Pediatricjo

Latest Activity

1. I Hate People (my rant)

   Pediatricjo replied to AlyaMF's topic in Relations

   You need to be an anesthetist. You talk very little to the patient or family & then they are unconscious. Most I know also don't talk to the staff a lot. Stay out of surgery or ICU. The patient may be unconscious but you have to talk to the rest ...

2. EMR & Co-Signing Medications

   Pediatricjo posted a topic in General Nursing

   We were having this discussion this morning about how to co-sign in the EMR/BCMA for medications such as IV pain medications, IV heparin, insulin, TPN, chemo & so forth. Our current record only allows us to type in who we verified the medication ...

3. The way we ask for someone's pain level?

   Pediatricjo replied to cmav8's topic in General Nursing

   I ask "are you having any pain?" or "what is your pain level?" I also encourage the alternative measures such as repositioning, warm pack, cold pack, ambulation, etc. Remember though, a patient's pain is their perception, not yours.

4. Did I make a MAJOR error?

   Pediatricjo replied to duncannurse429's topic in New Nurse

   Aspiration Pneumoniae could develop in 24hrs. Whether it was due to the water/meds or the feeding would require sputum samples & possibly a bronche. Continue to follow aspiration prevention standards & it should be ok. Especially with only bo...

5. pediatric assessment: whole or by exception

   Pediatricjo replied to Pediatricjo's topic in Pediatric

   Our policy states "All patients will have a complete assesment done at the beginning of every shift; the nurse will document any changes from the baseline assessment (admission). Assessment of body systems that have not changed will not need to be do...

6. pediatric assessment: whole or by exception

   Pediatricjo posted a topic in Pediatric

   The question has come on our unit what is proper: a documented full assessment or an assessment charted by exception. Currently we document a full assessment every shift. One of our nurses floated to another adult unit and they are charting their ass...

7. why record lab results in the nurse's note

   Pediatricjo replied to Pediatricjo's topic in General Nursing

   Just an update. The committee met again and the proposer was there to explain that it does not have to be each abnormal lab value. One could click the item to say they notified the physician of abnormal lab or x-ray & what was done. There is a sp...

8. patients who don't age out

   Pediatricjo replied to anon456's topic in Pediatric

   We have some "special" patients over the age of 18 that the pediatricians have aged out for us. There is a Pediatrician shortage in our town & they need the space in their practice. However, we have found that adult units do not always recognize ...

9. Routine PIV changes

   Pediatricjo replied to KelRN215's topic in Pediatric

   ChristineN, I never thought of that. I just took it for granted. We leave ours indefinitely for the above stated reasons. When we did Outpatient Infusion therapy on our Pedi unit we didn't have infected PICC lines or Central Lines or Ports. 6 years o...

10. why record lab results in the nurse's note

    Pediatricjo replied to Pediatricjo's topic in General Nursing

    We have a critical value note for those items. In this we either notify the doctor & what was done or we didn't & why we didn't. It's all electronic charting so it's point-&-click. THis is new. THis is contained within the body of the nur...

11. why record lab results in the nurse's note

    Pediatricjo posted a topic in General Nursing

    Does any other facility require you to enter non-critical values into the nurse's note? We have now placed a section in the nurse's note for entering abnormal lab values, did you call the doctor & what resulted, why you didn't call the doctor. Th...

12. Inservice ideas needed

    Pediatricjo replied to Disneywed's topic in General Nursing

    You can use the same things. Post an idea pad on the wall to let them write ideas. Still look at what they seem to have trouble with or what the doctor's say. When approaching summer or winter have inservice for the upcoming disease of the season.