LeChien BSN, RN

Emergency Nursing, Pediatrics

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All Content by LeChien

  1. LeChien

    Is this a HIPAA violation?

    I remember being taught in nursing school that it is most definitely against HIPAA to look up your own
  2. LeChien

    Has anyone had bunion surgery?

    Hi! I've actually had bunionectomies on both of my feet, bilaterally (big toe side and pinky side). One of my surgeries was a breeze, while the other was not. It depends on what type of bunionectomy...
  3. LeChien

    Depression

    I know a great portion of nurses (myself included) suffer from depression, as well as other mental health conditions. It's important we check in on each other. The smallest chit-chat can improve...
  4. LeChien

    How long until you were pretty good at IV starts?

    I've done 3 years in the ED and still only feel average, LOL. Everyone's got their skills they're really proficient at, and IVs are not mine. Don't feel badly or beat yourself up over it.
  5. LeChien

    Longest Shift You've Worked

    I've worked 26 hours straight when I was employed at a group home! By choice. They didn't have the help. This of course was back when I was younger and didn't need sleep to function,
  6. LeChien

    3yo patient won’t let me cath her *SOS*

    I would personally reach out to your agency/company and explain what is going on and what Mom has stated to you. How have previous nurses completed straight caths on her? You definitely do not want to...
  7. LeChien

    I just lost it!

    My story is too embarrassing to share, but just want to let other nurses know you're not alone. I've lost it at work to the point of quitting on the spot (already gave report), never to return. It...
  8. LeChien

    Tips from experience LTC nurses

    1:15?? That's a
  9. LeChien

    New DON

    I had the great displeasure of working in LTC when I first became a nurse. Something that really helped were the days I had a MED TECH! In that facility, it was a CNA who took an approved medication...
  10. LeChien

    Advice for difficult blood draws

    You can probably find similar posts of this topic on here, but in my experience these tricks helped: -No tourniquet -Heat pack/warm compress to bring veins to surface -Look in uncommon...
  11. LeChien

    Will I go to jail?

    This exact thing actually happened to me a few months ago with the same med and dose! I had to meet with HR and my manager, which at that point they escorted me to occupational health and I had to...
  12. LeChien

    How do cases qualify for skilled nursing?

    I have no idea how some patients get approved for hours! ? I would personally speak to your agency and tell them that you don't feel you are utilizing your skills enough with your case(s). They...
  13. LeChien

    School day documentation

    I just wanted to add, you can also chart that pt is alert and oriented, engaged with peers/teachers, respirations even and unlabored, skin warm and dry, cap refill,
  14. LeChien

    Pediatric home patient with GI issues

    Keep in mind most tube fed kids will have liquid-type stool. I would speak to the pt's GI doctor to start ruling out different causes. It's possible he may need more fiber added to his feeds to bulk...
  15. LeChien

    Incontinence in Home Health Care

    I saw nobody replied to you yet. Are you referring to home healthcare visits? Or private duty (shift
  16. LeChien

    POTS help!

    I realize this is a relatively old post. Just wanted to share that I suffered from POTS symptoms for 3 years before anyone diagnosed me correctly. Metoprolol has been my miracle drug, relieving most...
  17. Pt and his adult daughter came to ED. Pt was stung by a bee prior to arriving, approx 30-45 min. Daughter encouraged him to let her bring him in so they could "find out if he's allergic to bees."...
  18. Anyone else applying for this program? I would like to make some nurse friends
  19. I worked for THR, another hospital and loved it. TH Arlington is a great hospital. I had surgery there and the staff, from entrance to exit, were so friendly and helpful. It's a great company to work...
  20. LeChien

    Babysitting a former patient

    I have to side with the manager on this one. Generally, patient-nurse ties are severed at
  21. LeChien

    Meet and greets? How to save my sanity?

    My company is good about explaining to the families what the meet and greet is for. We don't get paid for ours. My advice would be to speak to your company, and get a clear picture of what they...
  22. LeChien

    G-J Tube Residual

    Read your facility/company policy & procedures. Also look at your
  23. LeChien

    California BVNPT

    Need to get ahold of the California BON r/t license endorsement. Have tried emailing with no response, and tried calling for 3 days now. Every time I call it says call volume is too high and to try...
  24. LeChien

    Seriously?? Small rant.

    There are no "completely online" courses. At some point all nurses have to complete clinical hours. And nurses from "dinky little schools" as well as fancy ivy league schools all take the same...
  25. That's most long term care/nursing homes in a