Christie RN2006

Christie RN2006

SICU, EMS, Home Health, School Nursing

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All Content by Christie RN2006

  1. a BNP of over 4000?

    If that is the creatinine level, it sounds like this patient is in CHF and renal failure... it's probably acute renal failure due to the GI bleed. Has the patient been on lasix, bumex or any drugs of...
  2. Documenting

    All of our documentation of medications is on the computer now. We have to scan our badge to get into the medication list and then to chart giving the meds we have to scan each medication and then...
  3. Signing off orders

    At my hospital the Unit Clerks will sign off orders in red ink, then a RN has to sign them off and we use black ink. LPNs can take orders that are withing their scope of practice, but an RN has to...
  4. Help! How many visitors in the patient room?!!

    In the ICUs where I work, our policy is only 2 visitors at a time. On step-down it is only supposed to be 2-3, but sometimes we bend the rules a little if they are being cooperative. We will not put...
  5. What the Heck Moments!

    We had a patient one time that came in for something totally unrelated to a major problem he was having. He was the type of patient that wasn't quite "all there" if you know what I mean and his friend...
  6. What the Heck Moments!

    We get orders like that every once in a while... we all joke that if you push the drugs into a peripheral IV, then I guess you need to rub their arm and push the blood towards their heart
  7. Prayer/positive thought request for a fellow nurse

    I will be praying for her and her family. Are there any updates on how she is
  8. What Was The Most Difficult Patient You Ever Had?

    I have done that before too! I almost had to have a family member escorted out one time and she came up to me and another nurse and asked for a paper to "write us up" and she asked for our names, so...
  9. Checking for Residual in Peg tube

    For the first time you check residual, make sure your clinical instructor is there with you to help guide you! If you are checking for tube feed residual, you need to pull back gently on the syringe...
  10. Team Nursing

    Oh ok, I see what you mean... Like I said, we do have teams consisting of a RN and LPN occasionally in the ICU, but generally one RN is assigned to 1-2 patients and occasionally we will have a PCA...
  11. MRSA legislation in Maine

    We are required to wear gloves in the room at all times with glove precautions. We can't even chart in the room without gloves on. Contact precautions requires us to wear gown and
  12. Team Nursing

    I'm not familiar with the "team nursing" concept. How does it work? The only "team nursing" I am familiar with is when you have a team containing a RN and
  13. MRSA legislation in Maine

    We have started a strict MRSA surveillance where I work. All patients admitted to the critical care units are placed in glove precautions. Any patient admitted to the ICU is screened for MRSA using a...
  14. This is a perfect example of why you should always treat the patient and not the monitor. One thing to always keep in mind about oxygen saturation on the monitor... Like the post I quoted mentioned,...
  15. How do you keep your hands in good shape?

    Udderly Smooth Udder Cream is a brand of lotion... google it, its good stuff :) I think its fairly new to my area and its quickly becoming
  16. Do Neuro ICU nurses get good cardiac experience?

    Honestly, what you are exposed to depends on the hospital and the unit. The hospital I work in has 3 ICUs... CVICU, CCU and the SICU. I work in the SICU and our main patients are neuro, trauma, and...
  17. How do you keep your hands in good shape?

    I started washing my hands in cool water and it has helped me a lot! One of my coworkers swears by a lotion called "udder
  18. How are you with needles?

    I have no problem starting IVs or giving injections to other people, but if those needles are pointed towards me, I flip out! I almost passed out when I got my ears
  19. Any Trauma Nurses in here?

    "trauma nurse" could be in an ED or in a trauma unit. The ICU/Step-down area I work in gets all of the trauma patients. I am actually going to be taking TNCC very soon! I also work on a fire...
  20. NO LUNCH? NO BREAKS? Is that common in nursing?

    Didn't you hear about the nurse they found dead in the parking lot? How did they know it was a nurse... because her stomach was empty her bladder full and her butt chewed off. Anyways, where I work we...
  21. Anyone ever join a medical mission trip?!

    I don't know of any going there, you can research different missions online and see if you can find any information. On my medical trips, as long as you know how to do basic triage, give...
  22. medical mission

    Check with your local health department and they can let you know what immunizations and medications you may need. If you learn some of the basic words, it is helpful, but most trips you go on will...
  23. Looking for a pocket-sized lab reference guide

    You can get pocket size cards are Barnes & Noble, or if you have an ID badge with room on the back you can make your own... In my unit we use a lot of drips and special lines/machines and...
  24. VENT: You mean I still have to work when I'm on the clock?

    Sometimes I have been tempted... I'm surprised I haven't had to get stitches in my tongue from biting it so
  25. Night Shift Neglect.

    Easttexasnurse31: I saw your reply previously to trauma and I was replying to the post that I quoted by fuzzywuzzy. I totally agree with how you feel though, I have found patients like that before...