You Can’t Make This Stuff Up (Niki’s easy shift )

Chapter 57 One of my two post-open heart patients has discharge orders. The better part of an hour is spent reviewing the discharge instructions with her parents, and observing them practice drawing up the right amount of each of the liquid home medications using syringes and a cup of water. This demonstrates they understand the […]

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How to Sabotage a Shift (Niki Meets a Service Dog)

Chapter 56 Never, ever think your shift is easy and you may go home early. It’s the quickest way to sabotage it. The shift started well enough. I did vitals and passed meds for the two post-open heart patients first. They each have private rooms, and I chatted a bit with their respective parents. Transferring […]

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It’s Not All Cute Print Scrubs and Bunny Blankets (Niki Floats to Pediatrics)

Chapter 55   I leave PICU, and report to the pediatric unit. No offense to my pediatric nurse colleagues, but no PICU nurse enjoys floating to pediatrics. Not because you aren’t incredibly good nurses, you are. It’s because you work way too hard in a way different from PICU nursing. In the PICU, I’m assigned one […]

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Critical Values (Niki ponders on the job training for nurses)

Chapter 38 The chart notes written by the pediatric nurse caring for the little boy who died are scant. However, by searching the lab values, medication administration record, and the vital signs flow sheet in his medical record, I piece together a story of wrong assumptions combined with missed critical assessments. The ER got the […]

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