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pedi_nurse

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pedi_nurse has 5 years experience and specializes in CPN.

pedi_nurse's Latest Activity

  1. pedi_nurse

    Epipen for classroom teaching?

    I've been asked to provide once a week education to the 8th PAL class at my school until the end of the year. These are relatively responsible kids (about to move to high school) who specifically signed up/applied for this leadership class to do various things such as mentor elementary students and work with special needs kids. The teacher is really wanting me to implement lots of hands-on learning (make sense)... is it a bad call to teach them about epipen administration? I have a TON of trainers just sitting in my clinic. Obviously, I'd make it clear that they are NOT to administer the medication at school, but rather help assist a patient in finding their Epipen or assisting a teacher in doing so. In my opinion, I equate it with the CPR instruction that all students are required to receive in Texas. Obviously, kids aren't going around practicing CPR on each other. I have some other hands-on activities to do with them but wasn't sure about this one.
  2. pedi_nurse

    Mistake

    This brings up so many memories for me. As a new nurse, I really struggled to acclimate to a high-stress, complex care peds floor. After about a year of slow mental health decline, I was finally getting treatment and recovering, when I had to come off of my medication due to getting pregnant. During this first 1.5 years of nursing, I made many mistakes and errors in judgment. Including a time when I realized I didn't remove a PIV from a patient before discharging them. I didn't tell my manager until the next morning. And then I found out that I had, in fact, removed it - I had removed it very early in my shift due to it being occluded when I did a patency check and just failed to chart it. Since I knew the patient was going home, I didn't start a new IV and this was really out of the ordinary. 12hrs later it was gone from my mind until I finally got around to closing out this kids chart. I was raked for this mistake that wasn't a mistake but turned into a mistake because I delayed in reporting it. After that, even though I reported any error or concerning patient care matter (like the time I had a contact droplet precautions patient come back from going down for a CXE only to get a call a little later on that swab I had delayed by a few hours and finding out they had pertussis) right away, I was still raked for every moment. My ability to provide care was questioned when I started crying while pumping breastmilk (that had been delayed for a couple of extra hours) while I was in the middle of an emotionally challenging shift. I had asked my charge if I could take a lunch break then right after pumping in order to gather myself together and later was visited by the head nursing supervisor to make sure I was "okay." I thought they were being genuinely caring, but even this ended up being held over me later on. The biggest mistake I ever made as a new nurse by far was not reporting a suspected mistake immediately - even though it ended up not being one at all. Following this, any other mistake I made, even when reported immediately, was met with so much more scrutiny than a typical new nurse would receive. Even now, I still really struggle with the way I was treated vs the validity of their concerns. I'm not sure if they were right, but I also don't want to skirt my responsibility in learning from mistakes. All that to say, YES. Please do yourself a favor and report mistakes immediately.
  3. pedi_nurse

    Nursing school has pushed me to the edge. Anyone else?

    I too had a clinical instructor who tried to fail me for little reason. Nursing school was one of the hardest times in my life and it's now one of the things I am most proud of. And it's not the work, really; it's the culture and the doubt that others cast upon you that you start to absorb. Nursing school is rough and needs revision, but it's what we have right now and if you want to be a nurse, it's what you got to do. I'd encourage you to look at nursing school as what it is - practice for actual nursing, which affects the lives of real people. The grades don't matter so long as you are passing. What matters is whether or not you are learning. Find a little bit of time for yourself, for sure, but you should also be learning for your patients. To quite literally save their lives. Not for grades or for being a perfectionist. Nursing school is awful, but it can help you develop your ability to handle nursing in the "real world." We don't get to work at Utopia General, and there are a TON of little, tedious things that seem ridiculous and might very well be. Staffing is rough, patients can be rude and abusive, the hours are long, sleep is often minimal, and your coworkers could potentially not be so great to work with. Learning how to put your best foot forward (attitude wise) and to promote a change in culture while you are in school is only going to help you do so as a nurse. And it's needed. There is so much more growth to be done within the profession of nursing. So definitely feel frustrated and acknowledge that nursing school is trying to tear you down. But don't let it. If you want it, keep pushing. Not for anyone's sake except your own and your patients.
  4. pedi_nurse

    Anyone else regret becoming a nurse?

