdown

    I work CVICU and our visiting hours were actually implemented by our CT surgeons. They are 9-11AM, 2-6 PM, and then 8-10 PM. Doors are locked otherwise. Nurses do have some discretion and we always...
  21. CVSICU

    Sounds like you and I are a lot alike! Come May, I will have been on my CVICU for a year. That's great that you had some step-down experience under your belt. Your anxiety will improve over time when...
  22. Being a new nurse is always a struggle, especially when you feel like the job you accepted is not a good fit. I was incredibly stressed out when I initially started. I worked on a busy med-surg floor...
  23. I work CVICU and we are tripled on occasion. If we are, one or two of the patients will have orders to be transferred to the cardiac floor and are just waiting on an available bed (i.e. POD #2 or #3...
  24. Patients per nurse??

    I work CVICU and the most we ever have are three. If we are tripled, they are usually patients with transfer orders waiting on a bed. Our open-hearts are one on ones until extubated and balloon pumps...