NeoPediRN

Just wondering what happened OP. Did you go to the office?

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 in the last six months.

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 age....how do you know her preterm labor is a result of he...

I paid $390 to take the NCLEX in 2008.

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 ED nurses to triage until a year out.

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 times....micropreemies can and do live, but are often left w...

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 information, what your thought process is. You would nee...

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

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 900-1000 grams and only 446 were less than 900, that w...

Here's one source : Prediction of survival for preterm births

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 including tracheostomy, chronic lung disease, retinopa...

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 assessments to CYA? I'm trying not to get too speci...

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 a new-ish attending and has already had a lawsuit...

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 before we d/c them....there's no written policy on...

[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 girl playing nurse to my dolls, and my favorite g...

It is imperative or the child will suffocate!

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 still pull someone into the med room and have them do...

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 based on what meds the patient is receiving. There's n...

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

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

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 preceptor condescended me every second of the day, fo...

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 really get the basic understanding of what a primary ...

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 gave me a 4 month orientation. For me, it was all...

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 instead.

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 assessment.