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...
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...
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...
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...
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...
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?
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,...
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...
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...
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,...
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...
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...
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...
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...