Christy1019 ASN, RN

Emergency/Trauma/Critical Care Nursing

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All Content by Christy1019

  1. Soo weird but I also work in a detroit ER and had a guy a few months ago cut off his member with scissors too! Also because god told him to.... then he threw it in a field to feed the rats.. eww God...
  2. Christy1019

    SE MI employment for exp. ED RN

    Do you have any way of finding out what the avg pay is for and ED nurse with 4yrs experience? I too am looking for anew ER. Thanks Sent from my SPH-D700 using
  3. Christy1019

    Heartmate II Patients and CPR

    Just curious, have any of you guys had the opportunity to work with the Heartware Vads yet? I personally thought they were uber-cool (yes I know that's not a real word lol). Goes to show how our...
  4. Christy1019

    The ER Doctor's Point Of View

    I've seen people say this a few times now, what the heck is a troll? I'm assuming its something computer generated vs human, but why would they post relevant topics vs spam ads? Sent from my SPH-D700...
  5. I know this thread is old but I have to comment... NO NO NO NO!!!! I can't express how truly awful this pathetic excuse for a "psych floor" is. I initially wanted to be a psych nurse, until I had...
  6. Christy1019

    This is EXACTLY why I don't like taking Verbal orders

    Just out of curiosity.. What did you end up writing down that you thought he was ordering? And if you can give me a little more info about the patient (BP, meds already give etc), and ill tell you how...
  7. Christy1019

    What was the longest code you have been in?

    4 hours: 60yr old female pt walked in c/o chest pain, codes 10min after arriving to treatment room. She was intubated, had arterial/central lines placed, levophed & epi drips, copious amounts of...
  8. Christy1019

    Heartmate II Patients and CPR

    In my experience, the outcomes for LVAD patients vary.. for the pts who are not candidates for transplant & have the LVAD for end stage CHF can have a drastic improvement in their quality of life,...
  9. Christy1019

    Funny things patients say !

    The other night I get this adorable 97y.o LOL from triage, who was brought in by family at 2a.m. for increasing nocturnal confusion & paranoia x 3months... (umm... can we say sun-downers? ) Pt is...
  10. Christy1019

    My pet peeves

    When multiple alarms on the central telemetry monitor are going off (usually due to leads/pulse ox being off, or parameters not being adjusted for consistently abnormal VS), and not one of the five...
  11. Christy1019

    Skill's Fair for the E.D.

    [color=#663366] thank you lunah, i thought i would have to be first to say something. i can honestly say that sometimes i turn into the spelling police, probably because spelling comes very...
  12. Christy1019

    Question re: rape

    I'm not sure if this is a state or national law, but when it comes to anything sexual/reproductive/STD etc, the patient is considered emancipated in regards to medical treatment at age 13. This means...
  13. Christy1019

    COPD pt sob

    I'm assuming that you posted your question using your phone, but the "text speak" is making it difficult to understand what exactly you are asking. I don't usually complain, seeing as I'm part of...
  14. Christy1019

    Nursing Apps for ANDROID

    Although its not exactly a 'resource', I like the app/game called Prognosis, it gives patient scenarios and you decide how to assess and treat them and see if you're right. Afterwards it gives a...
  15. Christy1019

    Calling Code Blue in ED

    I'm with you... just because the ED isn't a trauma center, doesn't mean they aren't capable of responding to a medical resusciation, hence they work in the EMERGENCY department lol. I don't know why...
  16. Christy1019

    IV Zofran and LR

    The other day I came across one of my old clinical pocket guide books and while flipping through it I came across iv compatible meds and was surprised to see that iv zofran wasn't compatible with...
  17. Christy1019

    ED basics, as if there was such a thing...

    For syncope i'd also do orthostatic VS and if related to trauma i'd order a head ct (our facility let's us order them in triage to r/o bleeds quicker), and depending on what lead to syncope or any...
  18. Christy1019

    Frequent Flyers

    Sorry, didn't mean to double post... computer froze
  19. Christy1019

    Frequent Flyers

    I work in a large, inner city level 1 trauma center that has high poverty, homeless & substance abuse rates which has led to a large number of frequent fliers that have over 50 ER visits per year,...
  20. Christy1019

    Frequent Flyers

    I work in a large, inner city level 1 trauma center that has high poverty, homeless & substance abuse rates which has led to a large number of frequent fliers that have over 50 ER visits per year,...
  21. Christy1019

    Assessing the hyperglycemic patient

    One more thing... their blood gas may also show low CO2 which is a result of tachypnea or kussmaul resps b/c the faster they breathe, the more CO2 they blow off. The body does this to compensate for...
  22. Christy1019

    Assessing the hyperglycemic patient

    Sorry if any of this was already mentioned... i'd also draw a venous blood gas w/lactate (gives you their ph & if the cause is d/t infection they may have elevated lactate), BOHB, mag & phos....
  23. Christy1019

    lasix and kcl

    NO! it was a written med error that i'm surprised pharmacy didn't catch while generating the MAR. Granted i'm sure the actual dosing of 40 was correct so if you have already given the med it should...
  24. Christy1019

    "But for me, 98.4 means I have a fever...."

    [color=#333366] i always try to make it my practice to acknowledge pt's complaints and educate when necessary, however some things annoy me, such as the patient coming in saying they've had "a real...
  25. Christy1019

    What is the most interesting case you've seen in the ER?

    lol, i'm pretty sure i'd still encounter these bizarre situations even if I had a desk job lol, as my coworkers always remind me, i'm the sh*t magnet and call me the "psych whisperer" lmao, and they...