AlabamaBelle

AlabamaBelle

Peds Critical Care, Dialysis, General

Member

  • Content

    476

  • Visitors

    11,573

  • Followers

    0

  • Likes

    14

All Content by AlabamaBelle

  1. bedside placement of nasojejunal tubes

    AlabamaBelle replied to chikusachin's topic in PICU, Pediatric

    Our unit is also fairly aggressive with feeding our ventilated kiddos. Generally when we intubate, we go ahead and drop an ND or NJ while the child is still paralyzed from RSI. The procedure is...

  2. Rapid Assessment Teams

    AlabamaBelle replied to mark2climb's topic in PICU, Pediatric

    Ours is called "PERT" - Pediatric Emergency Response Team. In our facility the RN or MD or the parent may initiate a PERT. The parent lets the nurse know something just doesn't look/feel right. The...

  3. a question - when nurses can't get your blood - is this common?

    AlabamaBelle replied to Sand Cat's topic in General Nursing

    Pediatrics is not really that different. While we don't get the abuser population, we do get chronic kids. They have been poked, stuck and prodded enough to know exactly where to tell you to go for...

  4. Unit Secretary Doesn't Know Scope of Practice!

    AlabamaBelle replied to Okami_CCRN's topic in General Nursing

    I'm really hoping, in a way, that you mean that this person has been a unit secretary for 16 years. A 16 year old unit secretary is a scary thought. Agree with Tazzi, though, the RNs who asked her...

  5. "fan out and go" + alchohol

    AlabamaBelle replied to Pepper The Cat's topic in General Nursing

    Here's my solution: Caller ID!!! Use

  6. do you chart vent settings?

    AlabamaBelle replied to bigreddog1934's topic in Emergency

    There is a place on the graphics portion of our flowsheets to chart vent settings. We chart on initial assessment and any changes that occur

  7. I have had it!!

    AlabamaBelle replied to kessadawn's topic in PICU, Pediatric

    We've had a run of child abuse cases in our PICU. The county I live in is extremely slow in its handling of cases - the abusers and the enablers visit, albeit, supervised. One case let the mom...

  8. Why no nursing love from Grey's?

    AlabamaBelle replied to thisgirlsanurse's topic in General Nursing

    One of our attendings decided he could drop an NG better than any one of the RNs in our ICU. It was a miserable failure. I also got on his case after dropping the ventriculostomy from it's ordered...

  9. Best & Worst Excuses for Not Taking Report?

    AlabamaBelle replied to loricatus's topic in Emergency

    I work ICU. Was expecting a patient from the floor. The Emergency Response Team had evaluated the patient on the floor and determined that an increased level of care was appropriate. I waited 2...

  10. Is this wrong? Death and Dying

    AlabamaBelle replied to Karynica, RN's topic in General Nursing

    Many of our instructors would use personal examples relating to different aspects of nursing care. Some were funny, some were not. The stories were so helpful to me in remembering aspects of care...

  11. Am I Crazy?

    AlabamaBelle replied to ZooMommyRN's topic in General Nursing

    I totally agree with racingmom-4. I went into Peds ICU right after graduation (had been a unit secretary there for 8 years). I did my school preceptorship there also. My OCD tendencies would not...

  12. HELP!!!! Taking the NCLEX in 2 weeks!!!

    AlabamaBelle replied to SuperSN2008's topic in NCLEX Exam, Programs

    I'm three years out of having taken the test. Here's some advice: 1) Get plenty of rest. Can't stress that enough! 2) Keep practicing the questions. I passed on the 1st try. 3) I used alot of...

  13. A day in the life of this nurse...LONG

    AlabamaBelle replied to AngelfireRN's topic in General Nursing

    I want in on your clinical trial, too. I've got some patients' family members I'd like to enroll, too. {{{{Hugs}}}} Know how you feel - when your management comes up and tells you that they know...

  14. Did anyone attend Carolinas College of Health Science?

    AlabamaBelle replied to Shan25's topic in North Carolina Nursing

    i graduated in may, 2005 from cchs. it is an excellent school, i can highly recommend it. good that you are doing the pre-nursing program. i did that and found that it was almost impossible to...

  15. Co-Workers Read My Medical Files

    AlabamaBelle replied to nurse7272's topic in General Nursing

    I am totally appalled at this behavior. You should have a corporate compliance department, surely a legal department! HIPPA regulations are very clear and very specific. These "co-workers" have no...

  16. Is anyone else terrified of needles??

    AlabamaBelle replied to amber84's topic in General Nursing

    As long as I have the syringe/needle in my hands, pointed away from me, that's just fine and dandy. However, don't try coming AT me with with a needle - I need holding just to get my yearly TB thing...

  17. Sedation Protocols

    AlabamaBelle replied to nicksmom's topic in PICU, Pediatric

    We have a sedation protocol in place. There is a scale from 1-6, 1 being relatively lighted sedated, infrequent prn doses to a score of 6, meaning continuous infusions of morphine and versed (or...

  18. I finally got a hearing aid!

    AlabamaBelle replied to SuesquatchRN's topic in Nurse Disabilities

    I'm still waiting for the E-scope. You can't use a regular stethoscope with in the ear aids. It has headphones instead of earpieces. I really don't like having to constantly take them out/put them...

  19. Transfer at change of shift?

    AlabamaBelle replied to BeachBayNurse's topic in Emergency

    We find PACU more the offender than ED. ED admits are always priority for us. Sometimes, we've delayed patients coming to us, mainly because the room wasn't ready (no bed, called x4 to get one). On...

  20. Critique my 2 interview questions :) Thanks!

    AlabamaBelle replied to student456's topic in General Nursing

    When you are asked to give examples, please do give examples and don't do a philosophical tap dance. I do peer interviews and find it frustrating when I don't get a straight example. Good

  21. Critique my 2 interview questions :) Thanks!

    AlabamaBelle replied to student456's topic in General Nursing

    :yeahthat:I second

  22. My step-dad passed away yesterday...

    AlabamaBelle replied to luvmy3kids's topic in General Nursing

    {{{{{HUGS}}}}}} Prayers & thoughts are with you and your entire family during this difficult time. Hurting with you,

  23. Jcaho

    AlabamaBelle replied to AmaraeRN's topic in General Nursing

    I've worked in a health care facility for 12 years and have some experience with JOKO. It's a true pain in the keister! Follow these gems: answer only what they ask. Do not elaborate. If yes or...

  24. I need encouragement.....

    AlabamaBelle replied to charlottegirl's topic in General Nursing

    My mom didn't like my choice of nursing as a career. This was back in the middle 70's. She had a false notion of nursing - doing the bedpan thing, cleaning up after others, etc. Well, my choices...

  25. transpyloric placement

    AlabamaBelle replied to picucrn's topic in PICU, Pediatric

    Our facility uses the same as janfrn's. Snap back can be very deceptive. For us, no use of transpylorics until placement confirmed with abdominal