Birdy2

Well, the patient I most recently had did have a slight pink discoloration to chest and neck and itching there. This was with Zosyn. He also had that reaction to vanc when given earlier.

I have been instructed to give medications, in several situations, that a patient was having a mild reaction to. Every time the doctor will order Benadryl to be given with the Med (mostly antibiotics) and there is only itching and/or a mild rash. Is this common? Some doctors will immediately discontinue a med and then others will knowingly order a med that someone’s allergic to and just give Benadryl. It makes me pretty uncomfortable and seems like it shouldn’t be allowed

I would like to know how other moms are managing breastfeeding while working 7p-7a. I have to work three 12's per week and my son is 4 months old. He typically eats every 2-3 hours. I've been pumping at 10,1, and 4 at work. I feed him at 6 before I leave and at 8 when I get home, so I'm missinghis 8:30 pm, 0300, and 0630 feeding. Can some one of you give me an example of your daily schedules? I'm driving myself crazy trying to set one for him that allows me to feed him before work, have him awake and hungry at that time. He takes medicine three times per day and one of them has to be taken an hour before a meal, so it just makes it even harder. I really wish I could just let him make his own schedule, but i can't always. I kind of do let him do that on my days off, but isn't it better to be consistent every day?

Yes he does. I think it has something to do with him having a rough start so less tone, plus the pediatrician we saw said he had a third degree tongue tie. Unsure if she's right about that causing issuwa because he nurses well, but he does seem to have a hard time latching on a paci and also I have to use a nipple shield for him to be able to latch. He did latch a few times at first but then after getting a bottle from nicu nurses who had to feed him when I wasn't there he stopped trying to even latch and got frustrated quickly.

No clinics are open on Sunday and urgent care clinic had no advice to offer other than what I have already concluded myself. Yes it's my child and yes I'm a general Med-surg nurse...not a nicu nurse or pediatric. My son was discharged Wednesday from nicu and I wasn't given much advice on what to look for with seizures. His neurologist said seizures were hard to identify in infants. In fact he himself didn't think my son was seizing, but an eeg revealed he was. Every move he makes makes me anxious. I did ask them how they gave him the medicine and they acted like he hadn't had a problem with it in a bottle with a small amount of milk, but when I tried that he lost a lot out of the corner of his mouth...plus what if he doesn't finish it? Then his pediatrician said give it in the side of his cheek, so I did and he swallowed it, but with much difficulty and then spit up within a few minutes. I just don't know what to do. It seems like I can't get any good advice from anyone, so that's why I thought I'd try asking some nurses who deal with this all the time. Like I said, tomorrow I'll get the pediatrician to see about switching it to a different form if possible, but other than that I don't know what else I can do.

I will definitely call his doctor Monday and the pharmacist in the morning

Good idea with the nipple alone instead of in a bottle but still he loses a lot while sucking on one so not sure if that would work. That's why I squirt it on the back of his tongue and squeeze his cheeks, so he can't spit any out or it can't fall out.

This is seriously worrying me. I mentioned it to his doctor and she kind of blew me off and acted like I should have no problem giving it. I feel like if it were her child she may be more concerned. It's not a drug to mess around with and isn't something you can just stop taking, plus I'm scared to death my 3 week old is going to have more seizures. I'm not even sure how to know if he is. I've read, been taught, and watched videos on it, but infant seizures just look like normal baby movements to me.

What do you do if a baby spits up within minutes of getting medication? I have a baby on phenobarb and every single time he's given his dose he spits up after and I'm afraid he's losing it all. His level was low last check. Also, the only way to get it down is to lay him flat and slowly squirt a little at a time on the back of his tongue while squeezing his cheeks so he swallows. Otherwise the medicine is running out of his mouth or he's spitting it out. In a bottle there's the risk of him not finishing even a small amount and spitting up is still an issue.

So I usually give heparin in the abdomen, but sometimes have given in the patients arm depending on if they were severely emaciated. I figure if they have no subcutaneous tissue on their abdomen and it's supposed to be injected into fat then choose the next best thing, like their arm...if there is more fat there. However, a nurse I work with who has been nursing for over 15 years says that it is against hospital policy to give heparin anywhere except for the abdomen. The hospital I work at has the most unclear policies I've ever seen, but I have never been told that was a rule. I tried searching new guidelines, but everything is out of date. What is the policy at your facility?

I informed my boss that nobody on our shift had even been in that room, but she said I was still the blame for it. She said she knew it wasn't right, but that's just how it is. Also, when I first started this job a year or so ago i made the goal to see patients after report then pull meds, but after the first few nights of people needing meds as soon as I get there and calling nonstop until I get there with them, it became a time issue. If I don't pull meds when I get there and see my patients first I may not pull meds until 9 and they're due at 9. Yes, we have an hour before/after meds are due to give them, but when you have 6 patients that takes a while. Especially when they all need a million things. So anways, I'm gonna attempt to see patients first and also make a note of every time anyone goes in my patients rooms and what they did for the patient while they're in there. We'll see how this goes. Lord knows i don't even have time to chart my assessments most nights, but I'm gonna try.

I ask this because the other night my 91 year old man fell and broke a hip at shift change. I had gotten there at 8, got report, looked up info that was necessary, and headed to pull meds before 8. I pulled one persons and got a call that my patient fell at exactly 8. The tech was making rounds when another patient came to her and said they heard him fall. She goes in there and the bed alarm is off. We have problems with certain techs turning them off so they don't have to deal with it, but it wasn't that tech. She hadn't been in there and i hadn't heard it go off since I got there. My boss said it was going off all day. So you can believe she was pissed. I agree it's unexcusable, but I don't think it's right for me to be fired when I wasn't the one who turned it off. Next time it happens they are threatening to fire the nurse. I admitted that patient and immediately put on all fall precautions. The only thing that wasn't done is move him closer to the nurses station, but there were no beds. Anyways, I am just trying to figure out a way to track when alarms are activated and inactivated and by who. We have tap and go's on our med carts and the pixis...why not have them there? The only problem is hospitals are spending money on ridiculous things and can't afford to buy things that would help keep patients safe...just like they won't pay for sitters. Im just wondering if any other hospitals have come up with a better system. Have any of you ever seen some kind of tracking system for these things ?

Seriously! 90%???? Yikes! I have never taken care of anyone like this patient before or since she was discharged lol similar, but nothing to that extreme or that manipulative. I'm sorry í ½í¸Ÿ

It seems that a lot of things are not being handled correctly at the facility I work at. Sorry if I gave everyone a headache trying to read this. I really didn't expect that many people to even make it through the post. Clearly I just needed to vent lol btw my mother was diagnosed with bpd years ago, but has always denied it and she isn't quite like this lady. I guess there are different extremes. My mom is manipulative, but doesn't even realize she's being that way. I'm talking complete denial. I truly think she believes she's perfectly normal, but she drives us all crazy

Ok. I spoke with my boss and literally every option I mentioned is not allowed. When it comes to limiting calls she says that we can just not answer all the calls, but eventually it will lead to the patient filing complaints. We are not allowed to take the patients call light because that does not ensure their safety. And as for a behavioral contract, those do not apparently exist where I work. I just don't know anymore. Apparently it has come to a point where nurses really have no rights.