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kistigirl84

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  1. So I've always heard that when an infant/newborn is running a fever, formula or milk only makes it worse. Is this true? I've searched the internet and I've gotten so many different answers. Just curious.
  2. I honestly do not understand the different between RSV and Viral Pneumonia? Everywhere I have looked for an answer only says that RSV can lead to Pneumonia but doesn't explain the difference. They seem to be treated the same. Anyone know?
  3. I'm a new nurse working in the pediatric department. A lot of the children we see are admitted due to respiratory complications. Many of them are Dx with RSV. The one thing I find very weird is that most of the patients with RSV are treated with antibiotics (specifically,Rocephin) and supportive measures to treat the symptoms such as rest and fluids (suctioning and oxygen if needed). I've always learned that you never treat viral infections with antibiotics. Do any of you know why this may be an intervention for patients with RSV? I honestly can't get a clear answer.
  4. I'm a new grad/new nurse and I'm am currently on my 7th day of orientation. I have a great preceptor but she moves a little to fast for me and sometimes she makes me feel embarrassed to ask questions. And most of the time it's simple question related to things I should no but when I'm overloaded with info that day I tend to forget things or I think too concretely (if that makes since). We haven't went over the pt admission to the unit process in detail so I'm really confused as to how it works in out Peds unit. How does it work at your workplace. All I know is the pt will more likely come from ER. ER gives report to us about the patient. Patient comes to unit and we do an assessment and admission paperwork is completed. My thing it at what point do we notify the physician. Do we notify the hospitalist pediatrician or the patients pediatrician? Who notifies the MD, the unit nurse to where the patient is admitted or the ER. What happens after that? Does the MD give verbal/telephone orders? Or do we wait for him to arrive the next morning (I work night shift) to do a written order? Or does he/she enter them through computer (CPOE)? I'm sure it depends on the status of the pt as well. How does it work on your unit?
  5. I figured that but was confused as why IM injections were singled out. What about SQ or IV?
  6. Yea, I'm confused by that
  7. Why is it that you cannot give IM injections with a patient on bleeding precautions? Was reading this in a book and wonder why they singled out IM injections. I also cannot find anywhere in the books or internet that provides a rationale for this intervention. Any help?
  8. What about books? Any titles? Thank you so much!
  9. I just accepted a job as a new graduate nurse on the telemetry unit. Was wondering if anybody could give me some advice on how to prepare, what I should review, or any advice you could give me to help me prepare for the position would be great. God bless!
  10. Im a new grad working in the Medical ICU and I wanted to see if anyone had any recommendations on a good critical care nursing book that I can use to study. I find myself lost a lot of the times and I know I will learn with experience but I want to be able to know what to do when something goes wrong or what I should be looking for and so on. So I'm open to suggestions. Thanks in advance!
  11. *bump*
  12. Hello, I was wondering if any of you think it is a good idea to apply for an ER position as a new grad? I've never had any experience in the ER as the day I was suppose to go during clinical rotation, we were out because of bad weather. I'm interested in knowing if anyone started out as an ER nurse (without experience) upon graduating from nursing.
  13. I apologize if I offended anyone by the use of this term. Sometimes I'm a little slow and forget how to spell gynecologist, and my phone autocorrects the short version to "gun" if I'm not careful, or I'm just too lazy to spell it out. My insurance company listed my gyn as a provider in the network. I went to see the gym for an annual Pap smear which is suppose to be free once a year. Well the gyn who is working in the hospital where I applied, is no longer a network provider. Found out my insurance providers did not update there list of docs in the network on there website. Neither insurance company or doc wants to take responsibility for the bill. The bill is from the hospital. The hospital feels I should take this issue up with insurance company and doc. Basically I'm stuck with a $258 bill from a facility to which I applied for a nursing position.
  14. I am a new graduate of nursing school. Recently I applied for several positions, along with my friend and classmate at a hospital in our town. He was called back a day later to begin the interview process. I haven't received a call back. I have been pondering about reasons I have not received a callback for an interview, and realized that I have an outstanding bill with the hospital that have not been paid (mainly due to an error on my lady doc and insurance company that hasn't been resolved yet). My question is do you think hospitals decline nursing positions to those who have oust standing bills with the facility?

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