karrncen

karrncen

CEN

Member
  • Content

    20
  • Visitors

    1,792
  • Followers

    0

About karrncen

karrncen has 29 years experience and specializes in CEN.


29 years in nursing / ED for 23

Latest Activity

  1. Something that has been bothering me

    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) narcotic medications can cause abnormal persistals...
  2. How long did you stay at your 1st job?

    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 limited and doesn't give the experience needed to deal ...
  3. ER Orientation - what you should be doing....

    Hi perbd, Glad to hear you're doing well. ED isn't for everyone and I hope you enjoy your new position.
  4. Violence in the ER

    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 trauma center, but have had trauma victims, fire ...
  5. Was I Inappropriate

    What happened to being human? You made a connection and probably made that person feel your caring. You did not access her medical history, personal demographics, or other information. You spoke with her and expressed your wishes that she was recover...
  6. Top 10 Myths of the "MURSE"

    Good for you, Mike. I got a laugh.
  7. ER Orientation - what you should be doing....

    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 for you. Maybe ICU is a better place where you ha...
  8. 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 that.
  9. Ah, the things we say when we're tired

    Thank goodness most of us have a sense of humor. Tired, overworked, and just plain "brain farts" at times (oh yes, menopause), but laughter keeps us sane!
  10. 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 preventative care they can receive because they can affo...
  11. Gastric Lavage - What size tube?

    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 administering charcoal and monitoring because there is no way...
  12. ER Orientation - what you should be doing....

    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 nurse needs experience in the nursing process and bec...
  13. What's a BA,RN to do?

    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 isn't a nursing degree. I am exploring options for an ...
  14. I cant start IV's!

    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 ICU nurses deal with central lines, so don't necessa...
  15. how do you keep your sexy??

    "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 attention. Save the sexy for off hours...........:...