Adult change to peds ER help

[errn1968]

Joined this site for help with my change from Adult ER to Peds ER at an all peds hospital. I need someone to ask "dumb" questions. I am contract so I only had 4 orient days and their nurses tell me ask anything but I feel like an idiot at times. I have 3yrs adult ER and have been an RN for 8 years all adult. Now with the peds change I think these nurses think I don't know a thing, when I could run circles around them in the adult ER. Need some peds ER and PICU buddies to ask a bunch of questions. My first, can you hurt a male infant while straight cathing? They use those 8fr rigid predesigned kits and I know kids clamp down during a cath, but tonight I felt like I was going to go right through the kid into the rectum. Finally got it in when he took a deep breathe, but it took about 4 minutes...way to0 long to sit their digging around. The next kid, I used a 5fr soft feeding tube and it went right in...any suggestions. And please, I have other "silly" questions like this about buretrols and mixing your own meds. Oh and what is an CRP blood test for? They do this alot.

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[Pedi-ER-RN, RN]

I work 36 hrs one week and 48 the next (3p-3a). As far as antibiotics, there are several that can be pushed (claforan, ancef to name a few) that we use in peds. If I have to give cefotaxime and ampicillin for suspected sepsis, I push the cef and hang the amp (alot of people push the amp).