canuck2texan

I use it all the time for rsv and really coorifice pedis. It works in the lungs the same way 3% hypertonic iv admin. It draws the fluid into the vascular space thus drying them up. One of my docs reccomended reading an iseral study. To find it I googled iseral & 3% hypertonic neb tx and up it came. Very interesting. I love 3% saline and high flow o2 between the two we really decreased our intubations

I have been a pedi er rn for 2 yrs now (since graduating). When I first started I was afraid of iv sticks. Now I get 90-95% of my sticks. My best a 10 day old very dark skinned pt. Some knowledge that I can pass to you is; -if you think the are going to move take another rn/ tech with you to hold - always use a heat pack on your sites ( I always try hands first but also heat pack ac's at the same time) - take your time. Place band on pt. Look at each hand if nothing Is therenthen look at ac if noyhng there look at the feet the heat brings the blood to the surface. -hold their hand firmly in yours. Their fingers shouldbe in your palm and you brace each side of their hand by your thumb and index finger - get your floor to invest in a "wee sight" $ 90. It illuminates little ones veins so you can mark them or do a stick in the dark. Heating them up is the easiest and best option also look at your veins their veins are roughly in the same spot just smaller. I do almost all my I've in the hands and then board their arm if they are really little and use lots of tape also you can papoose the pt in a sheet and roll them up like a taco with the arm out that bells. The parent can lay beside them on the bed for comfort we never ask the parents to leave not even in a code. Parents and pt feel better when both are together. Good luck

I have been a pedi er rn for 2 yrs now (since graduating). When I first started I was afraid of iv sticks. Now I get 90-95% of my sticks. My best a 10 day old very dark skinned pt. Some knowledge that I can pass to you is; -if you think the are going to move take another rn/ tech with you to hold - always use a heat pack on your sites ( I always try hands first but also heat pack ac's at the same time) - take your time. Place band on pt. Look at each hand if nothing Is therenthen look at ac if noyhng there look at the feet the heat brings the blood to the surface. -hold their hand firmly in yours. Their fingers shouldbe in your palm and you brace each side of their hand by your thumb and index finger - get your floor to invest in a "wee sight" $ 90. It illuminates little ones veins so you can mark them or do a stick in the dark. Heating them up is the easiest and best option also look at your veins their veins are roughly in the same spot just smaller. I do almost all my I've in the hands and then board their arm if they are really little and use lots of tape Good luck

I have worked in a very busy pedi ER for the last 2 years. I started right after graduation. I love it. The chaos, speed, critical thinking and learning curve. I like to say we " bag them and tag them or treat them and street them". We do have our frequent flyers but every night brings something new. I am always learning something. The only way I would be a floor nurse is if it was specialized. I like the critcal care but not icu. Just go for it see if you like it

I have been a nurse for just about 2 years now and all my experince is in pediatrics emergency medicine. The ER is a great place to get all your skills ( that's why I chose it post nursing school). I have seen and done more in our ER in 2 years than most new grads see in 5 years. I love my job and have no regrets going straight to the ER. The most important skill to have is critical thinking and a really good understanding of anatomy and physiology. We see approximately 3-5 thousand pedis a month so we are a very fast paced ER and very leaned staff.

I went from graduation into pedi's immediately. I picked my hospital because it had a pedi's only ER (which I work in) and they were very educational based. They have a great educational department and believe that a good educated nurse is the best. They insist on all their nurse get further pedi education and this is even more so for the ER nurses. In one year I will have my PALS, PCCC (pedi critical care course), ENCC (emergency nurse critical care), TNCC (trauma nurse cirtical care), and they will pay for my CPN, CPEN, and CEN when I am ready. The doctors in our ER are also all teaching docs, so they explain every procedure and answer any and all questions. I enjoy going to work every night (yes I requested nights, because there is more action). I still feel privilaged to work every day. I love pedi's

I am just a new grad (May) and have been in a pedi ED department for 5 weeks now. I just finished the PALS course and yes it is alot of material. Really know your drugs (amounts and when to give them), know your alogarythims, and pay attention in class. I read over the material and did every case study. It is well worth taking the class. Pam

I just graduated with an ADN and am working Pedi ER. Base salary is 20/hr with 3.50 shift diff nites and an additional 4.00 shift diff for weekends. If we choose to work overtime, (which is greatly appreciated) because we consider ourselves a closed unit and do not use agency nor any other hospital staff in our ER. This past week (my first) on my shift we were suppose to have 9 nurses and only 3 signed up. We are very short staffed right now but our manager is working on it for us. Our PCC, nursing manager and nursing supervisor all rolled up there sleeves and joined us on the front lines. Bottom dollar is we are a team and always have each others back. I could have gone to the bigger, newer hospitals and made 2.00 more per hour, but when I (secretly) round the four hospitals that offered me interviews, my hospital was the only one where everyone was smiling and joking and had a true sense of team and family. That means more to me than a few dollars more. Even the doctors are approachable and are willing to lend a hand at to teach the new grads. I feel that I am truly where I need to be and feel greatful that I have such a great job. We will all be reporting to the ER starting on Saturday morning and will be executing code grey for the incoming hurricane (yes I am in Texas) but not one of us complained because we do not want to let the team down. The only downside is that we have to leave our families at home (my two teenagers) but as my husband says I knew what can with the profession and my chosen speciality.

I am looking for some good resources for the pedi er (pedi vital signs, common problems, etc) for quick pocket refrence (like a PDQ).. Thanks Pam

I have just started in the ER (09/08/09) and have just done only two shifts but I love it. I am in a not for profit hospital and we see all kinds of pt. Our Er see over 55,000 pedi er pt per year. It is very hectic and so far each day we have been short staffed by at least 3 - 4 nurses per shift but again I love it. It is so much better than adult er. I am learning so much every day and am soaking it up like a sponge. I never liked adult and am so blessed to be in the field I am.

I just graduated and have just started as a pedi er nurse..... Any tips will help and I am looking for good pocket book resources Thanks Pam

Does anyone know where I can practice EKG strip readings and maybe a good tutorial. Thanks.