    This is a great point. I went into nursing because I love medicine/science and I enjoy helping people. If I wanted to do something for money/stability, I'd get into tech/programming. I like my job a lot right now (school nursing), but my first few years were really awful. I was on a high-stress unit that, despite the low nurse to patient ratios, caused a 2-3 year battle with anxiety/depression. My manager even referred me to my state monitoring program for mental health reasons (which I still regret not getting a lawyer for as even the psychiatrist I was required to see quarterly thought it was unnecessary). All that being said, I still loved nursing and have at least liked every specialty I've been in. If you hate it as much as it seems, I'd recommend pursuing other professions where your nursing license could come in handy - sales for pharmaceutical or medical device companies, case management or auditing for insurance companies, etc. In the meantime, try applying for MA positions and let them know you are happy to be paid their advertised rate even though you are an RN. Good luck. Remember, you can always change what you do, it just takes some time and planning. I hope you find a role that you love someday!
  5. pedi_nurse

    Already Over Bedside...

    Having been a nurse both before and after having a kid, it is definitely harder to be away from them for the entire day. That alone is enough of a reason not to love bedside. The catalyst for me finally deciding to leave bedside (after I had no luck moving to part or half time) was realizing I had held my patient more than my own child the previous two days. You do not have to keep doing something you really don't want to and that isn't good for you and your family. It is going to be more difficult without that year, but it's not impossible. I'd suggest you look into ambulatory and primary care. Go talk to the managers rather than relying on online apps that automatically weed out candidates without the minimum experience required. While you try to figure it out, I would encourage you to start viewing your shifts as 13-hour shifts. I know it's not what you signed up for, but changing how you think about it may help with some of the frustration. The reality of your current job is that you need more time to chart - so accept that as the norm, rather than the exception. I'd also encourage you to find ways to advocate for yourself. Things may not change, but you owe it to yourself and your patients. I've left a job before due to unsafe "policies" or lack thereof. Sometimes that's necessary. But I also tried my best to create positive change as much as I could while I was there. Good luck. The first couple of years of nursing are almost always rough, but it's a great profession.
  6. pedi_nurse

    PARENTS say the darndest things

    omg.
  7. pedi_nurse

    New Nurse In a Step Down Unit and I hate it

    My first job out of nursing school was pretty close to a stepdown (it wasn't called stepdown, but we were paid ICU rates). It was pediatric pulmonology with trachs and vents, and even continuous albuterol asthma kids. Very sick kids. A lot of watching resp status nervously. On top of that, CF kids with tight IV med schedules and diabetes, random oncology or neuro patients, cardiac, etc. It was ridiculously stressful and that was with a pretty strict 1:3 ratio (even 1:2, in some cases, rarely 1:4 if we had general peds overflow). To echo ruby, what you are dealing with is most definitely A LOT. Even for an experienced nurse. I'd really encourage you to first, make sure you are prioritizing your sleep and eating habits. This is really, super important, especially working night shift. I'd also encourage you to look for ways to advocate for yourself. This was really hard for me as a new nurse and resulted in a lot of stress that I didn't need to be holding onto. I've recently been listening to a podcast called FreshRN that's focused on new nurses, especially in critical care type settings. They talk a lot about how to speak up for yourself, and that may give you some confidence to do so. Finally, I think it's important to remind you that you are new... you are still learning good time management, meds, procedures, guideline, etc. I don't know about you, but adding my imposter syndrome and self-doubt on top of my stressful unit just about did me in. I ended up leaving my unit after 2 1/2 years. The first 1 1/2 to 2 were really rocky and a huge strain on my mental health. I loved that unit, but after 6 months of doing okay, I could feel myself starting to struggle again and I didn't want to wait around to see if it got worse. In my subsequent positions (primary care, now school nursing), I have gained so much more confidence in my skills as a nurse though and am actually considering returning to the bedside again in a few years. I'm not perfect and have things to learn in any role, but I'm no longer feeling "out of my league" among the nursing profession, and I now realize I have the capability of learning and advocating for myself to get the help I need to be successful. Whatever you decide to do though, please hang in there. Either find a way to improve the support you get for yourself or find a job where self-advocacy is easier and grow there. Nursing is a journey with many paths and you are just getting started!
  8. pedi_nurse

