KelRN215 BSN, RN

Pedi

Member

All Content by KelRN215

  1. KelRN215

    Injection Adminstration

    Anaphylaxis to a vaccine is a VERY rare event. That said, I am quite certain that a pharmacist would be able to administer an EpiPen and call 911. And I'm sure that pharmacies that are providing flu...
  2. KelRN215

    100% sure I failed - stopped at 75

    It is possible to fail at 75 questions but you have to be so far below the passing line that there's no way you could pass if you answered another 190 questions. I think it's more likely to pass if...
  3. Infants don't eat 3 meals a day. They drink bottles or breast feed all day and night long. The American Academy of Pediatrics recommends exclusive breast feeding for the first 6 months. Purees are...
  4. KelRN215

    Nurse school project

    You are unlikely to find someone to answer your questions here. You are less likely to be able to guarantee that someone who does answer these questions actually is a nurse....
  5. KelRN215

    How many of you actually enjoy your job?!

    Most days I like my job but, that said, work is work. It's not meant to be the source of one's happiness or enjoyment, it's work not leisure. There are many parts of my job that I don't like-...
  6. KelRN215

    Kiddos

    Not a NICU but a pedi nurse. I rarely use the term "kiddo", but do call little boys "buddy" a
  7. Managed care is the bane of my existence. I manage a program for pediatric home visits and some of these devil incarnate insurance companies will only approve nursing services for 2 weeks at a...
  8. KelRN215

    Should I let my manager beat me at Trivia Crack

    I don't care who my opponent is, I "let" no one
  9. KelRN215

    Frequency: N&T QID?

    "Now and today" makes no sense, IMO. Just call and
  10. KelRN215

    Bilingual Nurse vs. Interpreter

    When I worked in the hospital, I used the interpreters for admission assessments and discharge teaching, even though I speak/understand Spanish. For the day to day stuff, I just talked to the...
  11. Don't do it. There are many potential downsides and not a single upside I can think
  12. KelRN215

    Concern for Type I diabetic

    Yes this sounds pretty identical to my patient. When confronted with the facts, the kid's parents basically say "it's his disease, it's his responsibility to manage it." The kid is
  13. KelRN215

    Losing a patient in home nursing

    I walked into a patient's home today and she looked like death. That's the best way I can describe it. This child is dying but is still undergoing aggressive treatment for her cancer (high risk...
  14. KelRN215

    Ethical question-WWYD?

    The mother had EpiPen Jr? So 1/2 the dose of an adult EpiPen? When I worked per diem in a school (high school) we had standing orders for EpiPens and several in stock. (There's a program that...
  15. KelRN215

    Giving meds in J-tube instead of G-tube

    Meds CAN be given through a J-tube, I've seen it many times with kids whose G-tubes are to drainage 24/7. Some have G/J tubes with G for meds and J for feeds while others have G/J tubes where the J...
  16. KelRN215

    Concern for Type I diabetic

    An 11 year old doing everything independently? Mom probably isn't supervising her at home and she's skipping doses or not giving them correctly. She's a bit young to be underdosing herself on...
  17. KelRN215

    When Is OUR Parade?

    [i am also a huge Pats fan. The Ravens game was the most stressful 3 hours of this year for me, I watched the Colts game from South America and I was shaking during that final drive on Sunday.] I...
  18. KelRN215

    private school school nurse postings

    The pay at private schools is LESS than public schools in general. Public school teachers are usually represented by unions, at least where I live. I briefly worked per diem at a private school and...
  19. KelRN215

    Have you ever been subpoenaed?

    I fully expected to be after the state took custody of one of my patients because of something I found in the home but I haven't. The state is incredibly sloppy with their investigating- they didn't...
  20. You are never required to maintain a license. If you move out of state with no intentions of ever moving back, you can let your license lapse. As long as your license is current in the state that...
  21. KelRN215

    Losing a patient in home nursing

    Maybe I've been working in pediatric oncology for too long (almost 8 years) or maybe I'm just completely jaded, but I think it does get easier. I don't remember the last time I cried over a patient's...
  22. KelRN215

    Concern for Type I diabetic

    If the student has a blood glucose of 500 mg/dL, I'd hope you'd be calling the Endocrinologist. Endos in my neck of the woods expect to be called for any reading > 400 mg/dL. How old is the...
  23. KelRN215

    mandatory flu shot

    How would it be a violation of
  24. KelRN215

    Medication orders

    You're not on a computer order entry system? Your hospital should focus on rolling that
  25. KelRN215

    weekend work Harder?

    Weekends are less hectic. Fewer discharges, no scheduled admissions, no scheduled surgeries, no management. In pediatrics, visitors are there weekend or