WSU_Ally_RN

AllMed Catalog :: Diagnostics :: Stethoscopes :: Trimline SafeSEAL® Replacement Parts SafeSEAL Soft Diaphragm Those are the only 2 links I can find... not sure where the company's are from. Do you have a stethoscope you must use them with? Or just like them because of the antimicrobial properties? Since they are so hard to find, you're probably better off just cleaning you stethoscope before patient contact with a cavi wipe at the beginning of your shift, and the bell/diaphragm with alcohol wipes in between patients...

I think it depends on who your patient population mostly is. I work in a PICU and we take pt's from birth to death, any and all ages. If they have a congenital or chronic disease of childhood they will come see us forever. I use my adult sized scope for my adult sized patients, which are very few. My peds sized scope is for 20kg and under, which I would say is probably 85-90% of the patients I take care of. My adult sized scope would never work well enough for me for my 3kg babies.

Since you're still in nursing school, I'd caution against a specifically pediatric stethoscope... what if you graduate and can't find a peds job? I hear they are getting hard to come by. A pediatric scope is just too small to use with large adults. If you want a scope that you can use for both peds and adults, the Littmann Cardiology III has a peds and adult side. They peds side you can use with either a diaphragm or bell, depending on what you need it for. I have this scope, although I use it just for my adult sized patients. I have a pediatric ultrascope to use with my little guys, which I didn't purchase until I got my peds job. (And as an aside, I love my ultrascope much more than my Littmann... If I hadn't of spent over $150 on the Littmann, I'd consider getting an adult sized ultrascope... much more light weight, and more personalized... I know immediately if someone's picked my ultrascope up unlike Littmann's that all look the same)

I always found when I had to wear whites that skin toned undies made even the thinnest scrubs virtually un-see through. I'd wear white, and bam, you could totally see them.

Cor-triatriatum?

I listen for "bears" when I listen with my stethoscope and I "measure your muscles" when I take your BP :) I totally agree with the prior poster, depending on my kiddo's age and maturity level depends on how I describe what I do.

I work at Akron Children's and my manager just hired a slew of new grads... There are still many RN positions posted on our website. There isn't a "new grad program" per se, but I'm pretty sure all the units hire new grads with an extensive orientation.

a brand... I think their website is aviatorscrubs.com

what about aviator scrubs?? they have lots of pockets and look pretty manly to me, even in purple :)

The faces scale isn't for you to interpret what their pain APPEARS to be, it's for you to show your patient and have them pick how their face feels with their pain... I use this all the time with my preschoolers, I show them the scale and they point to their pain. With an adult that is able to communicate with you, you should always be using the #'s scale, and what ever they say their pain is, it is, no matter what you think it is!

I'll be the third to recommend and ultrascope! They are much more affordable than a Littmann. I have a Littmann Cardiology III and a pediatric sized ultrascope. I work primarily with kids with congenital heart defects in a PICU, both pre and post surgery. It is essential that I can pick up on murmurs. I feel I can hear them much better with my ultrascope than my Littmann. Plus the ultrascope is so much lighter in weight than my Littmann. I almost cringe when I have an adult sized patient and I have to pull out my Littmann...

No, Ohio's renewal was this year. I think you had to be renewed by July 31.

I'm an Ohioan too... just like Meriwhen said, you just need to make sure you hold on to that CEU certificate for I think 7 years... CEU's are basically an honor system until you get audited, which I think they can go back 6 or 7 years, and you better have all your CEU certificates for them! Did you remember your law CEU too??

That sounds kinda scary... kids on continuous can go bad so quick! Anyone on continuous at my hospital buys a bed in the PICU! (We do not have a step down unit.) I don't take care of a lot of asthmatics, but I think they have to be getting albuterol puffs q2hrs and atrovent q4hrs before we'll send them to the regular floor.

There is a book called "Walk On Water" about Dr. Mee and the congenital heart program at the Cleveland Clinic. I read it last summer when I started taking care of our CHD babies... I really enjoyed it. It follows some families and babies there throughout their surgeries, all the goods and the bads. Quite interesting to see everything from so many perspectives.

Also, PALS only works until the kid tops out at adult dosage's per their weight. After that, we use ACLS. I think PALS classifies a child as those under 8. I know in my PICU most of our patient population is under that 8 year mark, but we still get out fair share of congenital heart teens/adults, teen overdoses, and just general sick teens. I'd feel very unsafe without ACLS with these big kids around. What did you do for these teens in your original unit if they coded??

Yep, it's called hippus... I've seen it a few times in my carreer... here's a wikipedia article about it :) Hippus - Wikipedia, the free encyclopedia From what our doc's tell us, its usually a normal finding, they never seem to be concerned when I find this in one of my kiddos.

I'm not sure about the first pair, but I wore the second pair my first year of nursing, and I probably went through 4 pairs that year. They wear out real quick. Are there any good shoe stores in your area that you can actually go try on shoes at? I buy almost all my nursing shoes at a store called the walking company. I wear Dansko's. I know they are pricey at first, but I have a pair that is over 4 years old I still wear... just the toes are all scuffed up!

I work at a peds hospital... anytime anything we put in one of our kiddos comes out and it wasn't intended to come out yet, we have to write up an incident report. We also have a "huddle "with the attending or NP and charge Rn as to why it happened and how to prevent it in the future. They are really tracking our "unplanned device removals". Not sure if its a joint commission thing or what...

I tried to take it, but it keeps giving me an error, saying #5 needs an answer. I tried to fill in the "other" box, but then get the same error again...

Airwayguru, I've had mine for two years now, and I am not gentle with it at all! It gets dropped probably nightly, and still looks as good as the day I got it! I have no worries that it might crack...

I own both a pediatric ultrascope and a littmann cardio III. I work with peds, and a majority of them are cardiac kids that have murmers and other funky heart sounds. I can hear everything with my ultrascope, sometimes even better, that I can hear with my littmann. My ultrascope is so light weight compared to the littmann, and you can design it however you want it to be. I think the ultrascope has less of a chance to walk away, since you can personalize it. I could recognize my scope from down the hall! I love my ultrascope, and really hardly use my littmann. Sorry I can't comment between the scopes you are questioning, but I can tell you my ultrascope was worth every penny I spent on it!

When I started at my Peds hospital I received the TDaP booster since I couldn't remember when I had my last tetorifice shot. If I remember correctly, the employee health nurse told me that since I also hadn't had a pertussis booster ever that I would get the TDaP this time, but the next time I needed a tetorifice shot, thats all I would get. I think you just need the pertussis one more time after childhood.

The funny thing is, this particular pt was an adult! They were in their 20's and never had the ASD closed as a kid... Thats kind of what I was thinking too, but not finding any literature or articles on it I wasn't so sure...

Hi my allnurses friends :) I admitted a stable, extubated post op ASD repair yesterday afternoon. Pt's first K level was 3.1. Over the course of 5 hours it rose to 5.9 with no extra potassium being given except the 20 meq that was in the liter of her IVF. When the pt's K hit 4.7 we changed the fluids and took the potassium out, but it still increased. Of course the pt hit 5.9 around shift change... The NP ordered a dose of lasix while they investigated this further. Apparently the pt did well overnight after that dose of lasix was given, but early in the am the pt's K levels were slowly starting to climb again. The attending that was on decided that the pt had a cardioplegia leak, which I have no idea what he meant. The NP that relayed this to me also didn't know what the attending meant. I have tried to google "cardioplegia leak after CPB" and I get no answers... anyone ever heard of this or know what my attending might have meant?? Thanks for any insight or help you can give :)