kidznurse

kidznurse

Range of paediatric specialties

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All Content by kidznurse

  1. Skin Prep and Duoderm

    I use skin prep with duoderm or allevyn adhesive on children's wounds particularly incised and drained abscesses I use hypafix or flexigrid in strips around the edges to reinforce and find that dressings stay on for 3-5 days.
  2. Pediatric Nursing Competency Questions

    A resp rate of 70 Hr r 180 and nasal flare may indicate an acute resp illness. Bear in mind Despite a reasonable sao2 the child may still have a respiratory illness brewing. Check temp an overheated baby can breathe fast and have elevated HR. Other ...
  3. Breast Feeding ..... HELP!!!

    I managed to study, (post grad) and work3x 8 hr shift work in NICU, and breast feed . It is possible but only if that's what you want to do. I expressed ( pumped) one breast first feed in the morning, at the same time as feeding the other side to my ...
  4. maple syrup disease

    I have looked after 3 kids with this rare metabolic disorder , but then again have also worked in paeds around the world for nearly 30 years, so understandable. Rare metabolic disorders like MSUD and others I have nursed (eg orotic aciduria /glycoge...
  5. kids and parents

    I did an assessment for a medical research project on a 4year old. She had severe dental caries, and was well overweight for age- 30kg plus. Had been hospitalised in 1st 4 years x 5 , for mostly acute respiratory illness. Her diet consisted of- no ve...
  6. Premium membership reservations?

    I feel this site is too North American. I live in a country that has a stong commitment to social medicine, and so much of this site relates to a USA/ private health care/ consumerist stance. I also find that there is a much stronger right wing ethn...
  7. Not enough attention to BMs in nursing today!

    Basic nursing fact: "if you don't eat you don't s--- you don't s--- you die !" I've been nursing nearly 30 years and the basic a & p doesn't change! Regardless of the the latest theory or politics - Nursing is about the basics, stick to that and...
  8. How many cases of tetanus have you seen in peds??

    Saw one very recently here in NZ. Parents anti immunisation so non immunised child. The tetany is horrendous and virtually unmanageable . Ventilated heavily sedated child . Last time i saw tetanus was 20years ago older woman that had been gardening a...
  9. Childrens rights to health

    I'm interested in how children's rights to health are viewed in USA. Are the tenets of the U N convention on the rights of the child openly discussed by nurses there? What are general societal/ media views on protecting children from corporal punishm...
  10. Childrens rights to health

    Hi there, Not sure about some of the US collquialisms used on this website for example I had no idea what LOL meant and had to ask. Likewise I don't know how to read this reply is it scathing or in agreement?? Bit difficult to debate when you are fro...
  11. Childrens rights to health

    Thanks for that Steph I have read some of the universal health care threads but can't relate to them . I live in NZ. Health insurance is optional and generally only taken up by the wealthy and those aiming to have access to elective procedures, o...
  12. i think this definition of whether your labour entails being a practice profession or work is class based. ie a professional is white collar and a worker blue collar. i think it behooves nursing to rise above such class consciousness. illness does n...
  13. Unfortunately we are not all born equal there are people born with lower cognitive abilities (Lower IQ) who cannot get a decent college education . There are many children born with in-utero alcohol and drug damage to their brains, there are people w...
  14. i live in a country that has free health and education for its citizens- nz . i have worked in the us, and in the uk, and australia . every system has its issues but i did not find the system in the us superior in quality.i think it is important to b...
  15. would you be a RN for $11.00/hr?

    Emotionally and spiritually I could nurse for nothing. I am drawn to nursing because of my need to care. Yes, I am aware this can be seen in negative terms or positive terms and I won't go into the psychology of Martyr Vs Saint delusions. I get the g...
  16. The Circumcision Discussion

    It's obviously a societal norm thing . Circumcision is not very common here in NZ. Boys who were circumcised were called "helmet head" or "Knobby" when I was at school because their penises looked different ie you could see the glans. Never heard of ...
  17. The Circumcision Discussion

    Both of my boys had intractable foreskins one had a tight forseskin/phimosis and at age 5 I used a course of steroid cream to help loosen it as directed by a paediatrician. Neither boy required circumcision neither boy had any balanitis as the area ...
  18. How to treat umbilical cord?

    The roting process of a cord is slowed by pickling them with antiseptics and alcohol. Recently following up newborns in the community I have had to treat some very large umbilical granuloma with silver nitrate. I think there is a correlation with use...
  19. How to treat umbilical cord?

    We used to use iodine but then were told a few years ago that due to absorption bad for prem thyroids.
  20. Health system struggles with spiritual care

    Reading many postings on this website have made me realise just how prevalent religious ideology is in nursing in the States. It is obviously a cultural element . Here in New Zealand, we are reluctant and ill advised to bring beliefs from the privat...
  21. unrealistic family of dying resident

    Sadly death is seen as a failure of health care not a natural progression of life. Shame the death discourse is not more openly discussed amongst health professionals an the public. So many parents write birth plans very few write deah plans. I spen...
  22. Would you rather have a child said to be SS or abort?

    My friend had an abortion at 18 weeks last year. Her baby was wanted but not at any cost . She had trisomy 13 on amniocentesis, was very small and had a major cardiac defect. The syndrome is generally incompatible with life . I would have supported ...
  23. Who Would You Hire?

    Im 45 and been nursing 28 years am also a mum of 2 .I'm considering moving out of nursing soon because I'm just not handling it physically. Maybe my body is old for its age and maybe its because 28years of shift work and stress has taken its toll. H...
  24. Merck suspends lobbying for Gardasil vaccine

    Yes I've heard that HPV is implicated in prostate cancer. Could the vaccine be targeted at females because of some old sexist ideology men not being considered promiscuous when having multiple sex partners but merely virile. Treat the girls then th...
  25. Merck suspends lobbying for Gardasil vaccine

    I agree the pharmaceutical companies agendas are as suspect as the petro-chemical companies agendas. The big businesses do however seem to have governments in their pockets.Or am I just a dumb conspiracy theorist?