Charge200J

Charge200J BSN

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All Content by Charge200J

  1. Lidocaine w/ Epi SQ injections post sheath removal

    Charge200J replied to Yackinthebox's topic in CCU, Coronary, Cardiac

    Ooooo that sounds interesting! I've never seen that used before but it sounds like it would make sense. For the average superficial oozy sheath site (no hematoma) we use quik-clot (hemostatic gauze) +...

  2. New RN needing prioritization advice

    Charge200J replied to zombie nurse's topic in CCU, Coronary, Cardiac

    You are doing great. Give yourself a pat on the back -- this stuff is tough. Try to "eyeball" your sicker patients at the start of your shift and trust your gut feeling on them. Use your brain sheet...

  3. What do you do with your wedding ring?

    Charge200J replied to Nephron44's topic in General Nursing

    Both my husband (active duty military) and I (nurse) wear silicone rings at work. He likes the "SafeRingz" brand and I like the "Qalo" brand. If it's slipping off you may need to downsize more. Both...

  4. Rotoprone vs Prone

    Charge200J replied to Brec16's topic in Critical Care

    See for how to secure ET tube with twill

  5. Rotoprone vs Prone

    Charge200J replied to Brec16's topic in Critical Care

    Ok so key things that we do to protect our Rotoprone pt's faces are: 1) Prior to proning take off the Hollister ET tube securement device and use twill tape / gauze to secure the ET tube. It will not...

  6. Newbie

    Charge200J replied to Ejc61's topic in General Nursing

    Your preceptor is right. Charting does get better and faster with time and practice. Keep your patient a priority but try to sneak the charting in as you go so it's not a big mountain of work at the...

  7. Washington Hospital Center Transportation

    Charge200J replied to JD1190's topic in General Nursing

    Hi! Welcome to DC! So the shuttles only run M-F. It is free and picks you up/drops you off right outside the main entrance to the hospital. Many people use it and then utilize Uber/Lyft on the...

  8. In Defense of the LTC Nurse

    Charge200J replied to Oswin's topic in Geriatric, LTC

    ICU nurse here. I have huge respect for step down unit, LTC, and LTACH nurses and techs. Our patients leave our ICU physically alive, but often mentally and emotionally broken and physically...

  9. Are there any online certifications I can get to help me prepare to do critical care

    Charge200J replied to Vibi88's topic in Critical Care

    Go for it!! You have a lot of knowledge from working on the floor that will make you a good critical care nurse! Get ACLS done. Your hospital sometimes will offer it for a significant discount. The...

  10. Staff Interview

    Charge200J replied to lexi91114's topic in Emergency

    Our unit does "staff/peer" interviews for new managers. I think the most important thing is to relax and remember who you are talking with. These are your nurses, these people will be your night shift...

  11. Rn new grad help

    Charge200J replied to Dani_2018's topic in Critical Care

    So when you start orientation you will follow your preceptor's lead in terms of a shift timeline. Obviously when two patients are coding on opposite sides of the unit in the middle of shift change,...

  12. Last night, I had my first ever needle stick injury.

    Charge200J replied to Jdgrn13's topic in Health, Stress Management

    Hang in there! Sending good

  13. Doppler during Code

    Charge200J replied to eastcoastrn586's topic in General Nursing

    We use a doppler on the femoral all the time during our codes. Saves so much time during pulse checks. We also frequently grab our ultrasound for a quick bedside echo if a code is "never-ending" to...

  14. First time CVICU traveler

    Charge200J replied to EllaBella1's topic in CCU, Coronary, Cardiac

    Welcome to the CVICU! Hopefully it will be an awesome experience for you! I know we really appreciate our travelers. Depending on the acuity of the unit and hospital you'll see a lot of swans (PA...

  15. Patient White Boards - Recommendations?

    Charge200J replied to 5678kma's topic in CCU, Coronary, Cardiac

    Ours is for a Cardiac ICU so it may be slightly different from yours. But ours starts with having a spot for the date/day of the week. As well as the pt's room number and a small sun/rain clouds/snow...

  16. Portacaths access

    Charge200J replied to Lemon-aide's topic in General Nursing

    Completely agree. You've got a central line, use it. Get your labs, start your levo/blood/fluids etc. The discomfort of accessing a brand new slightly swollen/ouchy port is so much better than dying...

  17. Rehab pts, cabulances, and toileting

    Charge200J replied to CrunchRN's topic in General Nursing

    Definitely let us know what you find out from the care manager - my aging family member is 92 years old and I just started the conversation of a texas cath/condom cath for when he travels. Easy and...

  18. CCU interview prep/questions?

    Charge200J replied to thenurseguy88's topic in CCU, Coronary, Cardiac

    Clinical questions that we like to ask: -explain what cardiogenic shock is? -Understand meds used in cardiogenic shock (eg: ionotropes (Dobutamine/Milrinone/Dopamine), vasopressors...

  19. Best route to PACU/Outpatient Work

    Charge200J replied to jj16's topic in PACU

    EP lab/Endoscopy lab/outpatient surgery/interventional radiology all sound like they could work for your

  20. AF RVR + levophed

    Charge200J replied to zzyzx's topic in CCU, Coronary, Cardiac

    We tend to treat pretty aggressively because our pts are often in cardiogenic shock with an EF of 10-15%, so they can't compensate well for tachyarrhythmias. In this situation I would use the bare...

  21. Tips/tricks voiding trial

    Charge200J replied to neogirl's topic in General Nursing

    Seriously the smell of peppermint oil really works. I have no idea why but it

  22. Specialty for introvert?

    Charge200J replied to avalanche678's topic in General Specialties

    Maybe try procedural areas eg: cath lab/EP lab/endoscopy. Or nuclear

  23. English As A Second Language

    Charge200J replied to Santa Monica's topic in General Nursing

    Keep practicing medical terminology and medication pronunciation...all nursing students need to do this, not just ESL students. You will do great. Knowing multiple languages is a huge asset and will...

  24. NMBA and high PEEP relation

    Charge200J replied to nurs1ng's topic in Critical Care

    Similar to what everyone else is saying...sounds like an ARDS patient...additionally we often put these patients on LPS vent settings (high rate, low tidal volume). This is uncomfortable for the...

  25. what is the hospital nurses role in organ donation?

    Charge200J replied to xmilkncookiesx's topic in General Nursing

    Same at my facility. We continue caring for the patient, but we refer to the OPO transplant coordinator for orders. From a billing standpoint I always find it interesting that the patient is actually...