peds77

well i've tried rid..licekiller which was 150.00...lice meister washing EVERYTHING in the house...cutting her hair which is chin length but VERY VERY thick i have the rx ella mite but i'm afraid to use that.. so tomorrow i am going to a nit picker..who is a woman that my pediatrician recommended she said she would definatly get rid of it so we'll see what happens...

My daughter has had head lice on and off for months now schools out and i thought it was gone but its not...i've tried everything spent hours and hundreds of dollars can anyone please help me i'm VERY seriously thinking of cutting her hair...we're going to the dr tomorrow but i've heard that doesn't work either...PLEASE PLEASE PLEASE any help would be great!!!!!

looking to buy my son a new car seat he's grown out of the infant one..anyone certified and know which ones are the best safety wise????

I agree 100% I've been working with kids for 10 yrs and its very rarely the children that make ur job hard its always the parents....the either love u or hate you and its usually not personal but its so hard not to let it get to you...I've held a parents hand as she witnessed her child take his last breath...and i've had moms and dads say thank you for giving their babies medicine even though they puked it up bc their so nausea from chemo..but if also had a parent tell me I was pathetic bc I didn't get his 13yo daughters IV in on the first stick I've also been witness to horrific child abuse cases where I've wanted to jump across the nurses station and strangle a parent...but this is what sets us peds nurses apart from others and thats why we're special

Thanks...for the acknowledgement..I am exploring other options..I'm transferring out of oncology (peds) to Peds Icu and I eventually want to make a transfer to forensic nursing..I'm taking the course to be a SANE nurse..so I'm aware I need a change and I'm making it....I hope you will enjoy nursing as I truly have it is in my opinion a noble profession as someone said previously......I just wish people were more aware of how much of ourselves we give day in and day out...I don't want a medal or anything just a little more respect would be nice...anyway good luck and when those mean senior nurses give you crap or make u feel stupid and the will..just realize thats its probably not you they're mad at just the job getting to them...

Ok thanks for the advice for those who gave it..but i would just like tosay that I'm not here to disuade anyone from becoming a nurse I AM A NURSE that is a big part of who I am and I do Love it..but sometimes as i am sure ia all walks of life it gets a little hard to take people's abuse with a smile...I have the utmost respect for all nurses amd many,many md's some of my best friends are doc's and I also enjoy teaching new grads I'm actually a master preceptor and I didn't get that job by chance I earmed it.....anyway just think my earlier venting was misunderstood by some but..my lord a little sympathy or encouragement would be nice........

I've been a rn for 5 years and I used to love to go work, but lately I can not stand the lack of respect that rn's get from md's and pts/pts families...now don't take this wrong its not all md's or pts but the ones that do disrespect us and flat out treat us like crap have taken a huge toll on me.......I did not bust my butt in nursing school and I do not leave ny family for 12-14hrs a day so I can go to work and be treated like a servant or maid or in the md case an idiot thats less of a person bc i don't have md after my name........my biggest issue is that in the past year I haven't been able to hold it in and I have found myself in several confrontations with docs and families....any advice????????????

Weigh and measure them...all pts should be weighed and measured on admit......I don't mean to sound stupid but is that what ur asking...sounds kind of obvious?

obviously liking kids is a requirement for being a peds nurse...however remember you must be witness to children going through some crazy stuff....whenever I tell people i work in peds they always say OH I could never watch those babies and children suffer.....and its trus ut can be heart wrenching at times but very special too.....don't let anyone tell you that the key is not to get attached to your patuents bc in peds especially in long term pts like hem onc its impossible not to fall in love with them and their families...the only wat to know it try it out...you'll know right away if its for you its an instant love or hate...if you don't like it right away you will not learn to like it...good luck

The way to avoid bubbles is to Fill the buretrol wih say 10-20cc of fluid while keeping the tubing clamped...(so don't open the clamp between the burette and the bad while your priming the line) then open your clamp on the tubing and prime the line...also to avoid bubbles turn the clamp on the line upside down while your running the fluid through to prime(this is for alaris sets...and if u do get a bubble put a 5cc syringe onto the port distal to the bubble...then pinch the tubing or bend it right below the port..open the clamp in the line and pull back on the syringe slowly and it will such the bubble out will re priming the line sounds tricky but swear to god works wonders and i do it atleast twice a shift...

Can you give Lipids via a PIV?

I think people did use Karo syrup in "the old days" however Karo, Honey and Molasses should NEVER EVER be given to children under 1yr bc its been dirctly linked to causing infantile botulism...

I had both lady partsl and c section and although everyone if different I'd take the csection anyday......if u refuse to push they'll give u one...lol:lol2:

My sons has constipation issues too I'm a peds nurse but this advice also comes from my pediatrician: Breast is best for some but didn't work for me 1st formula to try is goodstart 2nd soy 3rd allimentum or nutramigen (one is similac one is enfamil) lastly is neocate. unfortunatly as u go down the line they get more and more expensive but it helps....each one is predigested a little to alot in the order I gave you....also glycerin suppositories are safe to use up to several times a day.....1oz of prune juice mixed with 3oz of formula does well to but it can cause loose stolls so you have to use your judgment on how much is too much but You can do that 3-4 times a day...do not give rice ceral is constipates which any idiot knows therfore I would definately look into a new peiatricain if anything give oatmeal......I started my son on fruit and veggies at 4mon old and he's pooped everyday since.....and also the BRAT diet is for diahrrea NOT CONSTIPATION..... last resort take him to a GI specialist just to make sure but I would not do that until I've exhausted all ideas above.......good luck

well i use this simple calculation dose wanted x ml per mg on bottle Divided by mg on bottle ex. Zantac comes 150mg/10 cc Order reads give 3mg zantac po bid 3 x 10 = 30 30 divided by 150 = 0.2 cc po bid

The cath's we use in our hospital stink in my opinion...whenever I insert it and get a flashback you can't remove the needle and advance the cath its judt won't advance...it usually kinks so I u have to advance the needle all the way and then pull it out..anyone else have tjis problem?any suggestions?

