SEOBowhntr

SEOBowhntr

Cardiac, Post Anesthesia, ICU, ER

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All Content by SEOBowhntr

  1. Key Retention Strategies for Community Hospitals

    SEOBowhntr replied to bfjworr's topic in CCU, Coronary, Cardiac

    this is and will be a problem until the end of time in most places, especially smaller hospitals. i'll go out on a limb and say that i believe (as i've been told by a few older, meaning 30+ yrs....

  2. Key Retention Strategies for Community Hospitals

    SEOBowhntr replied to bfjworr's topic in CCU, Coronary, Cardiac

    Retention is about a number of things..... I believe number 1 overall is job satisfaction, feeling like you're making a difference. Secondly, is good management. Remember people don't generally quit...

  3. VADs--Ventricular Assistive Devices

    SEOBowhntr replied to jamonit's topic in CCU, Coronary, Cardiac

    Um, he has for years, do a little research..... http://www.jarvikheart.com/home.asp Not meant to be "smart," just honest. Also a good read on why he's a LIPITOR

  4. Yes. another ECG question

    SEOBowhntr replied to poohbear1968's topic in CCU, Coronary, Cardiac

    Frodo, You need to do a little reading. If P-waves are same, even if the PR is .26, for example, it's still coming from the SA node, but the conduction through the AV node is delayed. To determine...

  5. Yes. another ECG question

    SEOBowhntr replied to poohbear1968's topic in General Nursing

    Frodo, You need to do a little reading. If P-waves are same, even if the PR is .26, for example, it's still coming from the SA node, but the conduction through the AV node is delayed. To determine...

  6. Smart Cardiac Nurses

    SEOBowhntr replied to kleona's topic in CCU, Coronary, Cardiac

    diarygirl, generally, you can tolerate a na+ level down into the low 120's to high 110-s before confusion becomes too much of a problem. i've seen several patient with sub 110 na+ levels that were...

  7. Smart Cardiac Nurses

    SEOBowhntr replied to kleona's topic in CCU, Coronary, Cardiac

    exactly, signs and symptoms of moderate to severe anemia, hypotension, hypoxia, tachycardia, add in the elevated bun, you may also be looking at a potential upper gi bleed, as when a patient has and...

  8. Cardiac nurses please :)

    SEOBowhntr replied to grad2008's topic in CCU, Coronary, Cardiac

    Grad, Cardiac is one of the more rewarding jobs in nursing, because more often than not, your patient will leave the hospital in better shape than they'd been in for years. There are lots of...

  9. Doing role transition in CVICU. What are the drugs I should know

    SEOBowhntr replied to droopy1592's topic in CCU, Coronary, Cardiac

    Brett pretty much nailed it, the only other things I might mention would be Angiomax, as a lot of facilities are using it as well as Integrilin, and have a good knowledge base on ACE-Inhibitors,...

  10. Fresh tidbits on surviving a cardiacstepdown

    SEOBowhntr replied to keishapound's topic in CCU, Coronary, Cardiac

    Having spent nearly 9 yrs on Cardiac step-down units, I'd say you're entering a very fun place to work from my experiences. Know about EKG's, Rhythm's, know the different classes of...

  11. Lopressor drip

    SEOBowhntr replied to traumagirll99's topic in CCU, Coronary, Cardiac

    Lopressor for a NEURO patient though??? Kind of iffy. I like Cardene, forgot to mention that in the post, as I think it's a great drug, better than NTG, without the bad side effect of the Nipride....

  12. Lopressor drip

    SEOBowhntr replied to traumagirll99's topic in CCU, Coronary, Cardiac

    Actually, I'd expect a NEURO doc to THROW A FIT over a Lopressor gtt. Nitro or Nipride are much better choices, I've even known a few NEURO guys that wouldn't allow Labetolol, which is much more of a...

  13. Why be a CCU/ICU RN?

    SEOBowhntr replied to spottybug's topic in CCU, Coronary, Cardiac

    Excellent, excellent post!!! I think sadly, the fear of the unknown many times leaves many nurses on the outside. I've worked a little of everything, and what I really like is Progressive Care/Step...

  14. Potassium Chloride IV

    SEOBowhntr replied to PATPRN's topic in CCU, Coronary, Cardiac

    ditto this, experience is a good thing as long as it's good experience, and the person has good knowledge, not second hand incorrect info. giving that k+ was definitely the right thing, and just an...

  15. ? about coding the post Open Heart pt???

    SEOBowhntr replied to rickard's topic in CCU, Coronary, Cardiac

    Ditto this, our policy is follow basic ACLS!! (and pray!!!!) As Dinith say, it is NOT fun pushing on a fresh sternotomy, however if you want that patient to live and have a normal functioning brain,...

  16. Question on Certification

    SEOBowhntr replied to AcosmicRN's topic in CCU, Coronary, Cardiac

    then she obviously doesn't really know what she's talking about since taking the ccrn requires xxxx number of hours of critical care experience in the last 2 yrs. not just anyone can go take the...

  17. Working with fellow female nursing staff

    SEOBowhntr replied to abbaking's topic in Men in Nursing

    Or under the wrong circumstances, it may get you in the unemployment line like challenging unethical management did me. They may find someone who "claims" things about you, and then fire you for a...

  18. Inferior MI

    SEOBowhntr replied to jtmah's topic in Cardiac

    Actually Dinith, the PFO IS a result of the increased pressure. As the pressure continues to increase, something has to give. The PFO is, more or less, an Atrial Septal "Defect." See pic here:...

  19. Inferior MI

    SEOBowhntr replied to jtmah's topic in Cardiac

    dinith, the blue quote is taken specifically from that article.(not my interpretation) also aha, acls for experienced providers has some info on it, if you can get a copy. it kind of goes over the...

  20. Incident reports: Who uses, completes and where do they go???

    SEOBowhntr replied to NRSKarenRN's topic in General Nursing

    Unfortunately, incident reports are only taken seriously at my hospital if a nurse did something wrong. I personally wrote somewhere in the 70's on repetitive pharmacy errors, and I wrote up maybe...

  21. scared out of my mind

    SEOBowhntr replied to sunnyspin's topic in Infectious Disease

    No response, whatever it was, it must have been

  22. Bad Flu Shot?

    SEOBowhntr replied to daisybaby's topic in Infectious Disease

    I've never have, nor will I ever get a FLU shot. Even when I worked in the ER, I never got the flu, therefore, I see no reason to go get a shot that will likely make me sick, or feel bad as it does so...

  23. To Isolate or not????

    SEOBowhntr replied to SEOBowhntr's topic in Infectious Disease

    all classic signs of latent tb becoming active tb. note initially, the sputum may be yellow and creamy, not bloody as is the classic sign we usually hear. and the inh was started within a few days...

  24. To Isolate or not????

    SEOBowhntr posted a topic in Infectious Disease

    I recently had a patient admitted to my unit, a thin 50-ish female with known history of COPD, who was admitted with increasing SOB over the last couple of weeks. She reports that she has been...

  25. Transporting Isolation patients

    SEOBowhntr replied to GWVRNS's topic in Infectious Disease

    i tend to disagree with this statement. maybe i misunderstood the intent, but the more lax we are about isolation, and infection control, the higher likelihood we have of an increased number of...