Christy1019 ASN, RN

Emergency/Trauma/Critical Care Nursing

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All Content by Christy1019

  1. Christy1019

    Trauma roon in your ED... who gets it?

    My ED is a level 1 trauma center w/120 beds divided into triage, CDU (24hr observation unit) & tx areas by acuity i.e. cat 3/4 is peds and fast track, cat 2 is abd pain, & non-emergent DIB/CP...
  2. Yesterday.. c/o Being startled while asleep Per EMS they arrived to find a woman sitting in a lawn chair in the middle of the street crying, w/a car that ran into the streetlight nearby. They asked if...
  3. Christy1019

    Stupid People Award

    lady bringing in a 2yr old states "she got a bee sting in her eye so i put turpentine in it but now she can't
  4. Christy1019

    Funny Sign In Slips

    patient's chief complaint verbatim: "hot hot *****, itchy itchy, burn burn, pee pee" .... ended up being a
  5. i agree w/the last two posters, the nurse was likely giving Lantus which is long acting which has a delayed onset and peak time, HOWEVER, regardless if it was long or short acting, the nurse should...
  6. haha that reminds me of this cute little old lady i had a few weeks ago, the legal guardian with her comes rushing up to triage saying how this woman can't breathe or talk etc etc, i'm looking at this...
  7. this wasn't the most ridiculous reason i've seen by far, but was one of my more recent ones that annoyed me.. it's 2am and i'm assigned to triage/registration, i call this 20-something female pt that...
  8. Christy1019

    New ED Resident

    Congratulations! I hope it all goes well for you and if I can give one piece of advice to help keep the nurses from wanting to strangle you ... if you work in an ER that's anything like mine and have...
  9. Christy1019

    Rules for the ER (long)

    Cyndi First off, I am sorry that your son had an awful nurse like that, but am glad that the rest of his health care team treated you both well. My response to your post was never meant to be...
  10. Christy1019

    Trauma Room Staffing (not ratios...)

    wouldn't you need at least 2 nurses assigned in the even of an actual trauma or resuscitation.. one to scribe, one to do tasks i.e. monitor/iv/meds
  11. Christy1019

    Rules for the ER (long)

    I started in the ed as a new grad and have been there for 3 1/2yrs, at a very large inner detroit level 1 trauma center that sees everything from a multiple gsw walking in the front door, to a child...
  12. Christy1019

    What is the lowest HGB you have seen?

    1.8 with no identifiable cause of blood loss! his diagnosis was "anemia not usually associated with life" but he lived, only to come back the next month w/a massive ICH, herniated and died in the...
  13. Christy1019

    Fever and dying

    i work in ER and don't often have patients that are actively dying for prolonged periods of time, so this is the first i have ever heard of the fever associated w/dying. I'm just wondering if someone...
  14. Christy1019

    What certifications do you have???

    ACLS/BLS, critical care, TNCC, ENPC, hazmat, and working on
  15. Christy1019

    Dropping pressures with nitro. Anyone experience this??

    i agree with what everyone else has said about people being hypersensitive, possible interactions with home meds etc. however i wonder if it is possible that the ntg bottle was actually 0.6mg dose vs...
  16. Christy1019

    Administering Narcs and nurse liability

    Not that i prefer to make a habit of giving high dose narcs to my pts, I have come across some instances where pts have received even higher doses of dilaudid d/t high tolerance and opiod dependence...
  17. i've been an er nurse for 3yrs and thankfully have a great team & had to think hard to remember a situation that freaked me out, but still managed to come up with a few.. in nursing school, during...
  18. Thank you for one of the most hilarious and best illustrated stories i've ever read on here lol, and kudos to you for being one heck of a nurse, i know a lot of nurses that wouldn't have held their...
  19. Christy1019

    Favorite "Lay Terms" For Diagnoses

    I know this isn't a common one but the other night this lady told me she had "premenapausal angelina" but couldn't tell me anything about what it was, not to mention she's 65yrs old (premenapausal...
  20. Christy1019

    Need advice from experienced ER nurses!

    when i was a newbie i felt the same, like i was just in everyone's way, but i never shyed (no idea how thats spelled lol) away from them because they were exciting and you see and learn a lot of...
  21. Christy1019

    IV Gauge for CT

    Personally, I think that policy is , i absolutely HATE HATE HATE deep brachial ultrasound guided IVs, i will ONLY let people attempt to put one in my pt (i had no desire to take the training course...
  22. just curious... w/ur training as a marine don't they teach you techniques to takedown/disable someone even if theyre bigger/stronger... just wondering if u stepped in to help her is
  23. Christy1019

    triage suggestions

    just curious... is the person at the front desk registering the pts a nurse or a registration person? The only reason i ask is that I was recently discussing different triage ideas with one of our...
  24. Christy1019

    Where should I work in Detroit, MI????

    I work at henry ford detroit campus in the ER but have coworkers that have gone to or come from MICU/SICU, I personally love the ER, as we are generally very busy with traumas and everything else that...
  25. Christy1019

    Starting pay for new rn

    I'm at Henry Ford detroit campus and when I was hired 3yrs ago I was started at 24.81 with 1.85 for midnights and 2.00 for weekends, and since we had a freeze on raises since then I'm unfortunately...