    Measles

    That's good to know. I will add that I have known of a few people who just don't ever get immunity in the first place from the measles vaccine, like @Cattitude . I'm not sure why, but all the more reason for everyone who is medically able to be vaccinated to get vaccinated. On a similar note, my husband doesn't seem to develop immunity to Hand, Foot, Mouth disease. He's had it twice since we've been married. I know there are two main strains of it, but his mom is fairly positive he had it as a kid, so
  9. pedi_nurse

    Latex Balloons

    Yeah, balloons really don't seem like they should be the issue. That's kind of an easy ban if there is a specific reason for not having balloons around (like if they pop). If not, there isn't a reason to ban them. You are not going to be able to ensure the school is latex free. The kid just needs to learn what to avoid and self carry an epipen, if possible.
  10. pedi_nurse

    Got thanked by EMS/Police and Mom!

    Well done! It's always a bit terrifying to realize your student is heading down the path to anaphylaxis. Glad you were there!
  11. pedi_nurse

    Most frequent complaints protocol

    PERFECT timing for this thread. I was just putting together some things to send my student nurse for her next clinical with me.
  12. pedi_nurse

    Does the BSN in 10 apply to all nurses or just RN's and why?

    I can get behind all that! Love me some science over theory any day of the week.
  13. pedi_nurse

    To TPAPN or not...

    I was referred/reported to TPAPN for mental health issues, so my experience was a little different. I will say that it was a hard couple years, but I'm so glad I pushed through all the cost and stress. I know how terrifying it is starting off this whole process and I'm super impressed with your effort at a positive outlook! Fingers crossed you can do EEP and simplify the process a bit.
  14. pedi_nurse

    buying supplies with your own money

    I've purchased things in the past for my clinic - typically I stick with supplies that are necessary to aid in a quick return to the classroom. For example, new underwear, shirts, and shorts that I use for students who have blood on their clothes for one reason or another. I also purchase some diabetic supplies/snacks to have on hand in case a student runs out (I don't supply these on a regular basis - only if I forgot to give the parent enough time to bring more up). I also buy any of the extra organization supplies myself (med baskets/boxes are the biggest - I have purchased white out and file folders, etc. as well, though) that I take with me. I have also purchased pads. I was also pretty close to buying band-aids one year because the health services dept. ran out. Oh, and curtains! I bought cheap thin fabric curtains from IKEA for the tracks in my clinic. It just wasn't worth spending $100s of my budget for medical curtains had I gone through the district. Sometimes you can find organizations who will donate samples of things (one year I got a HUGE box of sample deodorants). I've been fortunate that despite the low-income schools I've been in (one 85%, the other about 70%), they haven't been too awful - rationing paper or band-aids at the end of the year was the worst of it. My current school (in a different district than my first) is still 70% low income, but the district as a whole is pretty wealthy so the redistribution helps a lot. Altogether though, I definitely spend a $200-300 a year of stuff for work.
  15. pedi_nurse

    Does the BSN in 10 apply to all nurses or just RN's and why?

    FINALLY, I just want to apologize for blowing up the thread. I'm really enjoying this discourse and it's doubly interesting to me as it is similar to what is being discussed in the current class I'm taking. Thanks so much for everyone's input here!
  16. pedi_nurse

    Does the BSN in 10 apply to all nurses or just RN's and why?

    I definitely don't think that theory and research are all "fluff" (though as it has been made clear in this thread, it varies by program). But I wholeheartedly agree with more hard sciences being beneficial, especially to bedside care. When you more fully understand the disease process or how medications work, you can better anticipate problems. Plus, nurses may be more likely to be more consistent and intentional in their nursing practice.
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