Charge200J BSN

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 ...

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...

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...

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...

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 ...

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...

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

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...

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...

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...

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...

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...

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...

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...

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...

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 healthy habits.

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 for confused elderly little old ladies to grab. The ...

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 it!

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 reps always remind us to do when setting up the ci...

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 more frequently access an invasive line increases...

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 quick. Hope you feel better.

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 program...nurse. It's who you are as a person and wh...

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 trained on taking those patients. Some of the ICU float...

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 multiple sick patients from what you describe. Tric...

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