mydesygn

mydesygn

pediatrics

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All Content by mydesygn

  1. Losing Nurses!

    That is one reason why new staff leave. They are unsupported in their role. If nurses don't stick up for one another, who will. How hard would it have been to say "I'm sorry that you did not feel...
  2. My patient fired me!

    Thank You. I think most complaints come from false expectations. It's very important to ascertain what the patient expected rather than naturally assume the nurse is at fault. When you...
  3. My patient fired me!

    I,too, think it is important to document that behaivior. You have to be very careful to present in a very objective
  4. My patient fired me!

    Beleive it or not, this happens to every nurse at one time or another. Sometimes it is absolutely nothing that you have done. You happened to be the nurse assigned to that patient after a...
  5. Be Careful What You Say...

    It's so sad how myopic and self-serving some units are. Temps and agency usually have a broad range of experience and have seen diferent ways of accomplishing tasks. Nurses are so threatened that...
  6. Should I just move on?

    The question you need to ask is the nursing enviroment you want. It seems rather minor to turn done a job because of a mix-up in CPR, after-all you can get CPR anywhere if that is your only hurdle....
  7. I'm so upset! (warning-long)

    You have to be kidding ! I'm sick and I have to call around to find someone to work for me. I think I would rather have the
  8. I think there is something to that. I have found that distant family members (other than direct relation - parent, sibling) will display the most screaming etc.. I think some of it is because they...
  9. Be Careful What You Say...

    I agree with everyone else. It is very upsetting to lose a job, there is a lot of self-blame. I think you are fortunate to not work there any longer. I had an experience with a new job where I was...
  10. It's funny how many people won't do peds. All I have ever done is peds. I refuse to deal with adult. Adults are just to whiney and
  11. I'm so upset! (warning-long)

    I am suprised that occurs in California (thought they legislated against that). At the hospital I work at, we have mandatory on call (sign up for call one shift each four week schedule period). I...
  12. Losing Nurses!

    It is becoming rare to find a unit with a lot of long term nurses. Sometimes there is very little you can do. You can work at a nursing positon for many years and the job you do is no different than...
  13. need to vent (duplicate posts merged)

    I find myself amazed by the number of nurses who did not pass the boards the first time. We hired 4 GN's, only 1 passed boards on the first try, 2 on the second try, and 1 after the third try. I...
  14. How Many is Too Many

    My mother was one of 13 (my father was one of 15). I remember as a young teen that my mother was adamant about not allowing me to babysit when occasional friends would ask. I never quite understood...
  15. Vital Signs with Meds

    Most of the time with drugs it is based in a research study or the drug company data that states the liklihood of adverse effects such as hypotension while administering the medication. Based on...
  16. Staffing for Pediatrics

    most peds floor require 2 nurses regardless of
  17. Vital Signs with Meds

    Your facility should have a policy, if not discuss with your nurse manager forming one. The only "meds" that I have had to monitor vital signs for are: IVIG infusion (typically q15 min for first...
  18. Help prioritizing care for pediatric patients

    I agree, the belly would worry me more than the 2yo. The 2yo is not on O2, q2h nebs is not that unusual for a floor patient, and his resp status is improving, and you can get a nurses aide to sit...
  19. med admin mistake...confused...

    I have worked on enough units to know how nurses gossip. I do find it rather incredible that a nurse with that many years of experience has never given insulin. I don't think the fault is not with...
  20. Peds IV Tips

    Question about the clear tape. Is your peds floor part of an adult facility or is it a freestanding pediatric hospital? I've worked at freestanding pediatric hospitals and never seen the clear tape,...
  21. med admin mistake...confused...

    to me this seems like such an odd mistake....dont you think that a nurse practicing for that long would have caught a mistake like that? I mean 3ml and 130 ml is a HUGE diff...if the charge nurse...
  22. MALPRACTICE INSURANCE: FAQS

    One other point, you are more likely to be reported to the Board than sued for malpractice. I would lok for a policy that would cover you for expenses related to defending your nursing
  23. Peds IV Tips

    (1) EMLA is your friend. My understanding is that it needs to be applied a minimum of 1 hour prior to the stick and duration of action of 4 hours. Unfortunately, you don't always have that luxury in...
  24. How Many is Too Many

    Back in the old days it was different. My mother is one of 13 children and my father is one of 15 children (all single births). My grandfather (on my mother's side) was a sharecropper and they...
  25. Need advice/giving report to uninterested nurse

    I would love to give report to supernurse. You are so lucky. I always get the nurses who want long reports covering every conceivable aspect of patient care. Constantly interrupting with questions...