JazzyRN

JazzyRN

PICU/Peds

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All Content by JazzyRN

  1. Finding a preceptor

    I just wanted to inquire about finding a preceptor. My school has encouraged us to find our own PNP preceptors for summer session if we would like to have clinical closer to home. I would really prefer a PNP instead of a pediatrician. I looked up a f...
  2. Have you ever...

    Have you ever had a patient .... So full of energy and life that you looked forward to caring for them whenever they were there? That was so brave in the face of illness, they never let it get them down? Always kept a smile on their face and their s...
  3. The Worst Nursing Job You Ever Had

    CNMC. worked in the pediatric ICU. it was grossly understaffed with high pt acuity. nurses would take 3 patients regularly and it was very unsafe. you rarely got lunch. coworkers were all so busy, it was hard to get help or relief. i would feel sick ...
  4. Med errors: Day vs Night

    I think it would be extremely difficult to get an accurate answer to your question. Med errors occur both day and night and are grossly underreported. I think more important than trying to figure out what shift is reporting the most, its more useful ...
  5. Finding a preceptor

    Yes I found a preceptor, actually 2 great preceptors, one PNP and one pediatrician. Thank you guys for your help and concern. I'll finally be done this December!
  6. can I get fired ?

    I think it really depends on the situation and the reason why you do not want to work with a patient. But since you can't be more specific, there isnt much else to say
  7. Seizure Pts: what to do when it happens?

    seizures are pretty simple. just ensure that there is oxygen and suction in the room. although they are rarely needed. just time and observe the seizure, ensuring the patient is safe, with enough padding around them so as not to injure themself. ther...
  8. Not letting my kid go to school

    i think you should let her go to school
  9. In need of a PNP preceptor

    I'm a PNP student in my 2nd semester of my program. I am looking for a great PNP preceptor in primary peds practice 2 days/wk for the short 10 week summer session. I am looking in the Washington DC area, including Prince Georges, Montgomery County, H...
  10. Assignment Despite Objection Form

    We used a similar form in my old job in NYC. It was called the protest of assignment form. People would still take the assignment, but where it becomes useful is if a bad outcome or event occurs, it should save you from personal responsibility and th...
  11. First Medication Error.....feeling horrible!!

    We all make mistakes, don't beat yourself up about it. However I must say, if you are busy and don't verify a med with the MAR, that med should never be an insulin. Insulin is prone to making errors and can end up killing patients. In time you will r...
  12. Vibrating veins

    turbulent blood flow causes that vibration, perhaps your patient has some peripheral vascular insufficiency/disease. if this patient has some atherosclerotic changes in the vessels of this hand, then you occluding the vein with the tourniquet added a...
  13. This letter is crap. So we are to believe that every evacuee is an alcoholic, drug abusing, ungrateful, disrespectful neglectful parent. There was no one that was a normal citizen down on their luck due to their homes and belongings being destroyed? ...
  14. Please help me make a decision!

    if you think its not right for you, chances are that you are right. Listen to your intuition on this one. I was told as well, that I must do my one year of med surg to be marketable and its not really true. The nursing shortage is such that a lot of ...
  15. Is there a TF Formula Without Milk or Soy?

    Yes there is we gave babies a formula called Alimentum, when they can't tolerate soy or milk formulas.
  16. Report interruption

    I personally think it is ridiculous to get upset if someone is asking questions during report. If I have a question, its because something is not clear to me and I will ask it right then and there, if I wait and hold my questions to the end, I may fo...
  17. Clinical research nurse at NIH?

    I work as a CRN at NIH, and we take care of the inpatients, if you are looking for a postion without bedside pt care, you would need to apply for a position as a research nurse for one of the individual institutes. I enjoy my work there, you use the...
  18. You Know the patient is going bad when...

    When you trying to get a IV in a baby thats a hard stick, have poked them a couple times and haven't gotten a cry or a movement in response from them...
  19. DKAs on the floor?

    I work in a NYC children's hospital per diem. In this hospital when a child comes in as a DKA on insulin drip with fluids and Q1 hr fingersticks, they are placed on the floor. A nurse will admit and care for this patient along with her 4 or 5 other p...
  20. Rapid Assessment Teams

    yes i have seen it, called something different though in a few of the childrens hospitals ive worked in. joint commission has now identified it as a national pt safety goal, so im sure it will show up in all facilities now. but its definitely a good...
  21. DKAs on the floor?

    nope at this facility aides dont do fingersticks. yeah its scary because i have a feeling something bad is going to happen there. but management is unconcerned since they have been lucky this far to not have any sentinel events surrounding this issue...
  22. There are bad apples in every bunch. There are techs that dont do their work and/or have attitudes when asked to do something. There are also nurses that sit back and instead of taking care of something themself, call a tech to do it when they are pe...
  23. It's sometimes hard being a nurse of color isn't it?

    It saddens me that there are so many people living in such ignorance. You want to know what the treatment of African Americans in the past has to do with today. You call it "dwelling on things". As an African American woman, try walking in my shoes a...
  24. Oscillator Vent

    Hey I was wondering if one of you fabulous experienced PICU nurses could give me some information on the Oscillator vent. I've seen pt's on it and I know its the most powerful vent there is, usually last resort with bad gases. Ive never had the patie...
  25. Clear TPN?

    yeah ive given clear tpn to a pt on a heparin gtt for some rare clotting disorder. they didnt want the MVI because of the vit K interference with the clotting factors