gofast!

A Harriet Lane handbook is a helpful reference. It's given to all of the Pediatric interns and residents when they hit the floors!

This is a great reference! Thanks for sharing!!

Having had surgery recently and being scared to death, I was thrilled when I saw that my PACU nurse was a nurse that I've known(and totally trust!!!) for years. Having said that, the first person I wanted to see was my husband. I was in the PACU for at least 4 hours due to a bed shortage and my husband sat in the chair by my side and minded his own business. If you think there are privacy issues in the PACU what do you think goes on in the ER???? Now that's madness!!!!

The deltoid isn't used until age 3. Who the hell allows their kid to get 6 injections in 1 visit?????

How about getting the manager involved? The 3 of you should sit down and get things out in the open. It may feel awkward but will be worth it! The "bully" may back off a bit knowing that the boss is on to her ways. Also, who cares about putting a patient with dehydration on a monitor....really!!!! What about using those assessment skills....you did nothing wrong.

The hospital I work for used to have a few LPN's in Pediatrics(inpatient) but as those people quit or retired, they replaced them with RN's. It was like having 2 nurses taking care of the same patients. By this I mean that the RN had to "cover" the LPN for things like charting, IV meds, taking doctor's orders, and procedures that they legally couldn't do. It was always a pain for the RN as they would have their own assignment and ultimately be responsible for those of the LPN. I must say that all of the LPN's I've worked with delivered excellent care and had top notch assessment skills.

That's hysterical!!!!:chuckle

how about trying a coude tip catheter?

are you sure we're not related????????? i always say that i don't expect anymore from my co-workers than i expect from myself! my previous manager said that my standards were "too high"!!! i can go into b---- mode when i get paired for the day with a slacker. i've been doing this for 25 years and still love what i do but they(who ever they are) can take the bs,politics, and lazy staff and place them somewhere.

Parents(and patients, if old enough) are always presented the choice to have injections given 1 at a time or all at once! Sorry I didn't spell it out!!!!!

Congratulations!!! I started in Pedi 25 years ago right out of college and have never looked back! I have kept things interesting by dabbling in other ventures like Pedi Homecare(per diem) and specialty Pedi clinics. There are so many opportunities out there. Be open minded and willing to work HARD!!! Good luck to you!!! If I had to work with adults solely...I'd find a new career!!!

Agreed!!!! By the way, if that's your Rottie in the picture, he's AWESOME! Gotta love a Rottie!! Back to the topic in question....we use different meds depending on the child, his/her history, current meds, etc. Thorazine works well with some kids as does Haldol, or Ativan. I've seen some do well with Benadryl and some get more bonkers! We deal with this issue regularly and it also depends on the doc's choice. Some are afraid to medicate. Personally, I don't want to get hurt by a kid who is throwing a piece of furniture while in a rage!!! Hope this helps!!

The idea isn't to "gang up" , it's to give the injections at once and get them over with as quickly as possible!

What an excellent and informative post! I will keep it handy as a reference if and when I do set out to travel!!!

Thanks for the info!

Hi, Does anyone have any experiences to share about this company? The contact I've had with them on the phone has been positive but I'd like to hear more. Thanks

We use pumps with primary lines and piggyback secondary lines for meds. The infant floor uses a med infusion pump. We set pumps for no more than 2 hours and check the site hourly. I was "brought up" using buretrols but really didn't miss them when the hospital pulled them away. It's all in what you get used to!

That's kind of what I figured! Can I ask what agency you travel with? This is all new to me:confused:

Can anyone speak about 8 week(or less) travel assignments vs. 13 weeks? What are the pros and cons? Traveling sounds exciting but 13 weeks away from home may be tough and getting an employer to grant such a long leave is a dead issue!!! Thanks in advance

Generally, under the age of three, the vastus lateralis is the preferred site for IM's.

Being consistent is pretty important...I'm sure most will agree. Using the same size cuff and the same extremity will make following trends easier(and accurate!!).