Pedi-Gree BSN, RN

Peds

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All Content by Pedi-Gree

  1. Pedi-Gree

    Pediatric LTC

    I would think it would be a combination of all three. I worked peds LTC for about 5 years. The kids who were patients when I began working there were all gone when I left. Some of them were placed in...
  2. Pedi-Gree

    CQI/PI Plan for Heart Tx

    I would think they're looking for whether the patient had a line infection or didn't. Catheter-related bloodstream infection was the second indicator on the 100,000 Lives campaign hit list a couple of...
  3. Pedi-Gree

    Pregnant ICU nurses

    Meningococcal meningitis patients are usually only isolated for 24 to 48 hours after the first dose of appropriate antibiotics. Transmission by droplets indicates the need for gown, mask and gloves,...
  4. Pedi-Gree

    PIV rotation for pedi pts?

    Our policy is the same. Don't abandon a PIV that's infusing well. My son once had one that lasted 13 days. He was five and he was getting antibiotics and fluid boluses through it. We were so glad that...
  5. Pedi-Gree

    Endotracheal tube securement

    Our ICUs use tape. Just
  6. Pedi-Gree

    Dreaming about work!

    Mine are like that too, icyounurse. Or else I'm really late and walk in not having a clue what's going on. But I don't dream like that AFTER my shift, it's
  7. Pedi-Gree

    liver transplant

    There will be a first, but as time passes they'll diminish. Usually by the end of the first year, they're down to twice a day. One man I know who is now many years post transplant takes cyclosporine...
  8. Pedi-Gree

    How to chart that everything is ok?

    What's wrong with charting that? I work peds, and our standard of care is narrative documentation q2h minimum. (Yeah, right!) If the kid's sleeping and has stable vitals, is pink and warm, I chart,...
  9. Pedi-Gree

    liver transplant

    awsmom8, as a family member of an organ recipient I want to thank you from the bottom of my heart for your courage and compassion at a time when your whole world was collapsing. It takes a great deal...
  10. Pedi-Gree

    husbands that won't help

    rph3664, I've given a lot of thought to what I would say in response to your attack on me and the choices I've made (and freely admit). I choose not to stoop to rudeness, and I choose not to provide...
  11. Pedi-Gree

    liver transplant

    First of all, be prepared for the extent of the incision. It's going to be transverse from the right subcostal midaxillary line all the way to the left subcostal midaxillary line along the bottom of...
  12. Pedi-Gree

    husbands that won't help

    This is a real sore spot with me. I've been married a really long time and have raised three kids to adulthood almost singlehandedly because hubby is too involved in his own pursuits. I've tried all...
  13. Pedi-Gree

    Humiliating IV questions

    elizabells, I have the same issues you have. I've been working at my job for many years and can always get the labs, but threading in the catheter totally eludes me most of the time. Funny though that...
  14. Pedi-Gree

    Accidental Extubation

    When the difference between in and out is only a matter of a mm or two, it's not hard to see how accidental extubations happen. With some of these little stinkers, all they have to do is put their...
  15. Pedi-Gree

    bicarb to declot lines

    t-PA will only unclog a line if a blood clot is the culprit. If the clog is caused by precipitated drugs, the pH of said drugs will dictate whether NaHCO3 is going to work or if you'll need to use...
  16. Pedi-Gree

    Mercan Recruit - Canada

    They most certainly do have to write the Canadian Practical Nurse Registration Exam (CPRNE) before they can use the credential LPN, or even call themselves an LPN. In fact, they have to have their...
  17. Pedi-Gree

    will universal healthcare ( in the usa) cut RN pay?

    Excellent
  18. Pedi-Gree

    will universal healthcare ( in the usa) cut RN pay?

    False. Very false. I'm sure if you ask them when they went to Texas they'd tell you it was in the early to mid 90's when there was an artificial glut in Canada caused by government cutbacks. There...
  19. Pedi-Gree

    Mercan Recruit - Canada

    You have to keep in mind that each province in Canada is in charge of their own health care. Each province has a College of Registered Nurses which protects the health care interests of the public in...
  20. Pedi-Gree

    Difference between PN and RN.......

    Fiona59 is correct. There is a large difference between a nurse with a PhD, a Nursing Doctor, compared with a Medical Doctor. Their scopes of practice overlap but are not
  21. Pedi-Gree

    Cheyene Stokes - Dying pt

    I think maybe we need some definitions here. Kussmaul respirations have a regular rate and rhythm with a large tidal volume and pauses at end-inspiration and end-expiration. This pattern is seen most...
  22. Pedi-Gree

    Third degree burns over 80%of body...

    I'm very sorry this has happened to your loved one. That is a significant injury she has, as you already know. It's beyond the scope of this site to provide medical advice, but I believe you're...
  23. Pedi-Gree

    Waterproof Watch

    I have a cheap stainless steel water-resistant-to-30-meters watch with an expansion band from Walmart that cost about $20. I've had it more than a year, it's been washed, dropped, stepped on and...
  24. Pedi-Gree

    Cheyene Stokes - Dying pt

    I've seen children with Cheyne-Stokes respirations who have had at least partial recovery from whatever insult led them to the C-S breathing in the first place. They certainly don't always presage...
  25. Pedi-Gree

    Triple-Lumen Qestion

    One big thing to remember is to be scrupulously careful about air. NO air in central lines, please! I'd also suggest using nothing smaller than a 10 mL syringe just to preserve the integrity of the...