NeoPediRN

NeoPediRN

Pediatrics, ER

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All Content by NeoPediRN

  1. How honest are you?

    NeoPediRN replied to Anna Flaxis's topic in Emergency

    If I think they are going to get something out of the truth then I'll them if it's been a very long time and I can see the frustration building. If they're the type of patient to complain about the...

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

    NeoPediRN replied to Guest219794's topic in Emergency

    Where I work, some of the doctors will specifically order something other than what you ask for just to **** you off. The other night I asked for Zofran and morphine for my chole patient, and I got...

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

    NeoPediRN replied to Guest219794's topic in Emergency

    You would've gotten a kick out of the orders the admitting doctor wrote for a stable new onset afib patient the other night. NS @ 60ml/hour....pt eating and drinking fine. I asked him if it was...

  4. Incentive Spirometery

    NeoPediRN replied to umcRN's topic in PICU, Pediatric

    Pinwheels usually work

  5. Happier at work than at home?

    NeoPediRN replied to Gratefulprn's topic in General Nursing

    Yes because I'm a hypochondriac and as soon as I leave my mind races with all the terrible things that are wrong with me and my imaginary symptoms start creeping up on me. I'm so busy at work I don't...

  6. Are you doing this at work?

    NeoPediRN replied to vivasmom's topic in Emergency

    Giving nebs: yes unless it's a vented pt Drawing own labs: only when starting an IV Starting your own iv's: yes Running own blood gasses: no, RT does Cleaning own rooms: yes we all pitch in since we...

  7. Advice needed...how to survive the night shift commute...literally.

    NeoPediRN posted a topic in General Nursing

    I'm not sure if what I experience is normal or not. Over the past few years I've had a hard time staying awake in general behind the wheel if I'm driving for longer than 1/2 hour - 45 minutes. During...

  8. Advice needed...how to survive the night shift commute...literally.

    NeoPediRN replied to NeoPediRN's topic in General Nursing

    Hey guys! I recently started in the ER and was put on late nights (9p-9a). I talked with my nurse manager (love her) a few days ago and starting next week I'll be orienting to 3p-3a. That is a PERFECT...

  9. random ED interview question i got asked

    NeoPediRN replied to Skylar86's topic in Emergency

    For those who said they'd treat the infection last, the JC will eat you alive. Catching sepsis early in the ER is key now. Fever over 100.4 with tachycardia is criteria enough to initiate a rapid...

  10. Criteria for Giving IV BP Meds?

    NeoPediRN replied to ChristineN's topic in General Nursing

    Labetolol IV is the drug of choice for asympomatic hypertension in my ER. We typically do treat profound hypertension. Sometimes it doesn't click in the provider's mind to order something, but if you...

  11. Advice I wish I had before attending UMass Boston ABSN...

    NeoPediRN replied to MissM.RN's topic in Massachusetts Nursing

    Hi BSN, I'm sorry your experience was subpar. We have UMB nursing students on my unit and it is quite clear how lost they are. The instructor is a flake and I feel very sorry for the students. It...

  12. Intraosseous Infusions- anyone using it yet?

    NeoPediRN replied to GinaCat's topic in General Nursing

    We see IOs all the time where i work. If there's a code and the patient doesn't have clear attainable access EMS will throw in an IO. We use them on pedi codes often for rapid access. Everywhere I...

  13. Mandated Flu vaccine?

    NeoPediRN replied to mol42's topic in Disaster Preparation

    I do not get vaccinated and do not work for organizations that mandate flu vaccines. No thank you for

  14. Can you help me??

    NeoPediRN replied to godbless-yute's topic in Massachusetts Nursing

    I forgot this was agency. Sorry. You can expect between

  15. IV Certification in Mass

    NeoPediRN replied to watersamy's topic in Massachusetts Nursing

    I don't know of any formal IV certification other than PICC lines. Being certified to start IVs means you have completed the minimum # of IV starts needed to be deemed competent to start them...

  16. Salary of Nurses and NPs in Salem, MA

    NeoPediRN replied to Lady11's topic in Massachusetts Nursing

    North Shore Children's Hospital is part of Salem Hospital. They moved it to the next building over but it's still the same entity. The two together are NSMC. Shaugnessy Kaplan is not an acute care...

  17. Mandated Flu vaccine?

    NeoPediRN replied to mol42's topic in Disaster Preparation

    I find it so interesting that people consider getting the flu shot to be a "patient safety issue." I can think of a lot more pressing issues than injecting yourself with a strain of flu that the other...

  18. Mandated Flu vaccine?

    NeoPediRN replied to mol42's topic in Disaster Preparation

    That's quite the

  19. Mandated Flu vaccine?

    NeoPediRN replied to mol42's topic in Disaster Preparation

    I did back in 2009. The slogan was "Flu shot or mask." You couldn't just sign a waiver if you didn't want the flu shot, you had to have a medical reason why you couldn't have it. Anyone who was not...

  20. Boston Medical Center and New Grads

    NeoPediRN replied to MissM.RN's topic in Massachusetts Nursing

    3 words....aint. gonna. happen. Sorry, can't even be optimistic about it anymore BMC is laying

  21. The happy policy

    NeoPediRN replied to Tepidorchid's topic in Patient, Colleague Relations

    Sweet! Go in with a sourpuss on everyday and you'll get out early. Sounds good to me. I'm guessing no one will actually enforce this since there'd be NO NURSES LEFT TO TAKE CARE OF THE

  22. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Is that deficit enough to contribute to such profound compensation values? What about sodium chloride replacement, either via fluid or PNG? The pt's sodium was borderline, too. The bicarb is high on...

  23. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    JanF - quick question. It sounds like more ventilation was what this baby needed, no doubt. Were her pressures high on the vent? Did they increase her RR on the vent to help blow off the CO2, and if...

  24. Any recent LTC able to switch to Acute?

    NeoPediRN replied to Chris Caulfield RN NP-C's topic in Massachusetts Nursing

    No it's not. There are even less hospitals out there than in the Boston/metro

  25. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    We use pulmozyme to break up secretions, especially on ex preemies with BPD and kids with neuromuscular disorders with a weak, ineffective cough who aren't candidates for cough assist. My guess for...