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?

From the time that I was 16, I have owned a '73 VW SuperBeetle, '84 VW Rabbit GTI, '94 Subaru Impreza, '86 Ford Escort, '86 VW Golf, '95 Saturn SC2, and on Saturday (FINALLY) a brand new car, '04 Saturn Vue. So I thought this was worth a chuckle... http://www.strangecosmos.com/read.adp?joke_id=1951 ** What the Model of Your Car Says About You ! My Car Speaks For Itself Does your car make a statement? Probably so. Here's a list of cars and the statements they make on their drivers' behalf. Acura Integra I have always wanted to own the Buick of sports cars. Acura Legendary I'm too bland for German cars. Acura NSX I am impotent. AMC Gremlin I could only afford three-fourths of a Hornet. AMC Marlin My father wouldn' t buy me a Camaro. Audi 90 I enjoy putting out engine fires Audi 80 I thought the 4000s was too fast. Austin-Healey 3000 I can put raw meat on the transmission hump and have a well done steak by the time I arrive anywhere. Buick Park Avenue I am older than 34 of the 50 states. Buick Riviera Convertible I'm not very smart, and I look like it too. Buick Electra Hey, it's 30-year old technology. But it's GOOD 30-year old technology. Buick Reatta I like ugly, impractical, boring cars. Cadillac Cimarron I am stupid enough to pay extra money for an uglified Chevrolet. Cadillac Eldorado I am a very good Mary Kay salesman. Cadillac Seville I am a pimp. Chevrolet Camaro I enjoy beating up people. Chevrolet Chevette I like seeing people's reactions when I tell them I have a 'Vette. Chevrolet Corvette I'm in a mid-life crisis. Chevrolet El Camino I am leading a militia to overthrow the government. Chrysler 5th Ave Did the pushpins come free with the headliner? Chrysler Cordoba I dig the rich Corinthian leather. Datsun 280Z I have a kilo of cocaine in my wheel well. Dodge Charger Reliable is boring. My car is exciting. Dodge Dart I teach third grade special education and I voted for Eisenhower. Dodge Daytona I delivered pizza for four years to get this car. Ford Fairmont (See Dodge Dart) Ford Mustang I slow down to 85 in school zones. Ford Crown Victoria I enjoy having people slow to 55mph and change lanes when I pull up behind them. Geo Storm I will start the 11th grade in the Fall. Geo Tracker I will start the 12th grade in the Fall. Honda del Sol I have always said, half a convertible is better than no convertible at all. Honda Civic I have just graduated and have no credit. Honda Accord I lack any originality and am basically a lemming. Infiniti Q45 I am a physician with 17 malpractice suits pending. Isuzu Impulse I do not give a rip about J.D. Power or his reports. Jaguar XJ6 I am so rich I will pay 60K for a car that is in the shop 280 days per year. Jeep Wrangler I am fiercely independent, just like all my friends with Jeeps. Kia Sephia I learned nothing from the failure of Daihatsu. Lotus Esprit Ever pay $2000 for a tune up? I do. Lincoln Town Car I live for bingo and covered dish suppers. Mercedes 500SL I will beat you up if you ask me for an autograph. Mazda Miata I do not fear being decapitated by an eighteen-wheeler. MGB I am dating a mechanic. Mitsubishi Diamante I don't know what it means either. Mitsubishi Eclipse GST Why accelerate? Because you can! Nissan 300ZX I have yet to complete my divorce proceedings. Oldsmobile Cutlass I just stole this car and I'm going to make a fortune off the parts. Peugeot 505 Diesel I am on the EPA's Ten Most Wanted List. Plymouth Fury I like driving an air-conditioned sofa that can carry your car in my trunk as a spare. Plymouth Neon I sincerely enjoy doing the Macarena. Pontiac Trans AM I have a switchblade in my sock. Porsche 944 I am dating big haired women that otherwise would be inaccessible to me. Renault 2CV I think your car is ugly too. Rolls Royce Silver Shadow I think Pat Buchanan is a tad too liberal. Subaru Legacy I have always wanted a Japanese car even more inferior than Isuzu. Triumph TR6 I am an amateur mechanic who enjoys a challenge. Toyota Camry I am still in the closet. Volkswagon Beetle I still watch Partridge Family reruns. Volkswagon Cabriolet I am out of the closet. VW Rabbit GTi My mom won't let me buy a Porsche 'til I finish Algebra. VW Jetta I stopped smoking pot when I got a real job after college. I swear. Volkswagon Microbus I am tripping right now. Volvo 740 Wagon I am frightened of my wife. Volvo 240 Other drivers are unsafe. Let me go ahead and pull out in front of this guy to slow him down.

