The difference in perspectives is funny. I work in a peds ED, so I hate having ADULT PATIENTS. Can't wait to get rid of them. Strokes, heart attacks, drug seeking, drunk...please go to the adult hospital if you are over 21.
XTRN...interesting. In peds we give Sildenafil (Viagra) to pulmonary hypertension kids. Not with Nitro, but sometimes with other cardiac drugs. And often with Aspirin. Maybe it's not an issue with our little ones because it's not working in that way ...
HRM672 replied to shieldanvil81's topic in Emergency
Ah, thanks Roy, I bet that's it! I keep meaning to read that. Must be time. Excellent example of going bad. I have to add that for kids, I like the (admittedly, less professional) term "crapping out". It's such a good description of what kids do. The...
HRM672 replied to shieldanvil81's topic in Emergency
Thanks for all the tips. I spent 5 years on tele and now I'm new to the ER. I've had 4 shifts off orientation and go back to work tomorrow. Here's what I've learned: The paramedics and EDTs have a lot of knowledge and skill to share. It's rotten whe...
HRM672 replied to BaptistBites's topic in Emergency
We use non-sequential numbers, and people hate it. It seems to stress them out to have to carry around their number. They complain about it, and half the time they don't pay attention and I end up calling the name anyway.
Hi Amy!! Thanks for the post, I am reaping your responses too. I have done peds tele for 5 years and yesterday was my 2nd night on orientation after transferring to ER (still peds, a level 1 peds trauma ctr). I love it! So different, but of course th...
HRM672 replied to NurseMaybeBaby's topic in Emergency
Not to worry, Afox, I've been a nurse on a tele floor for 5 years and I am switching to ER in a week. I am excited but nervous too! If you weren't nervous, I'd be worried! It's always tough to start something new, but worth it!
In my opinion, nursing school does not prepare you to be a nurse--it prepares you to LEARN to be a nurse after you graduate. A new nurse graduate should have the skills s/he needs to learn to be a nurse, and hopefully will start a job where the rest ...
HRM672 replied to oldcurlyrn49's topic in Pediatric
When I first read your post and it said 2 RN's I assumed there was an LPN also! This sounds completely unsafe to me. When kids go bad they do it fast. I work on a 27 bed unit, so we don't have the same staffing issues, but we do have a rule (which ra...
HRM672 replied to gentle_ben_RN's topic in Pediatric
Our peds hospital won't take anyone in PACU who hasn't had PICU or CICU experience, and no one in float pool who hasn't had peds experience. Have you tried one of the floors?
My personal opinion is that there are so many different areas to work in nursing that no one should stay at one that's not a good fit. It does take a while to get adjusted. I think about a year after graduating to feel comfortable. But you shouldn't ...
Wow what a great post. I am 38 weeks pregnant with my 3rd and I'd be so delighted to have a nurse like you in mother/baby! And by the way, I never thought it was a cake job. It seems quite busy to me :) I work on the cardiac stepdown at a children's...
HRM672 replied to gfoster6993's topic in Pediatric
I had trouble with the fast infant HR at first. With practice you'll get better. Our practice (inpatient cardiac unit) is to count apical pulse for 1 full minute and verify pulses in all extremities with initial assessment. I check central and periph...