NeoPediRN

NeoPediRN

Pediatrics, ER

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All Content by NeoPediRN

  1. Nursing Dx for axonal brain injury

    NeoPediRN replied to hellokittygirl909's topic in Nursing Student Assistance

    P.P.S....I would go more on the lines of "impaired physical mobility r/t axonal brain injury, a/e/b absent reflexes, absent muscle tone, inability of patient to reposition herself," etc....also...

  2. Nursing Dx for axonal brain injury

    NeoPediRN replied to hellokittygirl909's topic in Nursing Student Assistance

    P.S., keep in mind that a patient's BP/pulse don't have to be out of normal range to be abnormal for the patient...if she usually has a pulse of 60 and you see she has a pulse of 80, that could be an...

  3. Nursing Dx for axonal brain injury

    NeoPediRN replied to hellokittygirl909's topic in Nursing Student Assistance

    Your poor patient. That is a brutal injury to overcome....I'm guessing it was from a car accident? You can't always go by vital signs as an indicator for pain because these patients are usually on...

  4. How do you get thicker skin?

    NeoPediRN replied to Loves2Lurk's topic in Emergency

    I have to say that we wouldn't be expected to deal with that where I work. Not only would admin not back him up, but security and the other nurses would make sure he didn't have another thing to stay...

  5. Number of beds and daily census

    NeoPediRN replied to Lunah's topic in Emergency

    We see at least 100 patients a day...we have 14 beds in the core + 4 psych beds, 6 fast track beds, and 3 or 4 IV beds for patients who come in for IV meds. We also have multiple hall beds just in...

  6. Have you ever heard of this?

    NeoPediRN replied to BriRN's topic in General Nursing

    Yes, you have a nerve in the back of your neck that causes occipital neuralgia (mimics migraines) when compressed. Happened to me all the time before I stopped wearing my

  7. syringe to collect specimen from foley?

    NeoPediRN replied to nursing81student's topic in General Nursing

    In the ER we collect from the bag, but the Foley has always just been

  8. What do I do if the patient's family member is very fresh because I am a sitter?

    NeoPediRN replied to leogirl8's topic in General Nursing

    I think the son was angry about a lot of other things, and projecting it on you. Try not to take it personally. Families seeing their other family members critically ill brings out the worst in them...

  9. New Grad NICU Support Thread

    NeoPediRN replied to niculove's topic in NICU, Neonatal

    I took STABLE, cardiac STABLE, and NRP right out of school. I did not have trouble keeping up. I would suggest getting the books ahead of time and reviewing

  10. Dealing with change...new grad challenge

    NeoPediRN replied to tlc365's topic in First Year After Licensure

    My theory is you'll never know unless you

  11. Nurses eat their Young

    NeoPediRN replied to NYLiz's topic in General Nursing

    Yawn. 1) You need a spelling & grammar lesson. 2) If you did this to me you it would be your face that would be red because it would be the end of your infantile career. That is

  12. Why I don't tell my family...

    NeoPediRN replied to umcRN's topic in PICU, Pediatric

    I always feel the need to shelter my family from the horrible things I see. I don't go into details and I try to focus on the anecdotes with happy

  13. Dobutamine without a Swan and use of Dopamine

    NeoPediRN replied to maloneys's topic in MICU, SICU

    At my hospital dopa is usually first line for persistent hypotension/bradycardia and it is given through a #20 or larger IV. It depends on the patient's underlying condition what kind of pressor they...

  14. Your opinion on HOSPITALISTS.

    NeoPediRN replied to estrogen's topic in Medical-Surgical

    Disagree with your statement Tess. Hospitalists are beneficial because they are present 24/7. If a patient starts to go bad you have a hospitalist right there to lay eyes on them, vs calling the...

  15. I got fired today

    NeoPediRN replied to NurseLoveJoy88's topic in Geriatric, LTC

    I wouldn't even use it on a future resume. You technically never

  16. Can someone "link me up"? MA ? for PA

    NeoPediRN replied to BuckyBadgerRN's topic in Pennsylvania Nursing

    Triage is not an appropriate delegation for a medical assistant, at all, ever. MAs are not allowed to assess. Good luck to that practice when a patient suffers a serious outcome as a result of a bad...

  17. Absolutely incompetent...not so sure "it gets better".

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

    Don't let them make you cry! It isn't worth it. No one is perfect and everyone is human. I work in a community hospital ER and have between 3-6 patients at any given time. I've been there for almost 4...

  18. ER Abuse

    NeoPediRN replied to Guest219794's topic in Emergency

    "And sometimes they even fight with us over taking them to the hospital.....like THEY'RE the ones who won't get paid if the resident's insurance doesn't cover the trip, or if s/he is on Medicaid. That...

  19. Failed Pre-Employment Drug Screen

    NeoPediRN replied to canursestudent's topic in General Nursing

    deleted

  20. ER Abuse

    NeoPediRN replied to Guest219794's topic in Emergency

    We have a local nursing home with a locked dementia unit that sends at least two patients to the ER everyday for agitation...I'm not talking about severe, tie down and medicate agitation, I'm talking...

  21. ER Nursing vs Floor Nursing

    NeoPediRN replied to RN_survivor's topic in General Nursing

    I've been an ER nurse for 4 months and have an eclectic background including psych, med-surg, pediatric/neonatal intensive care stepdown. The ER is everything I ever hoped it would be. --What...

  22. how do you night nurses do your assessments?

    NeoPediRN replied to redredrose's topic in General Nursing

    I came from a floor where assessments were done q4 around the clock. I woke my patients up at 12 and 4 to do assessments. I felt bad, but they're in the hospital for a reason, and I could never...

  23. Jobs in MA

    NeoPediRN replied to kscanlon06's topic in Massachusetts Nursing

    Congrats PediLove! Where did you end up finding a

  24. Why do you do what you do and DON'T do what you don't do?

    NeoPediRN replied to nurseprnRN's topic in General Nursing

    What I do: a lot! I work in an ER fulltime, NICU/PICU stepdown per diem, inpatient pedi psych peri diem, and acute pedi and med-surg per diem. I love them all for very different reasons, and I want to...

  25. NS at 125 ml/hr is not an ER order

    NeoPediRN replied to Guest219794's topic in Emergency

    Unprofessional is just the tip of the iceberg. Everyone has trouble with this particular doctor. He berates nursing in general as a "private conversation" to other doctors out loud in front of the...