perfectbluebuildings BSN, RN

Pediatrics

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All Content by perfectbluebuildings

  1. perfectbluebuildings

    Pediatric IV Infiltrate

    IV infiltrates can happen fast in small children too, with running IVF, so it is likely it would have happened even if you had been checking every hour. I had a patient I was checking her IV at least...
  2. perfectbluebuildings

    Why coffee with every meal?

    My mom drinks coffee all day long, with meals and without; always has since I can remember :) My dad never does, or any kind of soda/other caffeinated beverage either. I guess it's just personal...
  3. perfectbluebuildings

    Are you an introvert or extrovert?

    Definitely an introvert. Sometimes that makes it harder to be a nurse, with all the people interaction; but at least with nursing, there is always something you can DO for the people you are...
  4. perfectbluebuildings

    SubQ butterflys: How long can they be used for?

    We change q72h, unless needed before that. Most often used (on my unit) for pts on daily heparin who will likely go home on it as well, or who will be inpatient long-term and need it for
  5. perfectbluebuildings

    The gift that keeps on hurting

    I am sorry for your loss. I am so glad you got the time off. Your post brings tears to my eyes. Recently I lost a relative to the same death as your friend and had to work the next day and it is...
  6. perfectbluebuildings

    Is morphine compatible with TPN/lipids?

    Just wondering... tried searching but couldn't find the answer, or in our unit's drug book.
  7. perfectbluebuildings

    Is morphine compatible with TPN/lipids?

    Thank
  8. perfectbluebuildings

    Summer III At Mayo Clinic? (And Other Externships)

    I loved the experience; I went 4-5 years ago and learned so much. It's a wonderful environment to be in- everyone wants to teach, and you see a lot that you will never or rarely see anywhere else....
  9. perfectbluebuildings

    The things you never forget...

    -The little girl, 14 months old but the size of a 9-month old from months of neglect and abuse, hospitalized for a broken femur- the look in her eyes I will never forget- such sadness there. -The two...
  10. perfectbluebuildings

    Do you sign "RN' after your name OUTSIDE of the hospital?

    Not on purpose... but I have found myself adding the RN from time to time by accident, tired after a long shift, when I am writing out the checks for my bills; or when signing a receipt in the grocery...
  11. perfectbluebuildings

    I'm Going to Jail for Sure!

    that is really funny. I can remember my first med error and how worried I was. I love the dialogue between you and your charge nurse... awesome
  12. perfectbluebuildings

    Funeral leave policies

    Just wondering what these are at your hospital. I don't want to go into detail but recently had a loss in my family. But because it was not immediate family (defined as spouse, sibling, child,...
  13. perfectbluebuildings

    Floats are "REAL" nurses too!!!

    I love the float nurses at our hospital. They are always smart and helpful, and like you said, know the ins and outs of every unit in the
  14. perfectbluebuildings

    Pulse ox, or other monitor, question

    Okay... as you all know I am sure, it's RSV/pneumonia/asthma season. I just want to see if anyone else has this issue or knows good ways to handle it? Of course most of these kids are on pulse oxes....
  15. perfectbluebuildings

    Thinking of an incentive program for longevity....help

    Oh wow... $55 an HOUR??? That's amazing!!! Yes... WHERE do you
  16. perfectbluebuildings

    Cystic Fibrosis

    thanks! i take care of a lot of patients with this disease, amazing people and families, and thank you for raising awareness of it here
  17. perfectbluebuildings

    Peeves at work

    People who don't keep accurate I/O when it's ordered... like don't record the 200 ml of an IV med they just gave the kid,etc. throughout their shift; so it looks like the kid has a negative I/O...
  18. perfectbluebuildings

    How to NOT cry at work

    Along the same lines as sticking your head in the freezer, I have found that (if you can) drinking a really really cold glass of water will stop me crying, or the urge, anytime. I don't know why/how...
  19. perfectbluebuildings

    Nurses spelling troubles

    ME TOO!!!
  20. perfectbluebuildings

    Truth or Myth: dairy increases mucus?

    I agree with the previous poster... it doesn't increase mucous production but does make mucous thicker. I have experienced this myself when I have a cold, as well as, with many patients at work with...
  21. perfectbluebuildings

    MICU/SICU - Vancomycin -peek and trough

    I think it's varying between hospitals so you should definitely check your facility's P&P. At our hospital, the trough is drawn 30 minutes before the vancomycin is started and the peak is drawn...
  22. perfectbluebuildings

    Peeves at work

    People who don't listen well during report, and when you come back that night tell you things about the patient/family as if they are new information that they are so amazing to have found out, when...
  23. perfectbluebuildings

    Shift Staffing Question

    ...never
  24. perfectbluebuildings

    I have had it!!

    Jan, you are amazing. Thanks for that post. I struggle to be kind, in action and in thought, to the parents of children who are abused. It just makes me so angry and sad to see those innocent kids...
  25. perfectbluebuildings

    what pediatric specialty do you have?

    .....