HiddencatBSN

HiddencatBSN BSN

Peds ED

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All Content by HiddencatBSN

  1. Rocephin injection question?

    Adding that for pediatrics you need to internalize the DOSE ORDERED / AMOUNT ON HAND x QUANTITY formula. So for children's Tylenol, if you need to give 250mg, that would be 250mg / 160mg * 5ml = 7.8...
  2. Rocephin injection question?

    I've never seen multi-use bottles anyway, so the excess is waste regardless. I think I always empty my first vial because if I take 50% of the dose from each that's one more calculation that isn't...
  3. Pre-calculation of emergency meds?

    Every place I've worked with has a calculated medication code book at the code cart, so you open the book to the patient's weight and the emergency meds are calculated by dose and by the ml you draw...
  4. Philly and Surrounding Area Job Market Updates?

    Not having a BSN will definitely hold you back in Philly. Most of the hospitals already requires it when I graduated in 2010 and that number has increased (the hospital I started at did not require a...
  5. Could I pass?

    Do you get testing accommodations? You said you're on meds for anxiety but are you also in therapy or working on titrating doses to help? Does your school have a learning center that offers support...
  6. Nebulizer/MDI for toddlers advice

    Doesn't administering it as blow by reduce the amount of medication they actually
  7. Does starting in peds make it harder to transition to adult?

    Ok, that was supposed to be many laugh-cry
  8. Does starting in peds make it harder to transition to adult?

    Yes, because when you work in peds and get used to this environment, you realize that adults are awful. Kidding but not kidding. I started in a peds ED and when I decided I wanted to try to get some...
  9. Nebulizer/MDI for toddlers advice

    I don't know if I would call that "simple albuterol delivery" if the patient is vented or on respiratory report. And IME when they ARE, patient cooperativity is usually less of a concern in...
  10. Nebulizer/MDI for toddlers advice

    A lot of our patients still insist on the nebulizer because the perception is that it is more effective. So we do a lot of teaching about how with proper use the MDI is at least as effective and if...
  11. Golisano Childrens Hospital in Syracuse?

    I currently drive 90 minutes but I'm definitely looking forward to less of a
  12. Does anyone work there who wants to tell me how they like it? I'm planning to relocate back to Syracuse in a year. My experience is Peds ER and I've worked in free-standing children's hospitals as...
  13. Fight for Mandated Nurse - Patient Ratios Heats up - Pennsylvania

    I've had problems with the ANA politically before too, but this was just the final straw for me of ever even considering
  14. Best positions for nurse with anxiety/ ADHD

    I think it's pretty individual because I have ADHD, anxiety and depression and I've always worked in pediatric emergency. The constant shifting priorities and lack of a schedule are stimulating and...
  15. If you had a paper "brain" or clipboard or notepad for patient and shift details, ditch it. We do any note taking that isn't directly e-charted on paper towels (sometimes gloves but I'm much less...
  16. Common emergency spanish dialogues

    The trouble with learning advanced sounding phrases is that if you nail the pronunciation you might have a patient start speaking very complicated Spanish to you very quickly thinking you are more...
  17. That gray timing, what to do to please everybody.

    Most places I've worked at do not have nurse to nurse report from the ED to the med surg floors anymore. The room is ready and transport is triggered so transport might arrive with the patient not...
  18. Pediatric nursing right out of school?

    I started out as a new grad in peds. Despite it generally being a competitive field to get in to, it was actually the only job I was offered in a bad but slowly improving market. I went in to the...
  19. Charge nurse

    I've never had any desire to do it not to go down the management path either. I don't mind joining committees and doing projects but I like being at the bedside. That is the work that I like to do. At...
  20. How long to get a license after NCLEX in Pennsylvania?

    I was listed on the BON website 1-2 days after I took the NCLEX. I don't remember exactly but it was fast. The Pearson Vue trick worked the day I took the test and a classmate who had been at the...
  21. Fight for Mandated Nurse - Patient Ratios Heats up - Pennsylvania

    Oh man, so I emailed they PSNA with my displeasure over their position and they replied- and listed my current hospital as the poster child for their alternative and invited to introduce me to someone...
  22. Getting into the Emergency department

    I went to an all ages ED with a peds ED where I'd be working primarily (with the expectation that every 6 weeks or so due to schedule overlap I would be working in the more intermediate adult care...
  23. Also, in my experience, it often means that you do not take a break because there's too much going on with both assignments for one nurse to walk away for 30 minutes. Because of increased staffing...
  24. When does HIPPA no longer apply?

    Wait, what? Don't adult, competent sexual assault survivors always have the choice of whether to report or
  25. Fight for Mandated Nurse - Patient Ratios Heats up - Pennsylvania

    Adding that this is the anti-mandated staffing ratio page PSNA set up: Mandated Nurse-to-Patient Ratios Will Not Work |