Julius Seizure

Pediatric Critical Care

Member

All Content by Julius Seizure

  1. Julius Seizure

    Code Blue

    The teenage known diabetic who was found down at school for an undetermined length of time. She completely crashed despite treatment for DKA. Later we found the tampon in her. Suspected toxic shock...
  2. Julius Seizure

    Breaching StaRN Contract

    Collections isn't just people bugging you on the phone. Debts that go to collections can affect your credit. That can be a big deal - it can keep you from borrowing money, renting an apartment, etc....
  3. Julius Seizure

    Breaching StaRN Contract

    Could you elaborate? What did they say they were going to pay you after orientation? And then what did they actually pay
  4. Julius Seizure

    I failed out of nursing school midway, now what?

    Sue for what? You mean for not accommodating OPs disability? I'm not sure we have enough info to know if there is a legal case here. Did the school know OP had a diagnosis? Did OP go through the...
  5. Julius Seizure

    FNP vs PNP vs MD

    Consider the physician assistant track as well. Less schooling/less debt, but the flexibility of not specializing in just one
  6. Julius Seizure

    Can I be a nurse if I hate science?!

    I don't know how to say this more gently, so here goes: If you saw nurses working in the hospital and loved their job but you hate science, then I think you probably didn't see their job as clearly as...
  7. Julius Seizure

    Need an entire nursing refresher...

    It takes time. You are in the same boat as every other new grad, don't worry. :) If you want to brush up on some physiology/patho, I highly recommend the Khan academy videos that are free
  8. Julius Seizure

    Propofol Infusion syndrome?

    Well, propofol can cause high triglycerides because it is a lipid preparation, but that isnt exactly why they think propofol infusion syndrome happens. It has to do with the fatty acids though...
  9. Julius Seizure

    Propofol Infusion syndrome?

    Well, when using a lot of benzos, delirium is definitely a concern, so its not ideal to just crank it up sky-high. My preference would be to increase the opioid vs. the benzo. However, for both the...
  10. Julius Seizure

    Propofol Infusion syndrome?

    In peds we would rather just keep cranking up the opioid and benzo. Sometimes they like to switch back and forth between combos if things aren't cutting it too (like going from fent/versed to...
  11. Julius Seizure

    Forcibly removing piercings in psych patients

    I certainly hope so. It sounds awful. The nurse may have been horrified as well and didn't know what to do. Or maybe she thought it was fine. We don't know. But the nurse didn't do it. The...
  12. Julius Seizure

    Ethics of the DOA screen

    Good point. Often, a tox screen is ordered as part of a work up for altered mental status. How would you consent them then? The extra time of getting a court order? Maybe just having two physicians...
  13. Julius Seizure

    Action plan

    What was the essay on and what was the purpose of having to ask her coworkers to read it? Or was the trade-off literally humiliate yourself or be
  14. Julius Seizure

    Action plan

    I'd either be sitting there after shift change doing it before clocking out and leaving the hospital, or be submitting my extra hours worked from home to HR. I am an hourly employee. I get paid...
  15. Julius Seizure

    Stuck! Should I Get into Nursing?

    Public health was my immediate thought as
  16. Julius Seizure

    C MA to RN but ..

    I agree with the above - they may just want to see the certification course and not care about the actual job title that you do. What area have you worked in during your time as a CMA? It sounds like...
  17. Julius Seizure

    Dr. denigrates NPs, cites low IQ etc

    I just wanted to thank you for writing "cites" instead of "sites" in the title of your
  18. Julius Seizure

    Watching your social media

    You can say that, sure. Maybe they can't "prove" something, but do they have to? When you are in one of these programs the power balance is firmly on their
  19. Julius Seizure

    Help with baby spitting up medicine

    Does he also lose a lot of milk when sucking on a bottle? Messy
  20. Julius Seizure

    Help with baby spitting up medicine

    The baby is three weeks? Okay, have you tried just taking the nipple of the bottle and squirting the medicine in there and letting the baby suck it through as a "med pacifier"? You can also try...
  21. Julius Seizure

    Best way to get a BSN after graduating high school

    Agree about the direct entry. I did a direct entry program, and didn't even know there was another type, but then later heard about students at other schools who did their first two years, then would...
  22. Julius Seizure

    Ethics of the DOA screen

    There are many patients who a tox screen might be relevant on. I don't think it is necessarily something that should require special consent....however, the ordering provider needs to keep ethics in...
  23. Julius Seizure

    Cleaning Comodes??

    I mean, the nurses or CNAs dump the contents and then rinse out the basin(?) between each use....including the last one. Is that what you mean? Our floor only has a couple commode chairs so usually...
  24. Julius Seizure

    "Noctor?" Offensive title?

    I hear so many people who are offended by the term "mid-level provider", and I guess that's just not one that pushes my buttons. I guess its not as cool as "advanced practice provider" but I don't...
  25. Julius Seizure

    Dallas-area hospitals

    UTSW would be good. That would probably be my top recommendation - teaching hospital with tons of resources. Parkland is right next door to it and will have a more diverse population...