NeoPediRN

NeoPediRN

Pediatrics, ER

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All Content by NeoPediRN

  1. Shocked...Confused...& Terminated=SAD "(

    NeoPediRN replied to NrsLucky's topic in General Nursing

    Just wondering what happened OP. Did you go to the

  2. Hourly doses of vent sedation, is this common?

    NeoPediRN replied to jkej's topic in MICU, SICU

    We use a sedation protocol, usually morphine and Ativan as well....versed is not commonly used at my hospital. We only go to drips for ineffective sedation/analgesia....I've seen an Ativan drip twice...

  3. Ineffective coping and pregnancy

    NeoPediRN replied to lsid16's topic in General Nursing

    I think it's hard to prove ineffective coping. She may be coping just fine emotionally but her body may just not be cooperating due to a host of things...incompetent cervix, advanced maternal...

  4. ? if you've recently taken the NCLEX RN in MA

    NeoPediRN replied to CaptScrubs13's topic in Massachusetts Nursing

    I paid $390 to take the NCLEX in

  5. Priority patient...abd pain, vag bleeding, or broken arm

    NeoPediRN replied to JDD1017's topic in Emergency

    PS I strongly disagree with candidates receiving triage questions in an interview unless they've had prior ED experience...triage is something you learn over time, and most hospitals don't allow new...

  6. 24 weeker - how bad is it?

    NeoPediRN replied to goats'r'us's topic in NICU, Neonatal

    You have an incredible story, no doubt, especially for the progress of NIC medicine at that time...but I caution you in saying "things always turn out okay" because they do not a lot of the...

  7. Priority patient...abd pain, vag bleeding, or broken arm

    NeoPediRN replied to JDD1017's topic in Emergency

    I would say there's not enough information to determine who takes the priority. Management frequently asks these questions in interviews to see where the question takes you, if you ask for more...

  8. 24 weeker - how bad is it?

    NeoPediRN replied to goats'r'us's topic in NICU, Neonatal

    Goats, as bleak as the prognosis seems, we see babies beat the odds everyday. There is nothing more resilient than a

  9. 24 weeker - how bad is it?

    NeoPediRN replied to goats'r'us's topic in NICU, Neonatal

    BabyRN, I read the data on the study you provided and it seems biased as it states the 4446 infants were between 401-1000 grams, but doesn't break it down to know the median weight...if 4000 were...

  10. 24 weeker - how bad is it?

    NeoPediRN replied to goats'r'us's topic in NICU, Neonatal

    Here's one source : Prediction of survival for preterm

  11. 24 weeker - how bad is it?

    NeoPediRN replied to goats'r'us's topic in NICU, Neonatal

    The survival rate for a 24 weeker is about 40%. Survival does not guarantee quality of life...24 weekers face extreme odds, including intraventricular hemorrhage, prolonged mechanical ventilation...

  12. Do you have a dangerous doctor in your ED? Long vent.

    NeoPediRN posted a topic in Emergency

    Does every ED have that one doctor who you always fear will order you to kill your patient? That you feel you have to triple check everything they order to keep your pt safe? Extra documentation and...

  13. Do you have a dangerous doctor in your ED? Long vent.

    NeoPediRN replied to NeoPediRN's topic in Emergency

    Altra, this doctor treats all the nurses the same, and even talks down to the hospitalist and pointedly asks other doctors why they want this doc to do particular tests during sign out. This doctor is...

  14. q4 hour vital signs in the ER...

    NeoPediRN replied to mamaxmaria's topic in Emergency

    We don't do scheduled q4h vital signs. Unstable patients get q5-15 minute vs, pts we are concerned with get q1/2-1hour vitals, and stable patients get them checked after meds that can alter bp/hr and...

  15. Help: RN's please answer my questions!

    NeoPediRN replied to MadeInKauai's topic in Nursing Student Assistance

    [color=#333333] first please state your name and last name or last initial. [color=#333333] 1.what brought you into the field of nursing?: i always loved medicine. i have pictures of me as a little...

  16. Pediatric Tracheostomy

    NeoPediRN replied to katnursey's topic in PICU, Pediatric

    It is imperative or the child will

  17. I almost made a stupid nursing mistake and now I can't stop thinking about it. Help!

    NeoPediRN replied to Sabinacrn's topic in First Year After Licensure

    This is why insulin is a high alert medication and requires a cosign. It is REALLY easy to make a dangerous mistake. The ER I work in now doesn't require insulin to be cosigned, not even IV, but I...

  18. Assessing pupil size - Sounds simple, but...

    NeoPediRN replied to in2ICU's topic in General Nursing

    You adopt a relative norm...you know that completely dilated pupils in any light is abnormal...you know if one pupil is larger than the other that's not good...you know what size pupils should be...

  19. Assessing pupil size - Sounds simple, but...

    NeoPediRN replied to in2ICU's topic in General Nursing

    I assess the size of them in regular lighting, how fast they react to my pen light is the ERRL

  20. Pediatric Tracheostomy

    NeoPediRN replied to katnursey's topic in PICU, Pediatric

    Ashley, most trach cuffs I've worked with require sterile water, usually when the child is

  21. Criticized for being nervous . . .

    NeoPediRN replied to MakeAWish's topic in General Nursing

    I had this problem during my orientation. I sat down and talked with my nurse manager and educator, and they switched me to a new shift with a new preceptor and I had no trouble after that. My old...

  22. How to prepare for working in the ER

    NeoPediRN replied to Jem-RN's topic in Emergency

    Jem, one suggestion. TNCC is not really going to make much sense to you until you have some time under your belt in the ER. I would wait until you have assessed and cared from some trauma cases to...

  23. How to prepare for working in the ER

    NeoPediRN replied to Jem-RN's topic in Emergency

    Hi there! I started in the ER after 3 years of mixed nursing experience. I had no critical care background whatsoever. My work put me through an 8 week critical care course, had me ACLS certified, and...

  24. What is the most interesting case you've seen in the ER?

    NeoPediRN replied to BigDiesel's topic in Emergency

    Teeny, I've taken care of one baby with this anomaly who had the same exact thing...no sternum at all! They did not make him a new sternum though, he has a chest vest

  25. Admissions during change of shift

    NeoPediRN replied to brokenroads27's topic in General Nursing

    If an admission came within an hour of change of shift, the current shift would settle in the patient and take care of any stat meds, and the oncoming shift would be responsible for the admission...