CVVH

CVVH MSN, RN

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  1. Thank you all for the thoughts/experiences! Yes I guess I will see if it's really for me once I step into the role. I have also known a few people that were in management for some time then became clinical RNs again or finished NP school and now pr...
  2. Hi, so I will be starting an assistant nurse manager position at the end of the Summer, and as it gets closer to the time, I'm reflecting one the fact that I won't be a clinical nurse anymore. I'm wondering how other current RNs in leadership/manage...
  3. I’m having a nursing career crisis!

    Sounds like you should look into Clinical Nurse Specialist roles. Depending on your area, you'll find that there are either a lot of opportunities for CNS, or not that many. You'd also have to complete a CNS program. But the role of the CNS aligns...
  4. Business Opportunities for ACNPs?

    I'm wondering, I often see mention of FNPs/primary care NPs and PMHNPs starting businesses, side-hustles, clinics, etc. I'm wondering, what are the business opportunities available to ACNPs? Do you think that it would be more challenging to have si...
  5. Dual Role

    I'm curious, what does your new role involve? And why the switch from CCM to Cardiology after so many years?
  6. APRN/APP Manager?

    Is anyone here an APRN and also in management/administration? I recently completed an MSN in management, but have been going back and forth with whether I should do my DNP in executive leadership in the future or a DNP in acute care. I'm wondering ...
  7. CSC Examination

    I recently passed the CSC with 66/75. I studied for maybe a week (I work in a CVICU, and passed the CCRN a month before). I thought the CSC was harder than the CCRN. I used the Ace the CSC book and did the AACN practice questions. I had started t...
  8. CCRN Exam 2020

    I passed last week (also with a little over a year of CVICU experience), and used the Barron's book, Pass CCRN question bank (I did about half of the questions, around 500 or so), the Ace the CCRN Study Guide (it's a short book, I'd read that at work...
  9. NYP locations outside NYC?

    "University Hospital" is now Westchester Medical Center in Valhalla, affiliated with New York Medical College. But yes, for the large academic center and NYP, it's either NYP/Columbia or NYP/Weill Cornell, both in Manhattan. The other campuses are a...
  10. Just to followup with my earlier post: we're also running out of CRRT machines and dialysate. I work in two major academic NYC hospitals, and both have this shortage (see here for more info: New Covid-19 crisis hits ICUs as more patients need dialys...
  11. Yes, I work at a major hospital in NYC. We exceeded our normal ICU capacity (and this includes 5 ICUs, three of which have two units each for a total of 8 ICUs) and had to open up new ICU beds in other locations, such as the Cath lab and ORs. Stepd...
  12. Am I overreacting?

    We are doing something similar (team nursing with an ICU nurse and a floor/stepdown nurse caring for 3-4 pts), however in addition to dividing tasks appropriately based on role/skill level, we also divide the documentation (and we aren't required to ...
  13. CRNAs Staffing ICUs?

    Yes, in my NYC hospital CRNAs are staffing our surge OR-ICUs. They function in the same manner as an ICU resident/NP/PA (and are interchangeable with them as they all are part of the OR-ICU provider team).
  14. PACU nurses being floated to ICU?

    Yes, non-ICU providers in areas that have low volume are also displaced to help manage covid patients in ICUs and elsewhere. Many of the ORs are now ICUs, and the providers there include CRNAs who function as the ICU residents/NPs/PAs would. Surgeo...
  15. PACU nurses being floated to ICU?

    In my NYC hospital PACU/OR/EP/IR nurses are being asked to function as ICU nurses (with guidance from the actual ICU nurses). Many/most of the EP/IR/PACU nurses haven't been ICU nurses in years, and most of the OR nurses have never been ICU nurses, ...