analee23

analee23

pediatric ER

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All Content by analee23

  1. I think I have only worried about insurance once in my entire career with a little girl that had just come from another country and was diagnosed with a brain tumor. Luckily she came to a not-for-profit hospital that has something called "charity ca...
  2. I don't understand how to get a BSN...

    Here are links to each of the nursing programs at the two Universities you mentioned: http://www.pace.edu/academic_psearch/display_program.cfm?School=NUR&Cred=BS&Maj=RN4&Location=PLV http://www.mountsaintvincent.edu/nursing/ It looks like...
  3. US nurse moving to Australia

    Thanks everyone! I wasn't sure if the government would give me a visa, but I had a feeling that that was the case. I haven't gotten many details yet, so I was a bit worried that the visa thing wouldn't work out. It sure will be an adventure, if no...
  4. US nurse moving to Australia

    Hi everyone! My husband just recently got a job in Alice Springs with the US government. We will be moving in November, so I've got a bit of time. I contacted the NT board of nursing and they sent me a big packet to fill out. My question is that i...
  5. What's the weirdest baby name?

    Saw this in the ER a few days ago.... mother named her two children (one was 29mos the other was 18 mos) The older boy was Dukey... yup, Dukey.... the little girl's name was Tommygirl, spelled just like that... I was amazed, until I saw mom :) By t...
  6. What to do in a busy ER??

    OK, so here's the thing... not a big HUGE deal, but something I've been thinking about and trying to figure out how I could've done it better under the circumstances. I work in a pediatric ER, we're pretty small... 12 beds, 4 hall spots, we see usu...
  7. what kind of watch do you wear?

    My husband just got me an Under Armour watch that does both digital and has hands like a traditional watch. I just looked it up so I can post a link and it is quite pricey, but I LOVE it. It has withstood nastiness in the ER and I've never had trou...
  8. Help! The ER "Bully" got me!

    I would confront her if I were you, in a very nice way. Just let her know how her comments made you feel and so forth and document EVERYTHING. Document what was said, what date, etc. If everyone has had to deal with her, the manager must be somewh...
  9. question about pediatric/adolescent physicals

    Hey! I figured I'd answer the rest of your questions. The two offices I worked in, we weighed the babies naked, no diaper. I haven't seen weighing WITH diapers except in hospitals where we are more concerned about medication dosing than measuring...
  10. question about pediatric/adolescent physicals

    I've worked in two different pediatric offices, so I don't have a whole lot of experience with this, but the scenario was the same in each of these offices. For younger children, say younger than 12 or so, they stayed in their street clothes. Once ...
  11. Telephone follow-up

    Hello! OK, so I've been out of work for almost 2 months now because I had foot surgery and want something to do work related, so I offered to do some research, etc, for the unit. I work in a Pediatric Emergency Department that has been open for abo...
  12. Telephone follow-up

    I'm not saying bounce-backs are bad... I'm saying that we should try and meet needs so that they aren't forced to bounce back over and OVER for the same complaint that should have been met on their first visit, or from misunderstanding of discharge i...
  13. Telephone follow-up

    Oh, no, no, no is this just for satisfaction. I'm looking at improving patient care. I want these people to get what they need so they don't bounce back time after time after time. :) Now THAT'S something I'd volunteer for! Well, that and catch ...
  14. Silliest thing you ever did after a long shift...

    I really had to stop to get some groceries as the DH was coming home the next day and there was nothing edible in the house. Stopped at the grocery store, wandered aimlessly throwing random things I thought he might like into the cart. Got to the l...
  15. Wanted - Funny Triage stories

    WHOLE family, grandparents, parents, aunts, uncles come RUNNING down the hallway carrying 6 month old baby... frantically come to triage window and state, "the baby hasn't smiled in an hour and he is ALWAYS smiling." Very hard to keep a straight fac...
  16. Pedi ER requirements?

    In my pediatric ER it's PALS and ENPC. We are not required to have ACLS, although many of the nurses do. The reasoning behind not having ACLS is that we are a trauma hospital, our ER is attached to the adult ER, and children 16 and up are considered...
  17. Newbie to the ER

    You'll do great! I love being an ER nurse! Just remember: The ER works very differently from the floor. In the ER we like to keep em movin... figure out the problem and then Discharge, Admit, or Transfer! It can be quite hectic, and even a nur...
  18. Stupid Nurse Trick... Don't try this at home... or work!

    I thought I'd add a few... I'm quite a klutz myself, so have quite a few... here's a couple. When I was in nursing school we had one day that we could go and watch surgical procedures. This was quite cool because I had been caring for a patient wit...
  19. Painless Injections

    I know this is a bit off topic, but thought I'd share. I am currently self-administering Lovenox SQ for prophylactic treatment for DVTs (I had foot surgery and have a clotting disorder). Well, when I first went to give myself the shot it burned lik...
  20. For Peds Nurses

    Femur fractures can be tough for kids. Before surgical intervention, these kids are often put in traction. When kids are in traction, it can be hard to keep them in the right position so that the weighted traction will be doing the right job. One ...
  21. Dressing for Halloween?

    I work in a Peds ED and we are encouraged to dress up. But, as many of you have said, it must be easily removed in case of a bad code. Last year I dressed up as an angel with giant wings and a halo. The kids loved it and it was very easy for me to...
  22. Heplock with no IV running

    Thanks Daytonite for the tip! I have had veins blow after pulling out a clot like you said. It's usually when the peds floor is full and we're holding them for a few extra hours. But maybe I'll try your technique now and save them for a little lon...
  23. Heplock with no IV running

    I work in a pediatric ED and it is common practice to place saline locks. The rationale is, if the doc wants blood work... why not put an IV in to save the child from more trauma?? If the vein blows and we're able to get all of the blood work, we o...
  24. interosseous access (IO)

    We use IOs frequently in my pediatric ED during code situations. The thing that bugs me about them is that it is pretty dang easy to dislodge them! Often when the medics place them, by the time they get to us, they've infiltrated. The MAIN thing t...
  25. The school I went to had a pretty high pass rate, but wasn't easy to get into. My class started with 50 students and when we graduated there were still 46 there. I think 2 of the 4 students failed the first med-surg class (med-surg 1). 1 failed th...