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Blood draws on infants
www.seattlechildrens.org/pdf/blood-volume-chart.pdf make sure you get he entire link.
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Blood draws on infants
1.8kg..............1ml 2.3kg..............1ml 2.7kg..............2ml 3.2kg..............3ml 3.6kg..............4ml data from Phlebotomy Handbook , Data calculated by Dr. leland Baskin other charts have max draw per day and per 30 day period:redbeathe other charts are available based on Hgb. you can do a quick search on line: max volume blood draw..... and yes, you could draw too much blood. Hospital aquired anemia is a real concern.
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Returning wasted blood to a line?
This is called an unregulated blood tranfusion. I have thouroughly researched this for PICU and PEDS. You can return waste on a central line using a closed system and a heparinized syringe . However, you would need a Md. order (at least) . The Infusion Nursing Society does not support this practice.Where I work they even return waste on peripherals(not evidenced based paractice) However I do not and will not return waste on peripherals untill my management can provide me with some research.....(still waiting, it has been 2 years) If blood volume is crucial one should consider alternate means of collecting a sample, as in I-stat . The waste volume depends on the type of line your patient has.
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ADN US grad planning to go out of country for work.
I have a good friend who was in your situation in 2004,F1 visa and ADN degree....she had no problems finding a hospital in Florida to sponsor her for a green card. Maybe the law has changed since.....Maybe you should inquire @ hospitals in the Miami area...lots of international nurses there. She was sponsored by Mt Sinai Hospital in Miami Beach.Her sponsorship included a green card for her husband. Australia sounds better though....good luck
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cheating classmates!
dear Mango Peach, cheating does concern You,these cheaters will be your Peers.( Imagine you get your first job...and now the cheater works there with you....would you trust this nurse to even answer the call bell for your patient? take a blood pressure? do a temp) Nursing is a team profession,we rely on one another,would you rely on the cheater?We do not live in a vacuum of our own family/experience. I am not telling you how to live life and I am not telling you to report these people....the cheating situation is part of a Larger Picture that IMPACTS patients lifes... good luck with your studies.....Nursing School is Harsh
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cheating classmates!
Dear Mango Peach, My schools Conduct Code did have a clause related to Academic dishonesty(I think that is what they called it) and yes ,I did confront the cheaters and yes, I did inform administraton. It does not matter what your schools conduct code has listed and what it doesn't. BTW maybe your school should step into reality and adapt a "cheating" clause. Nursing is one of the most trusted professions,let us keep it like that.
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with what meds, you flush IV
you flush your medlocks with NS for patency(Q6 and PRN) according to your hospitals policy). Depending on the meds COMPATIBILITY you may have to mix w/sterile water or LR or whatever is compatible to the med. Do not asume all meds are compatible with Normal Saline
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cheating classmates!
Wake up People, Cheating in Higher Education has been a problem for years. When I was in nursing school students would get jobs in the Copy Room and sell the exams for fifty bucks.... Why do you think you get fingerprinted when you take your board exam? So you don't sneak out and have another person complete (and pass) your boards.Nurses and Nursing Students are no different than the rest of society. As an individual YOU have to make the decicison to do better. Should we POLICE our classmates? Should we POLICE our fellow nurse?Remember you will take an oath...I feel very strongly about this. We(Nurses) have a Moral and Ethical Obligation to our patients.....You cannot just ignore cheating....it makes for a bad nurse. And yes...these behaviours start in Nursing School..... ps: most of the cheaters did graduate,I just hope they will never take care of my loved one.......
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Doing prereqs in quarter system, anyone ever doing Anat B+C in one quarter?
Yes, I took A&P 1and 2 in the same semester,received an A for both courses. Can be done,just study on a daily basis. I also took another class within that semester. Just be sure that the Nursing School you intend to attend accepts you with a grade less than B in A&P. Sometimes having a C (passing) is not enough for Nursing School.......Good luck,hope you will join the profession soon:)
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PIV lab draws,re instill waste blood?
Do any of You draw labs of Peripherals? Do you return waste blood ? And if so...is this something you just do,or is this Evidence Based Practice? I cannot find any research related to reinfusion of waste blood on peripherals.Am I wrong in the assumption(based on My research) this practice is a BIG No NO? Any input welcome....
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Epidurals in pediatric patients
Follow your Hospitals'policy. In my experience I have given Fentanyl Boluses for breakthrough pain to Peds patients (on the general Peds Floor)via epidurals. The line is D/C'd by Pain team .No biggie to give a Bolus,as long as you are educated on the subject and follow protocols.
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salaries for duke and UNC hospitals
New Grad When I worked @ UNC hospitals from 2006 to 2009,80% of nurses where new grads on my unit.UNC has a high turn over. I do not see why you would say it is hard to get hired as a new grad in that Hospital. Speaking from personal experience
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Do you draw blood of peripheral IVs?
were I work ,(PEDS)we now draw labs off the PIV(some research available).Big controversy going on about ?????Returning the waste blood.???? I researched this (returning of waste) and my conclusion ( Evidence Based Practice) is that returning of waste on PIV's has not been researched at all (Association of Vascular Access and Infusion Nurses Society). Apparently this pracice is common in PICU area's.......still not evidence based practice....If low blood volume is of concern AVA recommends other means (I STAT,Finger-heel stick,butterfly)to collect labs.
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Medical Students vs. Nursing Students
dear nursing student, doctors ,student or not,do not do any grunt work anymore.