AlabamaBelle

AlabamaBelle

Peds Critical Care, Dialysis, General

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All Content by AlabamaBelle

  1. "No New Orders Received" ..... ?

    AlabamaBelle replied to RainDreamer's topic in General Nursing

    I always chart that I notified the MD of the change(s) noted, the time, "no new orders" and that I "will continue to monitor". When/if the MD arrives at the bedside, I do note that. If I happen to...

  2. Pediatric RSI

    AlabamaBelle replied to CraigB-RN's topic in PICU, Pediatric

    Our RSIs usually begin with atropine, then versed. We used to use vec almost exclusively. We have acquired 3 new intensivists who prefer roc. We don't use succ. On a rare occasion we've used...

  3. resuscitation and family presence

    AlabamaBelle replied to gaylordfocker2002's topic in General Nursing

    OK, so I'll jump in. I work in Pediatric ICU, and yes, families may be present during codes. Quite frequently, it isn't a matter of "allowing" as it is that the child coded while family was present....

  4. If You Could What Halloween Costume Would You Wear?

    AlabamaBelle replied to CaLLaCoDe's topic in General Nursing

    One of our ANM's is dressed in ciel blue scrubs with white and grey felt "cloud" shapes attached. There is a sun that is partially obscured. She has a spray bottle of water. She's "Partly Sunny...

  5. Passing meds you did not pull.

    AlabamaBelle replied to busy-bee's topic in General Nursing

    Hypothetically, get out now. Yesterday wasn't soon enough. Hypothetically, of course.

  6. Is age 45 too old to start nursing???

    AlabamaBelle replied to Toots71506's topic in General Nursing

    I started nursing school at 45, graduated summa cum laude, worked full time and have a family. It's hard, but it's nursing school. It's all worthwhile if it's what you want. You are never too

  7. How to deal with death of toddler death on picu..

    AlabamaBelle replied to nd deb's topic in PICU, Pediatric

    Words are so inadequate, but I am hurting for you in your loss. We have excellent resources in our chaplains. Our Palliative Care RN is also available to us when we experience a loss in our unit....

  8. PICU - What kind of pt. is hardest emotionally for you?

    AlabamaBelle replied to MA Nurse's topic in PICU, Pediatric

    Honestly, the absolute worst for me is the "non-accidental" trauma. We've unfortunately had a run of several babies, all male, about the same age, with shaken baby. One died (parent has been charged...

  9. I need an honest opinion:am I wrong here?

    AlabamaBelle replied to NurseLatteDNP's topic in General Nursing

    :yeahthat:

  10. Hospital Workers Suspended for Peeking at George Clooney's Medical Info

    AlabamaBelle replied to student456's topic in General Nursing

    This is an out and out HIPPA violation. Do I feel badly for these 27 people? Absolutely! However, they knew what they were doing. HIPPA rules are very, very clear. If you aren't directly involved in a...

  11. Did I do the right thing? (long)

    AlabamaBelle replied to LilDKessler's topic in General Nursing

    Epi Pens are one time use. I had one for bee sting allergy and my overly curious daughter deployed the thing. Huge needle, meant to be used through clothes in emergency situation while waiting for...

  12. From a student - how much of what we learn is really done?

    AlabamaBelle replied to krenee's topic in General Nursing

    Daytonite: Your answer/analogy was the BEST explanation every of the nursing process. Copyright that! Nothing to add to that!!!:pumpiron: Hope you are doing well - always look forward to your...

  13. do most PICU nurses have their BSN?

    AlabamaBelle replied to EDnurse2009's topic in PICU, Pediatric

    We have both in our unit. We hire ADNs and BSNs as new grads. One of our ANMs is an ADN. Unless it comes up, we really don't know who has

  14. Wondering how others deal with RUDE patients, docs, colleagues?????

    AlabamaBelle replied to TrudyRN's topic in General Nursing

    I'm with Tweety & rn/writer. Any of the actions stated would be unprofessional to the nth degree and in our litigious culture, quite the invitation to a lawsuit. I've had my share of difficult...

  15. Non smoking hospital: What is this?!!!

    AlabamaBelle replied to CaLLaCoDe's topic in General Nursing

    Our facility has been smoke-free since November, 2006. Families of patients know exactly where they can go to smoke off hospital grounds. We (the staff) had a lot of fun with the hospital...

  16. I didn't do NUTHIN', I swear!!!

    AlabamaBelle replied to TazziRN's topic in General Nursing

    :yeahthat: {{{Hugs}}} Somehow, death always comes as a surprise, even when we know it's coming. My thoughts are with you.

  17. Uniforms and your appearance

    AlabamaBelle replied to sassysteph7's topic in Geriatric, LTC

    Well, I think I'd have to draw the line against starching a cap - somethings I just won't press. So glad we don't have to wear the things. Mine wouldn't last 5 minutes. We actually had a gal in...

  18. Jehovah Witness RNs

    AlabamaBelle replied to aimeeinorbit's topic in General Nursing

    I, too, must have missed something in this thread. This has been a very enlightening thread. Much good discussion, information has been shared. I've learned alot and the thread has caused me to...

  19. Uniforms and your appearance

    AlabamaBelle replied to sassysteph7's topic in Geriatric, LTC

    I'm not sure if this is a generational thing or what....I was raised to put your best foot/face forward, especially at work. I've worked in ultra conservative non-nursing fields where extreme...

  20. Jehovah Witness RNs

    AlabamaBelle replied to aimeeinorbit's topic in General Nursing

    I work with 2 devout JW RNs. They both administer blood and blood products. However, if they ever had any hesitation, one of us would hang it for them. They both have their cards with their wishes...

  21. Cellphones

    AlabamaBelle replied to pumpkin92356's topic in Geriatric, LTC

    I've noticed this in our unit. I feel extremely hypocritical to tell parents/familes that they can't use their cellphones when I know good and well a good number of our nursing staff have them in...

  22. anyone here NOT take an NCLEX review class and still passed? how did you do it?

    AlabamaBelle replied to Liz21's topic in General Nursing

    Our school offered a review course - it was "free" to us, part of a testing program we had do in school. Only 2 of the sessions were any good at all. I walked out 1hr after the person doing the...

  23. Good judgement skills or not?

    AlabamaBelle replied to nevergonnagiveup's topic in General Nursing

    You made a very appropriate use of your resources. We have Rapid Response Teams in our hospital (PERT = Pediatric Emergency Response Team). Your situation fits into the parameters we have set in...

  24. Score- MD=1 Beary=0

    AlabamaBelle replied to Beary-nice's topic in General Nursing

    {{{Hugs}}} Something similiar happened to our Nurse Manager a few years ago. She was ambushed by one of intensivists (he is no longer with us ) in the middle of the hallway, with families and staff...

  25. Frustation with the charge nurse

    AlabamaBelle replied to littleRNthatcould's topic in General Nursing

    Document, document factually. You are in a hostile work environment with sexual harassment happening. Does your facility have an acceptable communication policy that governs computers? Our...