NeoPediRN

NeoPediRN

Pediatrics, ER

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All Content by NeoPediRN

  1. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    If the bicarb was high to begin with, wouldn't the PH be be elevated or high normal and not on the lower end of normal? It's too low to be overcompensated, isn't it? I just think given the pt's...

  2. Salary of Nurses and NPs in Salem, MA

    NeoPediRN replied to Lady11's topic in Massachusetts Nursing

    There's only one hospital in Salem. New grad starts out at $27/hour and it's unionized. Parking is free. It's a terrible hospital

  3. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    With chronic hypoventilation and acute pneumonia, I don't think that blood gas looks too bad. I would want to know what the pt's baseline CO2 level is. I think they would either titrate the bipap a...

  4. Test your PEDS critical care knowledge

    NeoPediRN replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Compensated respiratory acidosis. I believe the CO2 was elevated as part of the central hypoventilation with exacerbation and the bicarb is elevated as

  5. Malpractice Insurance?

    NeoPediRN replied to Uptownurse's topic in Massachusetts Nursing

    I have never purchased my own malpractice insurance...as long as I follow hospital policies, I am covered. I know nurses who have been in the field for 40+ years and have never carried their...

  6. Can you help me??

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

    With two years of experience you can expect between $30-32/hour in boston, and $27-29 in the metro areas and north

  7. How far will you travel to work?

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

    In traffic I commute up to 2 hours and 15 minutes one way to get to work. I travel 3 heavily congested, major

  8. just sharing about my good night

    NeoPediRN replied to anon456's topic in PICU, Pediatric

    My previous job was pretty much 50% babies exactly how you described. Hopeless cases and massive suffering with a ridiculous amount of stimulation and intervention involved. Our nurses for the most...

  9. Any recent LTC able to switch to Acute?

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

    Spaulding Cambridge was a dump when I worked there. Be

  10. Medication Administration through a feeding tube

    NeoPediRN replied to lalexa15's topic in General Nursing

    I have never flushed in between meds. 15-30ml of water for each med adds up quickly, and it's not uncommon for a pt with a gtube to have 10+ meds. By the time you've given them all their meds and...

  11. So frustrated with IV starts!!

    NeoPediRN posted a topic in Emergency

    I just started in the ER and I can't get an IV to save my life!! Big HUGE juicy veins begging me to stick them and I can't do it. I came from a floor where I was THE go-to person for IV starts. LOVED...

  12. How fast is too fast to transfuse blood?

    NeoPediRN replied to RNdiva505's topic in General Nursing

    Gravity was the wrong term, perhaps? Sort of. When performing phlebotomy you're drawing blood out via a vacuum (with a negative pressure, correct?) When you venipuncture with an angiocath, blood flows...

  13. Typical benefits at hospitals?

    NeoPediRN replied to windinmyhair's topic in General Nursing

    I pay $160/month for a Blue Cross HMO, with a $250 admission/surgery fee, $15 tier I prescription copay, and $20 office visit copay. I pay roughly $8/month for vision, and $21/month for dental. No...

  14. What could "HA" be an abbreviation for?

    NeoPediRN replied to hubbellr1's topic in General Nursing

    hyperalimentation.

  15. How fast is too fast to transfuse blood?

    NeoPediRN replied to RNdiva505's topic in General Nursing

    Drawing blood is to gravity, when you've got the added pressure of a pump is when you're really at risk for hemolysis. However, you can get hemolysis when drawing blood out of a 22 gauge, especially...

  16. There but for the grace of....

    NeoPediRN replied to xtxrn's topic in General Nursing

    I've only been in healthcare for 5 years and have so many patients who have touched my heart. 1) A young 20 something with a little boy. I remember she was teaching him how to ride horses when she...

  17. Male nurse in L&D

    NeoPediRN replied to tony2353's topic in Ob/Gyn

    Tony you can deliver my babies any day. I would have no problems with a male L&D nurse...unless of course you're hanging out down there salivating, and then you have bigger problems

  18. How fast is too fast to transfuse blood?

    NeoPediRN replied to RNdiva505's topic in General Nursing

    It depends on who your patient is. If you have a little old lady with CHF you're going to infuse that bad boy over as close to 4 hours as possible, and probably giving Lasix in between the first and...

  19. Ok lets talk LAB values and what they mean..

    NeoPediRN replied to SublimeRN's topic in Ob/Gyn

    Do your OBs basically order a full workup for abnormal vital signs or presentation? The docs I've worked with do because it's easier to piece together different labs than to play a guessing game what...

  20. Ok lets talk LAB values and what they mean..

    NeoPediRN replied to SublimeRN's topic in Ob/Gyn

    PIH - You want a UA to check for protein. You want to basically shotgun your labs to see if the extreme hypertension has caused ischemia to any of the major organs. You want a CBC to check your H/H,...

  21. Ok lets talk LAB values and what they mean..

    NeoPediRN replied to SublimeRN's topic in Ob/Gyn

    HELLP syndrome - you want to check the LFTs. (AST, ALT, alkaline phosphatase), check a CBC for hemolysis (premature red blood cell destruction causing release of bilirubin which both causes anemia and...

  22. Ok lets talk LAB values and what they mean..

    NeoPediRN replied to SublimeRN's topic in Ob/Gyn

    Urinalysis you're mainly looking for protein. When the kidneys are stressed in pregnancy (weight gain, fluid retention) they tend to leak a little bit of protein. If you dip a UA and see trace to +1,...

  23. Pediatric Psych

    NeoPediRN replied to NYSNOWBUNNY007's topic in Pediatric

    Not true. New grads enter peds all the time. Pedi psych isn't going to prepare you for acute peds at all, truthfully. Don't worry about breaking into your dream field in any certain way. If you see a...

  24. Pediatric Psych

    NeoPediRN replied to NYSNOWBUNNY007's topic in Pediatric

    I worked in pedi psych for six months before landing an acute care pedi position in a community hospital, then I transitioned to a NICU/PICU stepdown unit. It can definitely be done...just make sure...

  25. Pt with both nasal cannula and NG

    NeoPediRN replied to anon456's topic in Pediatric

    I read that one awhile back. It seemed to be a small isolated study. I tried to find more data to back that up but was