pedseducator

I am researching, without much success, about human factor versus recombinant. I am aware that human factor should not be given initially, but I need literature to back this up or your experiences. Will appreciate any and all help I can get. Pedseducator.

Do those who do not use buretrols, use Smart Pumps and this is why you switched to just plain IV tubing? What is your success like? Any safety issues? Thanks my sisters and brothers in nursing

I also want to sya that people are entering nursing for the so-called money and job security. Are our standards lowering because of the shortage? Are we willing to sacrifice our professionality---as a nurse for 35+ years, I am not.

I am an instructor for a community college and would NEVER allow my students to act in this manner--they would be asked to leave and never come back. Where are the instructors in this situation?

To help you out, go on-line to the different companies and they will send you free information for your patient, but it is stated so simply, it is a learning tool for you as well. The trach should have its size on the flang. Bedside should be the same size and one size smaller. Dressing changes are to be done when the dressing becomes wet which is frequent so if you don't need one it is better not to use dressings. Trach ties are to be changed daily at least. If the patient has had the trach for a while, the stoma is healed and replacing the trach if it should come out is easy.

I teach patients, families, nurses, nursing students, CNAs, young doctors, residents, anyone who asks me a question and hospital personnel from all departments.

We had a baby who recieved a liver biopsy in the OR then transferred to the PACU (recovery) and PACU wanted to transfer the infant to the Pediatric Floor one hour post procedure with vital signs every 15' X4 then every 30" X4 then every 1 hr X 2. Our nurses routinely have an assignment of 5-6 children. We are concerned that the safety of this child is at risk. Yes, adults go to the floor but a blood loss for a 200# man and an infant are dramatically different in the event of a hemorrhage. I am concerned that if this will be the practice, it is a matter of time before a horrible incident will happen. What is your hospital's policy for pediatrics? Any advice?

Wonderful points. It is easier to have clean floors than caring and competent employees, I guess!

I agree with Helllllo Nurse--once we start getting and giving respect, we will be more on the road of professionalism. We can't even respect each other and nit pick our colleagues to the point of childishness. We let politics rule us when we should be thinking about our patients.

I forgot to mention that the heparin flushed are for central venous lines:) Thanks, Pedseducator

I have worked PICU for many years and love it. I need some help with concentrations of heparin flushes for either age-wise or weight-based dosing. If anyone can help, it would be greatly appreciated. Need to know what the rest of the world is doing. PICU nurses have huge hearts! Pedseducator

Does you hospital have a oncology ward or give chemo on a general pediatric ward? Do they allow the patients to walk the halls while the chemo is infusing?

Yes, we also use the syringe pumps for sedation and boluses. Most of the time it is proprofol or versed. We haven't had any problems in the PICU with using these pumps.

I would very much appreciate anything you could provide. I will look into the camp thing--I too am new to pediatric oncology. Pedseducator

I would very much appreciate anything you might be able to send me. I will look into the camp policies and procedures and get back to you.

Yes we do but we check the patient hourly.

One of my students' biggest frustration is testing that is centered at "tricking" the student and not testing for the reason of finding out what they know.

How about sickle cell disease?

None that I am aware of.

sometimes, just getting it over with helps. Have someone hold and you put the drops in, but try explaining first that you don't like holding children down, but it is to make him better.

I am looking for policies and procedures relating to the pediatric neutropenic patient. How are you caring for the IV accesses (ports and broviacs)? I have written to APON, since I am a member, and not a word after several requests. I thought by buying a membership, they would be a resource, but NOOOOO! Thanks for any help!

We use what AliRae discribed. We hook up the transducer to the port where urine specimens are obtained, close to the connection where the foley meets the drainage tubing. Our normal is

Christmas or otherwise bonuses have not been given in the 15 years of working at my present hospital. I am sure administration isn't in the same boat:)

Thank you so much Neuro Medic! Very useful information.

Burst suppression depends on the control of the ICP and how far "down" the patient needs to be along with BP control, etc.