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cccnurse

cccnurse

E.R. Peds, PICU, CCU,
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cccnurse has 9 years experience and specializes in E.R. Peds, PICU, CCU,.

cccnurse's Latest Activity

  1. cccnurse

    Does it ever get easier?

    When it comes to kids it never gets easier, after awhile you will be able handle the sting a little better. Myself personally, in the case of a pediatric demise, when I can't feel the sting anymore I will need to get out. I hope that day never comes. How I start to cope is, when I get a minute, I take a step outside, look up to the sky, and ask the Great Spirit to care for the child until it's time for their parents to arrive. Then I put my head down, go inside and get back to work.
  2. cccnurse

    Your One Best Piece Of Advice Please.

    All of the above advise and more... Take care of the ones with breathing troubles first, then chest pain or bleeding, you'll have to assess which one of those is worse. Put the rash X's 2 weeks in the waiting room, they may itch for a while but it's fun to watch on the security monitors. Go buy a big bag of marbles... Every time you learn something new, throw out a marble. Every time a drunk or drug addict wants pain meds, throw out a marble. Every time you get called a ***** throw out a marble. Every time you get written up by the ancillary staff for wanting them to do their job and actually care for the patient, throw out a marble. When you look in your bag and find that you have lost all your marbles.... Laugh hystericly so people think you need a mental health eval, and welcome yourself to our club.
  3. cccnurse

    BEST trauma shears?

    Avelox Shears!!! Oh man am I jealous. All we get from Avelox is boxes of antibiotics, and an occasional banana bread from Tim Horton's. Well I can't talk too bad about the banana bread... I almost got to see a smackdown over the banana bread once between the nurses and the doc... that was fun.
  4. cccnurse

    "IM doesn't work for me"

    OK... Just wanted to get in here before the "righteous" did and start bashing us "bad" ER nurses because we also have the ability to assess BS. I agree with everybody so far. My experience has been that they don't think they are actually getting what they want if they can't feel the burn. My reply to them in this IM vs IV situation would be that... IM administration of this medication is safer than IV, this is the way it was ordered by the doctor, if you don't want it IM you are refusing treatment and may now leave. I usually hear some crap about how I am refusing to care for the pt, but I don't bite. I just calmly explain that they had been seen, treated and released by the doctor, this is the treatment he ordered. You have the right to refuse this treatment and may still be on your way. I've found out that AMA paper work is just as easy to fill out as discharge instructions.
  5. cccnurse

    Help me find the positive in this

    I work in a small rural ER 1 doctor and 2 nurses for both day shift and night shift. After midnight the RN isn't only the ER Nurse, we are also needed to be the code team, trauma team, IV team, triage nurse, lab tech, maintenance, security, pharmacy, supply room stewards, assist with Gift of Life procurements, AND...... Unit Secretary. Take what you are doing and use it as a learning experience, because you are going to find out as your nursing career gets further along, not only does your responsibility gets bigger, so does the hoops you have to jump through. You also won't know in the future when you might need to fall back on these skills to get your patient what they need.
  6. cccnurse

    blood gases

    I have seen several different ways to draw ABG's I'll try to explain how I was taught to draw ABG's by a very respected Pediatric Intensivist, I almost never miss (not that I'm the best by no means) it's just this way seems to work. First locate a good Radial pulse. (don't forget to check your Ulnar pulse) Once you find a good pulse point your index finger of your non dominant hand toward the palm of your patients hand and locate the pulse again. Place a towel roll under the patients wrist and slightly hyper extend the hand. you don't need much... Just enough to hold slight traction. Take your time while feeling the pulse and try to visualize a straight line through your finger where you feel the pulse, and to where the Patients pulse originates. Hold the ABG needle directly over your finger nail where you visualized the line... pull your finger back (proximal to the patient) and insert the ABG needle slowly just passed the tip of your finger. Watch the hub for flash, when you start to get flash stop and let the syringe fill to 1ml. (don't forget to run your syringe plunger back and forth once and have your plunger at 1-1.5 ml first) Keep your finger on the patient to be able to recheck the pulse if you go all the way to the radius and didn't hit your target, this way you can slightly retract the needle and re-visualize the target and take another go. My biggest advise is to take your time... take a deep breath and have confidence in yourself. When I raced dirtbikes in the woods the best advise I received from an old veteran was... Sometimes slower is faster. Good luck, you will be ok.
  7. cccnurse

    why did you go into nursing?

    I wanted to be like Hef... I mean; come on... What other job allows/requires you to come to work wearing pajama's
  8. cccnurse

    How do you deal with female patients?

    Sal, nursemike nailed it. If I was to add anything, or anything that I feel helped me, was to loose any apprehensions about being a male in healthcare. I don't go to work thinking I'm a male nurse, I go to work KNOWING I am an RN, I received the same education, had to pass the same exams as the female RN's. I'm a nurse by choice, I'm male by default. When you enter the room to do your job act professional, look at how your female co-workers handle the same situations that are reversed, act accordingly. For me it always worked out.. For every female pt that preferred a female care provider, there would be a male pt who was being a pig to the female staff. In these cases it was a no-brainer, I would readily take any of these types. I also wouldn't allow them to talk to me about my coworkers that way. It's all about confidence and competence, you need both to do your job effectively. You have to work to gain each, it doesn't matter what your gender is. An incompetent nurse is an incompetent nurse, it doesn't matter what their confidence in their abilities are. A confident and conscious nurse, usually becomes a very competent nurse. It's a long road to hike on. Just remember to hang in there... Because hanging out of there is pretty embarrassing.