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There are supposedly big differences between 6 and 7. My hospital will certify you after they hire you. You just have to get it within 6 months. You could always let them know you are in the process of getting your NRP and sitting for the practicu...

Had a pt come up from the ED for admission. Refused all treatment-no IV, wouldn't give current med list, wouldn't allow an exam. I finally asked her why she was here if she wasn't going to allow us to do anything. She said "Dr. XYZ made me." My r...

There are a couple of different things going on here. First, were those positions posted anywhere? If they weren't posted internally they must've been posted on a company website in order for the new grads to apply. Keep you eye open for those pos...

Maybe she means to give the meds first that are the most important. Sometimes it's difficult to get a lot of meds into some pts. I would give BP, lasix, any psych meds, etc and hold onto the colace, multivitamin, etc for last. I hate getting to th...

In some areas it isn't easy to find a medical ASL interpreter. In our state you have to go through one facility to book them; they supply interpreters to anyone who needs them. I used to work in an office and we had a horrible time trying to get an...

I had a pt scheduled to be discharged, everything in place. All I had to do was go over paperwork with him. He didn't want to go. He called the police and told them we were killing him. Needless to say it was a very long day by the time he left, ...

I had a provider ask me about something that would've been done on night shift but wasn't documented and I didn't get it in report (nothing major and something she could've gotten in report from the dr who signed off to her). She kept asking me the ...

I haven't seen a child with chickenpox be hospitalized. In a pedi office you would be more likely to come in contact with chicken pox. Have actually seen a couple of adults hospitalized with it but they go in a negative pressure room so you would k...

Hi! I know I had to have titers drawn even if I had proof of the immunizations. My insurance paid for the titers although not all do. I had to be revaccinated on some even though I had vaccinations previously. Call your insurance company and see ...

Actually we have had this same discussion at work. If you clock out and then continue to document, technically they have proof you are working "off the clock" and it is a reason for termination among other things (like time card fraud). Also, you ar...

Ok, I know the point was the MD yelling but from what I read, wasn't the pt A&O? She would be the one that has the say in the catheter. The POA doesn't have a say unless the pt is unable to. I hate when people call and say "well I am the HCP a...

I won't answer each one individually but we use the Harriet Lane handbook for all peds dosing. It gives us specific instances where the general max dosing is exceeded. RE: solumedrol or prednisolone. When we calculate a dose and it is higher than t...

Our floor does it a little different. Our holiday starts at 3pm Christmas Eve (thanksgiving and new years too) and goes until 11pm the day of. So even day shift has 4 hours on the eve and then 12 hours on the day. The way it works out, each shift...

There were people I went to school with that had a similar arrangement. When they graduated, the hospital didn't have enough jobs for them so their scholarship was forgiven. Of course, then they had not job. If they offer you a job, take it and yo...

We always have 2 RNs on the floor, even if there is only one or two kids. We do have another side that takes a few adults and we usually will split the floor, one stay on Pedi and one on adults but we are two pedi RNS right there. No adults and one...

We give it in the office where there is no IV access. I've given it on the floor when a pt hasn't had IV access and we couldn't wait for a PICC.

I give Rocephin all the time in a peds setting and usually we reconstitute 1g with 2.1ml sterile water. Then draw it up in equal doses and give in different sites (usually both thighs). When that is reconsituted it is 350mg/1ml concentration. I do...

We don't do block assigning. We take whoever had the pt last and they get them back. That seems to work for us. We also try to split up the precaution rooms, acuity, etc. Then we try to take the remaining pts and split them evenly. We try not to ...

ASL interpreters seem to be a little different around here. There is one place that EVERYONE goes to to get interpreters. Hospitals, drs office, etc. When we would call, they would say they had no one. If we asked what we were supposed to do, was...

hmmm how about Dear Health Care Proxy, Just because you are a health care proxy does not give you the right to information or to make decisions when your loved one is A&O x 3 and making all their own decisions. Sorry, we were just having this c...

Ok you need to know what you have. In our office we have 1g vials and we reconstitute with 1.4ml sterile water. Not sure on the lidocaine. When we give the 1g we ALWAYS break it up into two injections because we give no more than 1ml per injection...

hehe this thread made me giggle. First, I am a mom....three wonderful children but I definitely do my share. We had a girl we worked with who used her child ALL THE TIME as a reason she needed to be late, leave early, days off etc. You name it, it...

Just got my pneumovax last week and it was horrible! The day after my arm was red, swollen and was so painful I hurt all the way down to my fingers! It was day 5 before I could even touch my arm. If anyone bumped into me I went through the roof. ...

Well the BP med could've been held because it was due to start at 0900 and be daily and if her BP wasn't high, they wouldn't give it at night. They could've been waiting for the antibiotic to come up from the pharmacy or it, too could've been a dail...

Our high risk meds need to have a co signer every time it is given. That should mean that two nurses are checking the order and actually looking at the med given. At our hospital it is for insulins, morphine gtts, cancer drugs, heparin gtts. Those...