KelRN215 BSN, RN

Pedi

Member

All Content by KelRN215

  1. KelRN215

    PICC Sign above bed

    What is the purpose of this sign? When I worked in the hospital, we used signs mainly to instruct the aides NOT to take BPs on the extremity where the PICC was. The sign would simply say "No BPs on...
  2. KelRN215

    Pediatric Nursing

    Today, a mother lost custody of her child because of me. It was the right decision and I had no choice but to file a report with the state after what I witnessed yesterday but it IS a challenge...
  3. KelRN215

    Narcotic administration times

    Why would it look odd? If you remove 1 tab at 1400 and sign it out as such and then remove the second at 1430. I don't see the
  4. KelRN215

    pay

    If you work full-time and aren't paid per visit, it's very easy to earn a living doing visits. I do it and many of my former hospital colleagues do it as well. I am paid better now than I ever was...
  5. KelRN215

    an RN is a practicing Jehovah's witness

    Since when do RNs take "oaths"? I haven't taken an oath since my days in the girl scouts. If working 4 weekend shifts a month is required and she is unwilling to work Sundays, tell her she can...
  6. This is quite possibly the most untrue statement I've ever read. We do NOT keep individuals alive no matter the cost. We use palliative care and hospice to facilitate good deaths all the time. If...
  7. KelRN215

    Interventions without MD orders

    Well I AM a supervisor and yes, we had a state review recently and everyone who reviewed my documentation found no issues with it. A child's central line dressing becoming non-occlusive before a week...
  8. KelRN215

    Nursing License # on CE certificate

    I don't think I've ever had a CEU certificate with my license number on it. When I worked in the hospital, they'd hold classes and there would be a pile of CEU certificates in the back of the room...
  9. KelRN215

    pay

    I work 40 hrs/week so that's how I make money doing
  10. I've had a PTO system in every job I've ever had and I LOVE it. I wouldn't get six weeks of vacation time under a different system. I never call in sick so I don't want days designated as "sick...
  11. KelRN215

    Central line dressing question

    I imagine "any reason" doesn't include "there was C-Diff diarrhea on the dressing". Because we've had a baby with that issue
  12. KelRN215

    Disgusted

    OP hasn't been back, I think it's ok if we veer a little off
  13. KelRN215

    Charting

    Under respiratory assessment, I would note "dyspnea" and then make a comment stating that you notified whomever and what was done as an
  14. KelRN215

    ideas needed

    I did not give any gifts to classmates nor did I receive
  15. KelRN215

    Central line dressing question

    Central line dressings are changed q 7 days or when soiled/non-occlusive. The more you mess with the line, the higher the risk of infection. What is the charge's
  16. KelRN215

    low diastolic B/P parameter

    58 is a fine diastolic pressure. It sounds like a stupid glitch in your computer program. There's nothing wrong with a DBP of 58. I can only imagine the response if you called an MD to report a BP...
  17. KelRN215

    Agency is going to hourly vs pay per visit

    There are pros and cons to both. Per visit is great when you have, say, 8 easy visits to do that only take 20 minutes each but it's not so great when you have fewer visits or when the visits are more...
  18. KelRN215

    Question for night-shift and/or weekend nurses

    Disadvantage? Not seeing the NM is, by far, the biggest ADVANTAGE of working nights. When I worked in the hospital, I was a rotater and I FAR preferred nights to days. At 0630, the night shift...
  19. KelRN215

    Interventions without MD orders

    A Physician can make as many home visits as he likes. GrnTea stated that a physician is specifically not qualified to evaluate a patient for level or hours of nursing service. An MD does not go to...
  20. KelRN215

    Interventions without MD orders

    It's funny when they think they do. We had a private duty patient and when he was re-evaluated for his nursing hours, the nurse case manager determined he no longer qualified as he had fully...
  21. KelRN215

    Magnet status and the public

    TRUTH. When I worked at a "Magnet" Hospital, they cherry picked the nurses who would be allowed to meet with the Magnet representatives and coached them on how to answer the questions they were...
  22. KelRN215

    Where is the Passion?

    I am passionate about traveling the world. Nursing is my job. It pays the bills. If I didn't get paid for it, I wouldn't do it. It's not necessary to be overly passionate about your
  23. Well, it sounds like you have made your decision then. If I really wanted to do both, I'd drive home on Wednesday night, go to the open house on Thursday and then drive back Thursday night to be at...
  24. KelRN215

    Heparin Math.....HELP

    You don't round 85 kg to 90 kg for this problem. Since when do you round weight to the nearest 10th for calculating doses? The correct bolus dose for the patient who weighs 85 kg is 6800 units...
  25. I decide to suction a trach when a snot rocket is coming out of