KelRN215 BSN, RN

Pedi

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All Content by KelRN215

  1. KelRN215

    DNR Turning Into Do Not Treat?

    KelRN215 replied to EllaBella1's topic in General Nursing

    I feel like it's the opposite in pediatrics. But when a child is a DNR, it's generally because they have a progressive disease and are expected to die in the relative short-term, not just someone...
  2. KelRN215

    Duty to inform?

    KelRN215 replied to angeloublue22's topic in General Nursing

    The only "duty to warn" law I am aware of is a result of Tarasoff v Regents of the University of California and applies to mental health providers who have a duty to warn a potential victim if their...
  3. KelRN215

    Feeling Guilty

    KelRN215 replied to Goofaroo's topic in General Nursing

    When you say bolus are you talking about just a PRN PO dose? And what is the frequency of the order? 80 mEq of KCl in a day would be a lot. 40 mEq is a lot in a single dose. Typically you shouldn't...
  4. KelRN215

    I got a C+ in Pharmacology & I am really discouraged about my future as a nurse ..

    KelRN215 replied to Sherlsx3's topic in General Students

    One C+ is not going to prevent you from getting a job. I got a C+ in some class in college. I forget if it was Pathophysiology or Pharm. Maybe Patho. I didn't study much that semester when I turned 21...
  5. KelRN215

    Pension plan

    KelRN215 replied to LookForward's topic in General Nursing

    When I worked in the hospital, we had a hospital pension, which was automatic and you were vested after 3 years, and the option to contribute to a 403B. It's up to you if you want to contribute to a...
  6. KelRN215

    Brain death and refusal to remove life support

    KelRN215 replied to Legaltrends's topic in General Nursing

    Also, for the OP, in most situations, family consent is not needed to withdraw support from a brain dead patient. Brain death is determinant of death in all 50 states. In the case of Jahi McMath, she...
  7. KelRN215

    Brain death and refusal to remove life support

    KelRN215 replied to Legaltrends's topic in General Nursing

    I think they moved to New Jersey specifically because its state laws accommodate religious beliefs that do not recognize brain death. She is on NJ Medicaid....
  8. KelRN215

    Frustrated Patient

    KelRN215 replied to jojomarie26's topic in General Nursing

    There is not nearly enough information in the OP to make a judgment. What are the patient's symptoms? What has been done as far as testing in the past? This thread made me think of everything I went...
  9. KelRN215

    Feeling Guilty

    KelRN215 replied to Goofaroo's topic in General Nursing

    Why would you give a potassium bolus for a K+ of 3.4? That's not critically low. What did the PRN order say? When I worked in the hospital, the policy was no IV potassium boluses unless the K+
  10. KelRN215

    when to apply for jobs

    KelRN215 replied to midwifemae's topic in General Students

    I submitted my resume online in January of my senior year of college to the floor that I was going to be doing my practicum on. Just before spring break, my preceptor mentioned to the director that I...
  11. KelRN215

    Ethical Dilemma

    KelRN215 replied to lilfayfay's topic in General Students

    Ok, what you describe is not an ethical dilemma. You think that diarrhea is worse than a stroke? When a medication is contraindicated, it's not offered to the patient for symptom control. Fluid and...
  12. KelRN215

    respiratory therapist

    KelRN215 replied to nursingnurse2b1's topic in Pre-Nursing Students

    No way. I read a joke once (I don't remember if it was on here or elsewhere) that the way to tell the difference between a nurse and a respiratory therapist is to put them up to their necks in poop...
  13. KelRN215

    What is the hardest shift you ever had?

    KelRN215 replied to vxxen's topic in General Nursing

    I remember it specifically as the day John McCain named Sarah Palin his running mate. I had been a nurse for about a year. It wasn't just me, it was the whole floor. We had multiple emergent OR cases,...
  14. KelRN215

    Straight Cath over 1000ml

    KelRN215 replied to diana1234's topic in General Nursing

    I never saw one of these kits that you speak of in pediatrics. We simply had the straight catheters and then grabbed castile soap towelettes or betadine swabs separately for cleaning. The drainage end...
  15. KelRN215

    Duty of care? Opinions please

    KelRN215 replied to sharpie12's topic in Patient Safety Issues

    In that situation, any prudent nurse would call 911 unless, as stated previously, the patient was known to be a DNR. If the patient was back to baseline by the time EMS arrived, he could refuse the...
  16. KelRN215

    Duty of care? Opinions please

    KelRN215 replied to sharpie12's topic in Patient Safety Issues

    My opinions as a former home health nurse- 1. Unless the patient and I had previously established that I could enter his home without knocking, I would not have entered the home. When I was a visiting...
  17. KelRN215

    Memorizing drug interactions!

    KelRN215 replied to Banana nut's topic in General Students

    Memorizing interactions is NOT the way to be the safest nurse you can be. The way to do that is to verify interactions prior to administering the drugs. Are there some things you may do frequently so...
  18. KelRN215

    Could the reason I got fired from my last job affect becoming a nurse

    KelRN215 replied to Allie94's topic in Nursing Career

    You cannot lie and list someone who isn't your supervisor as your supervisor. You can give whomever you please as a reference. Whether or not the reference is acceptable to the prospective employer is...
  19. KelRN215

    OT

    KelRN215 replied to nonnocere808's topic in General Nursing

    That's exactly what they're doing. They gave you a supervisor title because it was an exempt position knowing full well that, as a supervisor, you'd have to continue doing staff nurse duties because...
  20. KelRN215

    Insecure about not graduating nursing with honors..

    KelRN215 replied to Mshustler's topic in General Students

    How can EVERYONE have graduated with honors when cum laude is the top 25% of the class, magna cum laude is the top 10% and summa cum laude is the top 5%? Everyone cannot be in the top 25%. This is...
  21. KelRN215

    Smallest gauge for blood draw?

    KelRN215 replied to KLouHerout's topic in General Nursing

    We definitely draw blood from 24 g IVs when placed or 25 g butterfly needles in pediatrics. You can't use a 20 g on a baby. I agree that an insulin needle is not appropriate for a blood draw, it's...
  22. KelRN215

    OT

    KelRN215 replied to nonnocere808's topic in General Nursing

    It sounds like your official title is that of a supervisor and the position is considered exempt, therefore you are not required to be paid overtime. I worked for a hospital that considered all staff...
  23. KelRN215

    Could the reason I got fired from my last job affect becoming a nurse

    KelRN215 replied to Allie94's topic in Nursing Career

    Which, in most places, is not grounds for termination or being ineligible for re-hire so the prospective employer will know you're lying. I know multiple people, in nursing, who met their spouses...
  24. KelRN215

    nursing for money

    KelRN215 replied to spark1's topic in General Nursing

    Yes, in that it's not a hobby and I wouldn't do the job if I weren't being paid but I wouldn't say "the money" is the reason I chose
  25. KelRN215

    reasons for choosing

    KelRN215 replied to spark1's topic in General Nursing

    8th grade. I was obsessed with ER. Julianna Margulies' character Carol Hathaway was a nurse and she was dating Dr. Doug Ross, played by George Clooney. I'm not even kinda