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kessadawn BSN, RN

pediatric critical care
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kessadawn has 7 years experience as a BSN, RN and specializes in pediatric critical care.

hilljack, that's all I'm gonna say

kessadawn's Latest Activity

  1. kessadawn

    OHIO LPN looking for LPN to RN program

    I'm not sure what they offer online, as I've been out of school awhile, but Kent State had a good LPN to RN bridge program. My friend worked fulltime while she completed it. Good luck!
  2. kessadawn

    PICU medication dosages to memorize

    acetaminophen and ibuprofen
  3. kessadawn

    What do you guys use for art lines??

    In my PICU we utilize a machine called a VIA (although I don't remember if that stands for anything). It is a blood analysis system that hooks into your arterial line setup and it allows for minimal blood drawn and minimal waste. It measures blood gas, H&H, sodium and potassium at the bedside. It's pretty cool, but sometimes a little tempermental when setting it up, before you attach to the patient, when it is running a self-calibration. It can be used on patients off all ages and sizes and has 2 settings, one for the neonate and one for older patients. We also use it in our NICU and our burns ICU.
  4. kessadawn

    Transferred to SICU, horrible orientation...what to do??

    You need to speak to your ICU's educator and get a new preceptor right away. She's setting you up for failure, and if something happens you can bet your life she won't back you up. Why are you getting busy 2 patient assignments on DAY 5 of orientation, even though you have no ICU experience? And why in the hell are you getting a CRRT patient without proper training? I have worked peds ICU for 7 years, and I also precept. I would never let you have a CRRT patient unless we had no other choice, and then I would run CRRT and you would focus on meds and assessments, especially so early in orientation. I feel this is unreasonable for you to have to do all the learning on your own with no one to back you up, it's dangerous for the patient, and something needs to change pronto! Do you feel like you have even learned anything up to this point?
  5. I believe the Camino is calibrated prior to attaching to patient. Transduce the larger lumen of your PICC.
  6. kessadawn

    Professional dilemma

    I don't understand the point of hiring nurses to work in high-acuity areas, with patients that likely require multiple IV meds, but not allowing those nurses to give IV meds. That is just ridiculous. And it's not fair to those of you hired to work there.
  7. kessadawn

    Hospital will not hire tobacco users

    Many hospitals in the Cleveland/Akron area follow this protocol, including the one I work in. Anyone hired after a certain date must be a non-smoker. I think they are nicotine-tested as part of the hiring process. Anyone hired before that date is not required to quit smoking, but is not allowed to smoke on their breaks. Smoking cessation assistance is offered for free, and is also available for our parents (I work at a pediatric hospital). I am okay with all of it, having been a smoker when I was hired years ago, and never really having time to get away to smoke on my breaks very often anyway, I could smoke on my own time, come to work smelling clean, didn't really affect me one way or another. HOWEVER...we are now required as employees to fill out a yearly health assessment online, which includes such info as height, weight, BP, cholesterol level if you know it...I find that overintrusive. It even asks about mental health. That info is nobody's business but mine and my doctor's. Big brother is taking over folks, it may seem subtle, but it's happening. Just waiting for my pinkslip for being overweight. Even though my labs and BP are perfect, I quit smoking, and I am more active than many of the normal-weight folks I work with. It's the American way.
  8. kessadawn

    Dress for interview in health career?

    A skirt or pants would be fine, just watch your skirt isn't too short (yikes!). Good luck with your interview!
  9. kessadawn

    I feel like a fool

    Good for you for standing up for your license and your own mental health! That place sounds like a train wreck that you don't want to be a part of. I hope all works out with your other job offer!
  10. kessadawn

    Unusual/Disruptive ways my unit functions

    I can understand the need to get away while giving report as charge, people interrupt CONSTANTLY and I've had days where I have left 45 minutes later than I should have just from others' interruptions in my charge report. And I'm not talking legit interruptions either. Nurses coming in to show pictures of their kid's prom or something. Seriously? We tried to go to another location as well, but it didn't last. However, we were ALWAYS available in an emergency. Does your charge staff carry a pager or portable phone? They should, so they are always there to support the staff, no matter where they do report.
  11. kessadawn

    How are some nurses nurses?!

    And hopefully when you are a great nurse, you won't make any mistakes. I'm sorry you were in pain, but please realize that a c-collar being placed incorrectly doesn't mean someone should not be a nurse, as the title to your thread implies. We all make mistakes, and learn from them, and you will too.
  12. kessadawn

    Patient rights v. Clinical instructor?

    Your instructor needs to get over herself. You can't force someone to do something they don't want to do. Period. That's abuse. You need to take this up with whoever is in charge of your instructor.
  13. kessadawn

    Standard Concentrations

    We use standard concentrations, and pharmacy mixes nearly everything for us. Our pharm is in house 24/7, though. PICU RNs can mix gtts at the bedside for emergency needs, and some are available pre-mixed in the med room. I have never used the Rule of 6's, we have been using standard concentration for a long time in my hospital. I find that we have few med errors, but I would expect that as your unit gets more used to using standard concentrations, the rate of error will go down. All gtts are a nurse double check, regardless, so that cuts back on error, and we do use smart pumps as well.
  14. kessadawn

    Just got hired onto PICU!!! :D

  15. kessadawn

    Worked hard all night

    Karma will get her, have no fear.
  16. kessadawn

    Coming Around Full Circle (or Why I Do What I Do)

    Isn't awesome when things come full circle? Just gives me reassurance that I am supposed to be doing what I love!