kcksk

kcksk

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About kcksk

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  1. NRP 6th or 7th edition HELP!!

    There are supposedly big differences between 6 and 7. My hospital will certify you after they hire you. You just have to get it within 6 months. You could always let them know you are in the process of getting your NRP and sitting for the practicu...
  2. If you could speak your mind...

    Had a pt come up from the ED for admission. Refused all treatment-no IV, wouldn't give current med list, wouldn't allow an exam. I finally asked her why she was here if she wasn't going to allow us to do anything. She said "Dr. XYZ made me." My r...
  3. Reporting a grievance and fear of retaliation

    There are a couple of different things going on here. First, were those positions posted anywhere? If they weren't posted internally they must've been posted on a company website in order for the new grads to apply. Keep you eye open for those pos...
  4. Med Pass Question for Student

    Maybe she means to give the meds first that are the most important. Sometimes it's difficult to get a lot of meds into some pts. I would give BP, lasix, any psych meds, etc and hold onto the colace, multivitamin, etc for last. I hate getting to th...
  5. In some areas it isn't easy to find a medical ASL interpreter. In our state you have to go through one facility to book them; they supply interpreters to anyone who needs them. I used to work in an office and we had a horrible time trying to get an...
  6. I had a pt scheduled to be discharged, everything in place. All I had to do was go over paperwork with him. He didn't want to go. He called the police and told them we were killing him. Needless to say it was a very long day by the time he left, ...
  7. How to tame a provider!

    I had a provider ask me about something that would've been done on night shift but wasn't documented and I didn't get it in report (nothing major and something she could've gotten in report from the dr who signed off to her). She kept asking me the ...
  8. I haven't seen a child with chickenpox be hospitalized. In a pedi office you would be more likely to come in contact with chicken pox. Have actually seen a couple of adults hospitalized with it but they go in a negative pressure room so you would k...
  9. Immunizations and Titers

    Hi! I know I had to have titers drawn even if I had proof of the immunizations. My insurance paid for the titers although not all do. I had to be revaccinated on some even though I had vaccinations previously. Call your insurance company and see ...
  10. Clocking out ..NO Overtime

    Actually we have had this same discussion at work. If you clock out and then continue to document, technically they have proof you are working "off the clock" and it is a reason for termination among other things (like time card fraud). Also, you ar...
  11. Should I do anything about being yelled at?

    Ok, I know the point was the MD yelling but from what I read, wasn't the pt A&O? She would be the one that has the say in the catheter. The POA doesn't have a say unless the pt is unable to. I hate when people call and say "well I am the HCP a...
  12. Pediatric Dosing/Infusions- Help????

    I won't answer each one individually but we use the Harriet Lane handbook for all peds dosing. It gives us specific instances where the general max dosing is exceeded. RE: solumedrol or prednisolone. When we calculate a dose and it is higher than t...
  13. Our floor does it a little different. Our holiday starts at 3pm Christmas Eve (thanksgiving and new years too) and goes until 11pm the day of. So even day shift has 4 hours on the eve and then 12 hours on the day. The way it works out, each shift...
  14. There were people I went to school with that had a similar arrangement. When they graduated, the hospital didn't have enough jobs for them so their scholarship was forgiven. Of course, then they had not job. If they offer you a job, take it and yo...
  15. Any Peds nurses out there? I have a few ?s to ask...

    We always have 2 RNs on the floor, even if there is only one or two kids. We do have another side that takes a few adults and we usually will split the floor, one stay on Pedi and one on adults but we are two pedi RNS right there. No adults and one...