a4n6nurse

a4n6nurse has 20 years experience and specializes in transport,forensics,ED.

Latest Activity

1. How do SANE nurses get paid?

   a4n6nurse replied to CUL8R's topic in Forensic

   I realize that this is an old post, yet wanted to add my 2 cents. I have been a SANE (FNE) in my current program since 1990. I have never worked for the hospital. We are all considered to be independent contractors. Our director is the ED manager...

2. IV push

   a4n6nurse replied to greyL's topic in General Nursing

   My practice area is pediatrics. In some cases meds need to be diluted for their fragile veins. (IE; Dextrose is given as D25, not D50-Bicarb is also diluted) In other cases we are giving many meds and don't want to over due fluids just for dilution....

3. RN Salary Survey 2013: Post here!

   a4n6nurse replied to ItsColduphere's topic in General Nursing

   Primary Job; 1. State you work in - Washington, DC 2. Years of experience -25 years (ADN) 3. Specialty/unit and work setting (clinic, hospital, prison, etc) -Pediatric Critical Care Transport; Tertiary Pediatric teaching hospital 4. Hourly Pay (base ...

4. My first pedi death

   a4n6nurse replied to canesdukegirl's topic in Pediatric

   What I always tell my newer coworkers, "all the bad stuff happened before you got involved. You did all you could to make it better" Sometimes better is not "saving them". Sometimes better is easing pain, supporting the family or facilitating donat...

5. Floating to Peds ER--help me w the basics PLEASE!

   a4n6nurse replied to lccougar02's topic in Pediatric

   Childrens National Medical Center has developed a smart phone, tablet APP that is FREE for both apple and android markets. It is called "Pediatric Quick Reference." It is a great reference of commonly prescribed meds, equipment and vitals based on ...

6. Very inappropriate!

   a4n6nurse replied to Erikadawn RN's topic in General Nursing

   I'm sensing a lot of conspiracy therorists here. I work in a tight knit unit where we all have each other's cell numbers and text frequently. Both with other staff members and leadership. For our unit it is the quickest and most effective form of ...

7. Intraosseous Access - Have You Used It?

   a4n6nurse replied to emerjensee's topic in Emergency

   My area of primary practice is pediatrics, and we love the EZIO!! The old days of hand "drilling" the jamshidi needle were difficult, and almost nausea inducing for the provider. The EZ IO drill has changed this. I promise you it is faster than an...

8. How does your SANE program schedule examiners?

   a4n6nurse replied to edmia's topic in Forensic

   Wow, this sounds unbelievably unfair, and a recipe to lose nurses. Our program has 6 nurses, and has provided uninterrupted service for 20 years. We all send our availability to the program coordinator for the following month. We take call in 4 to...

9. If you love your job, what is your speciality?

   a4n6nurse replied to PAERRN20's topic in General Nursing

   Background in general ED, peds ED and adult ICU. LOVE the diversity in Nursing. I have been a Sexual/Physical Assault Nurse Examiner for 15 years and Love the autonomy and investigative nature. And the ability to be there in times of extreme crisis....

10. Please don't tell me I have to work in the ER?!

    a4n6nurse replied to **All Heart RN**'s topic in Forensic

    You are not going to want to her this, but the if your real desire is SANE, ER is where you need to be. A major portion of SANE nursing is a generalized exam for trauma. The more exposure you have to evaluating trauma and being able to relate it to...

11. Bonus for Flight Nurses in Maryland/DC?

    a4n6nurse replied to rmc2's topic in Flight

    At Children's National Transport Team Members are paid a "Critical Care" bonus while on duty. This bonus is whether on air or ground. So there is no bonus for flight, but Critical Care areas of the facility all receive the same stipend.

12. Do I need a BSN?

    a4n6nurse replied to nurse2bmom's topic in Forensic

    If you do a search here this topic has been addressed in the past. But here goes; 1. Never "just an ADN". 2. I am a proud ADN, I am also a FNE A/P, a forensic examiner for our OCME, and a flight nurse. I also work for a number of attornies performi...

13. Is it okay to give an IM through clothing?

    a4n6nurse replied to njinsky's topic in General Nursing

    "Back in the Day".... When I worked in a busy ED in the hayday of PCP this was common practice with combative patients. Routinely we had 4-5 people lying on top of patients to hold them down for the administration of medication. Through clothing wa...

14. Evidence collection on unconscious patient

    a4n6nurse replied to Putts's topic in Forensic

    Playing Devils advocate here. What if that pt who's respirations are expected to cease in 24 hours holds on for weeks or months? Or the family does not want to withdraw care and a persistent vegetative state is maintained for years? Our medical e...

15. BP on Pediatric Patient?

    a4n6nurse replied to blinks14's topic in Pediatric

    While BP changes in children are latent signs of decompensation they still need to be trended. Remember for pediatric pt's they hold their BP until they loose it. While it is most important to check additional signs/symptoms in concert BP is still ...