Pedi-ER-RN

Pedi-ER-RN RN

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All Content by Pedi-ER-RN

  1. NP in the ER

    We use FNP'S in our ER. Their primary role is to see OB/GYN patients, they see peds pts when they don't have many pts of their own. Any Peds ER's using Peds NP'S?? That is my goal (one day far, far...
  2. JCAHO and Time out

    We currently don't have to do time outs for lac repairs, but for every other invasive procedure. Also, we haven't started the med reconsilliation yet, but I expect it to be a nightmare when it starts....
  3. Hi, I was just wondering how other places handle triage of OB pts? At our facility, all pts >20 wks go to L&D regardless of their complaint. All our triage nurse does is obtain their name,...
  4. Versed is a great med!! We use it all the time in conjunction with ketamine or fentanyl for otho reduction and other painful procedures. Try looking up the definitions of moderate and deep sedation...
  5. I agree 100% Just my 2 cents.... We do hold kids in our peds er that are going to be transferred, but they go to a 1:1. We only transport out things like hearts and organ failure. Sounds like your...
  6. Versed versus Ativan??

    We do use it occassionally in the ER with the Pedi's that have Sz'd at home, given Diastat X's 2, we've given ativan and they are still having sz activity. I have seen it work. It is not first line...
  7. question for the Peds experts

    With little boys I usually tell them it is going to squeeze their muscle to see how strong they are and with little girls I tell them it is going to hug their
  8. Male Nursing student question about pediatrics

    I am a male Ped's nurse and love it!!! There are also many other males employed at our Ped's facility. The instructor was out of line when she said what she said to you. Follow your heart and...
  9. Headed back to school

    Search the distance education forum and I am sure I've seen a thread there about distance science
  10. nursing student with expunged misdemeanor

    Contact the AL board of nursing with your question and they will give you an answer. Good luck to
  11. Titrating drugs: dosages or CC's

    Alot of facilities have "dummy sheets" that are printed by the pharmacy for each gtt the pt is on. That way, when you decrease the gtt by x number of cc's, you can chart, dopamine titrated down to...
  12. Stacked Duo nebs any info

    our peds intensivist says you can give 2 A&A's back to back and one of our ER docs says you can give 3. We usually just give one combo and then additional single doses of albuterol. Respiratory...
  13. Lovenox Injections: SC, But Where?

    Can still be given in the abdomen as long as you still have some SQ tissue, also can be given in the "love handles" as someone
  14. Lovenox Injections: SC, But Where?

    SQ is simply the route of administration as is PO, IM, etc... Some meds given IM specify "deep" IM or the package insert recommends deltoid, just depending on how aggravating to the tissues it is. I...
  15. Uniforms in peds?!

    Most of us wear character scrubs. I find that we can use the character on my top as a distraction
  16. Lovenox Injections: SC, But Where?

    Saw a pt that got a sterile abscess in her upper arm. She says the nurses gave it there, but they denied it and said she must have given herself the injections there. She was pregnant and had to be...
  17. What the heck...we have had a run on toilet babies!

    We occasionally have toilet babies or floor babies when the mother comes in to get registed or when she goes to the screening room and they tell them to go into the bathroom and change into a gown....
  18. Orthostatic Blood Pressure

    The reference I found states that it is defined as a drop in SBP of 20 or decrease of 10 mm diastolic, also and increase in hr of 20 beats per minute. Some references state these things occur within 3...
  19. Broselow tapes in the nursery?????

    I work at a Ped's facility and we use weight based sheets for all codes on inpatient kids or little ones who come in. I believe NRP is only used immediately post delivery, in the nursery and the
  20. positive cultures-what's your system?

    At my facility it is the MD/NP's responsibility to call pts with positive culture
  21. All the stupid BS we see is just job
  22. Im Injections

    Some meds actually work better/last longer given IM. I don't like to inflict pain, but I learned early on in my career that sometimes to make a pt better, you have to do something that hurts them (ie:...
  23. OB pataients in the ER

  24. OB pataients in the ER

    Our OB's go to L&D if >20
  25. pt's arm turning white and red with IV?

    Sounds like it was in an artery. I know when an IV is placed in a scalp artery, the scalp will blanch when