KelRN215 BSN, RN

Pedi

Member

All Content by KelRN215

  1. KelRN215

    Boston area children's hospitals

    KelRN215 replied to 21strawberry's topic in Massachusetts Nursing

    Boston Children's is the only true Children's Hospital in Massachusetts. There are 4 ICUs there. The NICU, the MSICU, the CICU and the MICU. This is where you will find the children requiring the most...
  2. KelRN215

    Can anyone answer this with steps so I can learn?

    KelRN215 replied to maddyfan4's topic in Nursing Student Assistance

    First step = convert child's weight in pounds to kg. Second step = determine child's dose my multiplying mg/kg/dose by child's weight in kg Third step = Use the dose determined in step 2 to figure out...
  3. KelRN215

    How to calculate pediatric I&O and caloric intake

    KelRN215 replied to xmilkncookiesx's topic in Nursing Student Assistance

    Does the child have an ostomy? Is he or she on TPN? Also, these are CHRONIC diagnoses. What was the child admitted for? I have been a pediatric nurse for almost 10 years and I cannot think of any way...
  4. KelRN215

    How to calculate pediatric I&O and caloric intake

    KelRN215 replied to xmilkncookiesx's topic in Nursing Student Assistance

    There's no way 5L can be the correct intake for a 15 kg child. Maintenance fluid for a child of this size would be 50 mL/hr. Even if the child needed fluid boluses, those are usually done as 10-20...
  5. KelRN215

    Procedure Error: How Bad Is It?

    KelRN215 replied to wanna_be's topic in Patient Safety Issues

    Consent is the responsibility of the provider performing the procedure, NOT the RN. Procedural consent is the responsibility of the Surgeon. Anesthesia consent is the responsibility of the...
  6. KelRN215

    My Arm Touched the Walll!

    KelRN215 replied to villageRN's topic in School

    When I worked per diem at a boarding high school, I once had a student come to see me and say "my nose hurts when I do this" and then hit himself in the nose. My solution? "Don't do that." Back to...
  7. KelRN215

    I did a Google search, and my RN information and a bunch of other things are there?

    KelRN215 replied to rumwynnieRN's topic in General Nursing

    Nursing licenses are public record. The BON in my state doesn't publish my full address, just town, date license was issued, date of last renewal, expiration date, school I graduated from and any...
  8. KelRN215

    casemangers: do you call the md every recert?

    KelRN215 replied to kembers's topic in Home Health

    It depends. When I worked home health, the bulk of my patients were pediatric oncology. A child with ALL is on treatment for 2 years and we know that their needs are consistent. So there was no need...
  9. KelRN215

    Help. No pay for orientation and buy their uniform?

    KelRN215 replied to HappyCNA's topic in General Nursing

    Not paying for orientation is definitely 100% illegal. The company is not legally required to pay mileage though. If they don't, miles driven for work purposes such as this can be deducted on your...
  10. KelRN215

    I hate Sim Man's Genitals!

    KelRN215 replied to Zooey72's topic in General Students

    Do you think people just wake up one day and say "I'm having trouble peeing. I think I'll buy some straight caths on amazon and start cathing myself?" People who cath at home do so because they've...
  11. KelRN215

    Help! Sleeping too much after my shifts are over!

    KelRN215 replied to glittermoomin's topic in General Nursing

    What you described is exactly why I hated evening shifts when I was a hospital nurse. It seems great/that you'll have ample time before work to get things done but it never seems to work out that way....
  12. KelRN215

    Do I take my first job offer?? HELP

    KelRN215 replied to RNjackie23's topic in General Nursing

    You would love to live in Charlotte and 100% want the unit you were offered there. Seems like a no-brainer to me. When I graduated I 100% knew I wanted pediatrics and would have been willing to move...
  13. KelRN215

    Anyone know about Labor Laws?

    KelRN215 replied to iowaALF-RN's topic in General Nursing

    There are no laws at the federal level but some states do have laws re: PTO. I doubt that any state has a law stating "employees must be granted all requested PTO" on weekends or otherwise. State laws...
  14. KelRN215

    Okay to yell at the pharmacist for this?

    KelRN215 replied to T-Bird78's topic in Patient Safety Issues

    Pharmacists are my closest colleagues at my current job and I don't believe for a second that a Pharmacist really told the patient "oh I'm sure you outgrew that allergy" and wouldn't call the MD to...
  15. KelRN215

    Should I report the person who scheduled me to a patient I should not have been sitting?

    KelRN215 replied to Rayrayma's topic in Patient Safety Issues

    The dude didn't "almost die." No one is going to die from ripping out a peripheral IV. A peripheral IV is in a very small vein. It will bleed a little and then clot quickly. Even a PICC or central...
  16. KelRN215

    Need your input on lumbar drains

    KelRN215 replied to cdibley's topic in General Nursing

    Yeah, I worked pediatric neurosurgery for 5 years and we definitely didn't require our lumbar drain patients to be on strict bedrest with HOB flat. They got up and walked to the bathroom, they did PT....
  17. KelRN215

    Do nurses have to work from home?

    KelRN215 replied to lilythorburn's topic in General Nursing

    A staff nurse in a hospital doesn't work from home. That does not mean, however, that your work won't call you on the regular on your days off asking you to come in because they had a sick call. But...
  18. KelRN215

    Need help defining ethical dilemmas

    KelRN215 replied to Roda dendron's topic in Nursing Student Assistance

    And here's something to think about on this topic, OP. How would this patient's case have been different if the diagnosis was stage IV high risk neuroblastoma with n-myc amplification? Or diffuse...
  19. KelRN215

    Need help defining ethical dilemmas

    KelRN215 replied to Roda dendron's topic in Nursing Student Assistance

    There's a very obvious one that comes up on the regular in pediatric oncology. What happens to children's blood counts after they get chemotherapy? How do you treat severe anemia in an oncology...
  20. KelRN215

    Enternal feeding

    KelRN215 replied to SRpn21's topic in Home Health

    The Kangaroo people state that the Joey's accuracy is +/- 7%. So it appears to be operating within its listed accuracy based on your examples. When water is added, they admit that it overdelivers by...
  21. KelRN215

    Letters home to parents

    KelRN215 replied to KeeperOfTheIceRN's topic in School

    This reminds me of when I was in 6th grade. Our middle school was offering Hep B shots but I didn't want the shot so I never brought the permission slip home. My mom knew about the program so she...
  22. KelRN215

    Enternal feeding

    KelRN215 replied to SRpn21's topic in Home Health

    What was the volume of the formula in the bag and the volume to be dosed programmed into the
  23. KelRN215

    Enternal feeding

    KelRN215 replied to SRpn21's topic in Home Health

    Did she account for the priming volume of the bag when she poured the formula in? 4 mL is negligible for an adult and, as the others have said, likely well within the margin of error for the Joey...
  24. KelRN215

    patient spitting out medication

    KelRN215 replied to RnMightyMouse's topic in Patient Medications

    The patient has the right to refuse. And it's just Senna. Who cares about
  25. KelRN215

    Missing PCA key

    KelRN215 replied to Melanin's topic in Patient Medications

    This is all that will