christen13

christen13

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All Content by christen13

  1. Looking for a great ICU flow for RNs to organize their shift

    christen13 posted a topic in MICU, SICU

    Hi everyone...Thanks for taking a look ? I am looking for a flow or as some nurses call it a "Brain sheet". Basically what I need is a worksheet to follow throughout my shift. We don't have a Kardex...

  2. lose the attitude

    christen13 posted a topic in MICU, SICU

    I have worked in a sicu for several years and have seen the way RN's treat each other and I just don't understand why we are so critical of each other!! We have a tendency to act like "monday...

  3. Negative CVP?

    christen13 replied to RN92's topic in MICU, SICU

    It is not possible to have a true negative CVP!! You will see a negative reading on the monitor, but that is not the actual cvp....unless you have a MAJOR problem. Negative pressure in the...

  4. sensitive, "morbid?" question for labor-delivery RN's...

    christen13 posted a topic in Ob/Gyn

    Hi, I am a nurse in a much different specialty, I have a question that seems a bit "morbid" to me, and do need some help with it. I recently had a patient that delivered a stillborn infant at 37...

  5. Nursing is hard!

    christen13 replied to cardiacRN2006's topic in MICU, SICU

    I agre with augigi, completely. By asking this question, you are showing that you "get it", and that is a great place to start!!! Hang in there, be kind to yourself!! I can assure you that you will...

  6. Pay differential for ICU, CCRN, BSN

    christen13 replied to ccrnjen's topic in MICU, SICU

    We have no pay differential for a BSN or MSN, no differential for working in the ICU and no differential for

  7. ICU Nurses with OCD!!!

    christen13 replied to nursern20's topic in MICU, SICU

    I need to respond because I think it is NOT ok, to treat someone badly and use the excuse that you work in a stressful environment. Doesn't that make it a bit more stressful!! Nurses sabotoge...

  8. how does your icu perform shift to shift reports??

    christen13 posted a topic in MICU, SICU

    Hi everyone... I have a couple questions regarding how your icu's do rn shift reports. I am looking for a way to improve our communication between the Rn's (the md's are a whole different issue :)...

  9. how does your icu perform shift to shift reports??

    christen13 replied to christen13's topic in MICU, SICU

    Thanks everyone...We are looking for a way to develop a Kardex (seperate from the chart) That higlights the specifics for that pt...drip rates, labs, drsg changes....just like the tool described that...

  10. Doctor comebacks

    christen13 replied to NiceShot's topic in MICU, SICU

    I have found that the most effective way to deal with this is to appeal their inflated ego's. "help me understand........ " Is always a good choice. "What do you think about .." "I value your...

  11. Aesthetics Nursing

    christen13 replied to NurseKimberley's topic in Aesthetics

    This thread is just what I was looking for, thanks ........... I have also been in critical care for 2 years, along with 10 years of nursing experience but am looking for a change. The old saying,...

  12. phenytoin

    christen13 replied to gods's topic in MICU, SICU

    thanks for the info on dilantin. We give it to ALL patients with a head injury....I have never seen a pt a seizure...but is this because it's working or they never needed it?? Guess we will never...

  13. Looking for a great ICU flow for RNs to organize their shift

    christen13 replied to christen13's topic in MICU, SICU

    HI rocknurse... I tried to PM you, guess you have too many messages?? let me know...

  14. rules of injections

    christen13 replied to imahobbit's topic in General Nursing

    I am a STRONG advocate for my patients. I believe this is one of our primary responsibilies!! As far as putting my pt's at risk, I disagree with you. I have learned through exp that this is not...

  15. rules of injections

    christen13 replied to imahobbit's topic in General Nursing

    I agree with MLSO. There is a high level of trust in our facility between the RNs....there has NEVER been a sitation where a pt was given the wrong med when another RN drew it up. I think it is very...

  16. rules of injections

    christen13 replied to imahobbit's topic in General Nursing

    The only instance I can think of where this would occur in my setting is Fentanyl or another med in a vial that has to be broken open - obviously the entire contents will be drawn up and if 50mcg is...

  17. rules of injections

    christen13 replied to imahobbit's topic in General Nursing

    OK guys....I think you are going a little to far with not giving meds the pharmacy drew up. As far as the example of the pharmacy sending up the wrong med..of course this happens!! The pharmacist...

  18. rules of injections

    christen13 replied to imahobbit's topic in General Nursing

    I agree with all of you, I am just telling you that this is customary in our unit. We do label all syringes and I would not administer if it was not labeled by the prior RN. I will think about your...

  19. rules of injections

    christen13 replied to imahobbit's topic in General Nursing

    Hey all, I do give injections that others have drawn. I know this is a no-no, they drilled it in our heads never to do this in nursing school. But as you all know ... nursing school typically does...

  20. Looking for a great ICU flow for RNs to organize their shift

    christen13 replied to christen13's topic in MICU, SICU

    Thanks so much roxanrn2003.... I would love to check them out Thanks again,

  21. phenytoin

    christen13 replied to gods's topic in MICU, SICU

    You are correct...phenytoin may only be pushed with NS...you will get a precipate....trust me on this one, I learned the hard way :) In addition, it can be given as a slow inital bolus but is called...