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rickard's Latest Activity

  1. rickard

    Rural ICU

    Possibly the rising creatinine and LFT's were a result of hypotension which they thought they could correct with fluids and pressors. With both kidney and liver effected it is highly probable that they are right but the first question needing to be asked is what were admitting levels?
  2. rickard

    Post CABG dressings (what do you use?)

    i have seen silk tape with sterile gauze changed before 24hrs and elastoplast tape changed at 48 hrs. i'm wondering what other heart programs do for post op dressings????
  3. rickard

    Any Tips for Cardio/Thoracic ICU Preceptorship?

    probally the best online hemodynamic monitoring site is http://www.pacep.org
  4. rickard

    Book Recommendation?

    this was posted on another thread, i took a quick look and seems like an excellent resource. https://allnurses.com/ccu-nursing-forum/vasoactive-drug-table-370869.html
  5. rickard

    Question regarding CCRN eligibility.

    Many ICU's are willing to take new grads into an orientation period. I work in a CVICU and we are taking our first new grad in the next couple of weeks, but understand an orientation period will be longer then a med-surg floor. Our new grad is expected to be in orientation 8 months to a year.
  6. rickard

    CCRN discouragement?

    to quote the AACN " Eligibility Requirements A BSN is NOT required to sit for the CCRN exam. Applicants must hold current, unencumbered registered nurse licensure in the United States. In order to meet the RN licensure requirement for initial CCRN certification and recertification, an individual nurse's RN license must be unencumbered. This means that an RN license, issued by a state board of nursing, must not have provisions or conditions that would limit the nurse's practice in any way. It is the responsibility of the exam applicant or CCRN-certified nurse to notify the AACN Certification Corporation when any restriction is placed on his / her RN license. CLINICAL PRACTICE ELIGIBILITY Critical care practice as a registered nurse is required for 1,750 hours in direct bedside care of (adult, neonatal or pediatric) acutely or critically ill patients during the 2-year period preceding date of application, with 875 of those hours accrued in the most recent year preceding application. All 1,750 hours must be in care of same patient population (for example, for the adult CCRN exam, all 1,750 hours must be caring for acutely/critically ill adult patients). Clinical practice hours accrued in an undergraduate student role are NOT acceptable. Nurses serving as manager, educator (in-service or academic), CNS or preceptor may now apply their hours spent supervising nursing students or nurses at the bedside. Nurses in these roles must be actively involved in caring for patients at the bedside; for example, demonstrating how to measure pulmonary artery pressures or supervising a new employee or student nurse performing a procedure. " to summarize if you are an RN with a clean license and you worked 1750 hours as a bedside nurse in a critical unit you qualify to write the CCRN exam. the process of studying for the exam is more the challenge. the increase of your knowledge will improve your ability to care for really sick pt's. i wrote the CCRN exam after 2 years in crit care, i am a very good test taker, and as i walked out of the exam i was convinced i had failed it because it was the hardest exam i had ever taken. i had passed it. the next challange was to plan out my recert in 3 years because i was never taking that exam again ! and that is where the true knowledge of the CCRN's come out. My advice to you is study hard and take the exam and ignore the nay sayers !!! a quote for you from a pretty smart dude "Great spirits have always encountered violent oppostion from mediocre minds." -Albert Einstein
  7. rickard

    Anyone going to TRENDS in Pa?

    anyone going to Trends next week ?
  8. rickard

    pa lines/swan ganz

    best site is pacep.org
  9. rickard

    New to CV ICU from NICU! Yikes

    best site i've found is http://www.pacep.org
  10. rickard

    Has anyone taken the new AACN Cardiac Surgery Cert.

    i just passed CSC today i've been taking care of fresh post op heatrs for 4 yrs now and found the exam to be a good evaluation of thinking skills, and hands on knowledge. the main basis of the questions were what is considered "best evidence" i found this link as a resourse http://www.aacn.org/certcorp/certcorp.nsf/0/b7b8ca7f1d318bb788256f800000abe2?OpenDocument Rickard