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kewi90

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  1. I worked in home health for the first year of my nursing career, and one thing I learned in that time was to understand patient control. Frequently, patients requiring home health nurses do not have control of their lives - ie. Driving, when to bathe, when to go to bed, etc. Things that you and I take for granted. There were many situations when I didn't understand why a patient did things the way they did. I even was even cancelled from a case for being "young and liking country music". Seriously. I was dressing pts wound, we were joking about music, I told him I liked country, he said "don't come back" .. I laughed, thinking we were on the same page. Nope... got a call the next day that I was taken off his service for being too young. It happens. Don't take it personally. Not sure about your area, but mine has loads of need for pediatric home care. You'll find a replacement case easily
  2. I work in a small 14 bed NICU, so our staffing group is obviously also small. There's a nurse that started not far from when I did, but she came from adult nursing and as much as we get along as people... I'm having a hard time meshing in the nursing sense. Issues -- She likes to make things that someone else did correctly a "we", or things she did incorrectly "we". Ie. She drew a cap cbc 3 times, they all clotted. I told her to let me do it, no clotting issue. On report she says "we had to draw it 4 times to get the sample". No. You did it three times, I did once. Recently it had been very slow. I had a patient assignment and she did not. She tasked for me a few times during the night, but didn't do any assessments or cares for me. When the next shift came, she cut me off halfway through my report and took over giving mother's hx/reason for admit/etc. She also gave the provider a shift update on patient when I was out of the room. How do I handle this while not creating a rift in a small unit with close knit staffing?? I don't necessarily think she does it on purpose but just think she has a very strong personality and perhaps is used to getting certain attention.
  3. In the past I've done all the med/surg, GI, ER, Hospice, etc. This time it's a general pediatric clinic - so scheduled appointments/well checks I assume
  4. Hi all! I'm very excited as I have just received my preceptorship placement in a pediatric clinic. I have always wanted to work in a Children's Hospital, and this is my first chance getting to work with peds since beginning school! I graduate in Decemeber, but we were never allowed to be assigned to them on the floor. I'm wanting to make myself a bit of a "cheat sheet" to study in my free time to refresh on some of the things I will need to know while working in a pediatric clinic. What would you suggest I brush-up on before beginning this new placement? Ie - Vaccinations - types/times/side effects Also, any other tips for a newcomer would be greatly appreciated :)

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