Pens lots of pens RED & Black.......mini calculator that fits on ur ID tag...Staples has them for .99 at the check out counter love mine....

Use a rubberband on babies instead or a tournaquette(misspell) and I have really good experience with using feet instead of arms especially in chubby babies ....

I put this out to anyone who has knowledgable advice redarding this situation.... I'm apediatric nurseand have been for five years....I was attending toa child the other day who was going through withdrawl from a previous fentanyl drip...thispt was currrently on a methadone wean and due for a dose at 10p ( i works nights), however at 8p he was experiencing DT's and hadbeen for a whileacctothe mother who was besides herself with his behavior...so I asked a resident if we could give himsome IV Benadryl to calm him down andholdhim over until his methadone dose couldbe given...I got the order gave the benadryl and the child fel to sleep.......at 10p I will dealind with a 1yold suffering from Graft vs Host with a bp of 60/28 and a hr of 70...however i wanted to get this child his methadoneon time so i left the GVH pt and went to give the methadone when I entered the room th child wason his stomach asleep...mom was out of the room and dad was on the couch..i didn't want to wake the child so i gave 0.5 cc in a Tb syringe to him..Iplaced the syringe in the backof his mouth got a suck reflex from him and gave the med he then drooled a little onto the pillow case so i scooped it up and gave it to him on the syringe...the father was upset that i didn't wake him up and sit him up to give the med and advisedme to doso next time....i said fine a left the room to attendto the other pt....then the father wanted to speak with me and wanted to know why i was being so rude and not aknowledging his concerns ect... I apoligized and explained that i was just trying to avoid waking up his son bc of his earlier behavior and that i left the room quicklt bc og the other patient i also apoligized for being short with him but reassured him that i heard what he said and would wake the child up next time i give a po med.....later the mother asked to speak with me and after telling her basically the same thing the dad addressed me and prior to answering him i said holdon bc the I MED was beeping and I wanted to reset it...the mother then accused me of being racist ang ignoring her husband.......nursing supervision and the md were notified and i gave the pt to another nurse...themother cont. with the racist accusationsand then proceeded to tell the md that she wasn't sure what I gave was even methadone it could have been KCL..at that point the MD said to her stop right there bc now your just being ridiculous......so now i have my unit supervisor calling me at home to talk about the situation and I don't even want to discuss it with her bc Iknow she'll take the pts side she always does......if this goes any further than my supervisor or is put in my record I want to call a lawyer and use defamation as my defense......any info on how much ground i have to stand on?...or info on someone who has been through this, orjust general adviceom how to handle the situation and conversation with my supervisor Thanks

I know exactly how you feel.. I have two kids..one who I had before I was a nurse and one who is newborn and I've been in peds for five years now..mostly hem onc..and I can honestly say ignorance is bliss...when my daughter was sick I excepted it was just a cold or fever ect. i even had to take her to a hematoligist which turned out to be something very mild but had i known then what I know now I would've had a heart attack before her appointment...I love what I do and I've seen many parents lose their kids to diseases, cancer, mva's ect and honestly I don't have aby clue how the hell they get through it. because knowing all I know if it was my kid diagnosed with cancer or something you'd be picking me up off the floor....However it hasn't stopped me from having more kids it just makes me think of really sick stuff that "normal" people would never dream of thinking...but i'm not one of those over protective crazy moms i actually keep it to my self so i really onlt torture me.....

Congrats on your new job..I've worked in peds for five years now and spent the last year in hem/onc.it's not for everybody but I love it. The very best part are the kids and their families..these kids are soooo sick and I can't imagine for a second how their families must feel but they are by far the nicest, strongest most amazing children and parents I meet. I've done gen peds also and although some of these children are really sick too..its usually no comparison to my hem/oncers and yet the ones who have to edure horrific procedures and chemo are always the best behaved and polite children. In nursing i know we all usually feel underappreciated for the work we do..patients and families and doctors take us for granted ALL the time but this is not the case...parents of childrem with cancer are the most appreciative people I have ever met. Some parents hate us for taking a kids temp..while the things we have to do to hem/oncers can be awful they always say thank you very..what i'm saying is it's very sad don't get me wrong i've wept for children more times than I would like to remember but its can be very rewarding...I hope you enjoy it.....PS litman peds is fine...

thank you for the info...very sorry about your daughter...my sons condition whatever it may be it not that serious so i'm very thankful for that...good luck

Help please....i need info on trachealmalasia....my son was born with a wicked, barky cough..sounds like a smokers cough and when he cries hard its raspy and barky too, whenever anyone hears it they say oh my god sounds like croupe....so im a peds nurse and of course a million diagnosis go through my mind every time I hear it but his lungs are clear, resp wnl no tachypnea, no retractions no wheeze he eats great has gained beautifully and is the picture of health...which it what my pediatrician reassures me everytime we talk, but the nurse in me obsesses over whether or not it could be something serious...... a friend who is a nicu rn suggested TM but every kid i know with it is really symptomatic and sick some with trachs..and my son is totally healthy...so my pediatricain said yeah maybe he does have a "little TM" but he'll grow out of it don't worry about it whatever it is its not serious..does this sound right to you guys? any feedback would be greatly appreciated!!!!