annabeap

annabeap MSN, APRN, NP

pediatrics

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All Content by annabeap

  1. Applying in the military

    From what I understand, in the Active Duty Air Force side, Family NPs are the workhorses in the clinics, and they deploy. Peds NPs again are workhorses BUT no deployments- as of yet... they only send one pediatrician down range for the ICU/ward. And ...
  2. QI Project for Pediatric Heme/Onc Poster Projects

    Oooh! Now that the cold/flu season is almost upon us, perhaps another review on infection control practices. Or how 'bout reviewing chemo precautions for the home? Destressing techniques? Our sickle cell kiddos would seem to have a pain crisis around...
  3. First Deployment Advice

    Considering I was deployed for 6 months at Craig Joint Theater Hospital, I have a different perspective than a nurse on a FST would. Overall our "traumas" were very much patched up by those teams... already vented, trached, washouts, woundvacs in pla...
  4. RN looking for some AF info from someone who knows

    Your recruiter knows all about your paperwork- I feel like it should all be completed before you graduate (even by Jan2012), and then you just get your last set of transcripts sent after you graduate. My recruiter was pretty clear on what paperwork w...
  5. First Clinical Tomorrow in Oncology... Any Tips?

    Woah, that's a pretty intense first clinical site. You'll be seeing a lot of different medications, and they'll differ pt to pt depending on their diagnosis. You won't be able to help administer chemotherapy, but do your research and perhaps get a br...
  6. What is the most effective med(s) for chemotherapy related pruritus?

    We've been seeing a lot of morphine/dilaudid PCAs- itching is a common side effect of narcotics, and when they're getting it at a basal rate, it makes 'em all the more itchier. Benadryl and bed baths usually do the trick.
  7. BAMC / SAMMC Living Recommendations

    Superman07: Lincoln Military Housing is on Post at Ft Sam Houston. I don't know about the eligibility, but it doesn't hurt to contact them. http://www.lincolnmilitary.com/lmh/installations/fort_sam/index.cfm Since you're not technically attached to ...
  8. Falling short

    Please don't beat yourself up over this too much. We are all only human. We can do only so much in one shift. You are doing your best, which is over and above as it is. You're not falling short.
  9. I cry after I see a baby born-can you give me some advice

    I bet with more exposure it'll slowly resolve. And as long as you are sincere, I'm sure the mom and family won't mind. Or, perhaps you ought to try some coffee before the birthing? Coffee lets me handle anything. :)
  10. BAMC / SAMMC Living Recommendations

    Many apartments offer a military discount. I have a one bed, one bath, 755 sq ft apt @ $770/month- I think it usually runs in the 800's. My friend lives by the Quarry (Alamo Heights area) and she found an awesome summer special for a 2bed/1bath for ...
  11. Nurse Killed by Afghan rocket fire

    Yeah, I saw this in the news. Thinking of his family during this time. :redbeathe
  12. how old is to old for medsurge

    Haha, I doubt you're too old. Sure the running around all day, lifting/repositioning can get to you, but it's about multi-tasking and delegating too. You gotta work smarter, not harder. :) Good luck!
  13. BAMC / SAMMC Living Recommendations

    BAMC's parking garage is open, finally! So that alone saves you ~15mins of parking on Ft Sam and being shuttled in. I have friends that live in Converse, Universal City, and Schertz, (far NE side) and they like it. There's a bunch of shopping at "The...
  14. cerebral palsy child with cast

    So you need to find complications for a child with CP? And think of a med that could help with the complication? Don't get distracted by the pt's history too much. He is non-verbal, in a cast. I don't know if he's really a risk for compartment syndr...
  15. cerebral palsy child with cast

    Well, is he wheelchair bound? What's his weight bearing status? Why did he get the casts in the first place? What kind of seizures does he have? Isn't he a fall risk? What could happen if he falls? Can he communicate with any pain? Can you see his to...
  16. Antiementics for the elderly

    For Chemo related n/v: kytril, Emend kit, zofran 8mg PO or IV, and we do give ativan 0.5-1mg for our really nauseous kids- yes, sleeping through the nausea is the main point sometimes For post-op n/v: zofran 4mg q4h, and sometimes kids say the benedr...
  17. Should I become ACLS or PALS certified?

    Take both! And NRP like kxc said. If the hospital you're looking at will pay for it, good on you. If not, dish out the cash- find a reputable training center and think of it as an investment in your career/knowledge base. I know some people who opt ...
  18. Nurses Role in Pediatric Immunizations

    Try emailing your professor. :)
  19. Whose fault is it?

    Miscommunication for sure! I don't know who fully is to blame- I'd hope the primary nurse would be keeping an eye out for the pt's MAR to prevent this sort of thing. I'm usually anal retentive and will tell my student, you're giving x med at y time...
  20. Help Military Nurse! Input on my family situation!

    That's definitely a difficult situation. I hope your mother looks at different options as far as her mortgage goes- downsizing even. I give you credit for feeling so strongly about your family. I know I'm more selfish- I'd join, and then send 'em ex...
  21. IV Answers

    I think it's a fairly new evidence-based practice. New, as in fall 2009. I think it originated per pharmacy recommendations. I'm just happy my facility hasn't created this a mandatory practice. My old facility had us start a dedicated IV for the Zo...
  22. How do you like Tricare?

    I don't use it nearly as often as I could. I'd rather just buy my antihistamines OTC than fight to see my PCM to get a prescription for it. And working in peds, it's amazing how many scripts are written for tylenol and ibuprofen- and how many parent...
  23. Best way to Weigh a hospitalized Ped

    All our beds have a scale- for our daily wgt kiddos, it's as easy as getting 'em off the bed, clear it, and have 'em sit back down. For babies- we have an infant scale... we get a naked wgt, especially for those Failure To Thrive babies. Or our beds...
  24. Full Moon kinda weekend!

    How creepy is that?! :uhoh21:
  25. friend/nurse where I go for tx, did she violate hippa?

    Like any small town, everybody knows somebody that knows your business on small bases- that really ticks me off. Integrity first, service before self, excellence in all we do... that's the Air Force's core values. I can tell you're talking about A...