KelRN215 BSN, RN

Pedi

Member

All Content by KelRN215

  1. KelRN215

    "Diverting" medications

    KelRN215 replied to KJoRN81's topic in Patient Medications

    Same in my state. If a nurse observes another nurse diverting or working under the influence, any other nurse has an obligation to report the nurse to the BoN. However, the law also says: Since...
  2. KelRN215

    Disclosing that you cared for a pt??

    KelRN215 replied to Kamphaus5's topic in HIPAA Challenges

    If you can't untag yourself, you CAN report the comment to facebook and say "this is about me" and ask them to remove it. I've never reported comments like this about me but have reported things that...
  3. KelRN215

    I need your advise please

    KelRN215 replied to Guest862922's topic in HIPAA Challenges

    Public schools in the United States of America are obligated to provide for all eligible children in their district to attend school. If this means paying for a 1:1 nurse for a vent dependent child,...
  4. KelRN215

    Nursing Student Question

    KelRN215 replied to arp898's topic in HIPAA Challenges

    Favorite part of this article: Bwahahahahaha if she thinks that this is no longer the case now that she won the right to return to school in court. All you have to do is google her name and you get...
  5. KelRN215

    Nursing Student Question

    KelRN215 replied to arp898's topic in HIPAA Challenges

    Some people document absolutely everything they do on facebook. So I don't feel bad for them when they get fired or kicked out of school for their own stupidity. I had a former colleague who used to...
  6. KelRN215

    Shared rooms and confused patients

    KelRN215 replied to nurseypants328's topic in HIPAA Challenges

    Move patient 1 into a private room and give patient 2 a roommate who snores... loudly and a lot. We once had a patient with same sex parents who was in a double room. The roommate's parents...
  7. KelRN215

    NGT PROTOCOLS

    KelRN215 replied to angelmd26's topic in General Nursing

    What is the policy of the facility? It should specifically state who can place NGTs. I do not know what the guidelines in the Phillipines are. I have never seen an MD place an NG anywhere I've...
  8. KelRN215

    Heparin Flush Question

    KelRN215 replied to rbscc's topic in Patient Medications

    When it's a central line (CVL, PICC, Port-a-cath). When it's not a central
  9. KelRN215

    what is the 1st step to obtain license in hawaii

    KelRN215 replied to bubbles__'s topic in General Nursing

    Do you mean to obtain your actual physical license in the mail? There is no next step. If you applied to the Hawaii BON when you applied to take NCLEX, you are now licensed and will receive your...
  10. KelRN215

    Letter of resignation typed or handwritten?

    KelRN215 replied to Cynnie24's topic in Nursing Professionalism

    Would you submit an application to a prospective job with a handwritten cover letter? Of course not. You need to write a professional, typed letter of resignation for your current job. Be specific...
  11. KelRN215

    "Diverting" medications

    KelRN215 replied to KJoRN81's topic in Patient Medications

    The BoN doesn't track employees' job histories and the jobs they've been fired from. A complaint needs to be made with the BoN before a nurse's license is investigated. Since there are no details in...
  12. KelRN215

    Boston children's hospital cicu

    KelRN215 replied to AnnieOaklyRN's topic in Massachusetts Nursing

    It will help you when you finish. Do not expect them to even glance at your application until you have completed the program. All their job listings clearly state (bolded, in some listings) that a...
  13. KelRN215

    Boston Children's Hospital- B.S.N. Only?

    KelRN215 replied to AnnieOaklyRN's topic in Massachusetts Nursing

    The answer is yes, BSN only for new hires. As the only free-standing Children's Hospital in New England, they know they have applicants lined up wanting to work for them. Be warned that IF you...
  14. KelRN215

    Kids Say the Darndest Things...

    KelRN215 replied to Music in My Heart's topic in Pediatric

    Nearly every post I've made on this thread has been about the same kid. The other day when I was there, she told me she was going to ask me "some really hard math questions." She then proceeded to...
  15. KelRN215

    Need a HH daily agenda

    KelRN215 replied to foggnm's topic in Home Health

    Private insurance companies have their own guidelines- patients with private insurance don't necessarily have to be homebound to qualify for skilled nursing visits. Almost none of my patients...
  16. KelRN215

    Medical marijuana for kids?

    KelRN215 replied to cayenne06's topic in Pediatric

    I've yet to see it prescribed for any of my pediatric oncology patients. I HAVE seen marinol used in kids as young as 5 for nausea/vomiting post
  17. KelRN215

    child abuse question?

    KelRN215 replied to Humaneclowninscrubs's topic in Nursing Student Assistance

    What were the other 2 choices? Out of the 2 given, I'd ask the child what happened and the answer would most likely be "I fell running the bases at my little league game" or something like that. You...
  18. KelRN215

    HUGS?!

    KelRN215 replied to sparky605's topic in General Students

    I've worked pedi my entire career... if my patient wants to hug me (instead of kick me in the face), I'm all for
  19. KelRN215

    Inpatient carbohydrate counting?

    KelRN215 replied to lovin's topic in Diabetes, Endocrine Nursing

    Of course the patient has to count but since, on the inpatient side, it's the nurse's responsibility to calculate and administer insulin, he/she needs to double check the
  20. KelRN215

    Need help finding a palliation issue

    KelRN215 replied to Tammy90's topic in Nursing Student Assistance

    Any time something like this comes up, I will always, always, always remember a patient from one day in clinical. My clinical instructor sent me to the MICU for the day. The patient was a young-ish...
  21. KelRN215

    Need help finding a palliation issue

    KelRN215 replied to Tammy90's topic in Nursing Student Assistance

    I once had a 17 10/12 yr old female with terminal brain cancer who had a scan that showed progression... Mom wanted to continue treatment, she did not. To the point where she started trying to pull...
  22. KelRN215

    Help with fluids/electrolytes.

    KelRN215 replied to studentnursemon86's topic in Nursing Student Assistance

    Normal saline with any dextrose is most definitely not contraindicated for patients who are NPO. The most common IV fluids you'll probably see in the hospital are D5 NS and D5 1/2 NS and you will...
  23. KelRN215

    Peak and Trough Levels

    KelRN215 replied to ChooSoul's topic in General Students

    Trough is drawn just prior to the next dose (within 30 min or so), peak is drawn when the drug peaks in the patient's system. It varies by drug. Some might peak almost immediately and others several...
  24. KelRN215

    Central lines and air embolism ?

    KelRN215 replied to Cook23's topic in General Students

    Also, was this your first time drawing blood from a central line? If so, why wasn't someone with
  25. KelRN215

    Central lines and air embolism ?

    KelRN215 replied to Cook23's topic in General Students

    The patient is not going to get an air embolism through the positive pressure caps on the end of each lumen. Kids play with the clamps on the end of their lines all the time with no air embolisms...