Christie RN2006

Christie RN2006

SICU, EMS, Home Health, School Nursing

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All Content by Christie RN2006

  1. VENT: You mean I still have to work when I'm on the clock?

    Holy cow, Becky has a twin!?! There is a certain nurse where I work that is exactly like what you are describing. It doesn't seem to matter how often I complain about things, nothing is ever done...
  2. Night Shift Neglect.

    I agree that there is no excuse for leaving your patients in that horrible of condition, but be careful how you word it. It is not just a "night shift" problem, I have come in many times in the...
  3. Precepting...

    i am having trouble with that right now... i am trying to learn to sit on my hands and keep my mouth shut unless it is something i need to step in on. also, i never realized how picky i was until i...
  4. Precepting...

    whoops... yes it is supposed to be 2 years. thats what happens when i try to write a post when i am really tired and i don't go back and proof
  5. Precepting...

    The state of Ohio requires a nurse to have a minimum of 2 hours of experience before being allowed to become a preceptor for a student. I think that should also be the minimum for new grads/hires...
  6. MRSA in sputum with trach?

    Where I work, if the pt is diagnosed with MRSA of the sputum, they are automatically placed in droplet isolation which means gown, gloves and mask. It does not matter if they are on the vent or not,...
  7. "What would you do" continued....

    Usually our docs will write if they want us to give a dose now, for example they would write... norvasc first dose now and then Q AM Based on the orders, I would only give the metoprolol, but I would...
  8. Customer Service ratings ....

    I find it interesting that the unit I work in has scores that rapidly change every month. Take for example our most recent scores... For one month we got a 100%, now our most recent result was well...
  9. Anyone work at Morrow county hospital?

    I don't work at Morrow County, but I live in that area of Ohio... I looked at Morrow County when I graduated back in '06 and I remember the pay rate being a few dollars less than some of the other...
  10. Nurses & Emergency Scenes

    I also am a RN/EMT and I can totally relate to some of these situations. One of the situations I have experienced that stands out in my mind was when I was eating in a cafeteria and the only medical...
  11. My son called me lazy for being sleepy during the daytime!

    One time a guy I was kinda dating kept complaining about how tired he was, so I bet him that he couldn't live my schedule. Haha within a few days he gave up! People that don't work nights, just don't...
  12. The Economy and your job as a nurse

    Last year things were looking pretty rough at my hospital... the census was down, they closed our STC unit at night and all semi-private rooms were converted to private and lots of nurses had to be...
  13. Paramedics and nurses in the ER?

    The hospital I work at has several paramedics that work in our ED. They never take an assignment, but they can help the nurses with a lot of things. They can help in triage, obtain vitals, complete...
  14. Lowest Blood pH

    The lowest I have seen was I think 6.7 and all of the other numbers were way off too. The pt ended up maxed on a bicarb drip, vasopressin, and epi. We coded the pt 3 times before the family decided to...
  15. One of the ladies I worked with made the switch from ICU to hospice and she loves it! There is a huge difference in type of stress, etc. With home care, you get to know your patients on a more one on...
  16. Would you consider that an 'exposure'?

    I wouldn't be too concerned about it either. They test and retest the blood for transfusions, so the risk of getting anything from a transfusion is very very slim, so I would think that the risk of...
  17. What color should a nurse wear?

    Where I work, we have a color code for each department. RN's are ceil blue, LPN's are purple, etc. We are allowed to use white as an accent color. I personally wouldn't want to wear all white... white...
  18. Do you have a unit-based pharmacist?

    Where I work, they have a unit based pharmacist during day shift, but at night we do not. We have to fax all of our orders down to pharmacy and then they tube us the meds. Sometimes we do have an...
  19. Precepting In SICU

    I work in a SICU and we have had 2 students recently that had issues and almost passed out!! We were all joking that if we keep breaking the students, they are going to quit sending them to us......
  20. Orientation-Staffing

    That is not safe at all! Where I work, we are required to have 2 RNs in the ICU at all times. On a rare occasion they will bring in an RN from our step-down unit to take care of step-down patients...
  21. To suction the ETT, or not?

    All of our vented patients have in-line suctioning, so it remains a closed circuit. Our vent protocol states that the patients HOB is to be at 30 degrees or higher if at all possible, oral care every...
  22. Do all of your vented pt's get restrained?

    Most of our vented patients are restrained. We used to be able to restrain patients under our intubation protocol, but when JCAHO came around this last time, they told us that we were no longer...
  23. CRRT question

    We rarely use M60s where I work. The only time they use them is on the little tiny people that weigh around 90-100 lbs. Generally we use M100 or HF1000s. The bigger the filter, the longer they usually...
  24. 18-gauge vs. 20-gauge

    I work in an ICU, so generally we try to stick with the bigger gauge IVs. We do have some 14 gauge IVs, but rarely do we use them. Generally we try to stick with either 18 or 20. The only time we will...
  25. Age for Certications

    I know that here in ohio you have to be 18 to become certified as an EMT, etc. You also have to be 18 to work at the hospital. The hospital I work at does have a program for high school students to...