NessaNurse

NessaNurse

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All Content by NessaNurse

  1. Am I a good candidate for ICU?

    I am currently looking at working in ICU. I have been working in outpatient PACU and preop for the last 2 years, for 2.5 years I worked on a pediatric med surg floor (trachs,gtubes, ventriculostomies, drips ect)..I am just a bit concerned about goin...
  2. Am I a good candidate for ICU?

    Thank you for the replies! I am currently looking at positions in PCU (stepdown) and ICU at a local hospital :) I think it will be a good change for me!
  3. Is this ever acceptable?

    When I worked Peds at a children's hospital Policy said NOT to give the blood back..even on NICU/PICU..but some nurses did do it. I never did because of the risks associated with the practive. When drawing most labs I used the minimum waste allowed ...
  4. Pricked with a dirty needle

    Oh my JessieRN that is scary! What was that patient thinking!? If they were with it that was a nasty thing for the patient to do, especially while you were pregnant!
  5. Los Angeles NEW grad programs

    Children's Hospital has A new grad RN residency if you want to do peds.
  6. California Hospitals are not forward thinking!

    Hmmmm at many hospitals where I have applied New Grads actually seemed to be the preferential new hire! I have 4 years experience but had a hard time finding a job!! So maybe it just depends on where you look! On a side note I do see many new grads ...
  7. Perceptions on childhood vaccinations

    My survey said the same thing!! Maybe that could be changed?
  8. How come t here are no Males RNs on a peds floor?

    Hmmm..when I worked at a childrens hospital on the floor I worked thier were quite a few guys. I think it varies at different facilities. Some of the kids prefered male nurses. Especially school age boys and teenage boys. They liked the guys bette...
  9. Best way to start IV on infant or child

    Warm packs help. A good helper to help hold and hand you stuff..little guys are wiggly! Always have everything ready to go before you start. For little babies I like feet esp inner ankle. For older kids most of the same places you would find as in...
  10. briefs or diapers

    I like briefs unless this confuses the patient than I just call them whatever the patient calls them ..unless I'm working peds then diapers is acceptable (at certain ages of course)
  11. TPN and meds

    Wow..at our facility we use syringe pumps to place mlutiple meds into a Y site, as long as they are compatible you are good to go really.. Some meds are compatible with lipids as well. If something is not compatible with TPN you can stop the TPN, fl...
  12. Is ICU experience a requirment for PACU?

    Hi! I started out in my chosen specialty in pediatric med/surg (rather high acuity for peds, very sick kids, some 2 to 1 patients, stepdown patients as well). I'm very interested in switching over to a PACU position in a Women and Infants department...
  13. Policy on IV tubing/bag change?

    Where I work as well all bags, tubings ect are changed q24 h. Unless the bag is never entered (*ie no IV push meds, no entring w syringe pump, no piggy backs ect) it can stay for 72 h. So most everything is changed q 24
  14. trachealmalasia

    sounds like largynmalacia or perhaps a sub glottic mass of some sort. I agree with the post to see a Peds ENT to scope
  15. Antelope Valley Hospital

    I've Heard AV hosp. runs by team nursing in med/surg, so you have 8 pts w an LVn and an aide, not really what I'm used to. I grew up in the AV, I like it thier, but crime has gone up in recent years. It also depends on the neighborhood you live/work...
  16. Needing some help with blood sampling

    At the hospital I work at we do a lot of labs via central or pICC for short gut babies as well as otehrs. I usually flush first w 3 ml, draw back 3-5ml for waste, and draw back the very minimum needed for tests. Speak w your lab to see the bare mini...
  17. Hepatitis B Vaccination for infants

    I often wondered the same thing. Personally if I ever had a baby, I would like to wait until they are a toddler to immunize them against hep B. seems sort of an unneccsary risk for a newbie IMHO. Most people do not feel the way I do, but the immune s...
  18. Tools for teaching pre-teens about nursing

    For some reason it reminds me of multiplication rap. Its nice that they are rpomoting nursing as a cool job to kids. Wow I looked at the discover nursing sight I had no idea accountants made more than us too@:uhoh21: and terachers dont make much less...
  19. IV scenario

    Finish the blood 1st. Vanco can actually run w TPN and lipids, they are compatible, not sure about GEnt, call pharmacy. TPN and lipds can also be run together. If you must adminster abx at same time as blood (*i usually dont). Dont rub blood same tim...
  20. Forced cheerfulness a hazard to your health

    So just do like the other nurses and be nasty to each other? j/k well sorta..I hate it when some guy tells you to smile, dude if iwante to smile i would be smiling!
  21. Are nurses treated badly?

    nurses cant be really brutal to each other, worst part of the job IMHO. I'm a pedi nurse and some parents can be really nasty at times, docs can get short but most heat comes from other nurses
  22. Do you call your patients by first or last name?

    I call the kids I work w by thier first name, or by sweetie, kido or papas or mamas (*I live in LA lol), parents are mom and dad (I never remember thier name)
  23. Ever caught a visitor playing with an IV pump??

    I have heard of people doing this. Also had kids request their benadryl push and then follow w a fast flush. hmmmm. we has one boy who would even point to which port he wanted it in. yowsers. Ive heard the best highs come from IV demerol and benadryl...
  24. Ever caught a visitor playing with an IV pump??

    This happens all the time where I work>iwork Pedi and parents always hate beeping (*and pumps need to be reset q 2 h per our policy) and some have learned how to operate the darn things. Our PCA pumps have away to lock and unlock the keypad to pre...
  25. Nursing Dreams

    I dream a lot about work. One of the funiest was when I was talking in my sleep. My husband came inot our room to wake me up . I said to him, "you better flush that babies line w salin, then heplock in and clamp it! you Cant just leave it open like t...