CCU BSN RN

CCU BSN RN

CICU, Telemetry

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All Content by CCU BSN RN

  1. Doctors offended by TV show about nurses

    CCU BSN RN replied to FullGlass's topic in General Nursing

    In nursing school, like, 10-12ish years ago we had an assignment to find the most accurate portrayal of nursing on TV. Way less options since streaming was in its infancy then. But...Carla on Scrubs....

  2. pvcs bigemy medsurg

    CCU BSN RN replied to pvcsbig's topic in General Nursing

    Basically the take home here is that all cardiac patients should have telemetry while they are ill enough to require a hospital level of care. For everyone's

  3. pvcs bigemy medsurg

    CCU BSN RN replied to pvcsbig's topic in General Nursing

    It sounds like you have the abilities for telemetry on your unit but not in your patient room. It's true that NSR at 80 with bigeminy could read as 160bpm, or atrial flutter where your flutter waves...

  4. RN's skipping vital signs

    CCU BSN RN replied to rn_patrick's topic in Patient Safety Issues

    I would go find the CNAs or techs or nurses or whoever is actually doing the taking of the vital signs. I would tell nursing leadership you want to have a meeting or an in-service with them so that...

  5. Break in sterile technique

    CCU BSN RN replied to RN78910's topic in General Nursing

    I've been in CCU 3ish years. Postop re-sternotomies still scare the daylights out of me. If your patient survived for a few hours afterward...you won. The alarm bells were sounded in time and we got...

  6. Normal Pressure Hydrocephalus

    CCU BSN RN replied to Not"Nursey"'s topic in General Nursing

    Sounds like you're doing research. Seems legit to me, but I've had 2 or 3 lumbar drains in as many years, and my background is definitely not neuro. It seems like you're trying to figure out how many...

  7. pvcs bigemy medsurg

    CCU BSN RN replied to pvcsbig's topic in General Nursing

    Basically the patient is probably going back and forth between a sinus rhythm with a lot of ventricular ectopy and a rapid atrial fibrillation (hopefully not VT unless they already have an AICD)....

  8. 2-day caths?

    CCU BSN RN replied to smf0903's topic in Cardiac

    The interventional cardiologist was unclear if he should stent the lesion. He went home and did some aggressive googling or asked one of his superiors to review the images. The decision was apparently...

  9. Pulse Checks and Epi

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

    If you have enough people (and ive never been to a code that didnt have at least 10 unnecessary staff) there's no reason not to follow the algorithm. If you had to stop doing compressions to give Epi...

  10. Getting Angry When Overwhelmed, Need Advice

    CCU BSN RN replied to cwest2's topic in Health, Stress Management

    I'm still working on this myself, to be honest. It's great that you've identified that you're getting too angry and stressed at work, and you recognize the need to change. I started by making sure I...

  11. Am I good enough?

    CCU BSN RN replied to littlenurse's topic in General Nursing

    Youve had 3 or 4 jobs in a 3 year time period. You've been fired multiple times but it doesn't really seem like you've spent any time reflecting on that. On what aspect of your personality might be...

  12. Any other autistic nurses out there?

    CCU BSN RN replied to elizabethgrad09's topic in Nurse Disabilities

    Updating family... I start with asking them when they last got an update and usually its only a few hours ago so I can just say 'he's still doing well, nothing exciting to report' then I toss in one...

  13. Removing Foley’s on intubated patients

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

    As far as I'm concerned it's a great idea in MICU, not as often in CVICU. First 12-18 hours postop- decreased UOP is often a sign that my CI/CO are falling, especially now that we're using less swans...

  14. Tips for delirium behavior management

    CCU BSN RN replied to CCU BSN RN's topic in General Nursing

    Thanks to all for the suggestions/toughts We usually lean away from Ativan as well, but I apparently forgot to mention the ETOH withdrawal we were initially trying to treat during his first week...

  15. Tips for delirium behavior management

    CCU BSN RN posted a topic in General Nursing

    I had a patient last night postop about 2 weeks from extensive cardiac surgery. Was on a lot of pain meds on a chronic basis pre-op, so naturally is on a lot of opiates. And benzodiazepines. And...

  16. Essentials of Critical Care Orientation (ECCO)

    CCU BSN RN posted a topic in Critical Care

    Many hospitals, mine included, use ECCO as an educational tool when orienting nurses to critical care areas. Lately, it seems like we have nothing but issues. The test questions are unclear, the...

  17. Any other autistic nurses out there?

    CCU BSN RN replied to elizabethgrad09's topic in Nurse Disabilities

    I personally would not and do not admit it on employment applications. Most nursing jobs have a probationary period where they can fire you for essentially any reason. If I were a manager, having...

  18. What Insulin Protocols Do You Use?

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

    We have a few separate insulin drip protocols for ICU, both of which I kind of hate. Cardiac surgery protocol with target glucose 110-160, basically has you start for glucose over 150, and go up or...

  19. Distractions & interruptions: ICU vs. other units?

    CCU BSN RN replied to Lemon Bars's topic in Critical Care

    I absolutely have inattentive type ADHD and mild autism, and I find the ICU to be the best setting for me. I also find that about half of my colleagues have fairly severe ADHD as well, which should...

  20. Recommended Reading/Critical Care Resources/favorite books and sources for New Nurse in CTICU

    CCU BSN RN replied to NurseK1986's topic in Critical Care

    I really like Marino's The ICU Book Also have a copy of hemodynamic monitoring made incredibly easy or incrediblly visual...I find those books have decent sketches/illustrations of concepts for more...

  21. How long before turning?

    CCU BSN RN replied to JRN72's topic in CCU, Coronary, Cardiac

    I usually turn 'em within an hour. I basically admit, get report from anesthesia, send labs/ABG, check CT outputs and titrate drips for 20-30 minutes to get a handle on their vitals/how labile they're...

  22. Target temperature management initiation.

    CCU BSN RN replied to jppepito's topic in General Nursing

    Our TTM policy is to initiate within 6h of ROSC- gives you time to get a head CT and make your docs line your patient before they're cold and it's more difficult. Of course we try to cool people asap,...

  23. "Observing" my peers

    CCU BSN RN replied to advsmuch08's topic in General Nursing

    Whatever you say, think about how you will feel when your manager leaks your name as the person who gave the feedback. Essentially, imagine your comments as quotes on the staff bathroom wall. If you...

  24. New Grad Job Offers in ICU versus IMC/Tele: Need Input Please

    CCU BSN RN replied to NurseK1986's topic in General Nursing

    Look at the sheer volume of posts here from overwhelmed new grads, no matter their background or previous training. You're not prepared for how bad your first year is probably going to suck. The...

  25. What is your unit's provider staffing like overnight?

    CCU BSN RN posted a topic in Critical Care

    Overnight we get a 1st year resident and a second year resident, and they're supposed to be supervised by a cardiac fellow, who is often napping or has 'gone home for a few hours'. It's pretty...