Eze4life325

Sounds like a lot of things went wrong with her care, and you just happened to be the last person taking care of her. ED doc and nurse dropped the ball, and Im sure you didn't put her in the wheel chair yourself. Someone helped and others watched you do it. Lessons learned, never move an unstable patient to a wheelchair. How was she being monitored in a wheel chair? Nursing is about asking the right questions. What is causing her anemia? What is causing her elevated D-Dimer? Is stable enough for imaging? Imaging doesn't do any good if the person dies trying to get it. You're a new nurse, you did the best you could. your resources failed you.

Need more info. She was getting blood for a reason. What was her PTT/INR? Was she on any anticoagulation? Elevated D-Dimer tells me nothing. I hate that lab. What was her physical assessment? Did she look pale? Was she requiring more oxygen? Also, if she is coming to the ICU, and she is an ICU patient. She should go anywhere in a bed. Not a wheelchair.

I took the PCCN 3 years ago, passed and then took the CCRN a month ago and passed. I would say that the CCRN has more resources, and is broader in what is tested. There is just more content to study. PCCN questions are similar to the CCRN but are more focused on cardiac, since there is a few questions on pacemakers, open heart, cardiac, etc. I believe the CCRN to be more difficult for sure, but studying for the PCCN will get you ready for when you have to study for the CCRN. You will have to study for both, no way around that.