nocangel2

nocangel2

Pediatrics, home care

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All Content by nocangel2

  1. Peds Hospitals Hiring?

    nocangel2 replied to Rianna1's topic in Pediatric

    Seattle Children's is Hiring for PACU, PICU, OR and some clinic

  2. Who numbs for needlesticks?

    nocangel2 replied to care4kids's topic in Pediatric

    We can get the LMX on override if we want it and the J-tip by order. However, I agree with the vasoconstiction comments. For infant to 5y the holding down seems to be the worst part and that can't...

  3. Flushes for saline locks

    nocangel2 replied to ClaraDee's topic in Pediatric

    Saline locks for PIVs Q8hr, PICC lines get heparin Q12. All ages. If you do a lit search you will find that the newest research reflects that fact that there is no great incidnece of clotting with...

  4. Are you feeling effects of the economy on nursing?

    nocangel2 replied to kjp1962's topic in General Nursing

    RN pediatrics, Seattle, WA- 28 beds Census up for resp season. No change in staffing. Hosp cont to recruit new

  5. Usefulness of continuous nebs in status asmaticus

    nocangel2 replied to borzoilady's topic in Pediatric

    Neb till clear right? PICU does the cont nebs for us, we will only take them after they have gone to q2. I know that is only one therapy, however. Vapotherm, O2, Decadron, atrovent

  6. Test weighing babies <35 weeks during breast feeding

    nocangel2 replied to cleo_parvi's topic in Pediatric

    We are slowly phasing the practice out.( you always have some MDs who want it) It is anxiety producing for mom and disruptive for baby as they have to get all cold and uncomfortable to be reweighed...

  7. Pedi Rapid Respone Team

    nocangel2 replied to guardwife's topic in Pediatric

    PICU or Peds flex RN (ICU trained), intensivist, peds hosp and RT. Our hospital is not peds stand alone but has a NICU, PICU, ISCU and peds unit so we have the staff to man that group 24/7. I don't...

  8. Recording accurate neonatal temperaure

    nocangel2 replied to Penbryncennau's topic in Pediatric

    axillary for us. We have digital with disposable plastic covers. they read in less than 1 min. Very nice for

  9. how do you improve morale in a unit?

    nocangel2 replied to jennifers's topic in General Nursing

    Sometimes morale is shift to shift. I know that my night shift has great morale and it seems to be lower on days. My personal opinion for the difference is that we are really there for each other...

  10. Do I go with client....or go home?

    nocangel2 replied to Mabel 29's topic in Pediatric

    Been there and learned from it. They do have to pay you, and you are correct that once you left with the family you had to stay, if there was not another RN to assume care. Otherwise you...

  11. Does this sound like "a little much" to you??

    nocangel2 replied to PICNICRN's topic in General Nursing

    We had it, we eventually wore them down and they took them away. Scripts too. Now they are trying something new and want to take away all our brain sheets and replace them with standard sheets...

  12. BP on Pediatric Patient?

    nocangel2 replied to blinks14's topic in Pediatric

    Our protocol is infants-2y: admit then QD 2y-8y-Q8hr 8y and on-with scheduled VS unless otherwise ordered. This of course changes if they are post-op then it is the same protcol as adults. Or if...

  13. Foley cath practices

    nocangel2 replied to kcangel's topic in Pediatric

    Betadine for cleansing prior, sterile tech. naturally. We only irrigate usually on a ureter reinplant or similar surgery where occlusion is common. Sterile tech. Usually, 1-2x per shift as...

  14. Help with bolus enteral feedings

    nocangel2 posted a topic in Pediatric

    I am rewriting our policy regarding enteral feedings, and I am wondering what you all have as the maximum use time for feeding bags and tubing. I am primarily interested in bolus feedings. Does...

  15. Help with bolus enteral feedings

    nocangel2 replied to nocangel2's topic in Pediatric

    That is our present practice as well. The research I have been reviewing in most cases suggests that this is fine. One or two however have indicated that most infection is cased by retrograde flow...

  16. Need some advice..

    nocangel2 replied to AB092504's topic in General Nursing

    Yes, Nursing assistant-certified. costs about 250$ to get the certification I

  17. No more buretrol/burette?

    nocangel2 replied to MikeyJ's topic in Pediatric

    To add, no buretrols for us except for NICU pts. I've been here 6yr and no problems. Our primary pumps have a secondary port for meds and we use the Med infusion and Bard syringe pumps as well....

  18. MRSA protocol

    nocangel2 replied to untamable07's topic in Pediatric

    Their parents or family members may also be colonized. MRSA is actually more prevelant in the community now than the hospital setting. We make sure if we are treating a child that we treat the family...

  19. Need some advice..

    nocangel2 replied to AB092504's topic in General Nursing

    Do the ADN. Check your local hospitals for those that are federally funded, (Veteran's etc.) there are special grants you can apply for when you work for them that will pay most of your tuition. 2...

  20. Pediatric Kardexs/"Brain Sheets"??

    nocangel2 replied to AvaRN22's topic in Pediatric

    It won't look that much different from your current orgainzing sheet. However you will need more room for the social aspect. Parents/family situation end up being a bit part of your care plan. DX,...

  21. Any ideas for a waterproof abdominal wrap?

    nocangel2 replied to Mabel 29's topic in Pediatric

    2 suggestions: They make an occlusive wrap for broviacs that is adhesive around the 4sides and open in the middle that they use for showering. This is not for immersion but would stand up to...