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	<title>Diaper Changes are NOT my Job</title>
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	<link>http://www.pixelbunny.net</link>
	<description>Tales from a Newly Graduated Paediatric RN</description>
	<pubDate>Wed, 19 Nov 2008 01:52:02 +0000</pubDate>
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		<title>Ill</title>
		<link>http://www.pixelbunny.net/2008/11/18/ill/</link>
		<comments>http://www.pixelbunny.net/2008/11/18/ill/#comments</comments>
		<pubDate>Wed, 19 Nov 2008 01:52:02 +0000</pubDate>
		<dc:creator>Paeds RN</dc:creator>
		
		<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.pixelbunny.net/?p=145</guid>
		<description><![CDATA[Unfortunately for me, I&#8217;ve somehow acquired an ear infection along with eye infections in not one, but BOTH eyes. We all know that children are excellent reservoirs for infectious diseases (and I even got my flu shot!) but have managed to fall ill with the flu, spike a few fevers, get an ear infection (of [...]]]></description>
			<content:encoded><![CDATA[<p>Unfortunately for me, I&#8217;ve somehow acquired an ear infection along with eye infections in not one, but BOTH eyes. We all know that children are excellent reservoirs for infectious diseases (and I even got my flu shot!) but have managed to fall ill with the flu, spike a few fevers, get an ear infection (of which I can&#8217;t hear anything out of my left ear), and get eye infections (of which both eyes are so blood-shot you&#8217;d think I was some kind of vampire). Managed to find a clinic that was open on a sunday and got scripts for antibiotics for both. I&#8217;ve missed out on two days of work not because I wasn&#8217;t feeling well (I was fine, just a little congested), but rather the state of my eyes. They are still bloody red! Can you imagine coming to work, seeing the kids and parents with them wondering why the hell my eyes are so red?</p>
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		<title>Not my job, but sometimes, you just have to</title>
		<link>http://www.pixelbunny.net/2008/11/15/not-my-job-but-sometimes-you-just-have-to/</link>
		<comments>http://www.pixelbunny.net/2008/11/15/not-my-job-but-sometimes-you-just-have-to/#comments</comments>
		<pubDate>Sun, 16 Nov 2008 01:57:53 +0000</pubDate>
		<dc:creator>Paeds RN</dc:creator>
		
		<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.pixelbunny.net/?p=142</guid>
		<description><![CDATA[I had a little baby the other night who, in addition to his arrhythmia condition, he was also jaundiced, so he was in an isolette under phototherapy. He was tiny, but oh so cute. Parents were also not in the hospital, so I was left with this cute little guy all night long. It wasn&#8217;t so bad, [...]]]></description>
			<content:encoded><![CDATA[<p>I had a little baby the other night who, in addition to his arrhythmia condition, he was also jaundiced, so he was in an isolette under phototherapy. He was tiny, but oh so cute. Parents were also not in the hospital, so I was left with this cute little guy all night long. It wasn&#8217;t so bad, until his last blood work results still showed extremely high bilirubin levels. So the resident orders that his diaper remain open so that more skin is exposed to the phototherapy lights. Well, I wasn&#8217;t all that happy about it because that would mean he&#8217;s entirely exposed&#8230; and how the heck are you going to clean whatever mess that gets expelled? I ended up putting a blue pad underneath him, plus one very large diaper on under his bum and leaving the front exposed. The diaper was pulled was open as possible (looking like the letter &#8220;C&#8221;) in hopes of catching whatever he would deal me.</p>
<p>I walked in during one of my checks to see Mr. Dinky pointing straight in the air (that is a dead ringer for something to come out and SOON!). Sure enough, this little stream comes out in a perfect parabola, falling right into the open diaper! HAH!</p>
<p>And yes, I had to change the diaper. Who else was going to do it?</p>
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		<title>Ego pumping</title>
		<link>http://www.pixelbunny.net/2008/11/08/ego-pumping/</link>
		<comments>http://www.pixelbunny.net/2008/11/08/ego-pumping/#comments</comments>
		<pubDate>Sat, 08 Nov 2008 20:42:43 +0000</pubDate>
		<dc:creator>Paeds RN</dc:creator>
		
		<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.pixelbunny.net/?p=138</guid>
		<description><![CDATA[So I&#8217;ve finally finished nursing school and landed a job as a paediatric nurse. I love kids. Seriously, they&#8217;re so cute and innocent and so much fun to play with&#8230; except when they&#8217;re moody and bratty. That&#8217;s when you have to get more strategic in providing care.
I once had a teenager who needed to use [...]]]></description>
			<content:encoded><![CDATA[<p>So I&#8217;ve finally finished nursing school and landed a job as a paediatric nurse. I love kids. Seriously, they&#8217;re so cute and innocent and so much fun to play with&#8230; except when they&#8217;re moody and bratty. That&#8217;s when you have to get more strategic in providing care.</p>
<p>I once had a teenager who needed to use an incentive spirometer to help with his lung function. As a teenager, he obviously don&#8217;t listen, was pampered by his mother, and scoffed at anything I asked of him. I was told during report that, above all else, he really needed to use that incentive spirometer. So I made it priority to get him to use it.</p>
<p>Partway through the day, I feigned ignorance and pointed to it. &#8220;What is that thing?&#8221; He raised one eyebrow and told me it was an incentive spirometer. I asked him what&#8217;s it for and he said he has to use it to keep the little white ball on at the top of the column. I said, &#8220;psh, that&#8217;s easy. You just blow into the tube!&#8221; That was a blatant lie, but I wanted him to feel like he knew something that I didn&#8217;t (thankfully, his mother wasn&#8217;t in the room to be shocked that his nurse was incompetent and providing his care). He rolls his eyes and he&#8217;s like, &#8220;no, you&#8217;re supposed to suck the air out. Like this.&#8221; Then he proceeds to show me. I give him a glorified look and then pointed to the dial. &#8220;What about this?&#8221; He explains that the more you turn up the dial, the harder it is to suck air out and keep the ball at the top. He tells me he can do the first two notches no problem. I say I don&#8217;t believe him. He shows me.  I say, &#8220;oooo! Do the next one!&#8221; to which he turns the dial and shows me again. I tell him I need to check on another kid but I said I&#8217;d bet he couldn&#8217;t go through with one set of exercises by the time I came back half an hour later.</p>
<p>Sure enough, when I came back, he proudly showed me how he could tackle the third notch with ease. Hah!</p>
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