LeChien BSN, RN

Emergency Nursing, Pediatrics

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All Content by LeChien

  1. This is a shot in the dark, but I am looking for a preceptor for May/June 2023. I'm in need of an MSN-ED-prepared preceptor with at least one year experience in their role. Willing to travel the...
  2. What about nursing education?! I've felt the way you are describing before. But those student loans aren't going to pay themselves and I found it quite dumb (in my case, not yours!) to take out...
  3. LeChien

    Shift Work

    Hi Mary, did you mean to ask do I like working with these patients in their homes? Or were you asking if that's what I do? Either way, I work with pediatric patients in their homes, yes! I like it for...
  4. LeChien

    Shift Work

    I work pediatric private duty. Right now I work M-T-Th 7a-7p, but next week will move to S-M-T 7p-7a. Hours are upon needs of the family, which in this case is 24/7 care so they have it split...
  5. Hi! I'm a well-rounded RN (previous LVN) who is applying for an MSN Educator program this fall semester. I want to hear from current nurse educators, all about your careers and lives - the...
  6. LeChien

    Aspiring Educator

    Thank you everyone for your comments. I made the original post before I knew I was accepted into the MSN program, so I'm happy to say I'm 4 months into it! I'll be graduating May of 2023. I appreciate...
  7. LeChien

    The quietest workplace

    Private duty with a nonverbal patient as others have said. I love
  8. LeChien

    Family refuses to meet in person

    If they can't give you an inch, why should you give them a
  9. What are they actually receiving through the PICC (I.e. antibiotics)? Or are you only flushing it for
  10. Hello fellow nurses, I'm having C6-7 replaced at the end of this month. I'm not worried about the surgery at all. I'm in good hands with the surgeon. Just wanted to see if anyone else has had...
  11. I don't know what company you are with, but I've had prior connections with "Continuum Pediatrics" when I lived in VA. Maybe give them a try. I checked and they have offices in NC and SC
  12. LeChien

    Unresponsive patients--avoiding working with them

    I work in private duty pediatric home care and it's mostly the opposite. Many of the patients I work with are responsive, if not verbally then in other ways. While the agency needs nurses to fill...
  13. LeChien

    How to organize medications

    It might put you behind for right now because you're a new nurse and haven't gotten your flow down yet, but I would only pull one patient at a time. A mistake I made as a new nurse working in an...
  14. LeChien

    I Am Absolutely Miserable Because I Hate Being A Nurse

    I've always bounced from private duty nursing back to the hospital. When the hospital gets too stressful, such as with covid, back to private duty I go. It's the exact opposite - most days it's...
  15. LeChien

    Texas Abortion Law

    This whole abortion law really p**ses me off! I'm a childfree woman. I am SO grateful and blessed to have obtained a tubal in 2017 while I still had the chance. BUT, as we all know, tubals have a...
  16. Congrats! Those sound very exciting. Are you asking which you should choose? If so, do you have any other experience besides nursing school? Personally if it were me, regardless of pay, I would...
  17. Is anyone here starting the MSN Education program on September 27?
  18. LeChien

    Health literacy question

    I had a patient who had a wound on his lower leg, and he thought he was "cleaning" it by using dish soap and sometimes...BLEACH. Major health literacy issue
  19. LeChien

    Reading the MAR

    Our facility always states what type of IV administration, whether it's push or piggyback. It never just says "IV". IMO the physician should absolutely state how it should be given, especially since...
  20. LeChien

    Reading the MAR

    What system do you use? In Epic at my facility they are listed as IVP and IVPB. Like someone else said, usually the 40mg protonix diluted with 10ml saline is IVP. If this is a recurring...
  21. LeChien

    Taking student to bathroom

    I see others have answered but I wanted to chime in. I agree with others saying it is more of the TA's responsibility. Like you said, how are you supposed to manage children in your clinic when you...
  22. LeChien

    New to Homehealth

    The previous replies are great. I just wanted to add that I always bring a roll of toilet paper (some homes either don't have any, or the families don't like you using theirs), EXTRA SOCKS for when...
  23. The vent itself should have a label with the DME phone number on it. I would call that. Next, I would call the RT assigned to this patient's case for his/her opinion and guidance. Like others...
  24. LeChien

    Infant circumcision question

    1. You can ALWAYS (and should) speak up for your patient! 2. Not sure about other hospitals as I don't work in OB. 3. I've personally seen two circs in nursing school. Both babies were...
  25. LeChien

    What’s wrong with this IV site?

    My guess would be that the edge of the tegaderm window is sitting right over the entry point, making it hard to visualize and assess it