SEOBowhntr

SEOBowhntr

Cardiac, Post Anesthesia, ICU, ER

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All Content by SEOBowhntr

  1. Aai, Vvi, Ddd??????

    SEOBowhntr replied to AussieKylie's topic in Cardiac

    I guess expanding on this, the sensitivity is an "INVERSE" relationship, lower mV is actually more sensitive, most temporary pacers I've seen have full sensitivity around .4mV for the Atria, and .8mV...

  2. Question for the experienced cards rns

    SEOBowhntr replied to martymoose's topic in Cardiac

    I suppose this may be the wrong way to look at it but....... I always decide that the pt. will likely live or die regardless of my actions, but I should at least give them my best efforts. Sometimes...

  3. Aai, Vvi, Ddd??????

    SEOBowhntr replied to AussieKylie's topic in Cardiac

    ??? Output is measured in milliAmps or MA, Sensitivity in milliVolts or MV, When dealing with temporary pacemakers, a lack of understanding of these things fortunately is only unsafe if the patient...

  4. Standing orders for chest pain

    SEOBowhntr replied to wellstar's topic in Cardiac

    Our facility doesn't have a formal protocol unfortunately, which is something I've tried to work on for about 2yrs to no avail as our mngmt and Cardiology groups are too busy bickering most of the...

  5. I am a new nurse and need help with tele, please!!!

    SEOBowhntr replied to laurenjarrod's topic in Cardiac

    This is simple and to the point, and I give this to most of my new nurses and monitor watchers and it seems to help them. Basic Cardiac

  6. what should the inr level be for wire removal?

    SEOBowhntr replied to AussieKylie's topic in Cardiac

    We don't have a policy in my hospital as often times we are "needing" the INR to be therapeutic in patients who are S/P Valve replacements, or have had A-fib, nor has any other facility I've ever...

  7. Adenosine for rapid a-fib?

    SEOBowhntr replied to grace90's topic in Cardiac

    I agree with these two statements. But in my clinical experience, everytime I've seen a doc order or push Adenosine, for a "suspected" SVT, I've just stood back and shook my head because it was...

  8. Pccn Exam

    SEOBowhntr replied to tennheart's topic in Cardiac

    Here's one:

  9. Pccn Exam

    SEOBowhntr replied to tennheart's topic in Cardiac

    There are a couple of study guides available which I have, one from a review I attended back in April, and one that was obtained through AACN by our education department. The test wasn't too horribly...

  10. Can they really be serious???

    SEOBowhntr posted a topic in General Nursing

    _________________________________________________________________ Doctors seek better shopping cart design By LINDSEY TANNER, AP Medical Writer Mon Aug 7, 12:53 AM ET CHICAGO - With more than 24,000...

  11. Can they really be serious???

    SEOBowhntr replied to SEOBowhntr's topic in General Nursing

    WOW, CAR-JACKINGS???? I thank GOD I live in a small town where I don't even know if a car-jacking has ever occured. I may be naive about such things as car-jackings and such because of the area,...

  12. Can they really be serious???

    SEOBowhntr replied to SEOBowhntr's topic in General Nursing

    I suppose maybe I'm the exception, but my little girl is IN her corificeat buckled in before I unload groceries, same routine when my wife is with her. And yes, I've seen the arrangement for the baby...

  13. Angioseals

    SEOBowhntr replied to FROGERN's topic in Cardiac

    The Starclose, just arrived here in our facility about 3 months ago, and they seem to be pretty good. I really haven't had one problem w/ them. I really don't care for either the Perclose or the...

  14. PLEASE HELP!!! so embarassed about sweating!

    SEOBowhntr replied to Bumashes's topic in General Nursing

    I'm really surprised no one has hit this: Sympathectomy(http://www.umm.edu/thoracic/thoracic5a.html) , I've taken care of several patients who had such extreme sweating problems that they went this...

  15. Preload, Afterload, Contractility

    SEOBowhntr replied to VickyRN's topic in Cardiac

    I agree, the balloon thing is an excellent analogy. I don't think there is a much better

  16. Questioning a Docs decision...long

    SEOBowhntr replied to emsboss's topic in Emergency

    As I sit here chuckling, I think I work with you or two of your cerebral twins!!!! :cheers: I guess when I posted the "Dr. I know you have more 'expertise'" statement, I should have put it in...

  17. Male Nurses/female Patients

    SEOBowhntr replied to ern91's topic in Men in Nursing

    This may come off the wrong way, and actually probably will, but I think the above makes you sound like a LAZY, INSENSITIVE, Nurse, looking for a way to prevent having to do work. In my facility, we...

  18. Why are others nurses rude to agency nurses?

    SEOBowhntr replied to doodles's topic in Agency Nurses

    I worked for an agency in Columbus, OH, for about 3 yrs., and was never treated overly bad in any of the facilities I worked. I do agree that in smaller markets, agency nurses are ocassionally treated...

  19. Questioning a Docs decision...long

    SEOBowhntr replied to emsboss's topic in Emergency

    and This is a difficult thing to do, and becomes easier w/ experience, but this is where you have to say, "Doc, I know you may have more expertise than I in some cases, but in this one, you're...

  20. Wenkebach

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

    The major issue here is that if the patient has an MI, they potentially are having the block because of the MI. Inferior MI's can do some crazy things to rhythms also. I've seen patients have Mobitz...

  21. Acls

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

    If you passed TNCC, don't worry too much about ACLS. The NEW ACLS is even easier, than the old. ACLS is esp. easier for someone who is working in ICU and understands a lot of the terminology better,...

  22. Last night...

    SEOBowhntr replied to zacarias's topic in Cardiac

    In all actuality, the A-Fib is probably related to hypoxia, and in pt.'s with moderate to severe Hypoxia, often times you cannot correct the rhythm problem without correcting the hypoxia. Also, even...

  23. Question On Mi

    SEOBowhntr replied to angelique777's topic in Cardiac

    I would have to agree w/ Dinith that this is hard to answer without some more criteria involved. However, I think generally, I've rarely seen SVT in an ACUTE MI, most common rhythms I've seen are...

  24. Texas RNs are to be enlighten

    SEOBowhntr replied to mark hamel's topic in Activism, Healthcare

    And this my friend is where you will find out, often times, many things are swept under rugs and forgotten about, esp. when someone who is a brown-noser or is in management makes an error or even...

  25. JCAHO Medication Reconciliation

    SEOBowhntr posted a topic in Activism, Healthcare

    Recently our facility have implemented a plan of MEDICATION RECONCILIATION in which the nurse is required to provide rationales for why a physician did not continue a patient's home medications, and...