KeniRN

We use a dressing called Sorbaview as an alternative to Tegaderm. Sometimes we have pts with central linces that are allergic/sensitive to Tegaderm so we use the Sorbaview. I can remember just tape being used for PIVs before Tegaderm.

I work on a pediatric Rehab unit but have also worked on the onco unit several years ago. We use the same outline on both units. Neuro/NeuroVascular (AAO, perrla, cap refill, ambulatory status) Resp (CTA, pOx, 02) CardioVascular (VS, on monitor, afebrile) IV/Central Lines (PIV, broviac, port, PICC) ID/Isolation Precautions (contact, droplet, reverse) GI/GU (diet, NPO, tube feeds/Continent, Incont, catheters, LBM) Skin/Incisions/Drains/Hardware (wound care, drainage) Labs/Tests (scheduled, pending or results) Psychosocial Patient/Family Teaching (what was done, what needs to be done) Anticipated discharge date (if applicable) Daily Rounds (things discussed in MD rounds in the AM) Hopefully I didn't forget anything. If I did, I'm so sorry. Hope this helps! Fine tune as pertains to your unit. :) Keni RN

Ling07, I worked at CHOP through school as, what is now called a 'patient service rep' and a 'Senior Nursing Assistant' and then just had to do a department transfer when I graduated. Working in various departments in the hospital gave me a great opportunity to check things out to see where I would (and would not) like to work as an RN. When I graduated, I worked on the oncology unit. It was a great experience and the hospital has a great orientation program for new grads. Hope this helps. Oopps. I see the orginal post was May '08. Hopefully, you're already working here! If not, check out the positions on their website http://www.chop.edu Good Luck!

My husband and I are going through this with his grandmother. She is 90 years old and up until a few months ago was pretty healthy. Before Thanksgiving, fell and broke her hip,did well (orthopedically) postop but had some minor issues while in the hospital. She was back in the hospital for pneumonia a few months ago. Her daughter couldn't deal with her anymore and shipped her up to my mother-in-law (12 hour car ride) for "respite" and she has been up here for the last 4 weeks. She decided she doesn't want her back. My MIL took her to the shore for the weekend and she developed CHF very quickly (thanks to the sister not telling her she needs Lasix every day and needs to be weighed every day:angryfire ) She was rushed to the local hospital and intubated. She was off the vent in 2 days and was d/c'd this friday night. Saturday night, my MIL kept asking her if she was ok, in any pain, breathing ok. She kept saying she was fine, but was having significant wob (by report from mil), MIL called 911 at the advice of her neighbor (a hospice RN). She was taken to their local hospital (much better than the last place) and was intubated again. MIL told me that when she was allowed back in to see her after the intubation, gmom gave her this horrific angry stare.MIL is beside herself. we think that gmom was hoping to go in her sleep had mil not called 911. Does all this babble make any sense? I guess I really need to vent:o DH and I went with mil to see her yesterday for mothers day. She looks awful. CHF, kidney failure. Her hrwould drop real low and then come back up. Today Dh reports her hr dropping into the 30s and hanging out there for 30-40 seconds and then slowly rise. We had a long disussion with mil about DNR and gmom's wishes. She had said to my dh, "why hasn't God taken me?" last week just prior to coming home. She IS coherent and understands everything that you say to her. It is clear to mil that she does not want to go thru all of this. MIL is just so overwhelmed but has acknowledged gmom's wishes. I have tried to explain to her that they need to get a DNR on that chart asap and that just because she is on the vent does not mean that she can't still go into cardiac arrest and that unless there is a DNR in place, they will do everything possible to keep her alive. I explained to her what "everything possible" means, including chest compressions (broken ribs,etc). Dh is with mil and gmom at the hospital trying to get the ball moving and unfoteuantely, I have to be here at work and can't be there. UUUUGGGGHHHHHH!!!!!!!!!!! This poor woman. DH and I believe once she's extubated, she will most likely just go in her sleep. She's tired. Here's a link I read about a few years ago on this board: I ordered copies for all the adults in my family that were interested a few years back and almost everyone has filled one out. Its 5 Wishes. A very easy to understand do-it youself living will kit. http://www.agingwithdignity.org/5wishes.html Sorry was so long. Thanks for letting me vent. Keni

The Sh--head name IS real at our hospital. He is about 8-9 years old now. He is a patient in our pediatric practice office. Really sweet kid. I just don't understand how someone could name their child that, regardless of how its pronounced.

I agree those "emesis basins" are not designed for the purpose of catching puke-HOWEVER, the are PERFECT for ear lavage! The kidney bean shape fits snuggly against the neck/face area under the ear and the patient's clothes don't get (too) wet. Our peds office orders them monthly. We have a small reserve of the bath basins for use when we get the occasional stomach virus kid.

I work as a precert RN for a Blue Cross plan and we approve 1 overnight stay for pain control with a PCA post op and then for additional days UR follows the patient. I'm so sorry you had to go through all that you did. I'm glad you now have some relief.

How soon after conception can you begin to experience morning sickness? None of my coworkers seem to know. Thanks!

I am a diploma grad. Grad in 2000. I had been in a BSN program but had to leave in 1993 in the middle of my junior year due to medical problems (benign spinal tumor). I wanted to finish but could not afford ($$$) to at the time. Went back in 1997, via the shortest and least expensive route. 21 month hospital based diploma program. In the beginning of my last semester, with only 4 months to go til graduation, had to take a medical leave of absence due to uterine fibroids :angryfire . I had to wait until the following January (01/2000) to rejoin the clinical portion and thus, FINALLY finished in May 2000 As I have been thru both the BSN and the Diploma programs, if I had to do it all over again, I'd do the diploma route. My current employer has fantastic tuition benefits and I will be taking a Fast-Track RN to BSN program at a local university. I am not pursuing the BSN for any reason other than I always finish what I've started and of course would like a college degree.

My grandmother's name was Emelie. and my sister is expecting a girl in October and will name her Emma Leigh. There was a thread a long while back about baby names. https://allnurses.com/forums/showthread.php?t=31488&highlight=baby+names The two that stick out in my mind the most are: Aquanette and Sh*thead (pronounced Shi-theed). THAT one someone should have intercepted!!! These are only 2 of the "unique" names I encountered over my 10 years working at a children's hospital.

I just had to share. I just accepted a position with a major health insurance company in our area. 9 to 5, Monday thru Friday, 10 days vacation +2 more days for RNs, No holidays, no weekends, 100% tuition reimbursement with no limit (and the Univ that I've been looking at for RN-BSN has a satelite campus on the same block), a very nice benefits package with their top of the line plan for $22 per pay (where I am now I pay $102 q 2 weeks for the same plan) and a very handsome retention bonus over 4 years. Of course, I will do pool at the place I am now because I love my residents so much.

:uhoh21: And how would you know if the pills were "pure" and not mixed with anything or something different all together?

sweating vs. perspiring vs. diaphoresing (sp?)

The hospital I used to work in used pagers that were alphanumeric. That way we still got the message but we didn't have to answer the ring if were were doing a procedure. :)

I got the same message yesterday. I deleted it. But I am curious as to what their motives are. Are they real? Are they legal?