scribblerpnp

scribblerpnp

Pediatrics

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All Content by scribblerpnp

  1. Continuous Sub Q Morphine

    Thanks for your reply! Now she is up to 35mg/ cont per hour with 15mg bolus q15 min. I imagine the bolus will increase over the weekend, as one or the other goes up about every 2-3
  2. Nursing Student annoyed me

    Maybe a dumb question, but where was the instructor? I know when I teach clinicals, if the RN is too busy to give a pain med, I am glad to do it myself. If the student couldn't administer IV meds,...
  3. Continuous Sub Q Morphine

    Oh, I'm quite aware there is no ceiling. At the hospice house where she is staying they haven't seen anyone above 28/hour continuous, which I found strange, because I have heard second-hand of people...
  4. PIV rotation for pedi pts?

    Just adding my support! At the two pediatric hospitals I have worked (one small town, the other a top 10 in the country), NEVER get rid of a good working IV, no matter how
  5. advanced directives and power or attorney, please answer my question

    Advanced directives are often over turned. Sadly once the pt can no longer speak for themselves, the family can and often do make the decisions. It shouldn't be that way but it is. Probably one of the...
  6. OMG! This waiting room!!!

    I have enjoyed this so much. Sorry to be mean, but I wish you had to wait longer because those posts were too
  7. pregnant nurse in LTC

    If you are concerned about the flu, being pregnant is not a contraindication for the flu vaccine (the one given IM), so you may wish to consider it. Pregnancy IS a contraindication for the nasal spray...
  8. Best Lotion for cracked hands?

    Oooohhhhh! I am totally adding that to my at-home spa time! Thanks for a great
  9. What would make you say "I could never do that"

    At one time I worked on a sexual offender unit part time. Teen age boys who were offenders. It was a unit at the psych hospital where I worked At first, prior to working there, I would have said, "No...
  10. What would make you say "I could never do that"

    :yeahthat: Me too! Give me an infant or kid any day! I am peds all the
  11. Against vaccines:

    You would have a hard time teaching or working in Peds. I had to have proof of immunizations or my titers drawn for MMR, Hep B and Chickenpox. When my hep B titer came back as low, I had to redo the...
  12. Hospital vs. Office nursing?

    I agree, office nursing is NEVER boring. We get to see healthy, happy kids for well child visits AND I have had some kids come into the office in serious resp distress where we had to call 911 for...
  13. microwave on psych unit

    I have worked in psych units in hospitals as well as a free-standing psychiatric hospital on units for children up to Alzheimers. Not one of these places had a microwave that was available for the pt...
  14. Infants and Hypothermia

    I work as a PNP in an office and this is definitely NOT OK. FIRST I would have taken a rectal temp to make sure that the 92 was the real deal. THEN this baby would have been admitted for a sepsis...
  15. So, what's your background?

    The biggest deterrent education has is the pay. I work at a university full time teaching BSN students, and make less than a new graduate RN. So it does suck to have an advanced degree and get paid so...
  16. Vaccine Nation

    Yay! Now I have the outlash of this to look forward too! As if the MMR/Autism "study" that came out in 1999 wasn't enough trouble. Ugh. No vaccines aren't 100% risk free. But neither is Amoxil or...
  17. What should instructors wear to clinicals?

    Some days I wear scrubs, somedays nice street clothes. I don't wear what the students wear because I look young and this confuses the patients into thinking I'm a student and not an instructor. When...
  18. So, what's your background?

    I graduated with my BSN, went straight towards a Masters while working as an RN at a pediatric hospital. Worked as a PNP in an office setting. Fell into teaching, filling in for an instructor who left...
  19. Best Lotion for cracked hands?

    Neutrogena makes an intensive hand therapy lotion. It comes in a small white tube with red and blue on it. It is really thick, but not greasy, plus does not totally wash off after a few hand washes. I...
  20. Scheduling Death??

    This case is exactly why not only should people have a living will, but also a MEDICAL POWER OF ATTORNEY! And the MPOA should be a person who is WILLING and CAPABLE of standing up for the pt (even if...
  21. Scheduling Death??

    I love hospice. My parent is care of hospice right now. And they are WONDERFUL. I cannot imagine waiting until the last dog day to get them involved. Once my parent was given the dx of unremoveable...
  22. Scheduling Death??

    How awful. That poor man. I hope he stays comfortable. Please update this thread. I am going to have him on my mind now. I wish I hadn't even read
  23. About to graduate..to start a family or find a job?

    As a new grad, I was hired per diem. I pretty much wrote my own schedule (because I was in grad school at the time). I didn't get any benefits, but I only worked 8 hours a week. During summer breaks...
  24. Math Quiz For Er Nurses!

    Ahhh! I love this thanks! I'm going to e-mail to the teacher in our program who teaches drug calculations! Maybe some new test questions on here for
  25. I think every person graduating with a college degree should have good writing skills, and that is why I'm picky about grammer and APA when students turn in papwerwork. And how how smart would it make...