crystalchen

crystalchen

Geriatrics

Member
  • Content

    43
  • Visitors

    2,386
  • Followers

    0

About crystalchen

crystalchen has 4 years experience and specializes in Geriatrics.


2 years in ER-Observation; 2 years in home health now in long term care facilities

Latest Activity

  1. What would you do? Advice Needed

    I totally agree! I am a new grad last year and during my 8 months working in long term care facilities as an NP, there is SO MUCH that they don't teach/never mentioned in NP school. I was a good student, graduated with honor, and several clinical rot...
  2. Should have never gotten out of bed.

    relax dear, it was fullmoon last night
  3. fullmoon

    So I guess last night was full-moon.... no wonder why my pts were all crazy:devil: Don't feel bad if you got crazy pts, too
  4. I think your LTC experience will help you a lot in med/surg.
  5. Giving pills

    I was told by experienced RNs that you should do a bedside swallow eval, just ask the pt to drink a sip of water first. If they have to troubles, give them pills, because I have seen pts that was ordered swallow eval but result is not available befor...
  6. Most Common IV Push Meds on Med-Surg

    In our hospital we have to follow unit policy. In my unit we can only push 7 meds, which is not including dilaudid or phenergan or ativan........ sad.......... Check it with your preceptor, and remember to always ask pharmacy if you have any question...
  7. What do you know/have you been taught about Sepsis?

    I learn that antibiotic is extremely important for the first 24 hours, and it needs to be given after the labs, right? keep them hydrated.
  8. question about acidotic pts and labs

    Thank Xing! I will need to look at the curve again, this always confuse me during school and now. I dont remember his pH, I will go to work tomorrow night and find out more about his labs. I found an interesting graph to explain it: here is shows w...
  9. Uninterrupted breaks

    All of the nurses on my floor take 30 minutes uninterrupted break, it is safe for our patients. I do believe that I need those 30 minutes to get off the floor and do something else. Of course, charge always ask around who wants to take the first the ...
  10. Things you only learn on the floor...

    I learn that knowing your resources and don't be afraid to ask stupid questions. Utilize family members, keep them busy if you can, do your teaching with patients, even one sentence, they don't usually ask questions, but they appreciate your teaching...
  11. Successful night shift stories...

    I think I like both nights and days for different reasons: for nights, there are definitely less interruptions because families are gone, even the most crazy pt will at least sleep a couple of hours, and there are no med students around to ask you wh...
  12. not sure if this is a normal feeling?

    Does charge nurse has patients last night? Did they call to ask if anyone else is ?available to work? I work in emergency - observation and each nurse always just have no more than 5 patients. If someone called sick, charge nurse should either find s...
  13. nurses hide from high-needs pt

    I suppose she was having diarrhea? If so I would call the team and put a rectal tube in her, which is both good for her skin and for the staff on the floor.... I had a pt before, similarly, refuse to use a lift because she had a bad experience before...
  14. question about acidotic pts and labs

    he was admitted for SOB at home, he tried on a cpep mask and was planned to have that machine home this Friday because he always wakes up at night because of SOB and I noticed he had to move from bed to chair and many different positions to sleep dur...
  15. Post mortum care mourning :(

    I am glad you experience that in nursing school.... I had my first code yesterday and did my first post mortum care... it was a little scary, and also sad... I could not sleep for 4 hours after went home and then kept dreaming about the whole thing.....