KelRN215 BSN, RN

Pedi

Member

All Content by KelRN215

  1. KelRN215

    Death of a student

    I sense that this was a suicide. For those left behind, suicide is the hardest thing to process because there will ALWAYS be "what if?" questions. In my professional life, I haven't had to deal with...
  2. KelRN215

    Hyperkalemia

    Not always. In most types of renal tubular acidosis, you'll find hypokalemia with
  3. KelRN215

    Possibly Odd Question

    If a patient is bleeding, I know where to apply pressure. I have
  4. KelRN215

    difference in getting PCT AND LPN

    No they are not the same and I have no idea what you mean by "lpn is little vast than pct." A PCT is a patient care technician. Everywhere I've ever worked, PCT was a fancy name for a nurse aide role...
  5. You thought, or were told, wrong. Hospitals in my area have been having hiring freezes and lay offs off and on for the past 7 years since the economy first
  6. KelRN215

    How do you get over the fear?

    I work primarily in the inner city and routinely drive around neighborhoods where there are shootings at 2PM on a Tuesday. Many of my patients live in shelters or the projects. On an average day,...
  7. KelRN215

    Lab Values Help

    Do you know what a CBC is? Every test you mentioned is included in a
  8. KelRN215

    About U.S. vacation time..

    One was a long weekend, two were 15 days each (though for both it took a day to get there and back so actually 17 days I guess), the last was meant to be 11 days but ended up being 13 when I got...
  9. I feel pretty autonomous working in home health. Except when insurance companies disagree with my decisions. Then I want to punch people in the
  10. KelRN215

    About U.S. vacation time..

    It's not an opinion piece. Research shows that productivity increases as workers use PTO. It also contributes to the economy. So your statement that the US has the biggest economy in the world...
  11. KelRN215

    School Nurse thinks I'm fat mom...

    I don't work in schools anymore and I never worked in an elementary school but that kid looks perfectly healthy to me. I did have a four old patient (Oncology patient, ALL, gets steroid pulses q 3...
  12. KelRN215

    Peds Hospice

    Also want to add- many dying children end up dying in the hospital. Many parents can't bear the thought of them dying at home. When I worked in the hospital, we had a room on the floor that doubled...
  13. KelRN215

    Peds Hospice

    There are very few purely pediatric hospice programs around. I knew of one in my city and it went under relatively quickly. We currently work with another hospice that has a pediatric program but...
  14. I left the beside almost three years ago and I have NO thoughts of going back. I manage a program for pediatric home visits now. Mon-Fri 8-4:30. I NEVER thought I wanted a Mon-Fri (I abhor the idea...
  15. KelRN215

    About U.S. vacation time..

    Really? It's Proven That You'd Be More Productive If You Took More Vacations I take every hour of PTO I'm given. I've taken 4 international vacations in the last year. And I'm plenty productive at...
  16. Pop the plunger out of a cath tip syringe, hook it up to the extension tubing, unclamp and let the gas flow. There's nothing time consuming about it, it literally takes seconds. I hate Farrell
  17. KelRN215

    Anyone dating a med-student?

    I know of very few successful nurse-doctor or nurse-med student relationships. I honestly have no interest in dating a med student who has no money and is going to mooch off me and has no vacation...
  18. KelRN215

    Time spent in one home

    I'm confused. How can the patient have been on service for multiple cert periods with no SOC or 485? How is your agency getting paid for the services you're providing without any plan of...
  19. KelRN215

    Explanation of care

    Are every single one of your classrooms so full that there are no extra chairs anywhere? I don't see the problem with a student elevating his injured leg on a chair that he places next to his
  20. KelRN215

    Time spent in one home

    Average 30-45 minutes. Can be as short as 15-20 min for simple subq injections and as long as an hour and a half if there's a first dose of IV antibiotics or my patient's mother is in the middle of...
  21. KelRN215

    What if you can't get thru to a drs office??

    How did you get this referral? If the patient came from the hospital, you should have received orders for at least the initial visit. And, as far as I've always been told, cases are supposed to be...
  22. KelRN215

    Do you ever feel like you aren't *really* a nurse?

    No, I really never do and I don't know why I would. I manage very complicated patients who wouldn't be at home if it weren't for the presence of nursing in the
  23. KelRN215

    Is it best to sleep or after a night shift?

    If it were me, I'd have her come after the night shift. I could easily wake up at 7-8AM on my first night, stay awake/do normal things all day, go to work and work 12 hrs but when I got home, I was...
  24. KelRN215

    Displaying credentials

    This is clearly false. There are still diploma programs out there and MANY nurses who obtained their RN before obtaining their BSN
  25. The formula you are looking for is subtraction. You figure out how much has infused and then subtract that volume from the total volume and you get the remaining volume. Ex, if you have 1,000 mL D5NS...