criticalHP

criticalHP MSN, RN

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

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All Content by criticalHP

  1. Hyponatremia causes

    criticalHP replied to Mommy_of_3_in_AL..RN's topic in MICU, SICU

    I question the accuracy of the 127 sodium result. 3% saline at 10ml/hr is not going to bring NA+ from 114 to 127 in one, two or three

  2. cardiac for dummies, website or book

    criticalHP replied to akittr00's topic in CCU, Coronary, Cardiac

    It depends on the nurse and the unit culture as to how long a newbie will begin to feel comfortable in the CVICU. I've seen experienced ICU nurses get freaked out over going to OHS(open heart surgery)...

  3. ok ekg?????

    criticalHP replied to erin01's topic in CCU, Coronary, Cardiac

    You are not expected to come outof school a fully fledged cardiac nurse-that is what orientation is for. You will be taught EKG's, pacemakers, drips, and all the related CCU competencies during that...

  4. No More Fingersticks for Techs!!

    criticalHP replied to pagandeva2000's topic in General Nursing

    Michigan is mixed. I've worked at big hospitals that allow techs to do fingersticks, and small ones that only the RN do figersticks. I have always found it frustrating that some techs would not report...

  5. No More Fingersticks for Techs!!

    criticalHP replied to pagandeva2000's topic in General Nursing

    Michigan

  6. Need some advice...

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

    Yes, yes! Don't take that from anyone, please. We had a CV surgeon that would scream, yell, threaten to have nurses kicked off the heart team, and so on. He was stripped of his OR priviledges until he...

  7. post-op cabg care

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

    We use the hemodynamics as a guide to volume replacement, taking into consideration the pt's EF from preop ECHO. As a general rule though valves require much more fluid than CABG-in that case we use...

  8. ICU Interviews do's and oh no she did not's!!

    criticalHP replied to lpn2crna1day's topic in CCU, Coronary, Cardiac

    I ditto that.... as an interviewer I do not want to hear a candidate say in a nutshell they were using my ICU as a stepping stone to the nursing career they really want. I would much rather put my...

  9. Cardiac Preload and Afterload

    criticalHP replied to orca1's topic in CCU, Coronary, Cardiac

    I love this analogy....no mistake...everyone can relate to

  10. Will an RN accept an interview?

    criticalHP replied to ScottLytle's topic in General Nursing

    I'm not sure how to give you my e-mail address without everyone seeing it....any suggestions anyone? Or is this on the BB already and I'm missing it?

  11. Will an RN accept an interview?

    criticalHP replied to ScottLytle's topic in General Nursing

    As long as no personal identifiers involved...I'll do

  12. SVT vs Atrial Flutter

    criticalHP replied to Misty1's topic in CCU, Coronary, Cardiac

    If this is for a nursing exam it is a safe bet they want the super-anal-retentive nursing school answer. Therefore, yes it is techniqually all SVT. Atrial flutter is extremely regular whereas SVT can...

  13. ED Admissions

    criticalHP replied to ashleyjean3's topic in MICU, SICU

    I like Devil's Advocate too, but tonight I'm sticking with my ICU buds. As a charge I can't make asignments based on what may come through the ED doors. I have open beds (hopefully) and a nurse that...

  14. Frustrated...

    criticalHP replied to AntFlip7395's topic in CCU, Coronary, Cardiac

    I agree. Ease up on yourself and trust yourself. Your confidence will return in time. Each new unit, hosptial I went to I slid right back into that novice role briefly-- remember that continuum...

  15. SVT vs Atrial Flutter

    criticalHP replied to Misty1's topic in CCU, Coronary, Cardiac

    One method I like to use is to slow the sweepspeed from 25 to 50 (don't forget to tell anyone else that may be monitoting at a central computer). This will allow you to identify features specific to...

  16. Whistleblower Blues in Fort Worth, Texas

    criticalHP replied to crippersmom's topic in Activism, Healthcare

    I agree with the overall advice, but the tone is rather sharp. You are trying to stress the importance of this situation, I know. To the original postor, stop talking publically on this matter and...

  17. lose the attitude

    criticalHP replied to christen13's topic in MICU, SICU

  18. Post CABG dressings (what do you use?)

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

    That is correct. Sterile saleine on the wound. In our heart program we changed the drgs on POD 1, cleaned w/ sterile saline, and replaced with Transpore island drsg. The drsg was D/C'd on POD 2...

  19. New grad with recall problem

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

    I need to write things down in order to retain it- once I do this it's locked in forever. If you are a visual person make notes and review them frequently until you get it down. Good

  20. IABP Removal

    criticalHP replied to BJRN76's topic in CCU, Coronary, Cardiac

    We were expected to trial wean some patients and shoot numbers for Doc A and B, but don't dare do it for Doc C or Ds patients. Some would want to give the order to wean verbally, not that they looked...

  21. IABP Removal

    criticalHP replied to BJRN76's topic in CCU, Coronary, Cardiac

    Our hospital has perfusionists that D/C the IABP's. RN's should not be doing this- the potential for complications is too high. I feel that those who have posted that they have D/C'd IABP have done so...

  22. They have won. I cried for the first time.

    criticalHP replied to gwendolyn207's topic in MICU, SICU

    Gwendolyn, Sadly your situation is not an unfamiliar one in nursing. The dirty side of nursing, as you so rightly called it, has been discussed for decades. Many well written articles and educational...

  23. amiodarone

    criticalHP replied to Special31's topic in MICU, SICU

    I will... I bet you're having a problem with the "VTach" part of that statement, right? Adenosine is given for narrow complex tachycardia; amiodarone is given for VF/VT and wide QRS tachycardia. The...

  24. Any nice places to stay in MI??

    criticalHP replied to askater11's topic in Michigan Nursing

    Great Wolf Lodge in Traverse City is a nice place. There is also a nice State RV park with a beach on Traverse Bay but you have to cross a skywalk to get to the beach. Also check out Boyne Mountain...

  25. difference between MSN and MS degrees

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

    IIG-- you inspire me. How can I bookmark