tralalaRN

tralalaRN

pediatrics

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All Content by tralalaRN

  1. Preventing pediatric disability

    tralalaRN replied to PerfectlyPlump's topic in Private Duty

    First of all, please do not assume that all "birth defects" are due to the ingestion of drugs, alcohol or smoking - most are not. The biggest cause of disability in this country is prematurity, these...

  2. Become Medicaid/Medicare provider

    tralalaRN replied to JM3RN's topic in Private Duty

    Does anyone know if Minnesota does private duty nursing? I know that not all states offer PDN through Medicaid, but I think I had heard somewhere that MN is one of the states that does offer it. Any...

  3. Are LPN's being phased out?

    tralalaRN replied to JSlovex2's topic in LPN, LVN Corner

    In the two hospitals I've worked at, LPNs were definitely being phased out. However, outside of the hospital setting, I see that they still are very much employed and employable. A good friend of...

  4. Any 22 weekers out there?

    tralalaRN replied to mauigal's topic in NICU, Neonatal

    Today, ironically, is one of my daughter's 25th birthday. She was born at 24ish weeks gestation in 1986. At two days of age, she sustained a massive bilateral grade IV IVH. She began a significant...

  5. cerebral palsy child with cast

    tralalaRN replied to TJacob's topic in General Nursing

    Also - there really is no "altered sensation" with CP. All of the children I have known who have CP in varying degrees have no altered sensation. They feel pain as anyone else does. There can be no...

  6. cerebral palsy child with cast

    tralalaRN replied to TJacob's topic in General Nursing

    Perhaps she is looking for a medication like Skelaxin - a muscle relaxant? Maybe we're reading too much into this? When legs are casted, obviously, the muscles are not able to move. Could it be...

  7. cerebral palsy child with cast

    tralalaRN replied to TJacob's topic in General Nursing

    Another thought - even though this child doesn't walk, it is often highly recommended that they do weight-bearing, as this helps to keep their hip joints in place. Spasticity on the hip joints over...

  8. cerebral palsy child with cast

    tralalaRN replied to TJacob's topic in General Nursing

    I think you are doing great with this, although I'm certain it doesn't feel like it as it is pretty involved. Yep - I would go with the crib. You can defend this by the fact that kids with CP are...

  9. cerebral palsy child with cast

    tralalaRN replied to TJacob's topic in General Nursing

    And yes, the baclofen would help with muscle relaxation. However, how is it being administered? There is oral Baclofen, or it can be adm by baclofen pump, which many kids with CP have. However, the...

  10. cerebral palsy child with cast

    tralalaRN replied to TJacob's topic in General Nursing

    Good for you for researching this! Yeah. Happy to help. Administering 02 - again - it's a personal thing. The child may be non-ambulatory, but have perfectly good use of upper extremities. If they...

  11. cerebral palsy child with cast

    tralalaRN replied to TJacob's topic in General Nursing

    Babinski reflex is abnormal in children with spastic CP. When you hit the bottoms of their feet, there is a repeated jerking

  12. cerebral palsy child with cast

    tralalaRN replied to TJacob's topic in General Nursing

    More answers to your above posts: The instructor doesn't appear to actually be saying the child has had surgery. So, the casting may be happening to prevent contractures to joints and to regain range...

  13. cerebral palsy child with cast

    tralalaRN replied to TJacob's topic in General Nursing

    I'm a nurse as well as a mother to twins - both with CP - both of whom have had surgeries for CP. Your instructor was right - do not assume there is altered sensation because they have CP - they...

  14. Any 22 weekers out there?

    tralalaRN replied to mauigal's topic in NICU, Neonatal

    Well said, Deidre. So much heartache and suffering of these babies that no one sees. Always the miracle babies and not the other side. And boy is there another

  15. For all INFP personality types only

    tralalaRN replied to ijuanabhappy's topic in General Nursing

    Interesting thread. I am also an INFP. My first jobs out of nursing school were ER and then a busy day surgery unit. I sucked at both in time management. From there, I went on to dialysis and it...

  16. liability insurance

    tralalaRN replied to tokmom's topic in General Nursing

    I was able to get professional liability insurance under an umbrella policy with my home owners' insurance - it costs right around $50 per year for $1m in coverage. I'm insured through Erie Insurance...

  17. Looking for job - past job reference iffy - how can I check before using?

    tralalaRN replied to tralalaRN's topic in General Nursing

    Newtress - I am SO sorry this has happened! Wow - what a horrible company. This is an extreme example of "employment at will". .sheesh. Best to you on your

  18. Looking for job - past job reference iffy - how can I check before using?

    tralalaRN posted a topic in General Nursing

    I'm currently employed, but looking for a part-time position to supplement. The job app, of course, wants to know past positions, including name of manager. Well, the position I had as an RN with a...

  19. Looking for job - past job reference iffy - how can I check before using?

    tralalaRN replied to tralalaRN's topic in General Nursing

    WOW - excellent discussion. I'm SO glad I asked!! Great ideas, I am filling out my application as we speak. I've also gone on the web and found a couple of reference check companies - it doesn't...

  20. Looking for job - past job reference iffy - how can I check before using?

    tralalaRN replied to tralalaRN's topic in General Nursing

    Thank you for your suggestions. The former clinical manager - the one who actually hired me, told me to use her name rather than the current problematic clinical manager. This gets dicey though when...

  21. Any 22 weekers out there?

    tralalaRN replied to mauigal's topic in NICU, Neonatal

    My daughter, mentioned above - 25 years old, 25 weeker had no IVH. She came home from the NICU with no meds, no O2, no apnea monitor even, prior to her expected due date. At 3 she was dx with...

  22. Any 22 weekers out there?

    tralalaRN replied to mauigal's topic in NICU, Neonatal

    My former preemie daughter (25 weeker) and 25 years old - mild CP, LD, etc. is currently pregnant - 22 weeks. I want to take her and run to the hills for the next 8 weeks. As a nurse, I could never...

  23. If we had a conservative nurses forum

    tralalaRN replied to FLmomof5's topic in Activism, Healthcare

    I have a sweet daughter who is mentally retarded. It is EXTREMELY offensive to families to constantly have this type of language "retard" "tard" "libtard" out there - especially among those who are...

  24. Clinic nurse

    tralalaRN replied to digitalgirl20's topic in Ambulatory Care, Clinic

    Sure doesn't sound like it is legal at all. Refer to your state's nurse practice act for

  25. Mother/Baby VENT!!!

    tralalaRN replied to BaByNuRsE07's topic in Ob/Gyn

    I find it most ironic that this situation involves, once again, a magnet hospital. What the he** is magnet status for if not to support and listen to the nurses? No, you don't have to answer that...