Charge200J

Charge200J BSN

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About Charge200J

Charge200J has 8 years experience as a BSN.


Night shift ER nurse. Second place in the 2020 confused grandma wrestling championships. Decent cranky baby swaddler. Scoring an 83% for vomit catching ability. Pure-wick throwing rockstar. ?
 

In a previous life was a CVICU nurse before going to the dark side of the ER.

Latest Activity

  1. traumatic wound documentation

    The best wound documentation done in the ED that I've ever seen is from "rovers" (aka iphone like work devices) that you quickly log into and with a few taps can upload a photo directly into the chart. Hold up a form of measurement next to the wound ...
  2. Great ER nursing video

    The ENA (Emergency Nurses Association) worked to make this great documentary about working in the ER. So helpful for those friends & family members that just don't get what happens behind those front doors. https://kinonow.com/incaseofemer...
  3. When does it stop being scary?

    It gets better! Look how much you've already learned and grown. Sounds like you've got a good group of co-workers. Keep asking questions and looking up stuff that you don't fully understand. Get out of your comfort zone and keep taking those new pati...
  4. right med, right dose, wrong route... ouchhhh

    I've heard of this happening. Aside from all the legal stuff...what would be really beneficial to actually prevent this from happening in the future is to go speak to each group of new to practice RN's at the hospital during their orientation program...
  5. Med/surge RN wants to work in CVICU

    Yeah go for it! Become excellent at what you are doing now so that multitasking/prioritizing comes easier to you in the ICU. Good job looking ahead at classes/certs while getting your solid one year done. So STABLE is for treatment of sick newborns ...
  6. Vomiting and PRN Metoclopramide

    This sounds like homework. But honestly I'd give the patient some sips ginger ale and crackers, help them rinse their mouth out and tell them that everyone vomits. ? If nausea/vomiting is a part of a more serious situation then yes Zofran or Reglan w...
  7. NxStage CRRT CVVH connection question

    CVVH = how it comes when you open up the package. CVVHD = got to switch it up as per the instructions on the screen. ?
  8. Marching Band Nurse

    Event/camp nurse here...pre-event/practice/performance give a pep talk on hydration/sun protection and pre-plan breaks. Have the basic stuff like sunscreen/bug spray/bandaids/ice packs handy. Gatorade powder/"drip drop" powder packets are easy to mix...
  9. How to be on an ICU Nurse's good side?

    Awesome question! MICU is a great place to learn for new docs. I love it when the day team comes to ask the night nurse how the night went, it gives me a chance to directly communicate issues that need to be fixed on day shift. However, they always h...
  10. Simple clinical questions that we like to ask for an adult CVICU: -explain the different types of shock (eg septic shock, hemorrhagic, cardiogenic, distributive, etc). What do these patients look like? What are initial interventions for them? -give a...
  11. Septic vs Cardiogenic Shock?

    So without the use of a swan...an Echo is a great tool...cardiogenic shock often shows global hypokinesis, elevated filling pressures, wall motion abnormalities, and a dramatically reduced estimated EF. This often correlates to a picture of a cold sh...
  12. Sometimes it's a mixture of things (first day observing/nervousness/excitement/overheated/new smells/low blood sugar/dehydrated) that makes people pass out. It happens to SO many people in healthcare. Take big slow deep breaths and slow your heart ra...
  13. Dilated Cardiomyopathy

    Whew, that's a lot to go through all at once. That's good that you know some staff on the unit that he will be on. Heart failure is not a linear path, there are twists and turns and baby steps forward and back. The staff there will be able to help ex...
  14. Open visitation in the ICU

    Adult CVICU...2 visitors at a time. 24hr visiting. Only 1 family member can stay the night at the bedside. We make exceptions during end of life/withdrawal of care - then we allow larger groups/whole families to come back at a time but they cannot be...
  15. Dirt bike camp

    Sounds like fun! Definitely organize med pass times for campers. As for first aid: I'd make sure to have lots of ice packs and simple bandaging for abrasions. Encourage counselors to frequently remind their campers about staying hydrated and taking b...