PedRN86

PedRN86 BSN

PICU

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All Content by PedRN86

  1. I violated the Prime Directive!!!

    Happened to me on Sunday night! I went to do 0400 VS on my little friend and noted he had a big, heavy diaper. As soon as he felt the diaper come off he got me, himself, and his crib really good....
  2. Too many chiefs, not enough indians

    Well I work in pediatrics but have a few friends in mental health and your situation sounds kind of horrible to be honest. Perhaps instead of giving up on nursing, start browsing for a better managed...
  3. Showering with a central line

    We shower our kids with CVLs! We use whatever we can to keep it dry, my favourite is a soaker pad or diaper, with a biohazard bag taped on with waterproof tape. It works pretty well, if any water...
  4. I work in pediatrics and absolutely love it. Caring for not only the child but the family is both challenging and rewarding, and an integral part of what we do. I feel very fortunate to work where I...
  5. oxygen sTaturations

    I noticed my new student calling them staturations yesterdays. I felt kind of awkward correcting her, I hate being picky and dashing a student's confidence! I might wait for a quiet moment to say...
  6. Disagree! You don't pop out of the womb knowing how to be a nurse. Likewise, critical thinking isn't something you just have or don't have. It's all a lifelong learning
  7. Can experienced Med/surg RN move into peds?

    Sounds like it might be just the career move you need! I would consider appplying, you seem compassionate, you're skilled, you enjoy children and families. I think you can get a good feel of the ward...
  8. Normally I would say go for the med-surg position at the bigger hospital, but if you know you love the staff (and they love you!) at the smaller hospital's ICU I would say start there. Being part of a...
  9. The Slow Code: Justified?

    I very much agree. I've never seen/participated a slow code. I've heard of them a couple times from coworkers in other facilities. In my view, it's unethical and paternalistic to assume the...
  10. I wonder if they are saying these things to instill fear in you, that if you don't do something correctly, or in a timely manner, you're going to have an angry doctor come after you yelling. I've...
  11. Night Shift For Newbies

    Great tips! I really enjoy night shift. I love sitting around the round table on the ward on a quieter night and getting to chat with the other nurses. Night shift is just part of being a nurse......
  12. How do I get into Pediatric Nursing?

    Start by finding out how to get into a nursing school. Are there any courses you need to take to get into nursing school? You'll usually need an updated CPR, vulnerable sector screening (police...
  13. Speaking of... Getting to work early

    I get to work 15 or 20 minutes early so I can review my orders and recent lab work, and plan my day. When I take report (1:1 handover) I can actually ask relevant questions about the patients. The...
  14. I would have a fellow nurse page the doctor while I stayed with the patient to do their VS and physical assessment, especially if they suddenly deteriorated. Then when the doctor comes/calls back I...
  15. I flunked out of clinical today..

    Admit you mucked up. You brought your cell phone to try and better the situation and it ended up looking worse. You know in retrospect what a huge mistake you made. Maybe mention some suggestions on...
  16. Which Toronto Hospitals Don't Hire RPN's?

    In response to a few questions, I've never seen an RPN posting for SickKids or heard of an RPN working there. In saying that, there are hospitals like Southlake (in Newmarket) or Holland Bloorview...
  17. So I get a call from the lab.....

    My lab always calls us for critical values. I like it, helps it from going unnoticed for another hour or two when I get the chance to check the
  18. I would do ABX, insulin, digoxin, singulair myself. Maybe ABX, dig, insulin, singulair
  19. Is the first semester really the hardest?

    I think first semester can be the hardest for many students. Is the content the trickiest? No it definitely gets more in depth. But you're having to adjust your life to being a full time student and...
  20. Do you take vitals on babies who are sleeping?

    I work on a neurosurgery floor so I do have to take their VS and neuro vitals if they're asleep. No, it's not nice to wake a sleeping baby, and I do try to work around their schedule (especially if...
  21. Anatomy and Physiology I Difficulty

    Oh my goodness I remember going into second year and hearing HORROR stories about pathophysiology and how it was going to eat us alive. Everyone was so stressed out. It turned out to be my BEST class!...
  22. Medication question (not a hw question)?

    I can't honestly answer with any absolute confidence, but I'd guess usually patients go home with more meds. Some might be temporary (antibiotics, analgesics), some might be long term (cardiac meds,...
  23. I did my ACLS and joined a few professional organizations. I also went to a 3 day conference where I made some connections and landed my first nursing job! I would say hold off on the critical care...
  24. I don't think it's ever too late. My mother is 54 and just finishing up her BScN (she is an RPN right now - completed it about 3 years ago). I think the more mature students have valuable life...
  25. heparin bolus and continous infusion

    I would interpret that as giving the bolus then start the infusion immediately afterwards, then do the level 6 hours post bolus. I would clarify with the doc/NP and the policy and procedure prior to...