Christie RN2006

Christie RN2006

SICU, EMS, Home Health, School Nursing

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All Content by Christie RN2006

  1. Crummy ICU orientation EVAL

    I agree. I have been out of school for almost 2 years and I don't feel like I am anywhere near being ready to precept. I have had students with me doing observation, but thats it. The preceptor I had...
  2. Arterial line insertion by the RN

    At my facility the Docs start all the A-lines. A few of our nurses have accidentally started one while inserting an IV on a really difficult
  3. IM going to FLipOUt on my coworkers!!!

    and they only tend to blind the people wearing
  4. Shell Shocked

    We had a patient that was very sick the other night, but we never expected him to code! The patient had been very rowdy all night long and suddenly he just started bradying and died. We coded him for...
  5. therapeutic cooling

    Generally if the patient has arrested they will be intubated. In order for us to use therapeutic hypothermia they do have to be intubated and sedated, it is one of the criteria. We will not intubate...
  6. therapeutic cooling

    We just started using a hypothermia after cardiac arrest protocol. Right now our protocol is to maintain a body temp of 89-94 degrees and we use a rectal probe that constantly monitors their...
  7. CPR cert for LPN in Ohio?

    Everywhere that I know of requires LPNs to have current CPR certification. Where I work all staff that has patient contact including PCAs and unit clerks are required to take CPR also. Why would you...
  8. staffing model/grid

    Try to group nurses rooms together as much as possible instead of splitting them up between hallways. Also try grouping patients by acuity level... as in try not to assign all total cares to one...
  9. becoming emt

    I am a nurse in an ICU and I am currently in EMT school. All levels of EMT's are very hands on. The roles of an EMT and a nurse are very
  10. Neurochecks

    It depends on what the doctor wants and how the patient is doing. Generally if the patient is stable we will do Q15mx1h, Q30mx1h, Q1hx(either 4h or 8h), Q2hx12h and then Q4h till discharge. If the...
  11. ER or ICU

    I am also a fan of the ICU, but I wouldn't mind switching to the ER someday! The ER and ICU are very different. In the ER, they focus more on the short term. They stabilize (well sometimes) the...
  12. 2 Codes One Patient One Day

    We had someone going in and out of torsades all night long one time... he was still alive the next morning! I never did hear what ended up happening to him, but I'm guessing he didn't make it just...
  13. Chest Pain "Addicts"

    We have several here too... I rarely see them since I work in surgical, but I do know of a couple. One time I had a guy come in with a history of heart problems and he was complaining of all the...
  14. Removing Vest restraints from our policy

    For our confused patients we start with using a bed alarm, if that doesn't work, then we use a waist restraint. For our intubated patients and those that like to pull things out, we use wrist...
  15. Adults or Peds

    I would recommend going to whichever area interests you more. You can study for the NCLEX with review books. I would be careful using knowledge from clinicals to answer NCLEX questions because how we...
  16. What nursing journals to you subscribe to?

    I am a member of AACN and I get all of their magazines, but thats
  17. Least infectious floors

    At my hospital post-partum and CVICU are the floors with the least known bugs. If they have a "dirty" patient in CVICU, they usually ship them over to my floor (Surgical
  18. Took care of pt who tested positve for c-diff

    You should be perfectly fine, unless like everyone else said, that you stuck your dirty gloves in your mouth. C-diff is honestly one of the least of my worries... I can't tell you how many patients...
  19. Sometimes if we have an IV infiltrate while giving a certain medication (dopamine, etc), we have to leave the IV in so that we can give a medication to help stop the damage caused by the drug. If it...
  20. Attention all EMTs

    I know that some of you on here are EMTs and I was just curious who so I could pick your brains :) I have been an RN in an intensive care unit for a year and half now and I am about to begin my EMT-B...
  21. inside the mind of a nurse.....

    when my friends are being dumb i tell them that they had better not hurt themselves because i'm off duty. one of the other things i do is that i am constantly listening to things around me too......
  22. Have You Had the "Sortavirus" Yet??

    Its going around here too! My mom had it and all of her coworkers at one of the local schools have passed it around. All of my coworkers at the hospital are passing it around too. Its everyone...
  23. "Are you an RN OR LPN ????"

    I just address myself as their nurse, but when I write my name on their board, I include my title and I will tell them what it is if they ask. My name badge also has this large thing on it that...
  24. We do not use rotating shifts where I
  25. Poll: What size angiocath do you usually use to start an IV?

    I always try for at least an 18-20. The only time I will use a 22 is when they have absolutely awful veins and know for a fact that they will not be receiving blood. If the pt has great veins then we...