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Haha. :-) But actually, I've never inserted a scalp IV, and I've only ever seen one. It was on a chronically ill child with extremely poor access. We don't use scalp IV's unless there is truly no other alternative. They don't tend to last very long and can you imagine an infiltration injury in the scalp? It's one thing to have an extravasation scar on the hand, but on the face?
But I definitely do notice the veins in all my friend's kiddos.
When you find yourself feeling rather annoyed if a weight wasn't taken on the child prior to admission/before arrival to ward ^.^;;
Meaning you have to harrass all the ED Doctors due to the incorrect medication doses that they magically plucked out of the air and charted down, so medications are not at a thereuputic level.
(On a floor where there's no paed coverage except day shift Mon-FR otherwise ED has to cover) Some Doctors don't do the mg/kg for each drug correctly (a weight helps --.--) so you get underdoses/overdoses or just...WTH? Doses.
1) When you can work out who the stick figure pictures are and proudly display the artworks at the nurses station.
2) When you know 15mg/kg for Paracetamol and 10mg/kg for ibruprofen off by heart.
3)When you watch parents like a spy to see what method of rocking/patting/bouncing puts their babes to sleep before they head home to their own house.
4)When you know all the ins and outs of Dora, Diago, Curious george and High five.
5)When playing with children is just a normal part of your shift.
6)When maintaining patency of a toddlers drip is now a learned artform.
7)When you can discuss is detail all the different forms of recession for a respiratory child and can guess on whether it's whooping cough, bronchiolitis, asthma or croup.
8)When it amuses you how a six year old post appendectomy can clamber out of bed and bounce around the play room day one while the sixteen year old is so crippled they need help to sit up in bed.
9)When in the shopping centre you can recognise certain parents and try to find a store to duck into like a bat out of hell (I feel so guilty that I've done this ^.^; )
10)When you get rung at odd hours be friends/family wanting to inform you on their kids development milestones.
Reading all these is kinda fun :)
perfectbluebuildings, BSN, RN
1,016 Posts
...you are looking at adorable pictures of your friend's 5-month-old baby on facebook, and almost the first thing you notice is his lovely big, straight scalp vein, and you therefore see it as a plus that he doesn't have almost any hair yet. Yikes!!! :)