vaughanmk

vaughanmk

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About vaughanmk

Latest Activity

  1. Flow Charge Nurse

    I work in an ED and we are trying to implement a Flow coordinator position. The poor gal is striking out repeatedly. Nothing seems to work. Do you utilize a flow nurse in your facility. If so,...
  2. Scheduling in the ED

    I work in a peds ED that sees about 200 kiddos a day. We have many shifts to help with volume levels. 7a 11a 3p 7p. Some weekend option but not a ton so we do work weekends. 20+years = no...
  3. Offered a job today and flattered, but stumped.

    Follow your gut, that's why your a good nurse because you have followed it in the past and it has obviously worked well for you in the past.
  4. QA project

    I work in a peds ER and need to develop a new small QA project. I need suggestions, what projects do you do? Examples in my department include blood glocuse monitoring ( the information the nurse...
  5. Alzheimer's Train Ride

    This is an amazing explanation of Alzheimers. It brought tears to my eyes and I am a passenger on this train with my
  6. I'm getting written up! (Very long)

    I feel horrible for you. I cannot imagine working on a unit that requires every single complaint by anyone to go into your employee record. I would check with administration to make sure that this...
  7. pediatric vital signs

    I work in a level 1 peds er. In triage we only get a BP on kids over 2. A majority of our kiddos under 3 never get a BP. Only if it's warrented by condition, admission or as deemed necessary by...
  8. template? matrix? How do you staff your ER?

    How do assignments work with people comming in at all hours. Does everyone just given up pt's when oncomming people come in or do the oncomming people float? Can anyone give me examples of their...
  9. Policy on Peds Patients

    We allow 2 parents to stay in the room if not in the ICU. Parents may leave at any time, hoping that they notify staff. Siblings and friends cannot stay unless the parent is breastfeeding the...
  10. Moving to Tulsa

    Do you currently work in
  11. Advice on clinical practice council

    Roro- I found this old thread and was wondering how this went for you. What topics do you approach with this? What functions best and benefits the most from this. Can I get a copy of your mission?...
  12. Discharge of Homeless Pediatric Patient

    I couldn't imagine that the hospital would discharge a child to the street. Someone, somewhere along the way should address that. It is sad that children actually have to live that life. I wish...
  13. pain scale in toddler

    I really like FLACC. Face Legs Activity Cry Consolability. It is based on how the child is acting and looks. It is fairly subjective
  14. Question re: administering valium rectally

    We use this frequently in peds. I haven't heard of a case of perf with it. If you have to use it once. You might actually like it. It really is user friendly. Good
  15. I had a good one this week. A woman brought her 4 week old child in for a "hole in his head" It was the soft spot. The part I found most disturbing was that it took her 4 weeks to find