a4n6nurse

a4n6nurse has 20 years experience and specializes in transport,forensics,ED.

Latest Activity

1. How do SANE nurses get paid?

   a4n6nurse replied to CUL8R's topic in Forensic

   I realize that this is an old post, yet wanted to add my 2 cents. I have been a SANE (FNE) in my current program since 1990. I have never worked for the hospital. We are all considered to be...

2. IV push

   a4n6nurse replied to greyL's topic in General Nursing

   My practice area is pediatrics. In some cases meds need to be diluted for their fragile veins. (IE; Dextrose is given as D25, not D50-Bicarb is also diluted) In other cases we are giving many meds...

3. RN Salary Survey 2013: Post here!

   a4n6nurse replied to ItsColduphere's topic in General Nursing

   Primary Job; 1. State you work in - Washington, DC 2. Years of experience -25 years (ADN) 3. Specialty/unit and work setting (clinic, hospital, prison, etc) -Pediatric Critical Care Transport;...

4. My first pedi death

   a4n6nurse replied to canesdukegirl's topic in Pediatric

   What I always tell my newer coworkers, "all the bad stuff happened before you got involved. You did all you could to make it better" Sometimes better is not "saving them". Sometimes better is easing...

5. Floating to Peds ER--help me w the basics PLEASE!

   a4n6nurse replied to lccougar02's topic in Pediatric

   Childrens National Medical Center has developed a smart phone, tablet APP that is FREE for both apple and android markets. It is called "Pediatric Quick Reference." It is a great reference of...

6. Very inappropriate!

   a4n6nurse replied to Erikadawn RN's topic in General Nursing

   I'm sensing a lot of conspiracy therorists here. I work in a tight knit unit where we all have each other's cell numbers and text frequently. Both with other staff members and leadership. For our...

7. Intraosseous Access - Have You Used It?

   a4n6nurse replied to emerjensee's topic in Emergency

   My area of primary practice is pediatrics, and we love the EZIO!! The old days of hand "drilling" the jamshidi needle were difficult, and almost nausea inducing for the provider. The EZ IO drill has...

8. How does your SANE program schedule examiners?

   a4n6nurse replied to edmia's topic in Forensic

   Wow, this sounds unbelievably unfair, and a recipe to lose nurses. Our program has 6 nurses, and has provided uninterrupted service for 20 years. We all send our availability to the program...

9. Please don't tell me I have to work in the ER?!

   a4n6nurse replied to **All Heart RN**'s topic in Forensic

   You are not going to want to her this, but the if your real desire is SANE, ER is where you need to be. A major portion of SANE nursing is a generalized exam for trauma. The more exposure you have...

10. Bonus for Flight Nurses in Maryland/DC?

    a4n6nurse replied to rmc2's topic in Flight, Surface Transport

    At Children's National Transport Team Members are paid a "Critical Care" bonus while on duty. This bonus is whether on air or ground. So there is no bonus for flight, but Critical Care areas of the...

11. Do I need a BSN?

    a4n6nurse replied to nurse2bmom's topic in Forensic

    If you do a search here this topic has been addressed in the past. But here goes; 1. Never "just an ADN". 2. I am a proud ADN, I am also a FNE A/P, a forensic examiner for our OCME, and a flight...

12. Is it okay to give an IM through clothing?

    a4n6nurse replied to njinsky's topic in General Nursing

    "Back in the Day".... When I worked in a busy ED in the hayday of PCP this was common practice with combative patients. Routinely we had 4-5 people lying on top of patients to hold them down for the...

13. Evidence collection on unconscious patient

    a4n6nurse replied to Putts's topic in Forensic

    Playing Devils advocate here. What if that pt who's respirations are expected to cease in 24 hours holds on for weeks or months? Or the family does not want to withdraw care and a persistent...

14. BP on Pediatric Patient?

    a4n6nurse replied to blinks14's topic in Pediatric

    While BP changes in children are latent signs of decompensation they still need to be trended. Remember for pediatric pt's they hold their BP until they loose it. While it is most important to check...

15. Evidence collection on unconscious patient

    a4n6nurse replied to Putts's topic in Forensic

    I have been in this situation twice. On both occasions the kit was completed on the premise of implied consent, as was the hospital course. Unfortunately evidence collection is a time sensitive...