MegNeoNurse

MegNeoNurse

PICU, ICU, Transplant, Trauma, Surgical

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About MegNeoNurse

MegNeoNurse has 4 years experience and specializes in PICU, ICU, Transplant, Trauma, Surgical.


Back at it... hoping to start CRNA school August 2012!

Latest Activity

  1. To Filter or Not to Filter

    The NICU I worked in didn't filter lipids. I now work PICU and we "Y" our lipids in above the filter. Keep in mind, kids that get TPN and Lipids at home get the TPN and Lipids mixed in the same bag often times.
  2. Sedation Woes...

    Yes, pentobarb for sedation. Works wonders for these kids who build up such tolerances to fentanyl and versed.
  3. Pain management post open heart surgery?

    How frustrating to have a relative going through this and not receiving adequate pain control! It is SO important for post-op hearts to becomes extubated ASAP and ambulatory! As is pain control. Dilaudid is wonderful!!! As is morphine (but you sai...
  4. BP Cuff Readings vs. Arterial BP

    Art line. It should be a WORKING art line if you have a pt on pressors. I am glad to work in a teaching hospital with residents available (although not always helpful) 24/7 if the attending is not in house. I'm pretty sure any attending who was ac...
  5. What is the highest temp you have seen?

    Mid/High 41.0 (Celcius... in the US but our system uses Celcius kinda surprised more don't!). I take care of a lot of transplant and trauma patients. Closed head trauma is what comes to mind right now.. he lived but isn't "right"
  6. Best floor for experience prior to ICU

    It sounds like you have a good path planned for jump starting your nursing career :). What type of ICU do you aspire to work in? Trauma/transplant, burn, neuro, cardiac? Depending on the type of unit, that's the type of floor I would try to get a p...
  7. Computer linking

    I have always had computer charting, we were trained in this is nursing school. Our legal classes even discussed aspects of best charting practice in reference to computer charting. So I am speaking from a biased background. I've always been told ...
  8. Temperature. Where do you go?

    We take axillary on patients unable to otherwise take oral temps on (so pretty much everyone). Very rarely have esophageal probes. Never taken a rectal, but a lot of our patients are transplant (inc bowel) and the team would flip!
  9. Just got hired as a CNA in the ICU

    The CNAs in the unit I work in do a lot: vitals, baths, help with repositioning, blood glucoses, answer call lights, stock rooms, set up rooms for admissions, record vitals and notes during procedures and interventions ( and RN signs off on), assist ...
  10. Sedation Woes...

    The only time we use propofol is SOMETIMES in the 12 or so hours prior to planned extubation since the half life is so short. I know the adult units use it more often, but our intensivists don't use propofol regularly.
  11. Sedation Woes...

    What do you use routinely for sedation on patiently requiring mechanical ventilation? Our first line routine is fentanyl @ 1mcg/kg/hr and midazolam at 1mcg/kg/min and we increase as patient needs to illicit acceptable sedation. The unit I work in h...
  12. What do you guys use for art lines??

    We use an inline system as well for art lines. Transpac® Disposable Pressure Transducers by ICU medical. We put a T connector at the hub of the catheter, pull waste back through closed system, clamp, access using needleless device at hub to draw sp...
  13. Positioning for HFOV

    As long as baby is >28 weeks and a week old, midline positioning is not detrimental for prevention of IVH. If a pt is on HFOV the ETT is ideally a bit higher than normal (still below clavicles!) to decrease risk of right main stemming and associa...
  14. Neonatal IV question

    We never cover our IVs in NICU, in PICU yes as those kids actually realize they have an I'VE in their arm/hand and might pull it out. In NICU sometimes all you have for access is a PIV and TPN is often run peripherally. I would NEVER have TPN, bica...
  15. Hourly doses of vent sedation, is this common?

    I had a trauma patient last week that the trauma team wrote for PRN dosing of meds to keep RAS at a certain level. Super annoying. Generally, vented patients in our unit are on pain and sedation drips, and we can give additional blouses from the pu...