CCU BSN RN

CCU BSN RN

CICU, Telemetry

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All Content by CCU BSN RN

  1. Not All Nurses Eat Their Young...

    CCU BSN RN replied to NurseLife88's topic in General Nursing

    I 100% clicked on this post ready to read an argument about 'oh here's another gosh darn NETY thread, when will they end?'. And I was 100% wrong. I love this thread! I'd like to add special...

  2. Charting has to be done no matter what?

    CCU BSN RN replied to Blackcat99's topic in Geriatric, LTC

    Like others have said, there's a difference between telling you you have to chart a set of vitals for 1pm when you weren't even clocked in and definitely didn't do it, and saying that if q24 hour...

  3. New grad in icu not ready

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

    Some new grads can handle the ICU. That's why hiring into the ICU for new grads should be done occasionally, on a case by case basis. Most of the time, new grads do not belong in the ICU. Or...

  4. What's wrong with me?

    CCU BSN RN replied to New Horizon's topic in General Students

    What's wrong with you? Your middle school and high school didn't challenge you enough that you had to learn to study. Now, you're having to learn a skill that your peer group already has about 10...

  5. Step down ratios

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

    I used to have 1:3 ratio 'ideally' in cardiac surgery stepdown, but would end up with 4-6 patients plenty often/most of the time. Dealt with patients on telemetry, q2h interventions, chest tubes,...

  6. Is nursing REALLY that difficult?

    CCU BSN RN replied to lilythorburn's topic in Pre-Nursing Students

    No, it's not that bad. It's about a million times worse than you could possibly begin to fathom. There are days and weeks of thankless, understaffed, over-worked, crazy, balls to the walls shifts...

  7. Vent from a crusty old bat

    CCU BSN RN replied to dec2007's topic in General Nursing

    Even though what you find most distasteful may be his attitude, make sure you use management buzzwords in your communication about issues. 'unsafe to practice' 'fear he will cause a sentinel event'...

  8. Sterile Water for Enteral Feeding Tubes?

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

    Tap water for the reasons above But if I lived in Flint, MI or something, I'd probably be inclined to use sterile

  9. Shoes, uniforms, shower after clinical?

    CCU BSN RN replied to Barmherzigkeit's topic in General Students

    I usually shower after work I'll stay in my scrubs before/after work for awhile sometimes. I launder them with my other clothes I wear my work shoes in the house. Sometimes my dog chews on them....

  10. Have you been through an Epic Go Live?

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

    Went through one in 2014. The first day was a giant cluster, as with any change this major. My floor biffed up pretty badly and they decided all our super users should be baby boomers, and no offense...

  11. What does your nursing career repair bill say about you?

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

    Your co-workers will end up being more than your friends, they'll end up being your second family. You'll go through things together that no one else understands. You don't have to like them, but you...

  12. IV Push med– do you always have to pull back for blood return?

    CCU BSN RN replied to missjune's topic in Patient Medications

    I've worked at 2 major hospitals and been told at both not to check for blood return on PIVs because it can cause them to clot off and blow, and absence of blood return does not inherently mean you're...

  13. Aspirate back the Vasopressor?

    CCU BSN RN replied to Im2nice345's topic in NCLEX Exam, Programs

    neo is what, 20mcg/mL in a drip? I wouldn't worry about pushing 1-2mL of that as a general rule if there weren't any other mitigating factors. But if I had a TLC instead of a Cordis, why do they need...

  14. M.O.N.A. for MI, but what's the order for tx?

    CCU BSN RN replied to BSN_Studnt's topic in Nursing Student Assistance

    Oxygen if needed. MONA doesn't always greet all chest pain at the door. Some are fine on room air and sat 100% on ambient air and we're discouraged from causing oxygen toxicity, but emergency med...

  15. Can RNs remove temporary pacing (pacemaker/epicarial) wires?

    CCU BSN RN replied to deweydecimal13501's topic in Cardiac

    Rochester NY- RNs pull, not even ICU rns, tele floors too. Cut a stitch and pull, don't yank if you meet resistance/scar tissue formed Jobs I've had in New England- NP/PA problem. Honestly I'd rather...

  16. ICU Autonomy

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

    in our postop OHS order set for example I can 1: draw h/h for any bleeding, CT output above 200/h 2: order PRBCs if HCT 3: order cxr if I place an NGT or change in status/sob 4. basically draw any...

  17. ICU Autonomy

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

    Your patient will be on 5 pressors. They all have orders to titrate for specific parameters, but some will be the same parameter, so if I'm titrating 2 gtts to keep MAP>65, for example, I can...

  18. Used CPR on my neighbors toddler today... it wasn't enough... warning, graphic..

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

    This thread was the biggest emotional roller coaster I've been on...in a bit I cried, I lost hope, I figured he might be vegetative, I figured his parents were just lucky for the few days to say...

  19. After removing hub protection cap, do you still need to wipe with alcohol pad?

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

    If we're talking about Curos caps, that's literally the entire point. Nurses don't actually scrub the hub for a full 15 seconds, and there are settings where that's not always feasible. As long as...

  20. Aspirate back the Vasopressor?

    CCU BSN RN replied to Im2nice345's topic in NCLEX Exam, Programs

    What pressor, how much were they on, regular TLC or Cordis, Carrier fluids? anything else going through the

  21. Chest Tube Insertion

    CCU BSN RN replied to BeeU_RN's topic in Emergency

    I have literally seen a PA place a chest tube on a stable patient with nothing but a local. He had a huge effusion, but stable on NRB and could've waited for IR to be called in. But alas, no. And I...

  22. How long you push emergency drugs during codes

    CCU BSN RN replied to Kaitef0716's topic in Emergency

    I'm going to assume the background here is that you work on a floor that is not an ICU, and are a relatively newer nurse, and maybe have taken ACLS but don't have people coding on you weekly or...

  23. Don't do the physicians work!

    CCU BSN RN replied to ModernRN's topic in Patient, Colleague Relations

    Reasons I put in verbal orders in CCU: 1. The resident is in a code/sterile procedure/emergency. I walk to the doorway of said sterile procedure or emergency to tell him one of his other patients...

  24. 2017 Nurse Salary

    CCU BSN RN replied to Darkstar1485's topic in General Nursing

    Location: New England (not NYC or Boston) Experience: 6 years BSN Specialty: CCU Facility :Large Hospital Pay: $37/h base, $7 night diff, $3 weekend diff, $3 evening diff kbrn I'm jealous! My property...

  25. Nurses Eating Nursing Students

    CCU BSN RN replied to Cisabel's topic in Patient, Colleague Relations

    I think this topic has reached the point of beating a dead horse, but I have one new angle to touch on. Our memories are unreliable. Memories are tainted SO MUCH by our own personal feelings. If you...