vaughanmk

vaughanmk

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All Content by vaughanmk

  1. Flow Charge Nurse

    vaughanmk posted a topic in General Nursing

    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

    vaughanmk replied to TJobs's topic in Emergency

    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. Studying for the CPN

    vaughanmk posted a topic in Pediatric

    It is time for me to start to study for the CPN exam. My work is paying for it and my manager is starting to push. Does anyone recommend any books for getting up to par for this? Let me know,...

  4. QA project

    vaughanmk posted a topic in General Nursing

    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. Offered a job today and flattered, but stumped.

    vaughanmk replied to nursalicious's topic in General Nursing

    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.

  6. Alzheimer's Train Ride

    vaughanmk replied to Ivanna_Nurse's topic in General Nursing

    This is an amazing explanation of Alzheimers. It brought tears to my eyes and I am a passenger on this train with my

  7. I'm getting written up! (Very long)

    vaughanmk replied to rn4babies63's topic in General Nursing

    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...

  8. pediatric vital signs

    vaughanmk replied to dan_dfc's topic in Emergency

    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...

  9. template? matrix? How do you staff your ER?

    vaughanmk replied to scrmblr's topic in Emergency

    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...

  10. Policy on Peds Patients

    vaughanmk replied to BlearnRN's topic in General Nursing

    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...

  11. Moving to Tulsa

    vaughanmk replied to eatcake's topic in General Nursing

    Do you currently work in

  12. Advice on clinical practice council

    vaughanmk replied to Roro's topic in Pediatric

    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?...

  13. Discharge of Homeless Pediatric Patient

    vaughanmk replied to LiveZen's topic in Pediatric

    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...

  14. pain scale in toddler

    vaughanmk replied to Roro's topic in Pediatric

    I really like FLACC. Face Legs Activity Cry Consolability. It is based on how the child is acting and looks. It is fairly subjective

  15. Question re: administering valium rectally

    vaughanmk replied to Josara's topic in Pediatric

    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

  16. What was the MOST ridiculous thing a patient came to the ER for?

    vaughanmk replied to JUSTYSMOM's topic in Emergency

    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

  17. # of triage nurses

    vaughanmk replied to Uptoherern's topic in Emergency

    Granted I work in a peds ER, but during the day and up utnil 2300 we have 2 nurses in triage, The first to sign in the patients and determine if one needs to be moved ahead. The second is dedicated...

  18. Indications for albuterol tx.

    vaughanmk replied to juliekrn's topic in Pediatric

    We use albuterol a lot where I work, in the ED. A lot of kids are too tight to wheeze upon arrival. We also use it for a cough occasionally. Most children without a history who come in with resp...

  19. Toddler using spacer

    vaughanmk replied to canuckeh!'s topic in Pediatric

    I love these also. We use them on almost everyone. Even teenagers, since they just seem to spray it onto their tongue when not using

  20. Scalp IV's

    vaughanmk replied to justcurious99's topic in Pediatric

    I personally like scalp veins, especially when I've already tried another site without luck. Where I work it is not that common for us to use the scalp

  21. Taking a child off life support

    vaughanmk posted a topic in General Nursing

    What do you think? This 14 year old boy accidently shot himself in the neck. The local news is reporting that the hospital is trying to take the patient off life support without parents approval. The...

  22. wedding rings at work

    vaughanmk replied to tofutti's topic in General Nursing

    I am a little protective of my wedding ring since it ws my grandmother's. The alcohol foam cleansers were horrible on the ring. One year for Christmas my husband went out and bought me a cheap band...

  23. Standards of Practice Regarding Croup Tents

    vaughanmk replied to Guppy1's topic in Pediatric

    I will see if anyone at work can send me some info in re: to using croup tents. I know where I work we consider them almost barbaric. They are not used. We use steriods and nasal canula's if needed...

  24. CT's

    vaughanmk replied to RNLex's topic in Emergency

    Whenever I have a pt that needs a CT. I have to go over with the pt. Granted it is a pediatric facility. An RN has to be present for the iv contrast.I have done it all myself and I have also watched...

  25. Hospital Discourages Pressing Charges Against Assaultive Patients

    vaughanmk replied to Meerkat's topic in General Nursing

    I work in a childrens ED. A few months ago a pt sitting in the waiting room jumped the triage/security desk and assulted a security guard and a nurse. Both were sent to be checked out by a physician,...