KelRN215 BSN, RN

Pedi

Member

All Content by KelRN215

  1. KelRN215

    How honest to be when quitting a job

    When I left my hospital job 5 years ago, about 25% of our staff had left or were leaving. Several people did exit interviews with HR and specifically told them that our manager was the reason they...
  2. KelRN215

    Do nurses use "Linked In"?

    I use it now but didn't when I was a floor nurse. I get contacted by recruiters on the regular. Most of the time, it's for jobs I'm not interested in. Once it was for a PT position in NY when my...
  3. KelRN215

    Can I stay home and watch my boyfriend.

    Someone with a craniectomy and missing bone flap I assume would have a helmet. And I agree, a year is a long time. When I worked in neurosurgery, most patients had their bone flaps replaced before...
  4. KelRN215

    Can I stay home and watch my boyfriend.

    And I was thinking it was a craniectomy/missing bone flap. I have never heard of anyone describe anything as a "patch" on the back of one's head after a stroke or neurosurgery. And I worked in...
  5. KelRN215

    License at Risk? Put up or shut up,,,

    I personally know of one- my friend's sister-in-law. Her family still thinks she is an RN even though she actually works as a secretary. She diverted narcotics from her employer and then failed to...
  6. KelRN215

    Can I stay home and watch my boyfriend.

    Me too. This makes no sense with no background other than "he had a stroke a year
  7. KelRN215

    IV Piggyback

    We ran zosyn over 1/2 hr when I worked in the hospital and we run it over a half hour as a standard in my current home infusion job. With zosyn q 6hr and vanco q 12, just schedule them so they can...
  8. KelRN215

    When to Start Applying for Jobs?

    The earlier the better for new grad positions. There will probably be fewer new grad positions in the winter since most people graduate in May. When I was a new grad (granted this was 10 years ago), I...
  9. KelRN215

    A Sign From God?

    You were at the Nursing building and found a stack of all the textbooks you need for that nursing school because they belonged to a nursing student at that
  10. KelRN215

    Am I bedside nurse material?

    I've been a nurse for 10 years and I've never encountered a worm of any kind in any of my jobs. Poop in a toilet bowl (which I imagine you see in your own life every day) is probably the LEAST common...
  11. KelRN215

    IV drip questions?

    300 mg/250 mL x 1 hr/21 mL would give you mg*hr/mL^2. If you want to figure out mg/hr, you need to match up your equation as mg/mL x mL/hr, the mL cancel out and leave you with mg/hr. Side note, an...
  12. KelRN215

    Syringe driver terror

    What do you view as "causing harm"? Treating pain in an end of life patient is not going to cause them harm. These patients are dying. They will die with or without pain medication. The difference is...
  13. KelRN215

    Dosage Calculations

    Yes, if you are trying to administer 110 mL over 1/2 hr, the rate is 220 mL/hr. The dose in mg of the drug is irrelevant. If you have 250 mg in 110 mL, 500 mg in 110 mL, or 1g in 110 mL, the rate...
  14. KelRN215

    Why pediatrics?

    I agree with you that this ALMOST never happens. Very rarely I have encountered a whiny teenager who doesn't want to get out of bed. When I worked inpatient, I had a teenager who was s/p Chiari...
  15. KelRN215

    Nurse Shortage Puts Vermont Parents on the Hook for Kids' Care

    This problem is not unique to Vermont. Private duty agencies pay crap and the pay rate is typically flat. You make the same if you're a new grad or a nurse with 30 years experience or if you've worked...
  16. KelRN215

    Dosage Calculations

    You calculated the rate at 220 mL/hr then in the next step programmed the pump to run at 8.8 mL/hr. Why? The 250 mg (which is a ridiculously low dose of ceftaz) is irrelevant when programming the...
  17. KelRN215

    Reaching Out!

    This is not what you would be doing as a Nurse Manager, the one who "runs" the floor. I don't really think anyone "delegates tasks" to RNs. The RN is the one in charge of taking care of the patient....
  18. KelRN215

    Pediatric Nurse vs Occupational Therapist?

    How do you think pediatric OTs have more flexibility than nurses? I'm genuinely curious. What kind of flexibility do you think they have that RNs don't? Basically anywhere that an OT works will employ...
  19. KelRN215

    Syringe driver terror

    I will always come back to my 8 year old, 24 kg patient who was on 100 mg of morphine AN HOUR with 10 mg boluses available q 10 min PRN at the end of his life when this topic comes up. The normal dose...
  20. KelRN215

    Help me;O : Consent in health law

    Forgetting to have the patient sign the consent before putting her under anesthesia is NOT an appropriate reason to have the husband sign the consent for her. This was an elective procedure, not an...
  21. KelRN215

    Milk and Fever

    I've been a pediatric nurse for 10 years and have never heard anything like this before. So do people who believe this think you should starve the baby? Newborns should not drink anything other than...
  22. KelRN215

    First time receiving IV antibiotic

    Our field nurses do first doses in the home with appropriate anaphylaxis orders. The hospital I liaise at's policy is that first doses cannot be administered in the home so when children come in for...
  23. KelRN215

    How do lab draws work on your unit?

    Oncology patients will have labs drawn daily but most pediatric patients do not. Some never have labs drawn throughout their hospitalization. When I worked in the hospital, phlebotomy came to the unit...
  24. KelRN215

    New grad private duty pay

    It matters not if you are a new grad or a nurse with 30 years' experience in private duty. Rates are typically flat because they are based solely on Medicaid reimbursement. I can tell you that that...
  25. KelRN215

    How do your students address you?

    When I worked per diem in a boarding school, I was told that I had to be Ms Last Name. I would have much preferred to just go by my first name- when I was in high school, we called our school nurse...