nocangel2

nocangel2 has 10 years experience and specializes in Pediatrics, home care.

Latest Activity

1. Peds Hospitals Hiring?

   nocangel2 replied to Rianna1's topic in Pediatric

   Seattle Children's is Hiring for PACU, PICU, OR and some clinic positions.

2. Who numbs for needlesticks?

   nocangel2 replied to care4kids's topic in Pediatric

   We can get the LMX on override if we want it and the J-tip by order. However, I agree with the vasoconstiction comments. For infant to 5y the holding down seems to be the worst part and that can't be fixed. We just use distraction and emotional su...

3. Flushes for saline locks

   nocangel2 replied to ClaraDee's topic in Pediatric

   Saline locks for PIVs Q8hr, PICC lines get heparin Q12. All ages. If you do a lit search you will find that the newest research reflects that fact that there is no great incidnece of clotting with saline vs heparin as long as turbulent flushing tec...

4. Are you feeling effects of the economy on nursing?

   nocangel2 replied to kjp1962's topic in General Nursing

   RN pediatrics, Seattle, WA- 28 beds Census up for resp season. No change in staffing. Hosp cont to recruit new RNs.

5. Usefulness of continuous nebs in status asmaticus

   nocangel2 replied to borzoilady's topic in Pediatric

   Neb till clear right? PICU does the cont nebs for us, we will only take them after they have gone to q2. I know that is only one therapy, however. Vapotherm, O2, Decadron, atrovent etc.

6. Test weighing babies <35 weeks during breast feeding

   nocangel2 replied to cleo_parvi's topic in Pediatric

   We are slowly phasing the practice out.( you always have some MDs who want it) It is anxiety producing for mom and disruptive for baby as they have to get all cold and uncomfortable to be reweighed again after feeding. We are going by lact cues i.e...

7. Pedi Rapid Respone Team

   nocangel2 replied to guardwife's topic in Pediatric

   PICU or Peds flex RN (ICU trained), intensivist, peds hosp and RT. Our hospital is not peds stand alone but has a NICU, PICU, ISCU and peds unit so we have the staff to man that group 24/7. I don't know that your facility will. Good luck getting t...

8. Recording accurate neonatal temperaure

   nocangel2 replied to Penbryncennau's topic in Pediatric

   axillary for us. We have digital with disposable plastic covers. they read in less than 1 min. Very nice for squirmers.

9. how do you improve morale in a unit?

   nocangel2 replied to jennifers's topic in General Nursing

   Sometimes morale is shift to shift. I know that my night shift has great morale and it seems to be lower on days. My personal opinion for the difference is that we are really there for each other and often do tasks for each other without being aske...

10. Do I go with client....or go home?

    nocangel2 replied to Mabel 29's topic in Pediatric

    Been there and learned from it. They do have to pay you, and you are correct that once you left with the family you had to stay, if there was not another RN to assume care. Otherwise you potentially could be liable for abandonment if something hap...

11. Does this sound like "a little much" to you??

    nocangel2 replied to PICNICRN's topic in General Nursing

    We had it, we eventually wore them down and they took them away. Scripts too. Now they are trying something new and want to take away all our brain sheets and replace them with standard sheets "everyone" will use. We will see how long that lasts......

12. BP on Pediatric Patient?

    nocangel2 replied to blinks14's topic in Pediatric

    Our protocol is infants-2y: admit then QD 2y-8y-Q8hr 8y and on-with scheduled VS unless otherwise ordered. This of course changes if they are post-op then it is the same protcol as adults. Or if they have a condition that indicates more freq monito...

13. Foley cath practices

    nocangel2 replied to kcangel's topic in Pediatric

    Betadine for cleansing prior, sterile tech. naturally. We only irrigate usually on a ureter reinplant or similar surgery where occlusion is common. Sterile tech. Usually, 1-2x per shift as necessary. Remove ASAP. Also, usually on ABX anyway for ...

14. Help with bolus enteral feedings

    nocangel2 replied to nocangel2's topic in Pediatric

    That is our present practice as well. The research I have been reviewing in most cases suggests that this is fine. One or two however have indicated that most infection is cased by retrograde flow and that the bacteria may not be removed by just ri...

15. Need some advice..

    nocangel2 replied to AB092504's topic in General Nursing

    Yes, Nursing assistant-certified. costs about 250$ to get the certification I believe.