CCU BSN RN

CCU BSN RN

CICU, Telemetry

Member
  • Content

    280
  • Visitors

    6,071
  • Followers

    0
  • Likes

    145

All Content by CCU BSN RN

  1. Analysis Nurse Practice Problem

    That's tough, I assume that the next step after you pick a practice problem is that you need to either conduct or review research, and then develop and/or implement a plan to resolve the issue....
  2. misconceptions about nursing pay

    $26-$28 is perfectly normal for a new grad. Unfortunately, the numbers you see online are often mean or median salary numbers. Also unfortunately, with the state of the economy, we are not seeing...
  3. CT Stripping/Milking

    Recently switched institutions. Old hospital policy was not to strip CT, okay to gently milk, due to intrathoracic pressure changes and no solid body of evidence that it actually provided any benefit...
  4. Interview attire

    If they told you that wearing scrubs is an option, WEAR SCRUBS. You're ready to shadow on the floor, and it takes all the guess work out of
  5. CPR Universal Precautions

    CPR is messy on postop open heart surgery patients, or I would imagine anyone with a chest or abdominal incision that is relatively fresh. Otherwise things should be intact. You did say 'certain...
  6. 1. Thoughts on the situation: As stated above, in general don't get involved with equipment you are unfamiliar with. Also, you're going to need RT, so even if this lady is an ice queen, you need to...
  7. 1. You're fine. You're in CCU and you're not going to feel competent for another year or so, minimum. That's fine. Think about where you were a year ago compared to now. Exponential knowledge and...
  8. Pulse Oximetry 'venous pulsations'

    Couple things 1. Yeah, you're right, too tight will affect 2. Make sure you're not taking a BP on the same arm as your pulse ox probe. You'll notice as the BP cuff tightens and occludes peripheral...
  9. Time. Management. Skills. Luckily for you, you're 21 not 18 and have already taken some classes, so you'll have some of this down. I had a rough time my first 2 years of my BSN program and did well...
  10. Whats in YOUR "Go Bag"?

    My 'Go Bag' is defined for me as my bag I can grab and walk out the door to go to work from any other activity. Seems to be being defined on here as what you bring with you in your car for the real...
  11. What is a cardiac stepdown?

    I agree re: milrinone v. dopa but in actuality pretty much all drips stay in stepdown for us. Allows telemetry nurses to focus on early ambulation and all that stuff while providing basic monitoring,...
  12. I'd say it depends on your geographic area. In the northeast, in urban and suburban areas, the job market is supersaturated with bachelor's prepared RNs. I would imagine that areas like this will make...
  13. I work in CICU, and had a patient attended by Vascular whose primary presenting problem had initially been sepsis (both things I don't DIRECTLY deal with regularly. MSICU was full, and I ended up with...
  14. What is a cardiac stepdown?

    I recently moved from a hospital where I was on the Surgical Telemetry floor, we got all the CT surgery patients directly from CCU. Our ratios were that of a normal med/surg unit, ideal ratio 4-5 but...
  15. Dopamine?

    Great pressor IN the instance of cardiogenic shock/low flow/poor contractility. In a specific subset of instances. If I had to pick one all-around pressor to use for the rest of my life, I'm with you,...
  16. Dopamine?

    Dopamine increases heart rate as well as blood pressure, so it's a great pressor to use when someone's heart rates are low Also, probably thinking about cardiogenic shock here, dopamine increases...
  17. Should I stay or should I go now...

    I'd probably stay where I was while doing RN school, having kids at home, car-sharing. Switching jobs along with other changes in your life at this point could prove really stressful. It's nice to...
  18. Was this a blood transfusion reaction?

    I'm going to nix TRALI in favor of TACO! Patient probably came from ER or EMS at some point, so we can assume he got at least 2L of fluid boluses prior to arrival to you, factor in 2 units of blood...
  19. Defeated

    If you want to stay in the ER, I'd get in touch with your manager or educator via email and tell them you don't feel comfortable in trauma and that you would like a few more shifts of trauma...
  20. Should I stay or should I go now...

    I feel like I need more information here if you want informed opinions. What kind of area are you working in? The only thing you expressly state that you don't like about your job is the pay, so now...
  21. New RN anxiety

    Being worried about screwing up and killing someone as a new grad is a good thing. You're asking questions and double checking things. The other nurses don't mind. Even if they seem rushed. They would...