Thanks Maddiecat!!!!!! I sent you my email via PM. :) KeniRN

Hi! I'm really hoping someone out here can help. The residential facility I work for is in dire need for med trays. The ones that hold 24-38 or more med cups and that have the little slots for the pt's name card. None of our supply catalogs have them. I did a search on Google for Medication Trays, Med Trays, Med Cup Trays without success. Thank you very much for your help! :)

Ugh. Then I make $0.76 per patient where I work (28 residents MR/DD "medically fragile" unit).Do the math That means the direct care staff DOES make more than me!!!! :angryfire Oh Well...............

"You and I" I am a resident. You reside. I am admitted. You move in. I am aggressive. You are assertive. I have behavior problems. You are rude. I am non-compliant. You don't like being told what to do. When I ask you out for dinner, its an outing. When you ask someone out, its a date. I don't know how many people have read the progress notes people write about me. I don't even know what is in there. You didn't speak to your best friend for a month after they read your journal. I make mistakes during my check-writing program. Someday I might get a bank account. You forgot to record some withdrawls from you account. The bank called to remind you. I wanted to talk with the nice looking person behind us at the grocery store. I was told that it was inappropriate to talk to strangers. You met your spouse in the produce department. They couldn't find the bean sprouts. I celebrated my birthday yesterday with five other residents and two staff members. I hope my family sends a card. Your family threw you a surprise party. Your brother couldn't make it from out of state. It sounded wonderful. My case manager sends a report every month to my guardian. It says everything I did wrong and some things I did right. You are still mad at your sister for calling your mom after you got that speeding ticket. I am on a special diet because I am five pounds over my ideal body weight. Your doctor gave up telling you. I am learning household skills. You hate housework. I am learning leisure skills. Your shirt says you are a "couch potato." After I do my budget program tonight, I might get to go to McDonalds if I have enough money. You were glad the new french restaurant took your charge card. My Case Manager, Psychologist, R.N., Occupational Therapist, Physical Therapist, Nutritionist and house staff set goals for me for the next year. You haven't decided what you want out of life. Someday I will be discharged - maybe. You will move onward and upward! author unknown

If you move to Philadelphia, PA, our facility has several nursing positions open!!!!!!!!!!!!!!!!!!!! Florida is too humid. Philadelphia is only 70 miles from the Jersey coast :) :) :)

Got my Z-Coils. I LOVE 'EM!!!! Wore them for 16 hrs and NO KNEE or BACK PAIN!!!!!! WOOOO-HOOOO! Just thought I'd share. If anyone wants to check them out: http://www.zcoil.com I'll still wear my Danskos, just not for my 16 hr shifts :)

Hi wrkoutgirl. I'm so very sorry you are going through this! you mentioned Newark University Hospital. Is that in Newark New Jersey? If so, do you live in New Jersey or the Tri-state area? Maybe a visit to a specialist at Wills Eye Hospital in Philadelphia. Best of luck and if you don't mind, I will put you in my prayers :)

I love my Danskos. My problem is whenever I wear sneakers my knees are ok but my back hurts and whenever I wear my clogs my back is fine but my knees hurt. I am going to get a pair of Z-Coils tomorrow. I'll let you know how they are!

I live in the burbs of Philadelphia. I worked at a city hospital for about 9 years before working in the burbs. Although I enjoyed working in the city hospital (so much to see and learn), the difference in my paycheck is very nice--no city wage tax, don't have to pay for parking and a little closer to my home (with less traffic and potholes, thus less wear & tear on my car).