rnsrgr8t

rnsrgr8t

Peds Urology,primary care, hem/onc

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All Content by rnsrgr8t

  1. There was one Thanksgiving party that I was at. There must have been 50 people there. It was an unusually warm night so there was about 20 of us hanging out on my friends big back deck. 2 of my...
  2. Nursing: Then and Now

    Totally agree with you on this....I do not like the machines for BP's, I mean obviously they are used a lot...but I totally prefer to do a manuel BP because it is so much more accurate. I hate to say...
  3. I agree. I never understood why they took away the ability to buy over the counter medicines without a perscription. What difference does it make if it is my money? The difference is a few more tax...
  4. "working" when you're off...

    I have a line I have used for as long as I have been a nurse.... "I am off duty!!!! and I don't do grownups!" (I have always worked in pediatrics). It is actually a joke now around my friends. They DO...
  5. Primary Care vs Specialty

    I work for a peds hospital, so it is different than a private practice...the hospital employs 50+ APN's so I got the standard that everyone has.... I think you start with 15 days paid leave that you...
  6. Primary Care vs Specialty

    Congrats on your job offer! I am a PNP and went into pediatric urology right out of grad school (only job I have had). I think it REALLY depends on who you are going to be working with. My coworkers...
  7. Handling rude or dishonest patients

    I love when patients call and leave messages for us to call them. You can call them multiple times, they don't answer and you leave messages. Then they eventually call back screaming that no one...
  8. You look too young to be a nurse

    True story.... I work with anothe NP that is old enough to be my mother (her daughter and I are the same age). Was speaking on the phone with one of our regluar, medically complex, patient's mother....
  9. Medication Error how to pick up the pieces.

    Everyone makes medication errors. I remember having to give to different IV medications. They were in the same size syringe and same volume and both were clear (it was a long time ago and I cannot...
  10. Do you do this? entitlements for patients?

    It is a case by case basis for me too. If the parent of one of my patients has an urgent appointment with us and has to miss a court date, yes I will document the time and date of the appointment for...
  11. If it was during my "working hours" or if I was "on call" and there was a chance that I would need to attend to patients (either over the phone or in person) within a few minutes of my drinking an...
  12. Preceptorship

    I love precepting and have a student with me almost every semester the last couple of years. The schools here assign the students to us, they do not have to find their own (which is the way it should...
  13. Peds is NOT easy!

    AWWWW! Thank you!!! That brought tears to my eyes! Have done peds my entire 14 year nursing
  14. When Do I Tell My Boss . . . . ?

    Feel better Ruby!!! I agree with what everyone else has said...depends on your manager/boss. My current one would know everything that is going on because she is like a second mother to me. Previous...
  15. Neosweet?

    the one we use is "sweet
  16. Uti guidelines

    I work in peds urology and I applaud you for wanting to get an accurate speciman. That being said, I have a lot of peds practices that refer patients to us that do not cath in their office. If they...
  17. Lost two kids yesterday

    Oh Ashley, .... SO hard to be a peds nurse at times isn't it? I lasted in acute care (hem/onc and BMT) for 1 1/2 years and had to leave b/c having kids die so often was SO hard. God bless you for your...
  18. He would crack up if he could see this post considering how he feels about that word!!! His blog cracks me up and makes me realize that my patients are not nearly as nuts as
  19. I agree with this. I work in peds and a LOT of the drugs we use are not "approved" for use in children (mostly because it costs drug companies a LOT of money to do the extra studies the FDA requires)....
  20. When a Nurse has been reduced to tears!

    I remember a teenage girl who had been in foster care her whole life. She was an actual success story because despite all of the dysfunction in her life, she had stayed in school, stayed out of...
  21. What's your weird quirk?

    Nurses are a quirky bunch aren't we???.... Here are mine...the mornings I come to work and have office time and do not have patients scheduled, I have the same routine each day.... 1) lock up my...
  22. My alma meter Emory University in Atlanta, GA set up my clinicals for me. If I had a specific site I new about I could set that up myself (with permission) but it was not required. I was in the PNP...
  23. Only a nurse would say......

    I work in urology and we are always asking parents to describe hematuria in relationship to beverages.... pink lemonade, cranberry juice, tomato juice etc. I did have one parent compare it to...
  24. How soon do you arrive at office

    I get in about 15-20 minutes on average. If I know my schedule looks insane and there is a lot of labs/paperwork/patient calls I know I have to do... I may go in a little earlier than that. Kind of...
  25. 3 rd grader wetting herself

    I works as an APN in peds urology and treat patients like this all the time. If you are not seeing improvement and the parents are not helpful with following up....see if you can get the mom to sign a...