criticalHP

criticalHP MSN, RN

ICU,CCU, MICU, SICU, CVICU, CTSICU,ER

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All Content by criticalHP

  1. TNCC

    criticalHP replied to ECRN4's topic in Emergency

    I have a sixth edition book (copy right 2007). Not sure if anything is changing, but I am re-certing with this book in

  2. online nurse practitioner

    criticalHP replied to almostarn's topic in Nurse Practitioners, NP

    take a look at their course lists. It seems more thorough that other programs with 'less credits'. I was impressed with the content I reviewed. Yes, it is 3/4 time but I ws told it is possible to...

  3. interventions for infectious tissue perfusion...

    criticalHP replied to skygirl's topic in General Nursing

    I agree with you in that interventions should reflect the end goal in mind, which is usually the opposite of the dx. But some of your interventions to improve perfusion need to be modified to better...

  4. screening staff for flu before work????

    criticalHP replied to criticalHP's topic in MICU, SICU

    we'll use this one for

  5. screening staff for flu before work????

    criticalHP replied to criticalHP's topic in MICU, SICU

    They do encouraging people with flu-like s/s to stay home but....if you miss too many days, say 5 in a 6 month period, you are given reprimand. There is no change in that policy to take into account...

  6. Should I do NP or DNP in the near future?

    criticalHP replied to Joe NightingMale's topic in Doctoral Nursing Degrees

    I too have been struggling with the decision to get FNP or DNP. After reading the posts here I feel the FNP would best fill my needs at this time. I want to thank snowrider for providing me the best...

  7. online nurse practitioner

    criticalHP replied to almostarn's topic in Nurse Practitioners, NP

    You will be expected to find your own preceptor for

  8. online nurse practitioner

    criticalHP replied to almostarn's topic in Nurse Practitioners, NP

    The interview I had was over the phone and lasted about 30-45 minutes. I was questioned on my education, work background, years of experience, and my goals for the future. At the time the GRE was...

  9. Really Bad Code...

    criticalHP replied to al7139's topic in Cardiac

    I assisted in coding a pt of mine-post CABG POD1. We opened the chest in the room, surgeon did open cardiac massage. pt lived and was discharged to rehab a long time later (I think at least a month)...

  10. online nurse practitioner

    criticalHP replied to almostarn's topic in Nurse Practitioners, NP

    I actually begin the program in Jan, but have had my interviews where they have assessed my work time. I was reassured that I will have adequate time for work and school. I am no stranger to online...

  11. online nurse practitioner

    criticalHP replied to almostarn's topic in Nurse Practitioners, NP

    it's an individual choice. i did about a yr of research before i settled on a school. for me it was really important to be able to work full time, have little to no traveling to campus, and be cost...

  12. Anyone seeing a weird pattern in their ICU

    criticalHP replied to matt2401's topic in MICU, SICU

    Not seeing anything like that in my area, although we are expecting to be hit hard with H1N1-we are a tourist

  13. Cardiac Monitoring/ 5 lead system

    criticalHP replied to Caroline11's topic in CCU, Coronary, Cardiac

    I've never heard of Va or Vb leads. Standard 5 lead will give you I,II,III,

  14. Adjusting a temporary pacer

    criticalHP replied to aCRNAhopeful's topic in CCU, Coronary, Cardiac

    We have some nurses that will pause to check underlying rhythm and some that will absolutely not d/t fear of pacer dependency and/or unstable hemodymancis. I personally pause- our pacer units have a...

  15. Anybody ever see an IABP balloon failure?

    criticalHP replied to catshowlady's topic in CCU, Coronary, Cardiac

    Agree with OP's. It's always a good idea to develop a systematic assessment to perform. I do the following: ensure leveling,flush line, hemodynamics, inspect full length helium tubing, inspect and...

  16. if you plan on going for your masters, what do you want to specialize in?

    criticalHP replied to ErinDel's topic in General Nursing

    When you're done check out University of Cincinnati-its

  17. what area of nursing do you never see yourself working in?

    criticalHP replied to ErinDel's topic in General Nursing

    Burn unit, NICU,

  18. Couple questions about nipride

    criticalHP replied to detroitdano's topic in MICU, SICU

    I'm with you on that ghillbert. I almost hate to agree with the good explanation of someone so disrespectful. Hopefully the original poster is smart enough to not allow someone so jaded to influence...

  19. IV bolusing a fluid overloaded patient

    criticalHP replied to kanzi monkey's topic in CCU, Coronary, Cardiac

    I agree with the other posters, a CVP would be most helpful in this situation. The calcium was not replaced most likey because the albumin was low. The CA is closer to normal if you correct for the...

  20. Labs and vasopressors..new icu nurse needs advice

    criticalHP replied to icu26RN's topic in MICU, SICU

    same here--never have seen it. It sounds strange. Assuming its an adult, does this patient have some weird anatomy that makes brachial A line impossible?

  21. Labs and vasopressors..new icu nurse needs advice

    criticalHP replied to icu26RN's topic in MICU, SICU

    agree with MrBubbles, advocate for your patient, get an A line. If your doc says no, go to the next doc AND the charge RN. If he doesn't want to do it go to your house super and raise hell...

  22. "Clinical Nurse" designation---what does it mean in your facility?

    criticalHP replied to WindwardOahuRN's topic in MICU, SICU

    sounds like something very similar to clinical ladder program. It usually goes by how many years experience one has, plus what they have accomplished within those years. My facility has a clinical...

  23. what?...q 15 NIBPs with an art line???

    criticalHP replied to ICUmama's topic in MICU, SICU

    only reason I can think of to do both is if there is a difference from left to right arms--but even then you'd only need to do it once to determine the difference. Art line is the gold standard--why...

  24. I think Oprah gave my patient tachycardia

    criticalHP replied to uthscsanurse07's topic in CCU, Coronary, Cardiac

    perhaps this would have happened anyway? How many times have our pts families freaked out over their loved ones receiving propofol? It is possible to get so worked up-even if you don't show it-that...

  25. Swan freestyle: Does Mean PAP Exist?

    criticalHP replied to sonnyluv's topic in CCU, Coronary, Cardiac

    couldn't have said this better. Great