HRM672

HRM672

peds cardiac, peds ER

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All Content by HRM672

  1. What do you hate seeing the MOST in the ER!?

    HRM672 replied to CrashED's topic in Emergency

    The difference in perspectives is funny. I work in a peds ED, so I hate having ADULT PATIENTS. Can't wait to get rid of them. Strokes, heart attacks, drug seeking, drunk...please go to the adult...

  2. Ya mighta told me that before!

    HRM672 replied to JBudd's topic in Emergency

    XTRN...interesting. In peds we give Sildenafil (Viagra) to pulmonary hypertension kids. Not with Nitro, but sometimes with other cardiac drugs. And often with Aspirin. Maybe it's not an issue with our...

  3. To all the newbie ER nurses out there...

    HRM672 replied to shieldanvil81's topic in Emergency

    Ah, thanks Roy, I bet that's it! I keep meaning to read that. Must be time. Excellent example of going bad. I have to add that for kids, I like the (admittedly, less professional) term "crapping out"....

  4. To all the newbie ER nurses out there...

    HRM672 replied to shieldanvil81's topic in Emergency

    Thanks for all the tips. I spent 5 years on tele and now I'm new to the ER. I've had 4 shifts off orientation and go back to work tomorrow. Here's what I've learned: The paramedics and EDTs have a...

  5. 'cattle calls' in ER waiting room?

    HRM672 replied to BaptistBites's topic in Emergency

    We use non-sequential numbers, and people hate it. It seems to stress them out to have to carry around their number. They complain about it, and half the time they don't pay attention and I end up...

  6. I'm New To ER...Share some tips please?

    HRM672 replied to al7139's topic in Emergency

    Hi Amy!! Thanks for the post, I am reaping your responses too. I have done peds tele for 5 years and yesterday was my 2nd night on orientation after transferring to ER (still peds, a level 1 peds...

  7. Starting as an ER Tech, what do you nurses want from me?

    HRM672 replied to NurseMaybeBaby's topic in Emergency

    Not to worry, Afox, I've been a nurse on a tele floor for 5 years and I am switching to ER in a week. I am excited but nervous too! If you weren't nervous, I'd be worried! It's always tough to start...

  8. What would YOU ask the E.R.? (interview)

    HRM672 replied to Crux1024's topic in Emergency

    Yes please make this a sticky! My ER interview if Friday and this is a great

  9. What is something from nursing school that has been the most beneficial to you

    HRM672 replied to almost30's topic in General Nursing

    In my opinion, nursing school does not prepare you to be a nurse--it prepares you to LEARN to be a nurse after you graduate. A new nurse graduate should have the skills s/he needs to learn to be a...

  10. Questions about staffing a small peds unit

    HRM672 replied to oldcurlyrn49's topic in Pediatric

    When I first read your post and it said 2 RN's I assumed there was an LPN also! This sounds completely unsafe to me. When kids go bad they do it fast. I work on a 27 bed unit, so we don't have the...

  11. Trying to get into Peds nursing but not having any luck. Tips?

    HRM672 replied to gentle_ben_RN's topic in Pediatric

    Our peds hospital won't take anyone in PACU who hasn't had PICU or CICU experience, and no one in float pool who hasn't had peds experience. Have you tried one of the

  12. Nurses with a few years under the belt

    HRM672 replied to MJB2010's topic in General Nursing

    My personal opinion is that there are so many different areas to work in nursing that no one should stay at one that's not a good fit. It does take a while to get adjusted. I think about a year after...

  13. New Grad - Peds Cardiac ICU

    HRM672 replied to chickidee717's topic in PICU, Pediatric

    You guys will do great. Don't worry

  14. Where to take an infant's pulse

    HRM672 replied to gfoster6993's topic in Pediatric

    I had trouble with the fast infant HR at first. With practice you'll get better. Our practice (inpatient cardiac unit) is to count apical pulse for 1 full minute and verify pulses in all extremities...

  15. I thought CF was screened for in pregnancy?

    HRM672 replied to anon456's topic in PICU, Pediatric

    I think the bloodwork to determine if you are a CF carrier is optional. I was offered it (and did have the test) at my infertility doctor, but I am now in my 5th pregnancy (2 miscarriages) and it has...

  16. Med surg or straight to Peds?

    HRM672 replied to arenasmith's topic in Pediatric

    I agree! If you are going to have a good orientation, then go for the

  17. Discouraged by Nurses who hate their job

    HRM672 replied to Tooimpatient's topic in Pre-Nursing Students

    You are right. People don't want to move because they are afraid of change. You always have the option to seek another position, there are alot of possibilities in nursing. There are GREAT jobs, I...

  18. Discouraged by Nurses who hate their job

    HRM672 replied to Tooimpatient's topic in Pre-Nursing Students

    I'm 35, and this was a second career for me. I work full time and I am pregnant with our 5th/my 3rd child. My other little ones are one and two! Among other reasons I love this job, I can work full...

  19. Discouraged by Nurses who hate their job

    HRM672 replied to Tooimpatient's topic in Pre-Nursing Students

    I love my job, and so do most of the people I work with. Find a positive floor when you graduate. If you are having trouble, try

  20. Feeding after vomiting

    HRM672 replied to JeanettePNP's topic in Pediatric

    An otherwise healthy baby who just had a coughing fit? When they act hungry but at least 30 mins is what I would

  21. IV Sticks in a pediatric pt

    HRM672 replied to imintrouble's topic in Pediatric

    Transilluminator is a must, for me, at least. Keep it in your pyxis so no one steals it. My rule is if I don't see it, I don't stick. Start looking and see what you can find. If you don't see...

  22. red flashlight use on hourly rounds

    HRM672 replied to ucarn71's topic in Pediatric

    As long as there are no suspected perfusion issues (I work on a cardiac floor). It seems like the red color would make it hard to evaluate skin

  23. Pediatric Medication Tips

    HRM672 replied to Blueorchid's topic in Pediatric

    Calculation tip...unless it's a teenager in a children's hospital, very rarely will you give more than one pre-filled syringe or use more than one vial of medication for pediatric dosing. Usually you...

  24. need tips for easier NG placement

    HRM672 replied to kadell's topic in Emergency

    It's funny for me to read this thread because I drop NG tubes every day...but usually only on babies or toddlers. It sounds so much harder on an adult! Thanks for all of the interesting tips I can use...

  25. A unit in trouble

    HRM672 replied to adrennen7's topic in General Nursing

    I agree, your manager should already know what's going on. Surely she is on the floor enough to see how things are running, and at a minimum she reviews the assignment