KelRN215 BSN, RN

Pedi

Member

All Content by KelRN215

  1. I regularly take my meds without water but I would never expect a patient to do the same. In the US, it would be unheard of for there to not be potable water readily available on any floor. When I...
  2. KelRN215

    National Normal Saline Shortage

    My Infusion Pharmacy has said that all meds that can be pushed will need to be pushed until the shortage is
  3. KelRN215

    National Normal Saline Shortage

    It's because of the hurricane that destroyed Puerto Rico. Most normal saline for US hospitals is manufactured
  4. KelRN215

    Real Dumb Question re: Infant Vital Signs

    I definitely had patients that I saw for blood pressure checks when I was a visiting nurse and the visits were approved- both by Medicaid and private
  5. KelRN215

    New grad needing time off after 5 months?

    I would negotiate after you receive an offer. When I accepted my last job, I had a vacation planned ~ 3 months after I would start the job that I had already paid for. After I got the offer, I...
  6. KelRN215

    Shortages r/t Puerto Rico

    I am a home infusion liaison for a pediatric hospital that does NOT like IVP antibiotics for any patients, including adults. D/t the shortage of normal saline, my Pharmacy recently made a rule that...
  7. KelRN215

    NG Tube?

    I am currently working as a liaison for an infusion/enteral company and I send kids home with NG tubes/on NG feeds that they will return to school with all the time. I have a first grader going home...
  8. The farther I've gone along in my nursing career (10 years now), the less I want my colleagues to know about my personal life. At my first job, my co-workers knew a lot about me. I worked in...
  9. KelRN215

    called 911

    It's always better to call 911 and not need it than to not call 911 when you really needed it. I never had to call 911 when I worked per diem at the boarding school but did a couple times when I was a...
  10. KelRN215

    Odd situation-should I be worried?

    There are 2 feeding pumps commonly used in home care. The Infinity pump and the Joey pump. These are the only feeding pumps my current employer dispenses to patients and the only pumps I ever saw in...
  11. KelRN215

    Real Dumb Question re: Infant Vital Signs

    Child should have a visiting nurse coming to take his blood pressure or a dinamap in the home if parents are expected to take it. I had several infant patients at my last job who needed frequent blood...
  12. KelRN215

    Jehovah's Witness and Blood Refusal in OR

    I don't work in the OR nor have I ever. And I definitely understand about Residents. I once had a Resident have a mother sign a surgical consent form for an 18 year old (who was alert, oriented,...
  13. KelRN215

    Jehovah's Witness and Blood Refusal in OR

    A blood transfusion takes a matter of hours. If the patient is alert enough to consent to a transfusion, it seems to me like it would be easy enough to schedule this transfusion after visiting hours...
  14. KelRN215

    PICC line flush after blood draw

    This has been the policy everywhere I've ever worked. You flush with saline, withdraw your waste, draw your sample, flush with saline, lock with 10u/mL
  15. KelRN215

    Teenager with seizures kept from school?

    And seizures were NOT the reason why. A student cannot be excluded from school because of a medical condition. The school would either need to provide appropriate services for him or pay to send him...
  16. KelRN215

    No Restraint Policy

    The hospital's "no restraint" policy is irrelevant in this situation. The patient is a prisoner. When I worked in the hospital, any time we had kids who came from juvie, they were shackled and...
  17. KelRN215

    High Flow Oxygen

    In pediatrics- especially cardiology or kids with various congenital defects that affect the respiratory system and swallowing, kids are on O2 and NG feeds all the time. The NG tube isn't that big....
  18. KelRN215

    What's night shift like in pediatrics?

    My floor was Neurology, Neurosurgery, Neuro-Onc. Nights in general were less busy than days but nothing was as "I want to poke my eyes out boring" as the night that I got floated to a general surgery...
  19. KelRN215

    Nursing school plus lifting restrictions?

    If you are cleared for all the lifting involved in clinicals why are you not cleared to return to work? Yes, I would very much expect your employer to question this as they are paying for your...
  20. KelRN215

    What's night shift like in pediatrics?

    In theory, there are fewer family members but not always. Your patient could have an infant sibling that the mother is breastfeeding and then that baby gets to stay, too. On days, there are more...
  21. KelRN215

    I went to work with a black eye

    I highly doubt that your manager thought you were in a bar fight and suspect that she was concerned that you are a victim of domestic violence. I used to play floor hockey weekly. One of my friends...
  22. We gave each other injections of a small amount of normal saline in skills lab but it was definitely deltoid only for IM. I would not have allowed another student to administer a ventrogluteal IM...
  23. KelRN215

    ER visits

    The root of the problem is that many primary care offices don't accept Medicaid. Someone I went to high school with who, no doubt in my mind, is on Medicaid used to regularly post on facebook about...
  24. KelRN215

    Ethical issue?

    The patient has rights to this information. The family does not have a right to demand that staff withhold it from her. Ethics or Social Work should have been called to speak with the family. Lying to...
  25. KelRN215

    Loan repayment/forgiveness

    If you have a Perkins loan, it can be canceled after 5 years of working full-time as a nurse. I have no personal experience with anything beyond that. Federal nursing loans can be canceled if you work...