Pipsqueak ADN

Homecare Peds, ICU, Trauma, CVICU

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All Content by Pipsqueak

  1. Pipsqueak

    Milk of Mag

    I'm pretty sure you can. If syrup or honey consistently is ordered it'll be fine as is. But if the pt can have only pudding consistency you'll have to thicken it or get an order for something
  2. Pipsqueak

    do you check you license for any discipline?

    http://www.dos.state.pa.us/bpoa/cwp/view.asp?a=1104&q=432883&dsftns=30628 Here's the web address for the PA BON. Click on the link "License
  3. Pipsqueak

    speaking valve for trachs

    I work with many pediatric vent dependent clients and the PMV is introduced as soon as possible. It is actually beneficial because it does help to increase lung pressures and does help assist with...
  4. Pipsqueak

    Intake calculation

    I agree that ice cream is counted as liquid intake. I have heard conflicting theories regarding pudding. How can pudding be considered fluid intake as it does not turn into a liquid at room
  5. Pipsqueak

    LPN working as CNA

    I have refused to do it when I was sent to a LTC facility thru my agency. Not because I didn't want to do the work and not because I "didn't know how" to. I can and often do perform duties that are...
  6. Pipsqueak

    Pulse Oximetry

    Please explain this to me. I had a pt (infant) who had these exact parameters d/t a heart condition. We were to immed call the physician if the sats went (and stayed) above 85%. I can't seem to figure...
  7. Pipsqueak

    Night shift nurses

    You cannot live a life of 7 nights. I think your body would fight it. Two/three night shifts in a row is all one can reasonably do. And boy will you be tired after them. Sleep when your body tells...
  8. Pipsqueak

    good health insurance for per diem nurses

    Good luck in your search. I also used ehealthinsuranc.com to research and compare. I got declined be several companies but have finally been accepted by geisinger health ins. So far I've been happy...
  9. Pipsqueak

    Where should the BUBBLE Be

    I was taught and I also read on the insert (not recently though) that the air bubble follows the med. Not to be stupid, but usually the pt is laying down, therefore when you give the injection,...
  10. Pipsqueak

    Multiple Agencies

    If I haven't worked any recent cases from the agency and don't plan on picking up any shifts in the near future, I would still include them on my resume, listed as inactive. The agencies I have worked...
  11. Pipsqueak

    Changing outer canula of trach

    I am a pediatric homecare nurse (LPN) in PA. Yes, changing the trach is within our scope of practice. I take care of many trached and vented babies and we change their trach's once a
  12. Pipsqueak

    What would you change about your scrubs?

    My biggest gripe is that I swim in medium size scrub tops, size small looks like it fits perfect once its on, but actually putting it on, or worse yet, trying to take it off is horrible. I need...
  13. I arrived at my pedi homecare case and noticed the kiddo was on 3L rather than the usual 1L. I asked the family why and they said they turned it up so that they may use the humidification because his...
  14. Pipsqueak

    Excelsior College

    I was able to waive NC 2 with my LPN education. I have to take NC
  15. Pipsqueak

    what are your thoughts...

    Actually this is considered abuse. Maybe a few inservices would be in order in case it was forgotten where the line of abuse/neglect
  16. Pipsqueak

    Retractable syringe - use of

    Hmmm, not really sure. Guess that would be up to our infection control nurse. Might want to ask her about it though, as I have heard of other nurses c/o this happening to them as
  17. Pipsqueak

    Retractable syringe - use of

    You are supposed to depress the plunger fully to retract the needle before removing it from the patient. I was never sure of this myself, and therefore had always removed the needle before rectracting...
  18. Our first and last names are listed on our badges, but then I work in long term care so I don't think the risk is nearly that of a hospital. When i was doing clinicals in school, our badges had both...
  19. Pipsqueak

    Breathe sounds and heart sounds

    http://www.wilkes.med.ucla.edu/intro.htm I think the auscultation assistant is a pretty good one, and its
  20. Pipsqueak

    getting pregnant and finding a job

    We had a new grad that got hired at our facility last year. She was 7 months pregnant with twins when she got hired. Only worked for a few weeks before she had to stop working d/t health reasons....
  21. Pipsqueak

    nurse locater devices

    Our ID badges are used to allow us to gain entry to the stairways and to allow us to go through staff entrances to the facility. Times are recorded in the system when you swipe your badge, but there...
  22. Pipsqueak

    Nursing notes what to keep or discard

    Wow, and I thought I was bad. No way did I keep everything (although it did take me months after school ended to finally part with some of it). Took awhile to sort it out, but I trashed everything...
  23. Pipsqueak

    Lung Sounds: Diminished or Shallow?

    I had a patient that had a chest x-ray show bilateral infiltrates. When I assessed his lung sounds, the upper lung fields were clear and I could not hear any breath sounds in the bases. I mean not...
  24. Pipsqueak

    How do I know I passed?

    I took the NCLEX-PN last Friday and was told it could take up to a month to get your official results but one of my classmates told me that if I go online to the BON website in about 2 days and click...
  25. Pipsqueak

    Prefilled syringes

    Hello. I have been visiting this site for quite some time but have never posted before this. I know this has been discussed here before but I couldn't find the thread it was on. I was hoping someone...