jlb_rn

jlb_rn

Member
  • Content

    31
  • Visitors

    1,675
  • Followers

    0
  • Likes

    1

All Content by jlb_rn

  1. advice for barcode scanning of infants

    we don't use barcodes, but unless the patient is off the unit for testing (in which case they do get an ID band on their person), their identification is attached to their ekg leads so that it can be positioned outside of any blankets / clothes / swa...
  2. the best ETT securing methods and devices

    We only use NTT for our older (usually chronic) population - probably at least 6-8mos old. I think the cardiac ICU at our hospital almost exclusively uses NTT.
  3. salaries for duke and UNC hospitals

    i currently live in central nj and work in pa (philly). i grew up down south and occasionally contemplate moving back. i was researching unc/duke medical system the other day as well as the cost of living in nc and i will say this - the cost of liv...
  4. What kind of scrubs do you wear?

    I work at a children's hospital and our hospital policy is "kid friendly". We do need to wear scrub bottoms, but the facility is liberal with regards to tops. most nurses wear some sort of t-shirt or scrub top - solid or prints. Nothing too form f...
  5. Pneumogram guidlines.

    Our pneumograms are done mostly on night shift for an 8-16 hour period. We do allow holding by the parents and we feed however the baby is currently feeding (PO, NG, etc) but since night shift involves less patient activity in general, there are sti...
  6. the best ETT securing methods and devices

    Must say I agree with the previous poster on all points. Also, I like how with tape the tube can be secured slightly off center & moved with each re-tape to prevent gum breakdown.
  7. the best ETT securing methods and devices

    The majority of the time, we use tape; kiddos with a ton of secretions will sometimes get a neobar. Personally, I prefer tape for no reason other than that's my comfort level. Whenever I take care of a kiddo with a neobar, I'm amazed at how much of...
  8. PICC TKO Rate

    Minimum that I've seen in our unit is 0.5ml/hr continuous infusion with heparin & 0.45NS 1:1. 1ml/hr is what I see most often, though, with the aforementioned solution. As another poster stated, we also pull PICCs ASAP once they are no longer ...
  9. EBM for ORAL CARE in YOUR unit

    our unit follows the instructions noted in the article with regard to frequency and procedure for our NPO kiddos (ventilated or not). also, at the end of the NANN article, there are reference articles - perhaps you could do a lit search for those art...
  10. UVC, TPN, Antibiotics questions

    Yes - instances where peripheral access is an issue, the docs will consider ordering meds centrally.
  11. UVC, TPN, Antibiotics questions

    We treat a UVC as any other centrally placed line and bi or trifuse fluids as needed; if it's a double lumen, we'll run continuous sedation via the UVC as well. The hospital at which I work does not run antibiotics centrally unless we are treating a...
  12. Pros/Cons to Working Night Shift

    each facility is different, but my opinions in critical care as a new grad: PROS - shift differential, free parking, more laid back environment, more independent decision making (r/t docs not actively walking the unit at all hours of the night) CONS...
  13. Question for those who work the 11pm-7am shift

    erm, pardon my ignorance (i work in critical care so my patient load is 1-3) but where do you work that you are responsible for 60 patients? I didn't even know that was possible - how do you provide nursing care for 60 patients in 8 hours? sincer...
  14. Nurses and Eczema...help :(

    I have the same ailment on my dominant hand at the knuckles. I haven't found anything to cure it, but after trying various meds & creams the thing that keeps it under the best control is liberal application of Palmer's cocoa butter lotion & e...
  15. Graduate Nurse Job at CHOP?

    calling to check on things is a definite from my experience - also, you have to apply online from what i had been told (granted, this was 2007/2008) they only considered applications submitted from their website. i was also advised as a new graduate...
  16. Capital Health System Nursing School and work

    hello - there are no "set number" of students hired; they do give priority consideration to their own graduates, though. in my graduating class (before the economy took a nose dive) a large number of my classmates were hired; only a few that applie...
  17. Capital Health System Nursing School and work

    hrm, can you tell that it's been awhile since i've done more than lurked on here - i don't see PM anymore, either :)
  18. Capital Health System Nursing School and work

    you are absolutely on the right track...yes, the test questions are NCLEX style questions (deductive reasoning - very little regurgitation of notes especially once you are past nursing 1) i used saunders and lippencott in nursing 1, 2, 3 and then lip...
  19. Capital Health System Nursing School and work

    i graduated in 2008 i probably studied 10-15 hours a week and spent 5-10 hours a week reading...maybe more some weeks and less others (depended on the material)...the biggest piece of advice i can give is to keep up with the studying...do a little ea...
  20. Capital Health System Nursing School and work

    i attended that program and i worked full-time (36 hours/wk) my first 2 semesters then cut back to 32 hours/wk for my last 2 semesters and used vacation time as needed (ie. night before an exam). the last semester i found i had to use my vacation ti...
  21. Change dosing time - electronic charting

    is the dose going to be given with meals going forward or was this a one time thing? if you have the ability, change the time so that it occurs at meal time for your dose and all doses going forward. our system enables the nurse to change med times...
  22. Fake Nails

    no fake nails allowed where I work if you have direct patient contact nail polish is allowed as long as it is not chipped
  23. Funny Names for Nurses

    I had an OB/GYN named "Dr. Richard Pees" at Hershey Med Center - he went by Dick, though. Why he chose the nickname he did with that last name, I don't understand...also, maybe he should have been a urologist. ? http://webapp.hmc.psu.edu/physdir/prov...
  24. Introductions:"New" and "Old" Students.

    hello - I'm Jenn - just finished my first semester of pre-reqs. I'm hoping to enter an RN program in the fall of 2006. I'm slowly working my way through school. Nothing like a semi-mid-life career change, but this is something I have wanted to pur...
  25. I'm in my first semester of pre-reqs at Mercer - going to be applying to Capital and probably St Francis for fall 2006. /crossing my fingers that I get accepted to one of them :)