nurseabc123

nurseabc123

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All Content by nurseabc123

  1. post-op cabg htn

    So I took my first 'early-heart' Thursday since I've been off orientation (only been on my own now about 3-4 weeks)... She was a 74 y/o, hx. HTN (pre-op bp was 160's), MI in June, EF 50-60%. Had a...
  2. fluid management post cardiac surgery

    We can give 3 plasmanates per our standing orders immediately post-op. Usually, if a patient's BP is pretty labile, CVP is low, and PA pressures are low, they will usually get 1-2 right off the bat....
  3. You can have a BS in a related science and an Associates (ADN, etc.), to be eligible for application at some schools (i.e. Wayne State University in
  4. post-op cabg htn

    Like I said, I usually do not give sedation/ or analgesia early post-op while trying to wean ventilation. I would have to say this was the first time I did. (And, if you're thinking it was your first...
  5. post-op cabg htn

    Thinking back, Versed and Morphine together wouldn't have been a bad choice, since the Versed is so short acting. I'm always pretty cautious not to give too much sedation, if any at all, while we're...
  6. post-op cabg htn

    Thanks. I guess, just most of the fresh hearts I had on orientation were pretty much smooth sailing. With my limited experience, I just don't know what's typical/what's right/what's wrong -sometimes....
  7. Need some career advice from my peers

    Interventional rad - wouldn't that require you to wear heavy leads? A lot of nurses that leave our ICU, end up in Endo, Cath Lab, EP lab, PACU, or Inpatient Dialysis. Or does your hospital have an IV...
  8. I do, I make the hour commute for the "better" level-1 trauma, teaching hospital. I see and experience things here that I would never even know I was not experiencing at the local, smaller, level-2...
  9. In my, recent, experience, I would have to say orientation and being out on your own are two completely different worlds. Orientation, I still felt 'safe' - had a preceptor safety net. Now, although...
  10. Hmm... all of our hearts come out on insulin gtts. We follow a tight glycemic control protocol starting in the OR all the way to the med-surg
  11. post open heart care info

    Have you come across any online
  12. new grad in the icu???

    Look in the critical care forums in neuro icu- I just wrote a long post about
  13. What do you never leave home without?

    Two pens, stethoscope (actually, it's in my locker), my badge, lunch and a pop! Everything else I need is in the room/on the
  14. Dic

    Wow, I feel like we have a patient in DIC at least 2-5x a month! But one that comes to mind is a placental abruption. Day one she got over > 50 units PRBCs, >30 units FFP, >30 platelets,...
  15. ventilator books

    I would ask for suggestions from the RT's on your unit. Or just go to the local community college
  16. I just took the GRE

    Congrats! That's a great score! I've just started studying for the GRE and hope to take it in September. Unlike you, I feel like I will need to focus on verbal more than math. Any words of advice?...
  17. Overwhelmed!!!

    I hear ya. My first day on my unit (SICU/CVICU), I was given 2 stable patients, one with q4 capd - pretty much for me to care for alone. I didn't know where anything was, who to call. how to use the...
  18. Did you use Kaplan??

  19. LMA Insertion

    We have had this as well.. post-op heart with an LMA in the sicu, apparently a 2.5 hour "impossible
  20. Which ICU to pick??

    I am in a SICU that takes the fresh hearts, VADs, AAAs, however, we also get other surgical pts. - surgical bellies, colectomies, thoracic, etc (not as many). with the occasional trauma with...
  21. Plans for the revised GRE have been cancelled:...
  22. Really want to be a nurse

    The lab is not a pre-req for the traditional program. Just required before
  23. working as CNA until NCLEX

    Usually the same as a new RN.. some places will give you a small raise after passing boards. I am currently making the same rate as GN as I will as a
  24. What does your hospital provide for ICU orientation?

    1 day hospital orientation, 3 day nursing orientation (includes BLS, documentation, mandatories, medication test, age-appropriate nursing care, sedation protocols, central lines/picc lines/a-lines,...
  25. RN to PA?

    Check out http://www.physicianassistantforum.com - I think you will find the answers to your questions