PedsED-RN

PedsED-RN

Pediatric ED;previous- adult Ortho/Neuro

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All Content by PedsED-RN

  1. Tips/tricks regarding peds and triage

    PedsED-RN replied to NickiLaughs's topic in Emergency

    Esme, I figured you would post this =) I need to actually remember where I post to be able to copy from previous. =) great info

  2. Tips/tricks regarding peds and triage

    PedsED-RN replied to NickiLaughs's topic in Emergency

    If you can, take ENPC, that is a helpful class. Will help narrow down the things you should watch for, true emergencies. Our #1 CC is fever, so for 85-90% of our fever patients, that is something that...

  3. Conscious Sedation in ED

    PedsED-RN replied to foragreatergood's topic in Emergency

    Our Procedural Sedation policy is very specific. Defines Anxiolysis/Moderate/Deep sedation differences, including required monitoring, and gets into each drug, and the specific routes/doses that...

  4. Cyclic vomiters (drive me up the wall)

    PedsED-RN replied to Emergent's topic in Emergency

    This is exactly it for many of the kids we see with

  5. Why can't nurses intubate?

    PedsED-RN replied to natnat122's topic in Emergency

    I know for our Transport team (peds hospital), they are all trained in IO, intubation, etc. I know they maintain tubing skills in the OR each year to keep current, not sure about the rest

  6. Preceptorship in ED..any advice?!

    PedsED-RN replied to JLB1215's topic in Emergency

    Good point! We have many RNs that started with us as Student Interns, loved our department, applied, and are RNs with us. Home-Grown! =) it can definitely be a good

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

    PedsED-RN replied to JUSTYSMOM's topic in Emergency

    In a Peds ER, this kind of thing is our bread-&-butter. Also love any complaint that has since stopped before bringing them in: baby wouldn't stop crying (as the baby looks up and smiles at me),...

  8. shotgun knowledge from emergency geniuses

    PedsED-RN replied to tarotale's topic in Emergency

    US for trauma, looking for free fluid in abd help identify internal organ damage, as either something is bleeding (and how much based on amt of fluid), or perfed bowel leaking bowel contents into the...

  9. Preceptorship in ED..any advice?!

    PedsED-RN replied to JLB1215's topic in Emergency

    Agreed. If you are already a proactive personality willing to take initiative, you will be fine. Get the feel for the flow and pace in your ED, and jump in with what you can, that you are safely able...

  10. Rules for Triage

    PedsED-RN replied to Anna Flaxis's topic in Emergency

    "Her nose was bleeding yesterday, but it stopped. We just wanted to get her checked today".

  11. Nurses dressing up for Halloween

    PedsED-RN replied to pheonixRN's topic in Patient, Colleague Relations

    Peds ER, staff often wear something, but are pretty conscious of it being something easy to remove if in the way of a critical situation. The vast majority of our kids are fine, and live the costumes....

  12. Rules for Triage

    PedsED-RN replied to Anna Flaxis's topic in Emergency

    Agreed =) I more often say the same as you, but sometimes ask what is the emergency more because they usually seem to stop for a second to realize "oh, yeah, this isn't an emergency". Probably comes...

  13. Rules for Triage

    PedsED-RN replied to Anna Flaxis's topic in Emergency

    When I start with "what is your emergency this morning" and the reply begins something like "oh, it's not really an emergency....." Smh I know you are scared about whatever brings your child to me...

  14. Bladder Cocktails?

    PedsED-RN replied to guest744967's topic in Emergency

    When we have to fill a bladder for pelvic US we actually fill while in US, and the tech lets us know when it's full enough. Looks pretty cool on US, can see the fluid swirling like confetti. Works for...

  15. Cyclic vomiters (drive me up the wall)

    PedsED-RN replied to Emergent's topic in Emergency

    We see it regularly in our ER (Peds only). Sometimes it seems like the diagnosis for "I have no idea why your kid keeps vomiting every week/month/fill-in-the-blank, since every test under the sun has...

  16. Going from Adult ER to all populations ER

    PedsED-RN replied to NickiLaughs's topic in Emergency

    For initial overall assessment, pay attention to what the kid is doing in the waiting room before you call their name. Young kiddos may be playing around, jumping off the furniture, but once they are...

  17. URGENT: Are CDC Ebola Guidelines 'Good Enough'?

    PedsED-RN replied to MissyWrite's topic in Disaster Preparation

    The most recent nurse actually did communicate with CDC before flying when she realized she had a low grade fever, but since it was under their threshold of 100.4, they gave her the green

  18. URGENT: Are CDC Ebola Guidelines 'Good Enough'?

    PedsED-RN replied to MissyWrite's topic in Disaster Preparation

    seriously, why would we not take a page from the procedures of those who have been fighting this already for years, and have a track record like that?! We know common sense isn't always the strong...

  19. Help me understand....

    PedsED-RN replied to Anna Flaxis's topic in Emergency

    I always hate when parent say "No, I didn't want to give anything so you could see (how high the fever is, how much pain,etc). I make sure to say next time, definitely help them feel more comfortable,...

  20. OB ultrasound...foley or no?

    PedsED-RN replied to Kalipso's topic in Emergency

    We do this sometimes too, in a pediatric ED. Usually if lower pelvic abd pain, they are NPO and want to r/o torsion, which would be surgical, and a smaller deal window for getting the to OR. Not sure...

  21. Peds ED from Adult med surg

    PedsED-RN replied to KenzieRN's topic in Emergency

    My first job was and adult med/surf ortho/neuro unit, while waitin for an open position at our Children's hospital. First open position was in the ED so I figure I would give it a shot. Almost 7 yrs...

  22. Triage Practices

    PedsED-RN replied to applesxoranges's topic in Emergency

    Wow, and already triaging when new to the facility? We haves bit of a process to go through before being triage "certified", usually 6-12 mos after hire, have to have ENPC an take a hospital triage...

  23. July 2014 Caption Contest: Win $100!

    PedsED-RN replied to Joe V's topic in News, Announcements

    "She mentioned meeting her study group to celebrate passing their first Theory exam. Think it will be that big of a deal for each

  24. Male pediatric nurses?

    PedsED-RN replied to FutureNurseKyle's topic in Pediatric

    In my ED we have numerous male RNs, as well as many throughout our less hospital and on our Transport team. No one thinks it is at all odd, they do an awesome job with kids and are great at helping...

  25. Ped help!!

    PedsED-RN replied to Scarlettz's topic in Pediatric

    Sit down with your kids, and talk to them on their level. We tower over them when we are standing, and are scary or intimidating. =) make anything you can a game or competition, that is often helpful....