karrncen

karrncen has 29 years experience and specializes in CEN.

Latest Activity

1. Something that has been bothering me

   karrncen replied to Griffin123's topic in MICU, SICU

   Very sorry to read that the nurse misspoke, but also conveyed incorrect information. As a number of members have stated, presence of bile is not unusual when there is no food present and the (likely)...

2. How long did you stay at your 1st job?

   karrncen replied to 01dayatatime's topic in Nursing Career

   I have to say I do believe it's unprofessional to leave after only one year. The first year of nursing for new grads is a difficult learning experience for so many. Clinical in many programs is...

3. ER Orientation - what you should be doing....

   karrncen replied to traumaRUs's topic in Emergency

   Hi perbd, Glad to hear you're doing well. ED isn't for everyone and I hope you enjoy your new

4. Violence in the ER

   karrncen replied to TraumaSTAT's topic in Emergency

   We also restrict access to the ED with a visitor policy (one except in special circumstances) and access requires swiping our IDs at doors. Security assigns a dedicated officer per shift. We are not a...

5. Top 10 Myths of the "MURSE"

   karrncen replied to mikethemurse's topic in Nursing Humor

   Good for you, Mike. I got a

6. ER Orientation - what you should be doing....

   karrncen replied to traumaRUs's topic in Emergency

   perbd, Sorry things aren't working out. Don't be discouraged. The pace is difficult and some just aren't able to adjust to so many different scenarios that can occur in a shift. You'll find what works...

7. Nurses, are you glad that Obamas Healthcare Bill Passed?

   karrncen replied to Brian's topic in General Nursing

   Very sad to read the vitriol. This wasn't supposed to be a political debate, but obviously the comments reflect a lot of anger, fear, and disrespect. I thought we as nurses could rise above

8. Nurses, are you glad that Obamas Healthcare Bill Passed?

   karrncen replied to Brian's topic in General Nursing

   There are approximately 46 million uninsured or underinsured people in our country, many who receive no healthcare at all due to the cost. If all our citizens are insured, disease detection and...

9. Gastric Lavage - What size tube?

   karrncen replied to JessicaSN's topic in Emergency

   As LunahRN stated, lavage is no longer recommended. Even if you retrieve pills and fragments, there is significant risk of trauma to the oropharynx and esophageal mucosa. You will still be...

10. ER Orientation - what you should be doing....

    karrncen replied to traumaRUs's topic in Emergency

    I'm thinking I 'd want to avoid ending up as a patient in that ED. I do believe that new nurses need some experience prior to working in critical care areas, and especially as triage nurses. A new...

11. What's a BA,RN to do?

    karrncen replied to MarkE86's topic in Massachusetts Nursing

    I, too, have a BA in Psych, but earned it after my ASN. I've been an RN for many years and though I considered earning my Bachelor's an accomplishment, it meant nothing on my pay scale because it...

12. I cant start IV's!

    karrncen replied to Creamsoda's topic in Emergency

    Your own thought of trailing the IV team is an excellent idea. A lot of hospitals no longer have IV teams, so try to take advantage of the opportunity. I agree with numerous others that state most...

13. how do you keep your sexy??

    karrncen replied to healthcarefome's topic in General Nursing

    "Sexy" is a state of mind. Have to say it doesn't work for me at work. As I do work in an emergency dept., one must take care not to dress or act in a provocative manner because it attracts the wrong...

14. Yelling Doctors, How do you handle them?????

    karrncen replied to Danielle7's topic in Patient, Colleague Relations

    Hey, you're new and you're trying to do your due diligence in performing a med reconciliation. I wouldn't have called the doc at that hour, but made a notation that the dosage was unknown. It is up to...

15. Nursing, the field of medicine or customer service?

    karrncen replied to jalvino1's topic in Patient, Colleague Relations

    As an experienced ED nurse, I've heard some of the most ridiculous requests from patients and families. We have a policy of 1 visitor per patient at a time, though do allow for exceptions, such as a...