OldDude

Pediatrics Retired

Member

All Content by OldDude

  1. OldDude

    Heard a heart murmur

    OldDude replied to nursekoll's topic in School

    Here's another one...one of our previous students is the daughter of a Paramedic who worked for the local ambulance service; experienced guy. I don't recall the reason I was listening to his...
  2. OldDude

    Phone Calls

    OldDude replied to Purple036's topic in School

    Excellent documentation...but I'm not buying it...something is missing. It doesn't add up that the same kid who came to you for twisting his ankle on the stairs, presenting with no sign of injury,...
  3. OldDude

    Phone Calls

    OldDude replied to Purple036's topic in School

    I call for all injuries if there is any "sign" of injury like swelling, break in the skin, abrasions, etc from the neck up and for "most" other "noticeable" injuries otherwise. I don't call for minor...
  4. OldDude

    Heard a heart murmur

    OldDude replied to nursekoll's topic in School

    Of course...all murmurs are innocent until proven
  5. OldDude

    AED

    OldDude replied to Bulldogs's topic in School

    We purchased our last AEDs and subsequent battery replacements from School
  6. OldDude

    Confused about EpiPen administration in emergency situations outside of the hospital

    OldDude replied to OctoberFoliage's topic in General Nursing

    Since I have the knowledge and ability I would not hesitate to administer epi in an emergency instead of watching them die. As a school nurse, I have epipens on hand that are prescribed to certain...
  7. OldDude

    HIB vaccine, 3 or 4 doses?

    OldDude replied to jrbl77's topic in School

    That is the only advantage I can think of for HS school nursing...few immunizations to deal
  8. OldDude

    Eye Patching Tricks for Preschooler

    OldDude replied to Cattz's topic in School

    Well, now that you mention it...with the child watching, and in a dramatic fashion, I draw an "eye" on the patch with a sharpie. I then let the kid look at it in a mirror so they can see the "eye"...
  9. OldDude

    LVAD Careplan

    OldDude replied to tining's topic in School

    I'd use the MD orders for school attendance as the care plan...heart wrenching but hopefully prayers will be
  10. OldDude

    Trigger Warning!

    OldDude replied to hppygr8ful's topic in General Nursing

    Hey...AbbyLane and TheMoonisMyLantern I was going to pass on your posts because my attention span isn't that long but I started reading anyway and found them to be quite insightful and accurate all...
  11. OldDude

    LVAD Careplan

    OldDude replied to tining's topic in School

    Are you talking about a kid awaiting a heart
  12. OldDude

    EOE

    OldDude replied to EnoughWithTheIce's topic in School

    I've seen similar situations where I dub it to be a Munchausen variant; it's always some ambiguous condition but not to the point of a definitive diagnosis by a MD. Wheel on and don't worry about
  13. OldDude

    Heard a heart murmur

    OldDude replied to nursekoll's topic in School

    Don't change a thing...what if you had NOT said anything and the kid woke up dead a few days later; you'd feel pretty bad about that. I've heard, and reported, many, what sounded to me, abnormal heart...
  14. OldDude

    That's So Fetch! (Pink Wednesdays)

    OldDude replied to Farawyn's topic in School

    Have a
  15. OldDude

    HIB vaccine, 3 or 4 doses?

    OldDude replied to jrbl77's topic in School

    In Texas..."A complete HIB series is two doses plus a booster dose on or after 12 months of age (three doses total). If a child receives the first dose of HIB vaccine at 12-14 months of age, only one...
  16. OldDude

    Trigger Warning!

    OldDude replied to hppygr8ful's topic in General Nursing

    Me too!! I feel so "back woods" like...I think I've been
  17. OldDude

    Pit Bull Service Dogs

    OldDude replied to RobbiRN's topic in General Nursing

    I wouldn't allow him into the facility with the dogs. If he brought them inside already, I'd evacuate the waiting area of everyone but him and the dogs and call animal control. When the dogs were...
  18. OldDude

    Thoughts on vegetarian/ vegan diet

    OldDude replied to bs76247's topic in General Nursing

    I used to work with a RN who is a vegan. When he was about 40 he tripped while going UP his stairs at home and snapped his right greater trochanter completely in half. I often told him is was because...
  19. OldDude

    Thoughts on vegetarian/ vegan diet

    OldDude replied to bs76247's topic in General Nursing

    The staff at a chain BBQ restaurant in Texas (I think they are in some other southern states too) wears a T-shirt that says, "I didn't claw my way to the top of the food chain to eat vegetables!"...
  20. OldDude

    Unassigned Epi Policy

    OldDude replied to OldDude's topic in School

    They do and the response time is what would be expected...and you're right, this could be part of "the plan." Out of town coverage "could" fall into this category but here in South Texas you can drive...
  21. OldDude

    Pure curiosity :)

    OldDude replied to KeeperOfTheIceRN's topic in School

    I had PALS for 15 years until the Urgent Care clinic I worked prn at stopped requiring it. So, unless you work a 2nd job that requires PALS or ACLS, BLS will provide you all you need for intervention...
  22. OldDude

    Trigger Warning!

    OldDude replied to hppygr8ful's topic in General Nursing

    "Here, hold this puppy, and here's a coloring
  23. OldDude

    Unassigned Epi Policy

    OldDude replied to OldDude's topic in School

    Exactly...the more one gets into it the more one realizes "complete" coverage would be something short of a
  24. OldDude

    Unassigned Epi Policy

    OldDude replied to OldDude's topic in School

    It seems a snowballing effect...it grows bigger and bigger as you contemplate "coverage." Especially if you try and imagine coverage for bus transportation to and from
  25. OldDude

    School Title

    OldDude replied to Keeperofbandages's topic in School

    Mr. OldDude Occasionally I'll get a "nurse," to which I respond, "yes