kessadawn BSN, RN

pediatric critical care

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All Content by kessadawn

  1. kessadawn

    picu room design

    Holy pickles, move the vent to get to the meds!?!?!? Barely getting past the foot of the bed? What the heck happens if there's a code? And yes, I am 5 foot 2 inches and shrinking daily I think!
  2. kessadawn

    picu room design

    In our PICU, everything is on the wall at the head of the bed. It is very difficult to get to any of it when you have a patient with lots of equipment, especially if you are vertically-challanged...
  3. kessadawn

    Random Nursing Thoughts

    I've given thorazine for hiccups before...worked like a
  4. kessadawn

    Smoking coworkers and fair breaks

    My facility is non-smoking, and that includes leaving the grounds during your lunch. No smoking during your shift, period. I have worked in other facilities that have allowed smoking. I am a smoker...
  5. kessadawn

    LTC Nurses Bottom of the Barrel

    I worked prn in a LTC facility once, as a new grad. I was completely overwhelmed. The LTC nurse has to wear so many hats, has to have such a knowledge base, you don't have all the resources at the...
  6. kessadawn

    Physical restraint on uncooperative children

    I agree that sometimes having the parents there is more detrimental than comforting for the child, especially if mom and dad can't keep their own fears and emotions in check. Things can spiral down...
  7. kessadawn

    Physical restraint on uncooperative children

    Yes, a 3 year old. I've worked peds for 6 years, and I have seen MANY kids that require more than one adult to hold them safely. It's not just about pinning them down, it's about positioning them...
  8. kessadawn

    Question- Nursing license 'Active (Restricted)'

    I'm in Ohio, and restrictions can vary. I would think that if you are a potential empoyer, you should have access to the reason for restriction, I would check with the
  9. kessadawn

    ADN: Is it worth it?

    I have an ADN, and I'm perfectly content with it. I don't make any less than a BSN in my position with the same experience, although if you want to teach or seek a management position, you'll need a...
  10. kessadawn

    Looking for an opinion....

    i have two preceptors, the one told me that she thinks i can end it early if i want, but that she wants me to stay on orientation so she can keep having less work to do. holy pickles i hope she was...
  11. kessadawn

    If you could create the visitors policy....

    I work in peds critical care, and very often the mother of the patient is overwhelmed by well-meaning but completely inapproprite visitors. Our hospital visitation policies are very pro-family, and...
  12. kessadawn

    Test your PEDS critical care knowledge

    ah, yes, very
  13. kessadawn

    Test your PEDS critical care knowledge

    I would expect a lower PCO2 from the
  14. kessadawn

    HELP Resident calling baby "stupid" What to do!!!??

    I wonder what the NICU nurses said about my precious little girl, what with her having a syndrome and all... this is just not
  15. yes and no. i entered nursing school knowing i wanted to work pediatrics, and i wouldn't settle for anything else. i have since graduation and boards worked at a pediatric hospital and love every...
  16. kessadawn

    Question about Play

    While I agree that most vented kids are not to be disturbed, we all have seen that "one kid" who is perfectly comfortable and safe while requiring very little if any sedation. They baffle my mind....
  17. kessadawn

    How Physically Demanding is PICU?

    i have nights at the end of my picu shift when i feel like i've been hit by a mack truck. i don't think i could do this with chronic back problems, but i work with a few that do, god bless them, i...
  18. kessadawn

    tattoos and IV's

    i concur...my tattoo was much more painful than any iv i've ever had, and i've had multiple-attempt ivs from being so dehydrated. i also think an iv was more tolerable than my piercing. however,...
  19. kessadawn

    physical restraint in picu

    it would be even better if after i spend 2 hours pleading with our docs to give me extra sedation for my poor little intubated baby if the crazy mom would not come in the room, get in the baby's face,...
  20. kessadawn

    physical restraint in picu

    good grief, no way! we've got 5-10 more inches of our own crap coming tonight, just in time for my weekend commute! :angthts::angthts::angthts: i am so tired of
  21. kessadawn

    physical restraint in picu

    ohio is waiting for you, girls, and i'd welcome you
  22. kessadawn

    physical restraint in picu

    we use soft wrist restraints in my picu, sometimes elbow splints instead depending on line access. our kids are well sedated, but rarely paralyzed. babies are swaddled if possible, so no need to...
  23. kessadawn

    Diprivan: push or not to push

    i also work in ohio, and i am trained by my hospital to do conscious sedation, i work in picu. i am allowed to run a diprivan continuous infusion, give a bolus from the pump over several minutes, but...
  24. kessadawn

    CNAs and the dining room in ALF

    when i worked as an aide, we were not allowed to step one toe into the kitchen, and that was enforced because of what the state says is allowed and safe for your residents. nursing needs to band...
  25. when i am 63 (is that a beatles song:>) i wanna be like you! :yeah: :bow: actually, some of your great energy right now in my 30s wouldn't be so bad