nurseabc123

nurseabc123

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All Content by nurseabc123

  1. Vent: CV pt that should have gone back to OR (long)

    nurseabc123 replied to jbp0529's topic in MICU, SICU

    sounds like a night in my icu. one exception the attending will usually never be at the bedside, let alone return your phone call/page! and a CV fellow that's great, we usually just have an ICU...

  2. Poll: esophagectomy patients

    nurseabc123 replied to jbp0529's topic in CCU, Coronary, Cardiac

    I can think of one recent case. Esophogectomy that stopped taking his plavix/asa one week prior to surgery had an anterior infarct immediately post-op. IABP was emergently placed and started on CRRT...

  3. Looking for help with a new policy

    nurseabc123 replied to belmont99's topic in MICU, SICU

    I don't think it can be that cut and dry. A policy like that will do a disservice to your patients and nurses. Nurses should be able to determine whether or not patient's change in status is...

  4. INTRA AROTIC BALLOON PUMP RATIO/RN/PT

    nurseabc123 replied to mror44's topic in CCU, Coronary, Cardiac

    Agreed - I work in a busy CVSICU -- and this is our practice as well. If the patient has a IABP, unstable, multiple lines, gtts, crrt, open chest, crash cart in the room -- well then they are...

  5. Don't touch that!

    nurseabc123 replied to nursecass's topic in CCU, Coronary, Cardiac

    I would file an incident report. I don't care who they are what they are doing can and will result in the harm of a

  6. IABP and internal cardiac massage

    nurseabc123 posted a topic in MICU, SICU

    So a patient codes (let's say PEA) - they either open the chest or it's open already - they have an IABP - and they decide to to do ICM, what do you do with the balloon? Pressure

  7. CVICU Depleted of staff to CRNA school

    nurseabc123 replied to smileyRn96's topic in Student Registered Nurse Anesthetist

    We lose about 15-20/year as well to CRNA school, in addition to those that leave for NP positions, management, PACU/EP Lab/Cath Lab. We lose about a 1/3 of our

  8. IABP and internal cardiac massage

    nurseabc123 replied to nurseabc123's topic in MICU, SICU

    Thanks for the response. Where can I find more

  9. Most common medication drips in ICU

    nurseabc123 replied to nursegreen's topic in MICU, SICU

    yesterday, my patient was on propofol, levo, epi, vaso, primacor, dobut, amio, lido, and insulin. that's a good

  10. Which ACLS course would YOU take?

    nurseabc123 replied to Mannursemike's topic in MICU, SICU

    The cheaper one. Learn the material, and know it. You don't need a course for that. Plus, the real ACLS training happens on the

  11. How long in ICU before you felt comfortable?

    nurseabc123 replied to racing-mom4's topic in MICU, SICU

    I'm coming up on 12 months and I'm just now starting to feel pretty comfortable with everyday things. For example, traveling with vented, sick patients to CT, etc., running to codes on the floor, and...

  12. Clock out by 8am or get reprimanded!!!

    nurseabc123 replied to RnM21's topic in Activism, Healthcare

    yep, we have this too, can't clock in more than 12 minutes before, or 10 minutes

  13. Hi

    nurseabc123 replied to Domingo89's topic in Student Registered Nurse Anesthetist

    I would suggest contacting your advisor at your school. You need to take the classes that our prerequisites for your school's or the school you wish to attend's nursing program. Good

  14. **Aspiring CRNAs....Did YOU like working in the ICU?**

    nurseabc123 replied to SoReady4CRNA's topic in Student Registered Nurse Anesthetist

    Do I like working in the ICU? Yes and no. Do I like cleaning up patients, dealing with some obnoxious/threatening family members, babysitting and getting grabbed/kicked by confused patients? No. Do I...

  15. CRNA with an actual PhD

    nurseabc123 replied to proclivity's topic in Certified Registered Nurse Anesthetist, CRNA

    Wayne State U. in Detroit has a run-in PhD program with the Physio and Pharm depts. Just

  16. Nurses pulling chest tubes?

    nurseabc123 replied to lizzieB05's topic in Cardiac

    all the time, meds and

  17. IABP class coming up

    nurseabc123 replied to blackIrish's topic in CCU, Coronary, Cardiac

    http://www.datascope.com/ca/elearning_programs.html

  18. Neuro ICU - Withdrawl of life support...is this so wrong?

    nurseabc123 replied to Nacki's topic in Neuro Intensive Care, ICU

    I haven't read much of this thread, but I have taken care of several patients of which we have withdrawn support on my shift. I did this just yesterday. I find it extremely rewarding to help someone...

  19. Concentrated Care Nightmare

    nurseabc123 replied to nay537's topic in MICU, SICU

    They are the wave of the future, supposedly. The first one opened in 1999 at Clarian Health System's Methodist Hospital in Indiana (where the babies in the NICU were given adult-dosed heparin- same...

  20. Arterial line insertion by the RN

    nurseabc123 replied to CactusFlower's topic in MICU, SICU

    Interns/residents insert A-lines. Only RTs/MDs/Midlevels can draw ABGS on our unit (w/out an A-line in place). We d/c Swans, we don't advance them - although I would say all of us have at one time or...

  21. New gradute practical nurse starting IV's

    nurseabc123 replied to btrfly76's topic in PACU

    It's just a peripheral IV, our techs can do them on our

  22. CVICU folks, What's your longest pump runs?

    nurseabc123 replied to Wile E Coyote's topic in CCU, Coronary, Cardiac

    Our CABG's average around 150 minutes...

  23. does anyone use swans anymore?

    nurseabc123 replied to squirlkeeperCCRN's topic in MICU, SICU

    We use the vigileo on all our TVR patients and other patients where a swan is contraindicated. So we have it maybe once every couple months. All off our cabgs, valves, sick AAA's have swan's. The...

  24. Milrinone vs Dobutamine

    nurseabc123 replied to mark2climb's topic in CCU, Coronary, Cardiac

    you're probably right, just physician

  25. Milrinone vs Dobutamine

    nurseabc123 replied to mark2climb's topic in CCU, Coronary, Cardiac

    Our CV surgeons.. all 10 of them. Sorry no lit