KelRN215 BSN, RN

Pedi

Member

All Content by KelRN215

  1. KelRN215

    Canadian RN in Massachusetts

    Where in MA are you looking to work? We have a huge surplus of homegrown nurses in MA, with half a dozen BSN programs in Boston proper alone (Boston College, Northeastern, UMass Boston, Simmons, Mass...
  2. KelRN215

    New Grad Salary Boston?

    New BSN grads in Boston hospitals tend to earn in the $30/hr range. That's for those working shift work though. Clinic/outpatient/M-F work will almost always pay a lower base salary and you lose out...
  3. KelRN215

    Withheld meds

    What legalities are you concerned with? How are you supposed to administer meds via PEG when the PEG is
  4. KelRN215

    Am I the only one that's done this?

  5. KelRN215

    Assessment question? Is this common?

    Your colleagues are not actually assessing the patients. Let management take that up with them. You chart your findings. If the patient really did develop a new hemiparesis, of course that's...
  6. KelRN215

    Common Pediatric Meds?

    Oh ok, I was thinking onc patients. No NSAIDs for
  7. KelRN215

    Common Pediatric Meds?

    Most kids with cancer/on active chemo are maintained on some sort of PCP prophylaxis- usually Bactrim or Mepron. While inpatient/getting chemotherapy, every antiemetic in the book- zofran, ativan,...
  8. KelRN215

    Children's Hospital?

    I don't think of anything I do as "hurting" my patients. Sure they cry when they get a shot (though I've also had baby patients who laughed and clapped after getting shots) but we're not giving them...
  9. KelRN215

    Peds interview question responses!

    I agree. A lot of people "love" kids but wouldn't be able to work with the kinds of kids we take care of. I don't think I'd throw in anything about "sometimes I lose my patience though". We all do,...
  10. KelRN215

    Calling diabetes experts

    Correct. The last time I had labs checked my blood sugar was 63 mg/dL. My Endocrinologist (I have diabetes insipidus, not diabetes mellitus) was
  11. KelRN215

    Calling diabetes experts

    There's no need to treat blood sugar levels of 70 or 85 in a type 1 insulin dependent diabetic, let alone a type 2 on no hypoglycemics. How would this person become critically low by morning? She...
  12. KelRN215

    NG tube and/or oxygen oral temps?

    What would be the rationale for not taking an oral temp on a patient with an NG tube or oxygen (via nasal
  13. THIS. I'm really disappointed at the apparent lack of understanding about mental health diagnoses in this thread. Borderline, Narcissistic and Antisocial (Sociopath) are diagnosable personality...
  14. KelRN215

    Why don't you just read the chart?

    I agree with this. I don't need to be told that the patient has a 22g in his right hand, I can see that in his computer. What I want to know is when this IV was placed, were these stat labs that...
  15. What is described in the OP is not narcissism. Unless things have changed since I left bedside nursing, staff nurses are not qualified to diagnose personality disorders. Throwing around diagnoses...
  16. KelRN215

    HIPPA Violation Question: Triage

    HIPAA = Health Insurance Portability and Accountability Act. HIPPA = ? Female Hippopotamus. Presumably the patient, unless blind, can see how many other people there are in the waiting room. Unless...
  17. What's the problem? Why are you shaking your head? A peripheral lab draw isn't brain surgery, whether the phlebotomist drawing your blood is working at Walgreens or an Academic Medical Center, he...
  18. You realize that it's because of Obamacare that you even had the option to enroll in a new health insurance through the Marketplace instead of paying the full price through COBRA, right? Obamacare...
  19. KelRN215

    Notes in 3rd person style

    I think it seems clear to us because that is how we nurses are taught to chart. I can see how it would be confusing to someone outside of nursing. In general conversation you might say something...
  20. KelRN215

    Why Do We Say "Nursing School"?

    My university had 4 undergraduate schools- The School of Arts and Sciences, The School of Management, The School of Education and The School of Nursing. It's called nursing school because that's what...
  21. KelRN215

    Procrit

    Medicare is the only payer that pays a flat fee for the cert period though. Every other payer pays for the visits that are done. And the supplies are provided by a supply company, not the agency,...
  22. KelRN215

    declining a pt assignment

    Medicare does not pay for private duty nursing services, period. I assure you they are not paying for you to cook for a
  23. KelRN215

    How do you leave it at work?

    I do three things to leave work at work: 1. Turn my work phone OFF the minute the clock strikes 5:31PM. Do not turn it back on until I pull into the parking garage in the morning. 2. Occupy my out...
  24. KelRN215

    Nurses, how do you view your job?

    It's a job. I am a multidimensional person. Being a nurse is a small part of who I am- it is my job. It is not my calling or my passion or anything of the sort. It is how I pay my bills. I am...
  25. KelRN215

    When do going back to school STOP!!

    This is not true. If a teacher wants to become an administrator, she needs to go back to school. In my state, teachers need to be masters prepared within 5 years of obtaining employment in the...