newkidnurse

newkidnurse specializes in CPN.

Latest Activity

1. Nurses thrown under the bus

   newkidnurse replied to GM1928's topic in General Nursing

   I don't understand why the family was angry with YOU?! On day 7 & 8? Seems misdirected.

2. Inpatient Apnea Monitoring

   newkidnurse replied to newkidnurse's topic in Pediatric

   The only time I like a pulseox on a baby who otherwise doesn't "really" need it is (1) when the parents aren't there and occasionally (2) overnight. I liken it to the role of a babysitter or baby monitor--the alarm means the baby is awake or crying, ...

3. Inpatient Apnea Monitoring

   newkidnurse replied to newkidnurse's topic in Pediatric

   Totally makes sense. Is there a situation that you would specifically ask for an order to monitor if it wasn't previously ordered (other than the situations you already mentioned---cardiac/trach/supplemental O2, etc)? Say the patient is a 'regular' b...

4. Inpatient Apnea Monitoring

   newkidnurse posted a topic in Pediatric

   There's (supposedly) a policy at my hospital that infants under the age of 12mo are to have continuous apnea monitors on as well as continuous pulseox monitoring. I can't find any evidence to back up this practice. What do you do at your hospital? Wh...

5. CMP from finger stick

   newkidnurse replied to newkidnurse's topic in General Nursing

   Came across this interesting article which includes many reasons for falsely elevated K (also termed pseudohyperkalemia). Asirvatham JR, Moses V, Bjornson L. Errors in potassium measurement: A laboratory perspective for the clinician. North Am J Med...

6. CMP from finger stick

   newkidnurse replied to newkidnurse's topic in General Nursing

   Tiffy- thanks! This is exactly what I was looking for... Any idea WHY this happens ("no hemolysis" but elevated K)?? Maybe there is a certain threshold of hemolysis that can occur and alter values but will be undetected by labs... So interesting! Tha...

7. CMP from finger stick

   newkidnurse replied to newkidnurse's topic in General Nursing

   Sorry to keep on this... But if the lab does NOT specify the presence of hemolysis, can I assume the finger stick K will still be slightly higher than a venous sample taken at the same time? Thanks!

8. CMP from finger stick

   newkidnurse replied to newkidnurse's topic in General Nursing

   Thanks for the response! That reasoning makes sense as far as why finger sticks are usually/often hemolyzed... and I appreciate the explanation as to why the presence of hemolysis = increased K. BUT, in a non-hemolyzed finger stick sample, I'm not t...

9. CMP from finger stick

   newkidnurse posted a topic in General Nursing

   I had a 5yo patient the other night who was known to be a really difficult stick. So for her morning labs (just a CMP), I asked the IV team to draw them. The IV nurse was unsuccessful after 1st attempt, so then decided to get the patient's labs via f...

10. Easy, dumb, common new grad mistakes

    newkidnurse replied to SubSippi's topic in New Nurse

    Depending on how report is done on your unit, these things may/should already be givens... But these are a few things that I've come to find realllly important. 1) check the I/Os. First, see that they're appropriate (regarding mL/kg/hr for output) an...

11. How long does it take to answer a call light?

    newkidnurse replied to rosey200735's topic in CNA/MA

    So perhaps what we have at my hospital is a different piece of 'technology', if we can even call it that, but if a patient presses the button for the call bell, it will consistently Ring, and Ring, and RING, until it is either (a) answered at the fro...

12. Why Nurses Don't Want to Be Identified in Public?

    newkidnurse replied to Mully's topic in Relations

    Mully- I get that the part I quoted you on was not truly your focus for this article--based at least on the majority of the comments received. However, I, for one, thoroughly adored this running dialoge that feels a lot like a Nursing Assessment. I...

13. Why Nurses Don't Want to Be Identified in Public?

    newkidnurse replied to Mully's topic in Relations

    This!!! Though for me, my triggers are (1) kids coughing (2) old people (sorry, 'the elders') with an unsteady gait. Makes me hold my breath every time... **I have developed great respiratory reserve Also, this is where I thought the story was going...

14. Ethical advice needed for a new grad...

    newkidnurse replied to AnnaleaRN's topic in New Nurse

    tl;dr; I've done a little reading on this and other similar issues related to med admin.... The Institute of Safe Medicine Practices (ISMP) released this document which you all may find pretty interesting: Acute Care Guidelines for Timely Adminis...

15. Your first time with a student

    newkidnurse replied to PeepnBiscuitsRN's topic in Relations

    Also--I usually do love having students, too. They typically will take on the NA role and will get overheaded to assist patients with basic care needs, which is great of course. But they will also (occasionally!) do oral meds with their instructor,...