a4n6nurse

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 independent contractors. Our director is the ED manager...

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 and don't want to over due fluids just for dilution....

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; Tertiary Pediatric teaching hospital 4. Hourly Pay (base ...

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 pain, supporting the family or facilitating donat...

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 commonly prescribed meds, equipment and vitals based on ...

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 unit it is the quickest and most effective form of ...

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 changed this. I promise you it is faster than an...

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 coordinator for the following month. We take call in 4 to...

Background in general ED, peds ED and adult ICU. LOVE the diversity in Nursing. I have been a Sexual/Physical Assault Nurse Examiner for 15 years and Love the autonomy and investigative nature. And the ability to be there in times of extreme crisis....

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 to evaluating trauma and being able to relate it to...

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 facility all receive the same stipend.

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 nurse. I also work for a number of attornies performi...

"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 administration of medication. Through clothing wa...

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 vegetative state is maintained for years? Our medical e...

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 additional signs/symptoms in concert BP is still ...

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 issue. If your patient is unconscious your evidence h...

Unfortunately we are the biggest culprits in the abundance of anti-biotic resistant organisms as we throw everything at nothing. The dose was correct, though the need may not have been there. Hard to arm chair quarterback without all the info, bu...

I started my career in a community hospital where titles were king. It was unthinkable to call a physician by his first name. When I moved to a large inner city teaching hospital I couldn't drop the "DR" thing. The medical director of the ED actua...

I am going to have to advocate for some ED time. While comfort and proficiency with pelvic exams are a part of being a SANE RN, thats not the biggest component. The majority of your exam is actually the head to toe secondary assessment. Your recog...

Amy, The possibility of full time employment is much lower than part time. Sexual assaults are rarely prescheduled, so the majority of the actual cases are performed as "on-call" responses. Follow-ups, or "chronic clinics" in the pediatric realm...

Good evening ladies. I am very lucky as I fell into my forensic positions due to contacts I had made while working in the ED. Not knowing your backgrounds that is my first suggestion to you, get to know your local police. Sign up for ride-alongs i...

This is a great thread. Guess it happens everywhere! 1) Worked in a for-profit facility that cared more about PR than care. (not anymore thank God) Called CPS for a kid with burns, strict line of demarkation-no splash marks etc.Investigation came u...

The tip is actually quite short. And is manufactured in such a way that lay personeel are using it daily in high stress environments. The compound is made for rapid absorption. Take a deep breath and realize this preperation has been proven for ye...

Wow. You sound like you have invested a good amount of time in your chosen path. REread your last paragraph. You ask about "forensic nursing". Which implies a nursing liscence. There are many lab positions, and police department, Medical Examine...

I've done 15 years as an "adult" nurse. Changed to peds 5 years ago. It only took the desire to learn: the geek gene to constantly carry a calculator, the pucker factor if your dose is larger than 3cc's, and a thorough understanding that yes Sponge...