cjb73

I work in a home. The Synagis supplies are shipped by the company. I would have to reqest a 3ml syringe...don't know if it is possible. But that would help SO much. I was so worried that I would get a phone call today...don't know what would happen to the kid if the injection went into his bloodstream instead of his muscle. The child gets 2 injections; 1ml in one leg and 0.84ml in the other leg. The child has cardiac problems, GI problems, and has a trach...that is why he receives Synagis after the age of 2yrs. You made me feel A LOT better. I was so worried. Does every nurse start out with as little clinical experience as I have? And I only received 2 DAYS worth of training from this Home Health Care company. I LOVE my job, as it's day to day is not stressful at all, but I have to wonder if I shouldn't have been more scrupulous about my first job. I never hear from them unless they ask me to work extra. I received my 90 day eval via mail. I did a SELF evaluation....and I haven't heard anything from them since. It has been 2 months since then. I go to this person's home, take care of their child....and get a check in the mail. This is definitely different than I thought nursing would be. I have to go through all my textbooks, because I am forgeting what I learned in school. It is so bad, I couldn't even remember the medical term for 'BRUISE'....AAAAHHHH!!!! But I LOVE what I am doing, and, of course I LOVE my client...such a SWEET child and a JOY to work/play with. Thanks again!!!

:eek:I am concerned. I've only been a LPN for about 5 months. I work in home health and I take care of a 2 yr old boy. He is a JOY!!! I had to give him a Synagis injection (actually 2; one in both legs). The syringe is a 1ML. In the first injection I had to give a full 1ML. It is difficult, dare I say, IMPOSSIBLE to aspirate for blood, due to the limited amount of space to aspirate in the syringe. I proceded to give the injection. The child kicked his leg, but I maintained control of the syringe, no problem. As I withdrew the needle, I noticed the site was bleeding. Not profusely, but more than I had seen in the past. The site also had a large contusion after all was said and done. This injection was only about the 8th injection that I have EVER given. I only gave 5 or so IM's during my clinicals in school. I am so worried about this, I can't sleep. I gave the injection at the end of my shift on a Friday night. I haven't yet called my supervisor to voice my concerns with her, as I'm not sure I should be concerned. Also, I know that this injection burns as it is being administered. I am administering this injection SLOWLY...should I shoot all of the liquid in all at once quickly, or am I doing this correctly to cause less pain. HELP...I have no self confidence. The agency I work for gives VERY LITTLE guidance. Does anyone have any tricks or suggestions of how I can give the injection BETTER for the child as well as the parents and I????

I had a VERY similar experience. I work for a Pediatric Home Health Care agency. I worked 2 NIGHT shifts while the client slept..not a big deal, there. Then I worked 1 day shift. The child has a trach, and a g-tube "MICKEY BUTTON". He needed a bath and a trach change, neither of wich the RN I was training with showed me how to do. I had to sign off on a 'skills check list' for changing the trach...NOT JUST THE TIES, THE WHOLE THING...wich is an RN scope of practice unless I have been educated. NO NURSE showed me how to do the trach change. THE MOTHER DID!!!! I asked for another DAY training, and THE SUPERVISOR came....and SLEPT in a chair for half the day, then left!!!! AAAAHHHH!!!! I have been with the client for 90 days, and I LOVE MY JOB, I just feel like this agency doesn't care if I keep my license or not.???