scribblerpnp

scribblerpnp

Pediatrics

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All Content by scribblerpnp

  1. The Dark Side

    scribblerpnp replied to scribblerpnp's topic in Gastroenterology

    It is pancreatic cancer. To go from a seemly healthy mom to one with a terrible dx and surgery ahead in less than 48 hours is a bit

  2. Funny NICU Video

    scribblerpnp replied to mybabies's topic in NICU, Neonatal

    Copy and paste the url into your browser and it comes up just fine! It is really

  3. The Dark Side

    scribblerpnp replied to scribblerpnp's topic in Gastroenterology

    Let me re-phrase that. I don't mean success in that everything was 100% better. I mean success in that it wasn't an agonizing experience. Or some hugs will do

  4. Is this a "no-no"?

    scribblerpnp replied to beachbum3's topic in Emergency

    Well, it sort of depends. Though the AAP does recognize many OM's are viral, the age of the child and personal history determines the watch and wait approach (as well as the severity of the OM). In...

  5. Watery Brown Discharge

    scribblerpnp posted a topic in Ob/Gyn

    I'm a PNP and have very little experince in women's or even adult health outside of nursing school, which was awhile ago. I'll do paps, OBCP, and STD testing on teens, but for the most part, if it is...

  6. Watery Brown Discharge

    scribblerpnp replied to scribblerpnp's topic in Ob/Gyn

    Thanks to you all! Just trying to satisfy my curiosity. If the woman updates me on this, I'll make sure to post it here. You would be suprised at how many parents I have trying to get me to diagnose...

  7. Doctor Practices that Dump Patients

    scribblerpnp replied to FireStarterRN's topic in General Nursing

    Thank you for the article. I have "punted" too, and I definately have been in similar situations. The shopping pt is one of the worst. They suck your time for awhile and then they move on. Big...

  8. Doctor Practices that Dump Patients

    scribblerpnp replied to FireStarterRN's topic in General Nursing

    I would like to say that where I work (which is a low-income area) about 40-45% of our total pts are Medicaid. Of the sick visits I see every day, about 70-80% are MCD, and of those about 40%...

  9. Doctor Practices that Dump Patients

    scribblerpnp replied to FireStarterRN's topic in General Nursing

    The practice where I work doesn't make a habit of dumping patients, but we have refused to continue care (with a 30 day notice) for numerous reasons: 1. Not paying bills (if they owe us more than...

  10. New clinical instructor for ob/peds advice

    scribblerpnp replied to Smn123's topic in Ob/Gyn

    I don't have the handouts saved in a word document. They are old, so I just have origional photocopies! You should be able to find something in the appendix of a medical peds book (I think that is...

  11. New clinical instructor for ob/peds advice

    scribblerpnp replied to Smn123's topic in Ob/Gyn

    I'm a peds clinical instructor too! Welcome! The first day of clinical I always do a couple of things. 1. I give a hand-out to the students that has peds drug calculations, to make sure they can pass...

  12. Nurse Phobias?

    scribblerpnp replied to pattycakeRN's topic in General Nursing

    FEET! I hate feet. It is one of the reasons I'm in pediatrics now. I'm OK touching feet from about brith to 8 years, after that, I will put gloves on if I'm dealing with them. Old diabetic feet give...

  13. Would parenting classes help a confused stepmom?!

    scribblerpnp replied to sissiesmama's topic in Psychiatric

    I have worked adolescent psych in the past, and saw a lot of this behavior and similar histories in our admits with conduct disorder. He is probably steps away from turning to drug abuse as well (as...

  14. Some parents amaze me

    scribblerpnp replied to teeituptom's topic in General Nursing

    In my time as a pediatric nurse and pediatric nurse practitioner, I have realized three major "rules." 1. You can't fix stupid. 2. Within some set guidelines (excluding abuse or neglect), parents can...

  15. Teaching Nursing Aesthetically

    scribblerpnp replied to scribblerpnp's topic in Nursing Educators, Faculty

    Oh, I LOVE to read kids books in my class too! I'm a peds nurse and a children's literature fanatic, so I am always finding ways to bring the two together. Especially when going over growth and...

  16. Teaching Nursing Aesthetically

    scribblerpnp posted a topic in Nursing Educators, Faculty

    OK. I went to a conference not too long ago that got me really jazzed up about aesthetics and teaching. So I'm looking for some ideas! Has anyone out there ever used art and literature in teaching...

  17. stupid question

    scribblerpnp replied to AmericanChai's topic in General Nursing

    ABSOLUTELY you can see the epiglottis! Does it appear to lay right above the posterior part of the tongue and is it a U-shape with the fleshy part about 1/8- 1/4 inch thinck? If so, yup, that is an...

  18. Breastfeeding support in pediatrician's office?

    scribblerpnp replied to mrslmj's topic in General Nursing

    In the office where I work, if a mom needs to breastfeed, we will put them in an exam room earlier to have privacy. I also encourage the mom to continue to breastfeed if she is in the middle of...

  19. HOT TIPS: a NuRsInG school survivor's guide for dummies ;-)

    scribblerpnp replied to CaLLaCoDe's topic in General Nursing

    Don't be surprised if you fail your first nursing exam. Even if you made A's in all of your other college

  20. Future NP...to disclose or not??

    scribblerpnp replied to NurseCherlove's topic in General Nursing

    As a new college BSN grad, I applied to a pediatric hospital for one of the units I really wanted after I had been accepted for a PNP program to begin that fall. During the interview I was very clear...

  21. Telephone triage RN

    scribblerpnp replied to PhillyKidRN's topic in General Nursing

    Ask if the facility provides a telephone triage book or possibly find one you like and buy one for yourself. They are a great help for people doing triage for the first time. They usually have a list...

  22. You need some educating!!!!!!!

    scribblerpnp replied to gt4everpn's topic in General Nursing

    Someone mentioned that the advanced practice nurse will soon be required to have a doctorate. This is correct. It has been made to be understood that it will happen (how long is anyone's guess- but I...

  23. You need some educating!!!!!!!

    scribblerpnp replied to gt4everpn's topic in General Nursing

    Most people with a PhD in nursing work mainly in the college setting teaching BSN, MSN, or other PhD nursing student. Most of these also do research or work as a nurse practitioner (you will find out...

  24. Gift basket for ICU staff

    scribblerpnp replied to tatarn2b2007's topic in General Nursing

    I do gift baskets for all of the units where I take nursing students. I buy a cheap woven basket and fill it to the brim with individual packts of snacks: reg and low fat. 100 cal packs, popcorn, tins...

  25. Trach capping and suctioning

    scribblerpnp replied to grentea's topic in General Nursing

    :yeahthat: Same where I'm at. I can't think of any reason the RT would make such a fuss about