youngin14

to clarify: i am in canada and i am not a public health nurse i go to homes in the community and spend 8-10 hours doing a shift overnight to run the ventilator and enteral feed etc.. my employer does do annual competency review sign-offs this is strictly a checklist the family has come up with. My employer is aware of this request and supporting it.

I work as a nurse in the community and the family wants me to sign a checklist confirming very specific nursing competencies, ie. size of the child's tracheostomy, how to inflate it, how to properly resuscitate, emergency protocol, how long the ventilator battery lasts, how to change the battery etc. The checklist is to be signed and dated by myself and the family. The community nursing company I work for has nothing to do with this checklist and it is not on company letterhead, nor are they signing it in any way. I understand I am responsible for my competencies and have no hesitation signing in that regard. My concern is if something happened to the child could the family use this signed checklist to take me to court and I would have no back up from my company since they are not signing or stamping this checklist? It just seems quite official and the lack of my company involvement on the form seems odd to me... Thoughts?

thanks for the reply! So i talked to my professor and they gave us a hint that we turn each maintenance IV down to 10ml/hr while a secondary med is infusing and most flushes take 4 minutes. How did they know to get 10 ml/hr though?? 2200- Ondansetron= 27 ml total over 1/2 hour and 4 minute flush=34 minutes= 60 min/hr-34min=26 / 60 =0.43 then do i multiply this by the normal maintenance rate (20) or by the 10 I have apparently turned the IV down to? if it is by 20 then it is 8.6, if it is by 10 it is 4.3 so then to write it in the fluid balance chart would it be: time: 2200 Iv Med: 27ml ( with the slash through the box to only take up 34 minutes) IV Rate: 4.3 (would it be in the top half of the hourly box? if so what goes in the bottom? is it 10-4.3= 5.7). Sorry for all the questions I am super confused!

Hi there, I am stuck on a pediatric homework question and having trouble grasping this..Does the 20cc/hr IV line change when the meds are running? If so how much do you put it down/ what is the rationale? How do I calculate the IV for each lumen? or does the solution not run while the med is running? -Pt has a double lumen hickman with D5/9 + 10KCL going into each luman at 20cc/hr 2200- 24ml Ondanseon into blue lumen over 1/2 hour + 3ml flush 2400- 3.6 ml Tobramycin into red lumen over 1/2hour + 3 ml flush 0100- 10 ml Vancomycin into blue lumenover 1 hour + 3 ml flush Time IV meds Red Lumen IV Blue Lumen IV 2100 hrs 0 20 20 2200 hrs Thank you very much!

New to Peds! Can anyone tell me if I am doing these calculations correctly?? 1. Order: Gravol 50mg IV q4h Pt 11years, 40 kg Recommended: 5mg/kg/day q6h 5mg x 40mg = 200mg divided by 6 doses (q4h) = 33.3 mg/dose Therefore dose is incorrect and should be should be q6h though, therefore 200mg divided by 4 = 50mg/dose 2. order: ancef 250mg IV q6h Pt 4 years, 20kg recommended: 100-150mg/kg/day q8h 20kg x 100mg /24h= 2000mg/3 doses = 666mg/dose 20kg x 10 mg/24h=3000 mg/3 doses = 1000mg/dose therefore dose not appropriate, should be 666mg-1000mg/dose ?? Recommended says q8h and order says q6h so how do I solve that??? 3. fluid maintenance for child who weighs 17kg: a) Calculate 100% fluid maintenance = 54mls/hr b) 120% for the next 12 hours and the rate?? THANK YOU!

I bought a pair of scrubs from a second hand shop and they fit SO WELL. the tag says Scrubs Wear and then inside the tag says Scrubswear.ca However, when i search online i am finding nothing. has anyone heard of this brand before?? help!

Hi there, I'm a new BScN grad and do homecare in Canada. I have been asked by a parent to run Pedialyte through a G-tube feed overnight for a vomiting child. Do I need an order to do this? I know Pedialyte is Over the Counter but am unsure if it classifies as a medication... thanks!