nursey04

Hi, I have been searching for an answer to this question and surprisingly cannot locate a definitive answer. Intramuscular injections. What is the volume limit for an IM gluteal injection? If someone could also site a source that would be great. Thank you!

As a mom and a nurse (not NICU). My full term daughter, planned C section, absolutely textbook fetal heart tracing. Emerged ok, but with somehwat weak cry. NICU staff left because she looked ok. Sats plummeted to 30's, massive pulmonary hemorrhage(suctioning massive amts of blood, iced epi down the ET tube), left ventricular heart failure (no indications on prenatal ultrasounds). Saving grace was we were at hospital with level 3 NICU and pediatric cardiologist happened to be in the building. She was off vent in 48 hrs. Was told that if she survived she would have brain damage, seizures, etc. Everything resolved on its' own. No reason ever found. MRI of the brain at 2 weeks old completely normal. I was told by Neonatologist that if she survived just don't ask why it happened because we will never know. I am incredibly lucky. She is happy, healthy, developmentally fine. Maybe there is something to be said for the power of prayer.

I think the switch from paper to electronic is a nightmare no matter what system you use to at least some extent. Maybe more so with Allscripts. Not sure, that's the only one I have experience with. I was there for the transition from paper to electronic and it WAS a nightmare. It takes a lot of time to get the electronic chart populated with patient info. Luckily the old transcription from old office visits carried over, but if it was handwritten the only way to access it was to get the paper chart. Then populating the med lists, problem lists, etc. The only way to populate was manual data entry. It was a lot of work and a lot of late nights at work.

We use Allscripts in the internal med office I work in. Must be about 6 years now. It has it's good and bad, just like all the systems I think. I just had to work on accepting that you can't argue with the computer system. It is what it is.

Congrats! Will you be working in a physician's office? I have been a telephone triage nurse for over 8 years in a physician's office and it truly is an art, just like any other nursing specialty. I know you can get certified, but I can't remember how. I think there is a society of telephone triage nursing. Good luck!

Thanks for all the replies. I am referring to the US-currently work/live in Massachusetts. I work in an outpatient clinic currently, but also fear being forced-or even more so as other posters have pointed out "coearced"-into working in a different type of setting to care for the acutely ill if there were to become a need. Believe me, I am a nurse and do realize the duty to care for the sick and the ethical/moral issues surrounding this. My personal biggest fear with this is that I'm a single mom of 2 kids and if schools/daycares close-I may have no one else to watch my children.

I'm wondering-can the government force nurses to work during an emergency outbreak such as a pandemic?

I find this story terribly upsetting. I hope my response does not offend anyone, but this child has not survived because of god. This child has survived because of extreme medical intervention. Take away the feeding tube and vent and she would not be able to survive. I am the mother of 2 NICU babies and know the feeling of just wanting your child survive. Initially that is all you want no matter what. You can't see the long term in the beginning, but this mom has had 2 years of watching that poor child probably go through multiple medical procedures. The media should not portray this child as a miracle. I remember when my kids were in the NICU. I would get so mad about the Cabbage Patch preemie dolls and say "they should come with a vent and feeding tube". I would also get so mad at sit coms, like Roseanne, where Darlene delivered a supposed 28weeker who was fine. I guess I've gone on enough. I am happy to say I have 2 true miracle children. I was told neither would live and then if they did they would have seizures, dev. delays etc. I'm happy to say that they are both healthy. My son has developmental delays and severe learning disabilites but it could be much worse. My daughter is absolutely fine! Sharon