CCU BSN RN

CCU BSN RN

CICU, Telemetry

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All Content by CCU BSN RN

  1. Feeling incompetent after rapid response

    CCU BSN RN replied to zinaptl's topic in Cardiac

    If you don't work in an ICU, and you don't have more than 3 years of experience.... You did MORE than I would have expected you to be able to do. You identified that longer pauses/lower HR than...

  2. Covid-19, No Beds, Ugly Stuff

    CCU BSN RN replied to Ado Annie's topic in Disaster Preparation

    I'm a little concerned about the concept of a hospital that doesn't own a ventilator or Bipap machine, to the point where I'm having trouble getting past being incredulous about that and actually...

  3. COVID-19: No PPE!!

    CCU BSN RN replied to BsnBull's topic in Disaster Preparation

    If I actually followed our hospital's 'donning and doffing' guidelines every time I entered a COVID room: 1. We would be out of gowns and gloves 2. My patients would be dead, because their...

  4. Stressed out - high potential for error in critical care

    CCU BSN RN replied to questioningnurse's topic in Critical Care

    I've been in ICU about 5 years. I'm still anxious about messing up and killing someone. I'm less anxious about it now that I have some experience under my belt, but you're at a difficult level of...

  5. When a Covid 19 vaccine becomes available, will it be absolutely mandatory for healthcare staff?

    CCU BSN RN replied to NewRN'16's topic in Disaster Preparation

    I believe VERY strongly that we'll just be injected walking into work one day. That's probably how we'll find out there is a vaccine, is a surprise needle. And I also think that's the proper choice...

  6. Massive Shortage of ICU Trained Nurses During COVID-19 Pandemic: The Need for Cross Training

    CCU BSN RN replied to simba and mufasa's topic in Disaster Preparation

    Things like 'Team Nursing' would work so much better if I'd ever met the members of my 'Team' before I was expected to work on a team with them and appropriately delegate patient care tasks to them...

  7. What is a reasonable nurse: patient ratio in ICU?

    CCU BSN RN replied to Kitiger's topic in Disaster Preparation

    Proned patients were always 1:1 before COVID. Paralyzed patients on multiple pressors were always 1:1 before COVID At the beginning of COVID, intubated COVID patients were 1:1 Once we had too many...

  8. Will Covid cause huge transfer of wealth out of hands of middle class?

    CCU BSN RN replied to Emergent's topic in Disaster Preparation

    I think the fiscally responsible upper middle class who have 6-12 months of emergency savings, little to no debt...will do alright. Unfortunately 'fiscally responsible' is a rare breed in our country,...

  9. Are Big City Hospitals Really Getting Hit With COVID-19 Pts?

    CCU BSN RN replied to EPS's topic in Disaster Preparation

    Nah. They kind of can't stop. They basically have PTSD. Imagine if in 2004 you went on a forum of soldiers online and asked if war in the middle east was real or just a media hoax? Maybe in 10 years...

  10. Are Big City Hospitals Really Getting Hit With COVID-19 Pts?

    CCU BSN RN replied to EPS's topic in Disaster Preparation

    Oh, and someone mentioned 'do they have co-morbids?' Yes. We all do. It's called being an American. We lead a sedentary lifestyle, the VAST majority of us are overweight or obese, everyone drinks and...

  11. Are Big City Hospitals Really Getting Hit With COVID-19 Pts?

    CCU BSN RN replied to EPS's topic in Disaster Preparation

    ICU nurse in a level 1 trauma center in the north east. We converted 45 of our ICU beds (2 ICUs) to COVID ICUs. They are full of intubated/proned patients with ratios as crappy as 4:1. I've seen more...

  12. CRNAs Staffing ICUs?

    CCU BSN RN replied to adventure_rn's topic in Disaster Preparation

    Marie- they run the drips in our ORs but we have different ventilators, monitors, chart in different programs, they don't know where we keep things on the floor, depending on where they've been...

