christen13

Latest Activity

1. Negative CVP?

   christen13 replied to RN92's topic in MICU

   It is not possible to have a true negative CVP!! You will see a negative reading on the monitor, but that is not the actual cvp....unless you have a MAJOR problem. Negative pressure in the vein....not good. Check the line, look at the waveform, lo...

2. sensitive, "morbid?" question for labor-delivery RN's...

   christen13 posted a topic in Ob/Gyn

   Hi, I am a nurse in a much different specialty, I have a question that seems a bit "morbid" to me, and do need some help with it. I recently had a patient that delivered a stillborn infant at 37 weeks. She was encouraged to visit, hold the baby afte...

3. Nursing is hard!

   christen13 replied to cardiacRN2006's topic in MICU

   I agre with augigi, completely. By asking this question, you are showing that you "get it", and that is a great place to start!!! Hang in there, be kind to yourself!! I can assure you that you will make mistakes, and thank goodness ....... the key i...

4. lose the attitude

   christen13 posted a topic in MICU

   I have worked in a sicu for several years and have seen the way RN's treat each other and I just don't understand why we are so critical of each other!! We have a tendency to act like "monday morning quarterbacks!"... Looking over the decisions tha...

5. Pay differential for ICU, CCRN, BSN

   christen13 replied to ccrnjen's topic in MICU

   We have no pay differential for a BSN or MSN, no differential for working in the ICU and no differential for CCRN

6. ICU Nurses with OCD!!!

   christen13 replied to nursern20's topic in MICU

   I need to respond because I think it is NOT ok, to treat someone badly and use the excuse that you work in a stressful environment. Doesn't that make it a bit more stressful!! Nurses sabotoge themselves constantly, and It is my biggest complaint abo...

7. how does your icu perform shift to shift reports??

   christen13 replied to christen13's topic in MICU

   Thanks everyone...We are looking for a way to develop a Kardex (seperate from the chart) That higlights the specifics for that pt...drip rates, labs, drsg changes....just like the tool described that some of you use. I really believe this would cut...

8. Doctor comebacks

   christen13 replied to NiceShot's topic in MICU

   I have found that the most effective way to deal with this is to appeal their inflated ego's. "help me understand........ " Is always a good choice. "What do you think about .." "I value your opionon......" We are the pt's advocate...ears, eyes and...

9. how does your icu perform shift to shift reports??

   christen13 posted a topic in MICU

   Hi everyone... I have a couple questions regarding how your icu's do rn shift reports. I am looking for a way to improve our communication between the Rn's (the md's are a whole different issue :) Communication between all the members is so importan...

10. Aesthetics Nursing

    christen13 replied to NurseKimberley's topic in Aesthetics

    This thread is just what I was looking for, thanks ........... I have also been in critical care for 2 years, along with 10 years of nursing experience but am looking for a change. The old saying, "find your passion and do what you love!" is very tr...

11. phenytoin

    christen13 replied to gods's topic in MICU

    thanks for the info on dilantin. We give it to ALL patients with a head injury....I have never seen a pt a seizure...but is this because it's working or they never needed it?? Guess we will never know... christen

12. Looking for a great ICU flow for RNs to organize their shift

    christen13 replied to christen13's topic in MICU

    HI rocknurse... I tried to PM you, guess you have too many messages?? let me know... christen

13. rules of injections

    christen13 replied to imahobbit's topic in General Nursing

    I am a STRONG advocate for my patients. I believe this is one of our primary responsibilies!! As far as putting my pt's at risk, I disagree with you. I have learned through exp that this is not putting them at risk....there are many situations tha...

14. rules of injections

    christen13 replied to imahobbit's topic in General Nursing

    I agree with MLSO. There is a high level of trust in our facility between the RNs....there has NEVER been a sitation where a pt was given the wrong med when another RN drew it up. I think it is very wasteful and unrealistic to waste 75mcg of fentan...

15. rules of injections

    christen13 replied to imahobbit's topic in General Nursing

    The only instance I can think of where this would occur in my setting is Fentanyl or another med in a vial that has to be broken open - obviously the entire contents will be drawn up and if 50mcg is given I can see a situation with a syringe with the...