CVVH MSN, RN

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...

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...

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 ...

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...

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...

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

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...

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...

"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...

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...

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...

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 ...

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).

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...

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, ...

The duties are the same as an ICU resident/NP/PA: manage pts, write orders for medications/labs/tests/vent settings, interpret tests, procedures (though this may be limited as the hospital developed a specific procedure team for the OR-ICU to come in...

In my hospital in NYC some of the ORs have been converted into "ICUs", and the providers for these patients now include CRNAs (in addition to the usual anesthesia, surgery, medicine residents). We now have anesthesiologists (non-intensivist ones), s...

Could you describe more, I'm curious about that! I work in a CVICU now and thinking of doing per diem Cath lab next year maybe (though I'm assuming I wouldn't have the "full" experience there as a per diem), so curious to know how it compares to ICU...

I'm finishing my MSN in management/administration this year, and I'm curious to know if there are any nurse managers/nurse executives that miss being clinicians? I know that leadership/management is the direction I'd like to take my career, but part ...

To me, it sounds like the main issue is continuing to work at the bedside when they're short. Hopefully in your new position there isn't that expectation. At my hospital, neither assistant managers nor managers are expected to take patient assignme...

Try to finish finish the year and your BSN in that year if possible, then transfer to one of the private hospitals in the city. I work at one of the major private hospitals in NYC, and having 10-12 pts in telemetry, let alone any inpatient unit, nev...

I'm currently on orientation in a high acuity CVICU (ECMO, LVADs, RVADs, BiVADs, heart/lung transplants, etc). Three books that I find the most helpful are: 1) Fast Facts for the Cardiac Surgery Nurse-very quick and basic read, good for the basics 2...

Hi, so I'm grateful to be transitioning from a neurology unit to a CVICU soon. I'm pretty nervous, as our CVICU is very high acuity (we do everything-ECMO, VADs, heart and lung transplants, etc.), and it's definitely going to be a lot different from...

Two of the ICUs at my institution utilize ECMO. I have a very limited understanding of ECMO, including its value and prognosis of pts on it. I'm wondering though is ECMO the most advanced type of technology available to ICU pts?

Thanks for the tips. Yeah the mechanical circulatory support devices sounds pretty fascinating. I really want to work in a setting that is high technology. My hospital is having a CT surgery/ECMO conference soon, so I'm going to attend that to hea...