CCU BSN RN

CCU BSN RN

CICU, Telemetry

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All Content by CCU BSN RN

  1. Patient White Boards - Recommendations?

    CCU BSN RN replied to 5678kma's topic in CCU, Coronary, Cardiac

    Ours has way too much stuff. Its a large white board about 10 feet from the patient's face. It has maybe 10 fields to be filled in, including Date, RN, CNA, MD, Housekeeper, Case Manager, patient's...

  2. Efficient shift report

    CCU BSN RN replied to HannahMarine30's topic in Critical Care

    On our unit, we have a couple of standard forms that help me a lot, even though some of my co-workers are less crazy about them. We have a small paper bedside chart for face sheets, EKGs, consents,...

  3. LVAD Implantation

    CCU BSN RN posted a topic in CCU, Coronary, Cardiac

    I work in a CICU at a level 1 trauma center. We've been taking care of LVADs from the community for a few years, we have 4 or 5 patients where we are the only driveable LVAD center for them to come...

  4. Anyone disliked ICU?

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

    If you're happy where you are, and you don't have a strong desire to go the ICU, don't do it. If you're not sure what you want to do, you should set up 1 or 2 shifts to shadow before you accept. Tell...

  5. Want to try another nurse specialty

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

    No new grad likes their job or feels safe for at least a couple of years, and the higher acuity patients you start out with, the longer it will take to feel competent. It took me several years on...

  6. SICU Patients?

    CCU BSN RN replied to ccuRN24's topic in Critical Care

    To determine what kind of patients you will get in a specific SICU, look at these variables: 1. How many/what types of ICUs does your hospital have? and 2. What kinds of surgery does your hospital...

  7. Orientation length for ICU

    CCU BSN RN replied to Toadd35's topic in Critical Care

    I had tele/stepdown experience but no critical care experience I got 5 weeks on days and 1 week on nights, roughly. It wound up being a little longer because I got pulled off of orientation multiple...

  8. What is your opinion on calling in "sick"

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

    If you can't bring your best self (or her close cousin, your almost best self) to work, you have no business being there. Just like I don't want you coming in with the flu and spreading that plague...

  9. PVC's, APC's No Treatment?

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

    Yes, I was speaking of critically ill patients with advanced heart failure. Sorry. My viewpoint is colored by my experience, just like yours. Ibutilide is wonderful in an EP lab, but do you really...

  10. New Grad starting in CVICU SOS

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

    The best thing you can do to prepare...study hard and pass your last semester of nursing school and your boards. You don't need your soul saved over a job you don't even have yet, and won't even have...

  11. PVC's, APC's No Treatment?

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

    With advances in medicine, heart failure patients are living longer. They have a lot of ectopy because their hearts suck. I'm not saying you shouldn't get lytes, and EKG, and keep your K>4 and...

  12. Shortages r/t Puerto Rico

    CCU BSN RN posted a topic in General Nursing

    Puerto Rico has manufacturing plants for literally every major Pharma company. These plants don't have power, they all have generators but often not the gas to run them, not to mention that their...

  13. Am I too small to be a nurse?

    CCU BSN RN replied to Sbhayes09's topic in General Nursing

    Funny how we don't demonize overweight nurses who smoke and are in terrible shape (like myself, I can't do more than 2 minutes of chest compressions effectively), but it's societally okay to suggest...

  14. Floating

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

    I've floated within other telemetry floors (our float cluster, if you will) several times in the 5ish years I was a telemetry nurse. I've cried at least 50% of those shifts. I hate floating, I don't...

  15. IV infusions with only peripheral sites new admit

    CCU BSN RN replied to 3692nurse's topic in Critical Care

    1. Use your time off to look up y site compatibilities on whatever tool your hospital pays for. You'll fast learn that K and Mag are compatible, heparin and nitro are compatible, Lasix is basically...

  16. Struggling With the Magnitude of My Responsibilities.

    CCU BSN RN replied to 23AtTheTeeth's topic in CCU, Coronary, Cardiac

    You lost me right up front imagining a hospital serving 9 states. And I'm in the north east. Our states are really small. My mental idea of a state isn't really that big. Anyway, without trying to...

  17. Role of Epinephrine in ACLS

    CCU BSN RN replied to Catticus11's topic in CCU, Coronary, Cardiac

    During a code, epinephrine increases coronary perfusion pressures, and generally constricts all blood vessels large and small. This is useful because your compressions alone often do not provide...

  18. New grad panic attack

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

    You're not the first, and you certainly won't be the last. Definitely see your primary MD and decide if therapy/a psychiatrist is a good idea. The ED is a tough place to be as a new grad. Things can...

  19. Essentials of Critical Care Orientation (ECCO)

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

    Yeah, it seems that the general consensus is to retake the tests over and over until you pass, which is obviously not helping you to learn the material. Also, with so many 'select all that apply'...

  20. Essentials of Critical Care Orientation (ECCO)

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

    Ace of Hearts, I totally get that a book would have been more helpful. If we're sticking to an online class, though, we probably won't get that due to cheating concerns. I like the feedback that more...

  21. Questions- I just don't get it..

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

    Okay, lot of good questions, I'll give it a shot. Typically after CABG, patients will come back with a few mediastinal chest tubes. Typically 2, typically located centrally, exiting a few inches...

  22. This is why I do this job

    CCU BSN RN replied to Double-Helix's topic in General Nursing

    As a relatively new grad, probably 1-2 years off orientation, I walked into a night shift and got told I was in charge. I told them I had no training and literally no idea what charge even does. I got...

  23. Aspiring CRNA student with professional development question...

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

    Consider that by the time you matriculate, your science pre-reqs from your BSN won't be within 10 years anymore and you'll have to retake them. So maybe use your nerd power for that instead of a MHA,...

  24. Should I start out on night shift?

    CCU BSN RN replied to heather.verbs's topic in General Nursing

    This is a highly personal decision, so, YOU have to decide. Night Shift: Pros: Less busy, Fewer interruptions, Fewer tests/diagnostic imaging/field trips, Fewer consulting MDs present all asking you...

  25. Precepting med-surg nurse

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

    If I were your orientee, this is what I would want: 1. First and foremost, make sure the patient gets the care they need, whether you do it yourself or go pull your orientee. Either/or, but thank you...