estherojin

estherojin

Cath lab, EP lab, CTICU

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All Content by estherojin

  1. low body temp and fluid question

    estherojin replied to jennifers's topic in General Nursing

    Could also be heart failure- patients with poor cardiac output would be cool to the touch and would have

  2. INTRA AROTIC BALLOON PUMP RATIO/RN/PT

    estherojin replied to mror44's topic in CCU, Coronary, Cardiac

    Sorry, but I disagree with you. I worked in the cath lab for 5 years and have heard quite a few incidences of dissections, not all fatal, but dissection regardless. Even if the material of the...

  3. Ugh-worst thing I've ever done to a patient...

    estherojin replied to nursecass's topic in General Nursing

    RCA = Right Coronary Artery. Coronary arteries are visualized by injecting radio-opaque contrast or "dye" under

  4. Current SRNAs, I need your wisdom.

    estherojin posted a topic in Student Registered Nurse Anesthetist

    Hi All- So, I need some advice. Having finished the last of my prerequisites in spring, I find myself in a very fortunate position of actually getting a summer break. Working Fri/Sat, I have 5 days...

  5. Should I retake the GREs?

    estherojin replied to alpRN's topic in Student Registered Nurse Anesthetist

    If I was in your shoes, I would give it one more shot on the GRE. Did you score at least a 4 on your written portion? Focus on the verbal, study the vocab and I think you can improve. My school's...

  6. Ugh-worst thing I've ever done to a patient...

    estherojin replied to nursecass's topic in General Nursing

    while working a case in the cath lab, my (unbelievably hairy) patient went in to VF after an RCA injection. back then we had these old school defibrillators and for some reason the hospital opted to...

  7. Current SRNAs, I need your wisdom.

    estherojin replied to estherojin's topic in Student Registered Nurse Anesthetist

    Happy Halothane- Thanks for your reply. I have been living #5 for the last month, it feels great! I'm down one cup of coffee a day and it's purely for enjoyment purposes. Anyway, I was wondering if...

  8. Need help choosing 1st job....

    estherojin replied to walkingonsunshine's topic in General Nursing

    reading what you wrote about your personality and what you enjoyed in your clinicals, it seems like you are already leaning on an

  9. On my way...

    estherojin replied to CRNAspire's topic in Student Registered Nurse Anesthetist

    honestly, i think you should wait until you have a full year's worth of critical care experience. you are not going to do yourself any favors by not meeting the admissions criteria. they might be...

  10. Current SRNAs, I need your wisdom.

    estherojin replied to estherojin's topic in Student Registered Nurse Anesthetist

    This seems obvious to me- to work and save. However, I've worked my butt off for the last 6 years. I've been juggling a full time with a part time/per diem position, supporting my husband's graduate...

  11. Need help???

    estherojin replied to LadySnyper's topic in General Nursing

    nope, even cheapo free ones from pharmaceutical companies are good enough. you'll really be using to measure intervals. it's about the skill, not the tools necessarily when it comest to getting good...

  12. Should I quit my per diem job?

    estherojin replied to FireStarterRN's topic in General Nursing

    you mentioned that you might be able to work at this hospital through your agency? just to be on the safe side, i'd investigate the HR policy regarding agency use. many of the hospitals place...

  13. Do they really look down on you...

    estherojin replied to Hey There Elizah's topic in General Nursing

    no way. i'd have more respect for a MD who's walked in a nurse's

  14. Am I Stupid??

    estherojin replied to Stressin04's topic in General Nursing

    no, you're not stupid. it takes an intelligent person to know what they don't know. it's those people who are overconfident of their skills and knowledge that are the most dangerous people to our...

  15. PEG tube residual

    estherojin replied to dreamingofbeing's topic in General Nursing

    on our floor, we check residuals with our scheduled flushes for pts on continuous feeds. i'd check residuals more frequently on pts who have distended abd, who havent had a bm for a

  16. PLS help me write 10 prioritized nursing diagnosis of pt who have acute stroke

    estherojin replied to mragko's topic in Nursing Student Assistance

    shouldn't you be doing your own

  17. Code blue: family at bedside????

    estherojin replied to ljcraigrn's topic in General Nursing

    We would allow the patient's family to witness the tail end of the code, after we had exhausted most of our resuscitation efforts, so that they would know that we had done as much as possible to care...

  18. Please help me answer my case study!

    estherojin replied to 4ever_heaven's topic in Nursing Student Assistance

    agree with queen216. sounds like she might be going into CHF. she's obviously volume overloaded. i'd put her on oxygen, get a set of VS, and listen to her lungs. also, i noticed there was nothing...

  19. Atrial Overdrive Pacing or Cardioversion?

    estherojin replied to JenHCC's topic in General Nursing

    In the EP lab, we've paced pts out of A flutter, but generally I believe you can't overdrive pace A fib since it's a disorganized rhythm- for the same reason you can't pace VF, but can overdrive pace...

  20. You Know the patient is going bad when...

    estherojin replied to Nurseboy1's topic in General Nursing

    when they order a rotoprone bed for your

  21. What's YOUR nursing obsession?

    estherojin replied to tanthalas's topic in General Nursing

    oral care on intubated patients. there's nothing better than freshening up a smelly crusty mouth. love brushing those teeth and deep glottic suctioning. another obsession- i have to have the IV...

  22. Knowing what you know now about nursing, what other career would you have chosen?

    estherojin replied to 2bNurseguru's topic in General Nursing

    hmmm, if i had to do it for a job, nursing tops it all specifically being a nurse in a large teaching hospital in an urban setting in a fast paced ICU. i guess i'm lucky cause that's what i

  23. Rapid Response Teams

    estherojin replied to DLM RN's topic in Post Graduate Students

    love love RRT. i work in a critical care area, so many times i get report from the RRT nurses for the patients that get admitted from the floors. they're the rock stars of

  24. Why do you LOVE your job?

    estherojin replied to ERnursegrl04's topic in General Nursing

    What is it at your job that makes you happy -Comraderie- I don't see it as much on my current job in the ICU, but when I worked in the Cath and EP labs, I relished the teamwork approach to patient...

  25. Bovie settings????

    estherojin replied to L&D caligirl7's topic in Ob/Gyn

    In the Electrophysiology lab, the MDs used 40/40. From what I heard, the general recommendation is to use the lowest power setting as possible. I do remember that on our older units, we had to crank...