RNChristy

RNChristy

Telemetry, ICU/CCU, Specials, CM/DM

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All Content by RNChristy

  1. Could use some advice or a listening ear...new RN, newly abusive husband

    RNChristy replied to seekinganonymity's topic in General Nursing

    I really hope the OP keeps everyone posted so we can know that she is safe. Good luck to you!!!!

  2. CHF unit for new RN

    RNChristy replied to pensue37's topic in General Nursing

    Study CHF, HTN, CAD, COPD, AFib, Valve disorders and Renal Disease as many CHF patients have these comorbidities. Study medications, treatments, Telemetry (cardiac rhythms, if monitors are involved...

  3. Full face mask bipap

    RNChristy replied to divaRN*'s topic in General Nursing

    To look at the mask, it looks like it would be more stifling; however, I do know some OSA patients that will only use this type of mask. They say that it is much more comfortable and less...

  4. Treating elevated blood glucose - yay or nay?

    RNChristy replied to DayDreamin ER CRNP's topic in General Nursing

    I also would not worry too much about treating that blood sugar right away because of the effect on the K+. When hanging IV K+, we also had Neut. that we could get an order for and mix in the bag....

  5. I need to switch preceptors

    RNChristy replied to katygw's topic in General Nursing

    Anytime that I precepted new nurses (which were quite a few), we always gave them a few shifts to '"shadow" and assist with any skills; that is, starting IVs, NG tubes, Foleys, passing meds. During...

  6. Med error or not

    RNChristy replied to surgicalcap's topic in General Nursing

    It does not matter or not whether this was a high priority med. You need to treat any ordered medication the same. Documentation should be the same for any ordered medication. No one should sign...

  7. Discharge paperwork: what do your patients get?

    RNChristy replied to Lunah's topic in Emergency

    The hospital that I worked at did not send labs, xrays, etc. with the patients routinely either, because they ARE part of the medical record. If the patient or doctor wanted that info, they would need...

  8. Med error or not

    RNChristy replied to surgicalcap's topic in General Nursing

    What type of facility is this? In the hospital where I worked, only the nurses wrote on the MAR when an order was received and it was not noted until the order was verified with the chart. Firing a...

  9. Am I ever going to get this?

    RNChristy replied to jlynn2303's topic in First Year After Licensure

    I remember when I was a new grad on Telemetry about three months into it and on my own with 6 patients and had another day that I too was soo frustrated with everything. Eight hours into a 12 hour...

  10. I'm embarrassed, but can use some advice on time management

    RNChristy replied to nlk96's topic in Geriatric, LTC

    Thanks for the info obenfermera1. The facility that I work at still has the insulin in the refrigerator. That is their policy so I guess this can be by facility too. Christy,

  11. I'm embarrassed, but can use some advice on time management

    RNChristy replied to nlk96's topic in Geriatric, LTC

  12. PTT monitoring

    RNChristy replied to username33's topic in CCU, Coronary, Cardiac

    At my facility that I used to work at, the protocol for therapeutic was 70-90. Some doctors wrote their own parameters. Every facility may be different, so check your facility for their protocol and...

  13. Am I worrying too much???

    RNChristy replied to hayhay12's topic in General Nursing

    I agree with Esme12. You did everything correctly and I would not have done anything differently. Sometimes, no matter what we do, this is still going to be the outcome. We just try to do our best....

  14. How to prepare for tele floor test

    RNChristy replied to NIGHTINGALE-RN's topic in General Nursing

    Know all the rhythms, not just the fatal ones. Most tele floors have a required EKG test that has to be passed. I don't know what your test entails, but I would also study the medications that are...

  15. Vent! Floor v. ED

    RNChristy replied to AggieNurse99's topic in Patient, Colleague Relations

    I agree that this patient would normally be in the ICU with that Hgb unless maybe it is someone with a chronic problem. When I worked on tele, we never accpeted a patient from the ER with that Hgb....

  16. Vent! Floor v. ED

    RNChristy replied to AggieNurse99's topic in Patient, Colleague Relations

    IMO the blood should have been hung in the ED if it was ready for that long, especially with that Hgb. The first unit could have been half infused by the time the patient made it to the floor. The...

  17. Transferred to SICU, horrible orientation...what to do??

    RNChristy replied to nlhnurse1982's topic in General Nursing

    I would RUN, not walk, to your nurse manager!!! I would not work with that preceptor ever again and especially not accept an assignment with a patient on CRRT with out first being trained. Most CRRT...

  18. Difficult access: Would you go for EJ or pedal?

    RNChristy replied to Murse901's topic in Emergency

    In my experience, I have never started a pedal IV. At my facility, nurses were never allowed to start EJ per policy. For the patient comfort, the ED Doc would start an EJ if able or a Central line....

  19. what stethoscope to buy?

    RNChristy replied to maxcat's topic in Scrubs, Uniforms, Gear

    I have 2 Littman master Cardiology stethoscopes (only because the first one was stolen and finally returned and I had already bought a new one that I did have engraved). They are great stethoscopes....

  20. Does a pressure ulcer = incident report???

    RNChristy replied to optimist's topic in Geriatric, LTC

    When I worked at the hospital, we only filled out an incident report and QI form on newly acquired (while in the hospital) wounds. Any time a patient was admitted discharged, or transferred to another...

  21. Insight on a question I do not agree with

    RNChristy replied to TexHaws's topic in General Nursing

    I would have picked "D", but with the wording a little different. Definitely not "C"

  22. Are some people just not cut out for ICU?

    RNChristy replied to TigerGalLE's topic in MICU, SICU

    OMG. This nurse is not cut out for ICU. And 14 weeks and she is still showing up late and not reporting off her patients when she leaves the floor? Also, she does not know about medications like...

  23. PICC Lines With Heparin

    RNChristy replied to mangua's topic in General Nursing

    If Heparin is used, you should pull off the heparin. The PICC lines that I used at our facility did not use Heparin. It was actually discouraged with the brand that we used. Maybe you have a policy...

  24. Can you have multi-licenses in two states?

    RNChristy replied to cisa04's topic in General Nursing

    Yes, you can hold a license in multiple states. Your state is also a compact state so you would be able to work in other compact states as well. You can find that info at...

  25. How to prepare for JCAHO survey

    RNChristy replied to scorpio82's topic in General Nursing

    Patient Safety is one of the most important concepts that JCAHO looks at during their rounds. NEVER say you don't know the answer to a question. If you don't lnow, ALWAYS say I can find out the...