RN12345656

RN12345656

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All Content by RN12345656

  1. IV Methylene blue post OHS vasoplegia

    RN12345656 posted a topic in CCU, Coronary, Cardiac

    Just curious if anyone has given IV Methylene blue post cardiopulmonary bypass for catecholamine-refractory vasoplegia. The only knowledge I had of methylene blue was the antagonist to cynanide...

  2. FIVE family members in a crowded ICU rm all night long!

    RN12345656 replied to APRN.'s topic in CCU, Coronary, Cardiac

    If I understand planeflyer correctly, the issue is that the family had not come to grips with the gravity of the situation, and all heroic measures were being made. If that is the case, stepping over...

  3. FIVE family members in a crowded ICU rm all night long!

    RN12345656 replied to APRN.'s topic in CCU, Coronary, Cardiac

    I feel your pain planeflyer...I would definitely bring your concern up in your next staff meeting. That is absolutely ridiculous and should not have be allowed. It is one thing if your patient was...

  4. MRSA screening

    RN12345656 replied to EJSRN's topic in General Nursing

    Of note...Medicare will no longer pay for hospital acquired MRSA infections. That is why most hospitals/facilities now are screening patients on

  5. IV Methylene blue post OHS vasoplegia

    RN12345656 replied to RN12345656's topic in CCU, Coronary, Cardiac

    Abiomed

  6. dialysis nurse thinking about switching to cvicu

    RN12345656 replied to nomadness's topic in CCU, Coronary, Cardiac

    I think the nurse who was taking care of you was being polite when she told you that it would be an easy transition from RDU to CVICU. Just last year, we had a dialysis nurse who was told at the end...

  7. post-op cabg care

    RN12345656 replied to jetty's topic in CCU, Coronary, Cardiac

    :redpinkhe I think it depends on the program and how sick the patients are pre-op, nontheless post-op. The hospital I work at does 50 cases weekly...and we recover some sick patients. We use D5 1/3 NS...

  8. Funniest thing a new nurse said/charted/asked...

    RN12345656 posted a topic in Nursing Humor

    Recently, while orienting a new nurse to the floor, I was reviewing her charting. She charted scrotal edema as..." Scrotal edema the size of a large baking potatoe". I couldn't help but laugh :rotfl:...

  9. Chest tubes vs. Blake/JP drains post OHS

    RN12345656 posted a topic in Cardiac

    Just wondering if there are many Cardiac Surgery services that use mediastinal chest tubes vs. Blake drains post surgery and vice versa. I work on a cardiac surgery stepdown unit btw--and recently I...

  10. What is up with insurance?

    RN12345656 replied to ark-two's topic in Cardiac

    Doesn't sound right to me. I don't consider a PPM/AICD major surgery. It is a procedure that takes a couple hours. When did the cardiologist actually start? The pt could have been waiting for the...

  11. Noninterventional Cath Labs

    RN12345656 posted a topic in Cardiac

    Since wayover20 found a different dept to work..I thought I continue the cath lab piece and pose this thought/question... I never understood a cath lab that doesn't do interventions. I mean, what is...

  12. Recovery after mitral valve replacement

    RN12345656 replied to MedicalZebra's topic in Cardiac

    It is not too uncommon for someone like yourself to have a patent formen ovale--a PFO closure is minor compared to your valve surgery. I find it hard to believe your PFO was caused by a IJ...

  13. Report? And to whom?

    RN12345656 replied to slu_rn's topic in General Nursing

    Be an advocate for this child... Do what your heart is telling you to do. I think, at the very least, you should educate mom regarding the effects of alcohol comsumption while breastfeeding. If she is...

  14. Applying for cath lab job, what should I study up on?

    RN12345656 replied to Christi321's topic in Cardiac

    Christi-- Everyone is entitled to their opinion in regards to a new nurse working in the cath lab. It all depends on the nurse. Cath lab nurses may operate in a different capacity compared to other...

  15. Change in Specialty to Cardiac Rehab??

    RN12345656 replied to FitnessRN's topic in Cardiac

    FitnessRN-- Please keep in mind that many facilities/hospitals CR nurses work in different capacities. The hospital I work for, the CR nurses exercise "well" patients with cardiac hxs or post cardiac...

  16. Charge Nurse responsibilities?

    RN12345656 replied to joamy2's topic in General Nursing

    I am one of the charge nurses on my unit. I work days 7a-7p and DO NOT take pts. I work for cardiac surgery stepdown for a very big teaching hospital. I handle bedflow, staff assignments, help out the...

  17. New RN off orientation...should she be alone?

    RN12345656 replied to optimisticSRNA's topic in MICU, SICU

    Nurse Kern, You need to report it to your supervisor/nurse manager ASAP. I have been in your situation before--"Oh, she/he is a new nurse..I will give them some time". Listen to your gut!! Put it in...

  18. Advice, Please....

    RN12345656 replied to JoeyRN's topic in MICU, SICU

    Community hospital...boring. Throw yourself into the Level I arena...you will see/learn a whole heck of a lot more!! I do not know where you live...but I am sure you could negotiate a salary. The...

  19. Dopamine infusion rates

    RN12345656 replied to nursej22's topic in Cardiac

    Unfortunately, you may not find exactly what you're looking for. We know as nurses at any rate it will act as a pressor. These sites may help you.. http://www.rxlist.com/cgi/generic3/dopamine_ids.htm...

  20. Recovery after mitral valve replacement

    RN12345656 replied to MedicalZebra's topic in Cardiac

    But its not you making the decision...what are you?...a MechValve Rep? :rotfl: I am not an advocate for either tissue or mechanical...I believe the right decision is the one the patient makes for...

  21. Cardiac Catherization

    RN12345656 replied to Mariannsi's topic in Cardiac

    Mariannsi, The extent of your ecchymosis to umbilicus is significant. Plus you are in pain. I REALLY think you should ask the cardiologist to send you for a PVL. I can't believe he didn't look into it...

  22. Recovery after mitral valve replacement

    RN12345656 replied to MedicalZebra's topic in Cardiac

    CVVHD is not the standard for every RF pt. It is a possibility depending on fluid volume/BP during the intra/post op periods. I am not sure how old Zebra is, but that is also a factor. I don't think...

  23. Recovery after mitral valve replacement

    RN12345656 replied to MedicalZebra's topic in Cardiac

    Glad I could help!! If you have any other questions..don't hesitate to ask-you can pm me. Good luck on your TEE. A good friend of mine had her TEE while she was pregnant without sedation--horrible!!...

  24. spinoff:Youngest/oldest CABG pt

    RN12345656 replied to HappyNurse2005's topic in Cardiac

    Last month we did a case--26yo CAB with OB/GYN and CT surgery in same OR ... Baby was delivered first then Ct surgery did their thing. Mom & baby did fine :) I remember a case 2 yrs ago of a 92yo...

  25. Recovery after mitral valve replacement

    RN12345656 replied to MedicalZebra's topic in Cardiac

    Obviously every pt is different, but you will do fine!! CT surgery will consult a Nephrologist on admission (depending where you have your surgery--it may be your own kidney doc). My question to you...