musingmom

musingmom

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About musingmom

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  1. So is anyone trying to incorporate the new recommendations and definitions into their current sepsis protocols? If so, how are you reconciling the CME core measure reporting requirements that are based on the outdated info?
  2. Do nurses do med math

    I gave this last week: 60 mg of solumedrol was the order, and the Pyxis gave me 2 vials of 40mgs in 1 ml. If I call the pharmacist, she will tell me how many mls to give, but since I am ultimately responsible for what the patient actually gets, I sho...
  3. Do you use the CPOT scale? What are your med orders?!

    We typically get an order such as Fentanyl gtt, titrate to CPOT of 1. I have seen target scores from 0 to 2, depending on the patient and circumstances. It's almost always paired with sedation, for which we use a different scale.
  4. The other option not already discussed here is the entry level masters. If you are sure advanced practice is where you want to end up, check it out in your state. There will be those that say you need bedside experience before you move to advanced ...
  5. Your worst nightmare (Part deux)

    Three times in the last year I have dreamt that I was getting a central line, in my ICU, by one of the fellows. Three times. Always in the RIJ. I'm 11 months into my new grad year. Please, no more central lines.
  6. At the risk of generalizing a people group and some specialties: I have several friends with asbergers. Their attention to detail and ability to make critical thinking connections without bias would make them excellent nurses in critical care and/or...
  7. Funniest thing you've heard in an interview

    When asked why the unit was hiring, the interviewer said that recently the entire night shift quit all at once.
  8. California Vaccine Bill Eliminates Personal Exemption

    I can't find any info on the prevalence of immune compromised children in schools, nor can I determine your exact definition of "immune compromised." Your link does not shed light on any of that, nor does it even mention the exposure of immune compr...
  9. Reasons patients turn on their call light

    Last shift: I got called to a (intact motor function) patient's room because he wanted me to fix the temperature. Ok, that's plausible, often in order to get the wall thermostat to work we have to call engineering. I asked if he felt the room was t...
  10. California Vaccine Bill Eliminates Personal Exemption

    Um, yes. I believe it is standard practice to keep children undergoing chemo out of school while their white count is down. Do you have different info? And yes, children with HIV can receive some vaccines, and are not always considered immunocompro...
  11. California Vaccine Bill Eliminates Personal Exemption

    Actually, unvaccinated children were not responsible for the outbreak, or at least they were not the only ones responsible. It turns out that when we switched from attenuated to conjugate vaccines in 1997, we needed to have also added a booster. So...
  12. California Vaccine Bill Eliminates Personal Exemption

    "This is just saying that if your child is going to go to public school, they can't put other kids at risk." (Sorry I don't know how to use the quote feature that shows the author on my phone.) I don't like this rationale. Before I go on, my kids are...
  13. Babies on a plane!! (and also cord clamping)

    I was an EMT before becoming a nurse. The EMS standard for an out of hospital birth is largely to DO NOTHING. Make sure baby is breathing and keep it warm, preferably on mom's skin. Otherwise, don't touch anything. Transport. Turns out, nature pretty...
  14. So how does this work?

    My school had a maximum number of units you could have "in progress" in order to be accepted. So, you need to contact the school and ask if you need the required units at the time of application, or if you only have to have them by the time you start...
  15. Class/es and a Newborn...?

    I did nursing school with a newborn. It is definitely doable, with a lot of support and organization. I agree with a lot of the previous posters, so I won't repeat what they've said about the newborn period. Here's a few other things to consider: Yo...