scribblerpnp

scribblerpnp

Pediatrics

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All Content by scribblerpnp

  1. A Definite Over Stepping of Boundaries

    Let me start out by saying that I am a HUGE proponent of Hospice and the Hospice philosphy, and I am sure that my recent experience is FAR from the norm. But I still feel the need to share as both an education to others and as a way to deal. Recently...
  2. Anyone going baby friendly?

    I will say that when I came home from the hospital the first day of breastfeeding was so hellacious (my milk had not come in yet) that if I had formula in the house I would have used it. I was SOOOO close to running into the office where I work to ge...
  3. Scalp IV's

    Sorry, we can't give medical advice o this forum. Best to call the doc and ask them these questions.
  4. Racist Patients

    Bless you for the work you do. Those older people don't know how lucky they really are.
  5. Over 550 illnesses....Are these to be learned?

    Come on, only 550? Surely there are more diseases than that once you bring in all the freaky genetic mutations. And NO. I don't know what some of those things are, and I'm a Peds nurse practitioner (and a pediatric nursing instructor)
  6. Do even pediatric nurses get jaded?

    I'm a PNP and yes, I get jaded at times. Especially when I have a parent talking or playing with their iPhone during the exam, but who can't afford Tylenol to give their child. Or a sixteen year old cries like a baby and has to practically be run dow...
  7. MMR question

    Just validating. I am a PNP and work in primary peds. MMR and Chickenpox vaccines are SUBQ. All others are IM, and should be given with a 1-inch needle (this is according to our state health dept) In kids less than 2 years, the vaccines should be giv...
  8. Salary

    Where I am from a 9-month contract starts at 37,500/year in a BSN program for an MSN. Years of experience mean nothing. Yup, BIG BUCKS
  9. All Is Not Well In the Kingdom

    On the upside, your next job will seem like a dream after this nightmare. I've had the toxic/crazy doc as a first NP job, and the second job was GREAT in comparison. You aren't alone in this experience. Sometimes I feel that EVERY doc has a crazy gen...
  10. sigma theta tau

    I would like to add that if you turn it down, there is a good chance that you will never be able to join later on- unless you further your education and re qualify for induction. But if you pay the first year's fee and then decide you don't like it ...
  11. All Is Not Well In the Kingdom

    I also would agree to let it go for now. It can be very stressful to deal with a new grad. I had a similar experience with my doc when I started working. If your doc has never helped to break in a new grad before (and we do need breaking in), it prob...
  12. Nursing schools with SANE policies

    How WONDERFUL! Making such an effort obviously had a positive impact on the dean. Hopefully from now on she will be smooth sailing!
  13. Male CNM

    I'm a PNP and work in a BSN program. Recently a student who is about to graduate came to talk to me about being a CNM. Prior the student was really considering NNP, but after the L&D rotation, is now considering CNM. Though I don't feel it should...
  14. Is This Ethical?

    I am an NP too (who works/teaches full time in pediatrics) and am very confident in the safety of giving 3 vaccines at a time on the VAST majority of cases. It is not uncommon to give four (two in each appendage) in cases where children are behind in...
  15. Is This Ethical?

    It is quite legal to obtain the vaccines with a primary care provider's order and give them yourself 9or whomever is on the prescription) if you are a nurse. A doctor doesn't have to be present when a vaccine is given. It sure is more convenient than...
  16. Skin to skin contact

    JessiD, Thanks for mentioning about the jaundice! I have started to see (this is anecdotally) in the office that the babies with the delayed cord clamp seem to have worse jaundice in the follow up than those that don't. Especially if they are breastf...
  17. Awkward Situation

    I guess being a peds nurse, I'm not really shocked about this. When I worked in the hospital, this has happened a few times with my teenage boy pts. I usually saw it as a sign that their pain was under good control and they were feeling better! Very ...
  18. Male CNM

    I e-mailed the student about the CNM in Pittsburgh. He is planning on following up! I just hope the CNM in Pitt e-mails him back. I think he could really do with some +encouragement from another guy!
  19. Adult Infant Stethascope combo?

    The littman cardiology III is a good one. It has an adult diaphragm and an infant. I work in peds and find it to be a great stethoscope. I can easily assess a newborn or an adolescent. No problem picking up those early newborn pesky heart murmurs at ...
  20. Male CNM

    DO you know the name? PM me if that would be better. Thanks a bunch! We are in WV, but maybe he could do e-mail or phone interview?
  21. Online MSN to be Nurse Practitioner

    I worked PRN on the weekends and I lived VERY cheaply. But the nice thing was that those quarters I did clinicals, I didn't have any "book learning classes" so I didn't really have to attend class on top of that or study too much. Out of my class, a...
  22. Online MSN to be Nurse Practitioner

    Don't forget that even if you do a NP program online, you still have to have clinical hours (working along another NP) to graduate. So your bookwork may be on-line, but your clinical hours will still be in person working with another NP (like a prece...
  23. Mrs. Doctor, I don't care what he does

    I agree with blondie. Our hospital's policy is that only staff have to do it. You do need to follow YOUR hospital policy and convince them if you can, but if it is going to be a battle royale, chart the non-compliance of the family and leave it at t...
  24. Any tips for a newly pregnant nurse?

    I had all day nausea for the first 26 weeks. Zofran IS expensive, but for me one phenergan before I went to bed lasted nearly all the next day. I got lucky on that one. I don't know why it worked so well for 24H, but it did. And I slept like a BABY.
  25. Any tips for a newly pregnant nurse?

    When I was in the stages of morning/ALL DAY sickness, sucking on lemon drops or lemon war heads really helped for some reason. Drinking lemonade also helped (but only half-strength). I also drank mint/peppermint tea or ginger tea. But stay away from ...