Christie RN2006

Christie RN2006

SICU, EMS, Home Health, School Nursing

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All Content by Christie RN2006

  1. Cooling blanket, shivering, & Magsulfate

    Was the cooling blanket being used for fever or for post cardiac arrest hypothermia? I have never used magnesium for shivering patients. If we are using a cooling blanket for post cardiac arrest...
  2. BP cuff or A line

    I personally verify the A-line pressure with a cuff pressure frequently because there are a lot of things that can alter your a-line reading. Most of the time the doc gives us an order to follow the...
  3. picc lines

    Where I work, LPNs can only work with existing infusions on PICC lines and other central lines. Existing infusions means replacing a maintenance bag or a piggy back. LPNs cannot give a push medication...
  4. My pt died, lab results question?

    Sounds like she went into multi system organ failure. I had a patient with rhabdo who's labs were that crazy. Did they check a chem 7 or liver enzymes? I would just about put money on it being crazy...
  5. Swollen Ankles! Ouch!

    I like mine a little loose, but I have never worn thick socks with them to stretch them out either. Like someone else said, you can always wear socks over them, especially if you get the ones that are...
  6. Swollen Ankles! Ouch!

    I know that several people I work with, including myself wear knee high compression stockings at work. I wear the ones that aren't a whole lot of pressure and you can get those pretty cheap at stores...
  7. RN and EMT

    I do both. I am a RN in an ICU and an EMT for a volunteer fire department. Some of your CEs will work for both licenses, but you do need to be sure to keep track of how many you have for each. You...
  8. Calling Docs by their first name...

    Where I work, we generally call all physician by "Dr. so and so", but I will call them by their first name or nick name if they ask me to. We do have several docs that have requested us call them by a...
  9. I charted that he died!

    I screwed up on the charting of one of my patients a few weeks ago. All I had to do was view the old chart through medical records and make my corrections on paper and submit it to be added to the...
  10. Migraines....Anyone else have 'em?

    I also get migraines. I started getting them when I was in about 3rd grade and my mom honestly thought I had a brain tumor or something! I used to have them for several days straight and I would get...
  11. average age of a new nurse?

    I was only 20 when I graduated with my BSN... I was the youngest in my class by far!! A good percentage of my class was people in their
  12. How much residual is too much?

    Check the policy where you work. Where I work, if the pt has over 100ml TF residual, we hold the TF for one hour and recheck. If it remains over 100ml we leave it off and call the doctor. 100ml is...
  13. Removing collars and backboards

    We have to get permission from the doc before removing a board or c-collar. Generally the board is off by the time they reach the ICU, but the c-collar stays on until all diagnostics prove they have...
  14. Neurosurgical Lab Values Help!!!

    It honestly all depends on what the surgery is for and whether it is an elective surgery or if it is for a life and death situation. If is elective, then you want their labs to be WNL if possible,...
  15. Rapid Infuser........

    It isn't necessarily recommended to be giving more than one blood product at a time, but if it is life and death, then by all means give as much as you can as fast as you can. I had a trauma patient...
  16. What is a code gray?

    Code Gray at my hospital is for a weather emergency such as a tornado
  17. Liquid Stool - Orange

    Do you know what meds they were
  18. Do you have this in the US?

    we have 23 hour patients too, but we don't have a specific unit that the go to. we call them observation patients and they go to the whichever area of the hospital that has beds and fits their needs....
  19. New CNA in ICU need Tips!!

    Figure out what the nurses like and you will be their favorite! Do things on time, chart it as soon as you possibly can and make sure things get done right. Be willing to help with even the not fun...
  20. Salary Differential for Speciality Units

    There is no additional pay for working a critical care unit at my hospital. They do pay for us to take required critical care classes, ACLS, TNCC, etc. The classes are free and we get payed by the...
  21. Respiratory Assessment: Put your thinking caps on!

    I thought: 1. Pursed lip breathing 2. Tripod position 3. Cyanosis 4. Retractions 5. JVD 6. Use of accessory muscles 7. Anxiety (by the look on his face) 8. Unbuttoned pants (to give more room for...
  22. Pulse Oximetry

    The pulse ox of a healthy individual should read 96-100%. We are usually satisfied in the ICU as long as they stay above 90%. Some COPD patients live between 85-90%. The patients doctor should give...
  23. Cathether Bag question

    Like everyone else said, do not disconnect it. Empty the bag into a urinal or a graduate and make sure you clamp it
  24. PICC Infiltration!!!

    It is pretty rare, but unfortunately it can happen. I have seen 2 different TLCs become displaced. The one lady started puffing up and the other one we just noticed that the medications stopped...
  25. LPNs &RNs

    1. how many yrs or type of educational experience do you have? i have my bsn and i have been out of school for almost 2 years now. 2. what are the different roles you have worked in health care? i...