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Lunch breaks
We do what we want. Basically, it depends of the coverage. If my staff is quite senior then it is freedom. When it is more junior you hang around to make sure in case of emergency. Of course, that is when you are lucky enough to get your lunch or enough time to go anywhere..... :-)
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IV tubing change
Every 72 hrs and any lines with TPN or additives will be Q24hrs
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The Dangers of Baby Oil......
No they did not sued. They loved the team and felt already overwhelmed with the new diagnosis of CF. I really see physician being sued in canada. May be it should be done more often but it is quite rare.... All I can say is that this team is great but what an awful mistake. I have learned for the rest of my life
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The Dangers of Baby Oil......
Same thing with mineral oil!!! you should NEVER give it to children below 2yrs old. there is a great risk of aspiration and the child could have permanent damage , if not die from it. I had a young child with CF who was prescribed Mineral oil for his constipation and he spent 6 mo with us in hospital after as a consequence.....
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What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?
I was taking care of a young chronic child on our unit. She was vomiting a lot and we tried everything to convince the surgeon to do a fundo on her without succes. One afternoon, I was helping a colleegue to turn her. She had finished her gavage more than an hrs ago so it was safe. As we turned her around she started to vomit.... a projectile type of vomiting!! I shouted to my collegue to watch out, she turned her faster and my mouth wide open became a recipient for that emisis. I had no sympathy from my colleegue , she just bursted into a laugh... Oh well...... By the way , no I did not vomit but I felt nauseated for a while lolllll
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Cell phone use in hospitals
I was in court with a pt and suddenly all my i.v. pumps went crazy. I tried to reset them without succes until I thought that may be it was a cell phone. I ask the security guard to go outside the court room and tell people to close there cell phone. There was only two person using one but once they stop, pure coincidence may be, I was able to finally reset my pumps.
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I want the truth!
Julie, no matter how difficult and how challenging pediatric is it remains by far the best nursing you can practice!! I have been a pediatric nurse for only 11 years but one thing I know, it would not be any other way!! You have to realise that a child is not a single unit but one part of a system called family. The family will always be present in the care you will give. Beyond the lack of nurse, the workload that is very difficult at times, the frustrations with the time restriction versus the support you would like to give, there will be a child to make you feel warm and proud of what you are doing. I had a terrible winter and the only element that kept me where I am is the type of pts I have. It says a lot, everytime I went to a job interview I became so sad that I could not accept any so I am still there!! Have fun and don't worry!!!
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Croup Tent use for RSV
We dont use them and I do not beleive they are so effective. We may use some humidity or Ice mask which are really effective! It sooth them fast and most of all, we do not have to use racemic as often.
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Care after Native Kidney Biopsies
Hello, I am a nurse working in pediatric nephrology we are also working in collaboration to the Short Stay unit of our center for some of our renal biopsy. We basically keep them in bed from the time of the biopsy until the next morning. We verify the urine for hematuria. If the first two have no gross hematuria then we allow BRP. In any case of gross hematuria, we do a CBC and we collect the urine for visual evaluation. Of course in any case of a significant change in the BP or the HR we will also repeat do the CBC and call the nephrologist. Our pt have an IV at maintenance post procedure that will be heplock as soon as the pt can drink on his own . For pain management, we offer codeine and tylenol and if the pain remains ( which is quite rare) we will give morphine.But to be honest, this is only required when pts have a bad hematoma. We will also monitor the saturation if the pt is still under the effect of the midazolam on arrival to the unit. I might be forgetting something but I hope this was helpful. Good luck with your search.