  13. Staying in the room with a COVID patient

    CCU BSN RN replied to CityNurse80's topic in Disaster Preparation

    Doug we're legit manually proning them. Mind you last night was the first patient I proned who didn't weigh over 120kg. Proning does seem to be the most helpful thing we've done with the ICU COVIDs to...

  14. Masks at the nurse's station

    CCU BSN RN replied to lisa333's topic in MICU, SICU

    Yeah from whenever COVID started until about 4 days ago, management would basically give a verbal warning and then take disciplinary action against staff wearing masks outside of designated areas. I...

  15. CRNAs Staffing ICUs?

    CCU BSN RN replied to adventure_rn's topic in Disaster Preparation

    Our CRNAs were basically told they could get laid off or have their hours seriously reduced, or they could come work as ICU RNs for the remainder of the shenanigans. They've mostly chosen not to work...

  16. Staying in the room with a COVID patient

    CCU BSN RN replied to CityNurse80's topic in Disaster Preparation

    I'd KILL for the early days when we were 1:1 in the room with our first COVID+ patients. We now have 3-4 intubated, proned patients in the COVID ICU and it's absolutely the least safe nursing...

  17. Cath lab staff

    CCU BSN RN replied to tubaman86's topic in Disaster Preparation

    They moved the CCU patients/staff to a smaller area because we're only doing a few urgent/emergent surgeries and getting the occasional STEMI or cardiac arrest since all elective procedures are...

  18. PACU nurses being floated to ICU?

    CCU BSN RN replied to Florence NightinFAIL's topic in Critical Care

    We're basically pulling any nurse who has touched a ventilator in the last 5 years to be ICU nurses: RRT, cath lab, managers and educators, IR nurses, PACU. Whatever we can get. Too many intubated...

  19. Impella training

    CCU BSN RN replied to icuhopeful's topic in Critical Care

    We do the Impella company's online training and then a 4h in-service with the Impella rep. They call at least every shift to ask a bunch of questions but honestly, it's usually a huge imposition. Last...

  20. Newbie Cardiac Nurse

    CCU BSN RN replied to PeeWeeQ's topic in CCU, Coronary, Cardiac

    Brush up on your sleep. You've been studying for years, and you're about to start ascending your next steep learning curve. Best thing you can do is bring a rested mind and body and that eagerness to...

  21. Fellow ECMO nurses

    CCU BSN RN replied to Atrial.Kicks.'s topic in CCU, Coronary, Cardiac

    We take a 2 day ECMO specialist class and then perfusion is there your first few shifts. Also quarterly wet labs (skills lab) as refreshers. Our ECMOs are 2:1. Only one of the nurses needs to be an...

  22. Switching to CCU

    CCU BSN RN replied to nurse.j.'s topic in CCU, Coronary, Cardiac

    I like how managers make it sound like they're doing YOU a favor letting you skip a residency. They don't want to[ have to pay for you to do a resodency. If you feel like you could go back to PCU...

  23. Developing knowledge

    CCU BSN RN replied to Teaik01's topic in CCU, Coronary, Cardiac

    I picked up a copy of Marino's ICU book, and Cardiac Surgery Essentials. Also a CCRN review book if you don't have that. But I learn best by reading, so...know your style. We don't all read textbooks...

  24. med surg RN to cardiac step-down

    CCU BSN RN replied to mecha-sorah's topic in CCU, Coronary, Cardiac

    Pick a floor where you like the manager. And where the ratios seem good, e.g 1:3 for stepdown and 1:4 for telemetry. Don't trust a manager to tell the truth about staffing. Ask other staff when you're...

  25. Thoughts on a new grad RN going straight to ICU?

    CCU BSN RN replied to Jace_b7's topic in Critical Care

    I'd say nurses are pretty evenly split on this. Both sides have valid arguments, and the only way to know if you'll sink or swim is to jump in and find out. Sure, you can stack your odds with a good...