Pedi-ER-RN

Pedi-ER-RN RN

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All Content by Pedi-ER-RN

  1. pacify or orientate? Alzheimers...

    As a former LPN in LTC I always would try to orient first, but if that didn't work I chose to pacify!! If it were me with Alzheimers, I would want the staff to do whatever kept me happy (even if it...
  2. Just wondering....

    What part of AL are you
  3. What Would You Change??

    It would be nice to be able to send all the stupid stuff to their PCP'S office, but alot don't have one or their PCP doesn't have any appointment. We only have one urgent care clinic in town. Someone...
  4. Tpn

    It's been awhile since I've given TPN (since I work ER), but I've never worked anywhere that would allow TPN to be infused in anything but a central line. Some places administer PPN (peripheral...
  5. The scare of passing LPN NCLEX

    Congrats to you!! I was horrified when I took my LPN boards and then again 2 yrs later with my RN. I had the minimum # of questions with each. I knew I had either done well or really
  6. I think I made a mistake.

    At least you know that nursing is not for you early on. You could be a year into school and out alot more $$. Sounds like you've already done some soul searching and you've decided nursing is not for...
  7. chorioamnionitis...(spelling?)

    Had a pt with chorio, everything is supposed to be infected and only treatment is delivery of the baby (viable or not). My patient was about 16 weeks and the fetal hr was 220's+. She had a fever and...
  8. FIVE-STAR experience in a Luxury Hospital?

    Nurse Erica, The Pavillion at Washington Hospital Center is very nice. I worked at WHC, but not in the Pavillion. Some of their med surg units were nice and I heard that their cardio units/cath labs...
  9. Rn-bsn @ Jsu

    Just wondered if anyone was in the program at JSU. Thinking about starting in January. Any info would be greatly appreciated. Thanks in
  10. Rn-bsn @ Jsu

    nursekrn, are you planning on full time study or part time? I think I will start off the first semester part time and take it from there. The winter is our busiest time at work and there is usually...
  11. Pediatric Transport Team

    Our transport team is ground only, anything in need of being flown in is flown in by the helicopter services(occassionally, they do take members of our team to retrieve very sick ones). The team...
  12. Eh? Pedi field protocols?

    Same theory when it comes to field transports. When they do classes for pre hospital personnell, the tell them the same they thing tell
  13. Eh? Pedi field protocols?

    The director of our hospital pediatric transport unit (go to referring hospitals and pick kids up to bring back to PICU) says that if a kid goes bad on the way back and RT tries and doesn't get an ETT...
  14. Adult change to peds ER help

    I work 36 hrs one week and 48 the next (3p-3a). As far as antibiotics, there are several that can be pushed (claforan, ancef to name a few) that we use in peds. If I have to give cefotaxime and...
  15. Ketamine for conscious sedation in peds in the ED

    I didn't say that I loved the administration of ketamine, but it is usually the MD's drug of choice. I personally like versed and fentanyl. We as nurses DO NOT administer ketamine by any route. We are...
  16. Adult change to peds ER help

    We use the CRP as an indication of inflammation in peds. I've recently seen it being used in adult cardio
  17. Something all OB nurses should know.

    WE have a program called Healing through hope that was started by some NICU nurses. There is a memory box, handprints, pictures, clothing that is placed on the baby for pictures, they get the...
  18. Best way to deal with rudeness?

    Kill 'em with
  19. Ketamine for conscious sedation in peds in the ED

    We don't re-dose, but there have been many times that I have wanted to. Usually versed works well for emergence. I did 2 conscious sedations during my last shift and both of them went great, both kids...
  20. Ketamine for conscious sedation in peds in the ED

    We use it alot in the ER for ortho reductions, large lac repairs, etc... Only an MD can push it. I hate using it on adolescents, they seem to get mean or crazy when they come out of it. They usually...
  21. Arterial sticks protocols

    We do a yearly competency, take a test and then get checked off. RT does most of them, but I've started doing some if they need repeat chem's,
  22. Sleeping on the job..acceptable or not?

    When I traveled, it was customary to see the staff nurses on the night shift come in talking about what time they were going to bed down and they would actually do it..for hours!!! Leaving just a...
  23. Heel pain reducing my quality of life...

    I have the same thing and Crocs have made a HUGE difference in the pain. I never would've believed that a 30-40 dollar shoe would help the pain. I was previously buying Merrell's and Birki's. Give...
  24. NP in the ER

    Yep, a couple of ours will draw labs/start IV'S if we are busy with another
  25. Gray on ice?

    At my facility Gray on ice=lactic acid, green on ice=ammonia level. If we draw a gas (arterial or venous) and resp is not right there to get it, we put the gas syringe on ice. If you have questions re...