KelRN215 BSN, RN

Pedi

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All Content by KelRN215

  1. KelRN215

    Homeless working the system, multiple admissions

    KelRN215 replied to adnrnstudent's topic in Psychiatric

    I have yet to encounter a hospital in which the patients are "living like Kings". Perhaps the patient- if acutely psychotic- thinks it HAS been two weeks since he last took his
  2. KelRN215

    What do you think of 11 am- 7 pm shift?

    KelRN215 replied to Seas's topic in General Nursing

    Given the option, most inpatient nurses will take 12 hr shifts over 8. I think doing 11A-7P means you'll come in and be taking a whole bunch of admissions since no one leaves at 11A to give you their...
  3. KelRN215

    Why I Am Grateful To Be Working On Thanksgiving Day

    KelRN215 replied to Michael M. Heuninckx's topic in General Nursing

    I loved working Thanksgiving when I worked in the hospital. I volunteered to work it every year for the 5 years I was working in the hospital. Having an excuse to not go to family dinner on...
  4. KelRN215

    Protocols for pre-chemo labs?

    KelRN215 replied to North Woods Nurse's topic in Oncology

    It sounds like what you need are standing orders. Not all chemotherapy requires labs prior. Methotrexate is the #1 chemo that I give in the home... most kids need pre-labs (CBC/Diff and liver...
  5. KelRN215

    scenario

    KelRN215 replied to maryann.ihejieto's topic in Nursing Student Assistance

    A colonoscopy is not a lab. And unlikely to be done in the immediate post-operative period on a patient s/p bowel resection. What is sepsis? What specific test can diagnose the presence of bacteria...
  6. KelRN215

    MRSA and nursing

    KelRN215 replied to leahkat81's topic in General Nursing

    When I worked in the hospital patients with a history of MRSA were not cleared until they had 3 negatives from 3 sites- nares, axilla and groin. Rarely was there follow-up done in the community and...
  7. KelRN215

    MRSA and nursing

    KelRN215 replied to leahkat81's topic in General Nursing

    Drug screens are to test for illegal substances and potential drugs of abuse. People are on antibiotics for a variety of reasons from acne to prophylaxis to treating infections. I assure you the...
  8. KelRN215

    Nursing Loan Forgiveness

    KelRN215 replied to mousepad11's topic in General Nursing

    I have done the Perkins Loan Cancellation program. Every year x 5 years you fill out a form which your employer signs confirming that you are working full time as a nurse. Each year, your loan is...
  9. KelRN215

    Tattoos in the workplace

    KelRN215 replied to MAH82's topic in General Nursing

    Who says we all care for an aging population? As an inner city pediatric nurse, I do not care for any patients that one would consider to be "aging." Heck, most of their parents are younger than I...
  10. KelRN215

    PRN med order question

    KelRN215 replied to sassyann85's topic in Patient Medications

    I don't think I've ever seen ativan weans done with PRN dosing. Every patient I've ever weaned from narcs or benzos had standing doses ordered and the doses decreased/times spaced until they were...
  11. KelRN215

    vital signs?

    KelRN215 replied to lovely1029's topic in General Nursing

    Which only makes it more difficult to respond to the scenario. If his VS are T 98.4, HR 84, RR 18 and BP 118/70 then there's nothing to be said about them in relation to
  12. KelRN215

    Blood glucose w high and low solutions

    KelRN215 replied to combinate's topic in Nursing Student Assistance

    I am quite certain this refers to QCing the meter- hospital policy will dictate how often this must be done. There are "high" and "low" control solutions and you need to do this to ensure that the...
  13. KelRN215

    post operative care of cardiac patient

    KelRN215 replied to fitore's topic in Nursing Student Assistance

    I'm honestly not sure what you are
  14. KelRN215

    scenario

    KelRN215 replied to maryann.ihejieto's topic in Nursing Student Assistance

    Well, what do these vitals reveal to you? What is abnormal and
  15. KelRN215

    MRSA and nursing

    KelRN215 replied to leahkat81's topic in General Nursing

    Precisely. I was surprised when I tested negative for it (and VRE) when I was hospitalized a few years ago. OP, you take antibiotics and the infection clears. There is no reason your school or any...
  16. KelRN215

    A possitive tb test

    KelRN215 replied to libra32's topic in General Nursing

    A blood test was positive or a PPD was
  17. KelRN215

    PRN med order question

    KelRN215 replied to sassyann85's topic in Patient Medications

    This order doesn't make any sense. The patient can get Ativan 1 mg q 4hrs but he can't because he can only get 2 doses in a 24 hour period. And he required 4 doses yesterday? I'm not understanding...
  18. KelRN215

    vital signs?

    KelRN215 replied to lovely1029's topic in General Nursing

    Well, how old is the patient? Other than the fever, those vitals would be beautiful for a pediatric patient but not necessarily for an adult. And do you have a baseline on this
  19. KelRN215

    Pay per visit

    KelRN215 replied to DennisGray's topic in Home Health

    Agreed. I did two very straightforward visits this morning (med compliance check/weight check and a subq injection) for kids that lived a mile apart from each other. It still took me an hour to do...
  20. KelRN215

    Nursing Student Ethical Dilemna

    KelRN215 replied to cbs701's topic in Spirituality, Religion

    I've never been aware that any random person could perform a baptism. This is weird and VERY over the line. Just because "most" people are Christians doesn't mean this family is or that they would...
  21. KelRN215

    Does applying out of state look good?

    KelRN215 replied to cat1235's topic in Job Search, Interview, Resume

    You can take NCLEX wherever you please, it's a national exam. If there weren't any dates in a local testing site, for example, you could go to Georgia or North Carolina and take NCLEX there while...
  22. KelRN215

    to hold or give insulin?

    KelRN215 replied to ViolinTreble's topic in Medical-Surgical

    The patient was NPO for a failed swallow study and wasn't on some other kind of nutritional support like TPN or NG feeds? Normal saline alone is insufficient, so I'd agree with your charge on getting...
  23. KelRN215

    Facebook and small town nursing

    KelRN215 replied to TXRN44's topic in Home Health

    The patient can share whatever information he wants about his medical care. I had an MRI on Monday. I have access to the report through an online patient site. If I wanted to (I do not, as there...
  24. KelRN215

    Home Health Job???

    KelRN215 replied to betweenus64's topic in Home Health

    No. If the child is sick enough to require a private duty nurse at home, you will be taking care of the child not doing housework. That is the job of a home health aide though most children do not...
  25. KelRN215

    What kind of shoes do you wear to work?

    KelRN215 replied to nursedani08's topic in Home Health

    I wear sneakers 3 seasons/year and snow boots in the