ChristineN BSN, RN

Pediatric/Adolescent, Med-Surg

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All Content by ChristineN

  1. ChristineN

    EMT, CNA or CMA?

    Look at ER's in NC, and see if they like there ER techs to have EMT or CNA. Most places prefer ER techs to have EMT. Since in some areas it can be hard to get hired into the field as a new EMT,...
  2. ChristineN

    afraid of being stuck by a needle

    While many pts share your sentiments, there are many times a tiny 24G needle won't cut it in an adult. If you need to infuse something quickly or are giving something like potassium that might...
  3. ChristineN

    what's your take on this?

    I agree you need to be careful but if you are dating someone then I don't see a problem with telling them what you
  4. ChristineN

    serious bad karma, and yet...

    But people break contracts for lots of reasons, many of which cannot be predicted. I actually loved my job, cried on my last day. But, I loved my husband more, and his job was moving him...
  5. ChristineN

    Do LPNs use stethoscopes?

    I don't even know how to apply make up, it just isn't
  6. ChristineN

    serious bad karma, and yet...

    Uh no first they are not allowed by law to give out information related to your work history without your consent. None of my employers since seem to know I broke a contract. Instead, they see...
  7. Just curious how long have you all been at your current facility. Overall do you like it? Do you see yourself staying there
  8. ChristineN

    Do the CNAs or RNs do personal care

    Maybe so for some people but I can't imagine asking a neighbor to
  9. ChristineN

    Proud to be in scrubs??

    Reminds me of years ago when some of the nurses I worked with at the time decided to meet up for happy hour. We also invited a new grad that was working on our floor. The new grad showed up in...
  10. ChristineN

    DKA dx?

    I don't have a link but the diagnosis criteria should be the same regardless of where in the hospital the pt is. Generally with DKA you must have metabolic acidosis along with hyperglycemia and...
  11. ChristineN

    serious bad karma, and yet...

    This is not necessarily true. I was a newish nurse when I broke my 4 year contract at my first job. My employer has always made it clear that I am eligible for rehire at any point. If you do...
  12. ChristineN

    Computerized Charting Errors-Need Stories

    Just curious but what are you trying to prove with this presentation? Most people are in favor of EMRs and you don't really hear much against
  13. ChristineN

    Sentinel Events

    Take a deep breath. What happened was not your fault. A volunteer should never have been assigned to sit with such a pt. Most volunteers have no medical training, and the fact that you do is not...
  14. So each nurse can only have 1 tele pt in their assignment? What happens if there are a lot of pts needing tele on the
  15. ChristineN

    Do you need a doctors order for this?

    I work in the hospital setting where we do have protocols about replacing the foley. That being said, there has been more emphasis on getting a physician's order. With hospital acquired UTI's being...
  16. ChristineN

    Long Lost Dream Or Not?

    The OP does have nursing experience, it is just not traditional nursing experience. She was not sitting home eating bon-bons for two years, she was working. So while she may not be able to start...
  17. ChristineN

    How long have you been at your current facility?

    I tend to get bored every few years too. Been at my current facility 4 years but transferred departments half way in. I love the facility, and by transferring I got to challenge myself
  18. ChristineN

    And this is why I hate floating to stepdown...

    Our stepdown units are 1:4, with med-surg 1:5 and ICU 1:2. It is a newer change, we have only been doing A-lines in stepdown for maybe 2 years. Majority of pts with A-lines are too unstable to be...
  19. ChristineN

    Falls in Psychiatry

    So the 20 something that had a trip and fall would be restained?! That is insane, and if I were the pt I would love to see what they did when I
  20. ChristineN

    And this is why I hate floating to stepdown...

    My facility doesn't allow any drips except for Heparin or Insulin to be given outside of stepdown or ICU. Not all of our Med-Surg floors do tele, and it would be very unsafe to have someone on a...
  21. ChristineN

    And this is why I hate floating to stepdown...

    Nope. Although not done often, my facility allows A-lines in step
  22. ChristineN

    And this is why I hate floating to stepdown...

    At my facility A-lines can be step down as well as Dilt gtts (non titratable) we do not allow CVP monitoring out of ICU, so no IV medication that would be titrated by blood pressure. We also make...
  23. ChristineN

    Curious About ER Nursing

    I work in an ER and I eat every day. It is practically an expectation that everyone gets their break. Some of our nurses are also breastfeeding and they find time to pump 2-3 times a shift. And...
  24. ChristineN

    Falls in Psychiatry

    There is absolutely no reason for every single pt to have a bed alarm. You are going to be discouraging your independent walkie talkie pts from getting up. Plus if you are just using an alarm on...
  25. ChristineN

    Triage Practices

    This does not sound safe. I find it hard to believe that the docs aren't pushing for a proper