rck213

Most of the nurses on our unit have 20+ years experience and have always used NS for NG tube irrigation and pulled back what we instilled. A newer nurse has told us we are all wrong in using NS, sterile water should be used as saline will alter elect...

Question relates to Pediatric Office setting but there is more traffic on this forum. We use a device called a "shot-blocker" when administering immunizations to toddlers and up. Our supplier no longer has them. I have done searches online and canno...

Thanks for all the replys but the "device" doesn't contain any topical analgesic. It works by "pressure" which decreases pain perception. Supposedly, according to a recent study on Medscape, manual pressure with a finger can do the same thing. The...

A friend I graduated with recently retired after devoting 32 years to a local hospital in the OR. Her gift on her retirement: a small folding canvass chair also a year long fight to get 60% of the value of her ESLB. Any wonder there is no loyalty or...

I would expect more open minds from nurses. I see far more people out on disability for questionable "back pain" than I do for MCS, CFIDS, or fibro. I am a nurse, have had strange reactions to many medications tried for HTN control, ASA, NSAIDS and ...

You echoed my thoughts exactly. It is all about liability at this point, I would be on my own. I do not think the compensation and length of employment would be enough to offset the costs I would incur to set up my "business" and maintain my own ma...

I was recently approached by a local homecare agency to help them institute policy and procedure for homecare of the pediatric population which was previously provided by the county health dept. Their nurses have no pediatric experience. This agenc...

Utica College of Syracuse University in Utica NY has a BSN program which looks at prior credits to work toward a degree as does SUNY Tech of Utica Rome in Marcy, NY However I am not sure if you can enter as a junior with no prior nursing courses. Y...

Did not go on for BSN because even though graduated from a NY State Hospital School of Nursing the nursing courses didn't count as college credit. Found I would have to pay over 10,000 to get the degree. Wasn't worth it, the hospital I worked at di...

I worked for Maxim Healthcare and they provided the written doctors orders, but I am pretty sure the docs were in state. New York is very regulated, not sure how an order from an out of state doctor would work. Too many rules and regs and way too ...

There are no mandated ratios for NY except for critical care If there were I would still be working in a hospital

It depends on what state you are in. I am in NY and there are specific rules written in the nurse practice act. I also did flu shot clinics for a home care company and they were required to give us a full day of inservice on policy/procedure, infe...

Check your state Dept of Health regulations In New York State you cannot have any patient with cancer or any infection, any diagnosis of "itis", on a Maternity floor. If the hospital has a dedicated Pediatric unit no patient under 14 can be put in th...

Thank you for the honest discussion. My fear also is that this is a blind exercise to show that administration is encouraging "nursing" involvement but all along the course has already been set by administration and they are trying to make us think ...

Recent nursing satisfaction surveys have finally prompted our facility to look into a different way of administration of nursing care. For the past 15 years it has been an undefined mess of whatever some "Service Line Manager" felt would work at the...

I am asking because at the first meeting no one had any idea of what the possibilities mean. Too many years under a dictatorship and many newer RNs had never experienced anything else! A consultant was running the meeting. She mentioned magnet, p...

I posted a question last week about what solution is to be used when irrigating an NG tube and was surprised that no one could quote a source with a definite answer. We had been told by a new nurse that NS was not to be used as the irrigant on a pos...

Per diem in our facility is called "occasional status" No benefits, no guaranteed time to work but are required to work either one weekend or four off shifts a month if needed along with one winter and one summer holiday, again, if needed. Are first...

Sounds exactly like the attitude at my facility, we are in Central NY Is it a New York State Administrative mentality?

Although we are a Children's Miracle Network Facility our administration refuses to acknowledge that there are special staffing needs for the pediatric patient. We have no pediatric resource person, no peds clinician, our NM is an OB nurse who manag...

I am in Central NY State and we need some guidelines to start with. Now our administrators feel we all should be able to care for 6-8 patients with no overtime, no allowances for acuity levels or age, I am on general peds and have many adult patient...

I have seen several of these cases in my 20 years of peds, not a genetic disease, doesn't affect only one race. One theory was child on a newly cleaned rug, questioning parasitic source, now not thinking that way, still not sure. Symptoms are enlar...

Our facility has a restraint policy which regulates all use of restraint including 4 siderails. There is a restraint order form, restraint checkllist, specific documentation and intervals of staff checks of patient and release of restraints. The Hou...

I have worked 20 Christmases in my 30 year career,mostly 3-11. This was the third time I went in for my shift in a snowstorm and I am kicking myself in the behind for doing it. The 11-7 shift called in, storm had stopped by then but they chose to s...

After 28 years of hospital nursing I have found I no longer can physically do the job. We have minimal staffing and I thought I would be ok by working in Peds, however, when census is low we fill up with adults of any age and size. I have had 300 p...