Charge200J

Charge200J BSN

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All Content by Charge200J

  1. traumatic wound documentation

    Charge200J replied to melissakp's topic in Emergency

    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...

  2. Great ER nursing video

    Charge200J posted a topic in Emergency

    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...

  3. When does it stop being scary?

    Charge200J replied to JustAnotherNursemaybe's topic in Critical Care

    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...

  4. right med, right dose, wrong route... ouchhhh

    Charge200J replied to rvzohfeld's topic in General Nursing

    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...

  5. Med/surge RN wants to work in CVICU

    Charge200J replied to Yoonsung0506's topic in Critical Care

    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...

  6. Vomiting and PRN Metoclopramide

    Charge200J replied to Nursing 1980's topic in Gastroenterology

    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...

  7. NxStage CRRT CVVH connection question

    Charge200J replied to EllaBella1's topic in Critical Care

    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

    Charge200J replied to Nurse Velasco's topic in Emergency

    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...

  9. How to be on an ICU Nurse's good side?

    Charge200J replied to Nkukiller's topic in MICU, SICU

    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...

  10. Interview advice for an experienced oncology nurse seeking to transfer

    Charge200J replied to nurse__joy's topic in Critical Care

    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...

  11. Septic vs Cardiogenic Shock?

    Charge200J replied to TNnurse91's topic in CCU, Coronary, Cardiac

    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...

  12. Fainted while watching blood being drawn... Advice for nursing student?

    Charge200J replied to LindseyPar's topic in General Nursing

    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....

  13. Dilated Cardiomyopathy

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

    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...

  14. Open visitation in the ICU

    Charge200J replied to Mini2544's topic in Critical Care

    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...

  15. Dirt bike camp

    Charge200J replied to JamiePedsRN's topic in 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...

  16. Per diem cardiac nursing ideas?

    Charge200J replied to heartnurse_15's topic in CCU, Coronary, Cardiac

    Another Cardiac ICU nurse here voting for cardiac rehab...it's a great side job/totally different feel from the ICU grind/fun to see your patients get stronger/lots of educating patients on heart...

  17. Best stethoscope for an ER Nurse?

    Charge200J replied to verbalsjint's topic in Emergency

    Once you buy a stethoscope I highly recommend buying the "BatClip" stethoscope holder on Amazon. For me I don't like carrying my stethoscope around my neck as it irritates my skin/is an easy target...

  18. from CCL to CCU ?

    Charge200J replied to Jane Ahn's topic in CCU, Coronary, Cardiac

    Yes! You will be great at the frequent moderate sedation/procedural components of CVICU and will learn the ICU work flow and daily management of the invasive devices in a good orientation. Go for

  19. Access pressure Pod on NxStage

    Charge200J replied to HakunaMatata10's topic in Critical Care

    Wow, that sounds so frustrating! I've never had that much issue with the access pressure pod. Once in a blue moon I'll have to reset the access pressure pod but that's pretty rare. One trick that our...

  20. Student - ICU central line access frequency

    Charge200J replied to nsk2135's topic in Critical Care

    Great question. So we do try to limit how many times we access the central line to decrease the risk of a CLABSI. We *try* to access it no more than x3/24 hours. However as you said, often the need to...

  21. Calling out sick on orientation

    Charge200J replied to JackieMarie1989's topic in Ob/Gyn

    If they give you any crap (pun intended) about it just throw around the words: "projectile vomiting, explosive diarrhea, contagious, and patient safety" around a little and that will shut them up real...

  22. Feeling incompetent in nursing school

    Charge200J replied to btf4's topic in General Students

    At the end of the day you know what your patient calls the person with a stellar GPA who came from a well-known program...nurse. You know what they call the person with the average GPA from a small...

  23. ICU Float Nurse

    Charge200J replied to Ashley.Hop's topic in Critical Care

    We are grateful for the ICU float pool RN's and try to give them good assignments. We usually don't give them any cardiac devices (IABP, Impella, LVAD, Swans,etc) unless they are comfortable and...

  24. Do I have critical care experience?

    Charge200J replied to pepino23's topic in Critical Care

    That's a great question. Sounds like a well run, fast paced, high acuity awesome progressive care unit. You have acquired an incredible amount of experience and sound like a strong nurse caring for...

  25. Domestic Violence Nursing?

    Charge200J replied to Ttres's topic in General Specialties

    Check out this link about SANE nurses: Sexual Assault Nurse Examiner - International Association of Forensic