rainbowbright2

Do they ever do gravity NS boluses in peds? What if no pumps are available? Is a rapid infusion (per gravity) to fast for a ped patient to absorb or will it blow a vein? Also what sizes do they generally use for say a 10 year old and 3 year old NS bolus? I'm guessing around 24 and 25 gauge?

So glad I didn't listen to your advice! I'm loving working in a clinic and doing very well! I love the challenges and critical thinking that comes with the job and have a great supportive staff of RNs, physicians. Of course I don't know everything but I do have a solid basis of knowledge and experience coming from a critical floor. The MDs and RNs are always willing to answer a question and I have manuals as well. I love my job in a clinic!!!!!

To the poster, you must be really old school. Note, I said "old school", not old or you don't work on a busy floor if you're so worried about the formality of a bed. Yes, I do make beds with hospital corners, but no, I don't care how perfect other beds look as long as they don't look like someone slept in it before a new admission comes. With juggling numerous critical patients on my floor, I really have better things to worry about!

I have over two years experience as a bedside nurse. I'm considering changing to a clinic job. I'd be going from three 12 hour shifts to 5 eight hour shifts and would like to get out of the hospital setting altogther, but I'd like to hear from those who work in outpatient clinics (with previous hospital experience) how they liked the change. any input appreciated. thanks

those wiggling babies that need to have a pox on their foot or toe? what's the best way to get one on. I've heard to go around the fatty part of the foot. does the light have to match the other part of the sticky part? i've heard conflicting things. so, how does it work and what method is best? thanks! i get stuck in babies rooms so long because it just doesn't pick up right and takes forever to get on just right.

nursing home/long term care facility

Adult med. surg. First error: I noticed that a post-surgical 70 yr. old patient didn't urinate after way too many hours had gone by (and only then notified the surgeon). Most recently, I didn't notice a pin-point red rash that had developed on my patient's left leg throughout the shift because I was too intensely focused on struggling with his terrible pain throughout the night (unrelated). I feel terrible.

by major I don't mean med. error (but not noticing something in my patient when I was overwhelmed with caring for other problems in my patient). This happened twice in the last few weeks and she was the one who noticed it. (never notices anything good I do). I've learned a lot but these last two mistakes will make her thing poorly of me and both times she seems disappointed and grouchy over it. I was OVERwhelmed! I'm afraid she'll take it to the higher-ups and get them thinking I"m reallay unobservant and incompetent. How can I rest and not feel so incompetent? I'm so stressed right now. I've learend from my mistakes but what if I'm under the microscope even more which will make me more nervous? Plus, she's not supportive. She is more the type who finds fault and never praises. (I've actually been growing a lot....just overstressed.) I would have noticed the mistakes if I wasn't pulled in so many directions. I've only been off orientation a few weeks.

Hi. I'm a new nurse and I'm in the same boat. I can definitely emphasize with what you have written. I just wanted to let you know you're not alone.

I'm a new nurse but still feel inadequate (basically I think I focus on my mistakes) rather than any positive feedback I get. Every so often I make a dumb mistake (nothing serious) but I don't want it to erase any confidence that other nurses had in me. Often during change of shift we get patients that crash (which makes the next nurse come on to shift very stressed-understandably so--but being new, it's all new to me so I can only do my best to get everything right). How can I not go around worrying what the next nurse thinks? Everyone has been nice and helpful, but I don't know how to increase my confidence and lessen my insecurities. Is this typical?

Furthermore, some patients have both and there are two different valves/tubes. How do you know which one is which?

I'm a first year nurse (still in orientation) and am seeking your most organizational tips/advice. I'm trying to get a handle on the stressful day...how your ogranize it and handle changes (especially when things come up....new doctor orders, new admits., changes in schedule, etc.). Also, do any of you carry a clip board. I am trying to keep my sheets neat and organized but I sometimes can't find a flat surface to write on and I feel as though my sheets get a little sloppy being folded in my pocket and using my hand as a hard surface to write on. (Any quick tips as to how you organize your sheet would be helpful.) One last silly question, do you do all your vitals (remember them) and then write them all down or do you do one or two vitals, go back to your sheet and write them down, and then continue? I feel as though I look silly going back to my sheet so much, but I seriously will forget the exact numbers if I don't do this. So, basically, your best organizational tips (any) would be helpful. Thanks!

You know the typical child who is frightened of strangers and cries and wiggles like crazy? How do you do a physical assessment effectively and help build parents trust when this is all happening? Do you go in and try to play with the child for a few minutes and then do the assessment after you build some repertoire in the child? I need advise please

Does logging on to Pearsonvue and getting the "pop up" mean that I might have passed if it's only been 27 hours since I took the test? I took it with 75 questions and left crying because there were so many priority questions I wasn't exactly sure of. I'm dying here.This is torture what they do to us! Yesterday, I didn't know what to do with myself.

The question was a "select all that apply". It was the exact same question for 74 and 75 except the options were rearraged. (I ended up changing my answer for question number 75 and then it shut off!) Is that a big sign that I flunked? I remembered many of the questions and looked them up. I can think of 36 that I got right and remember about 15 that I looked up and got wrong. I'm so upset. But what do you think about questoin 74 and 75 being identical?