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shanneff

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  1. Elevators in which the patient, their bed, their IV pole, their vent, their monitor, their nurse and their RT can fit????? I am so sick of getting so bungled up in the d**n elevators cause some genius who has never used one with patient refuses to design with equipment and ease of use in mind This is a beef about my personal facility: PICC's can ONLY be inserted by radiologist. Well guess what, the radiologists won't come up to our floor and use U/S to do it cause they are too lazy to walk to the (SMALL) elevator and do it. So my patient who is 500+ pounds, on a vent, nitric, pressors, and bariatric bed CAN NOT fit on the elevator to come to the million dollar radiologist. And so my patient goes without a PICC and the pulmonologist has to spend 3 hours trying to put in CICC. :angryfire Here's for LARGER ELEVATORS, MORE PORTABLE EQUIPMENT and REASONABLE RADIOLOGISTS!!
  2. Thanks for your responses. Baby in question was my son... I don't think a social services consult was necessary. He apparently taught himself how to climb out of his crib, and as his luck would have it, on the first time doing so after climbing out of it went over to the vaporizer in his room (he had had a cold) and pulled out the steamer part onto his leg. He was discharged with tylenol with codeine for pain, and that has helped a lot. EMLA was just used in the ED for immediate pain on the site. I just wasn't sure if putting neosporin on it to keep it moist was a good idea. Thanks for all your inputs. :)
  3. Hey All, What are you thoughts on this? Burn caused by steam - 2nd degree burn 3x4inches on knee of 21 month old boy. Boy in obvious pain, EMLA cream applied to burn. 20 minutes later neosporin applied to burn (epidermis peeling in spots, small fluid blister) and dressed with kerlix roll. Discharge instructions: Change dressing BID, keep moist with neosporin. Okay to bathe, clean with soap and h20. What are your thoughts on this? I thought first aid treatment was to keep clean and dry, do not apply ointments, creams, etc.? Thanks for your input.

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