PICURN74

PICURN74 ASN, RN

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About PICURN74

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  1. Need help with this vague patient safety question.

    There are "National Patient Safety Goals" that might give you some insight
  2. Cardioversion Sedation goes Beyond Moderate-Help

    Can't speak for Texas or give legal advice but in my opinion you are right to have some concern. I think you bring up a good point of the level of consciousness being deeper than traditionally considered "moderate" but also concerning is that many of...
  3. A stupid question on Sympathetic nerve system

    There are a couple of thoughts I have on the situation, SNS stimulation releases Epinephrine and Norepinephrine as well as cortisol and aldosterone etc. and causes the effects previously mentioned, in doing so it decreases blood flow to the kidneys (...
  4. New Nurse...Need advice on dealing with death

    I agree with everyone else your feelings are normal but that doesn't make them easier. I also work in the PICU and pediatric codes are especially hard as a general rule kids are not suppose to die. I don't think you get used to them but rather learn ...
  5. Words of Wisdom?

    Be honest with your desire and your areas you need to improve. I tell my new grad orientees in the PICU that you aren't suppose to know everything on day one or orientation would be pointless. To me the more important quality in a good ICU nurse is d...
  6. Cpr???

    you might want to try craigslist for an instructor, I have had some friends who were able to find someone this way to validate skills after doing the online portion. Otherwise try calling the boyscouts/girl scouts they sometimes have classes or know ...
  7. Graduation Gift Ideas for Big Brother?

    The best gift I got was a box of my favorite pens (my personal favorite is Pilot ultrafine point) I never knew how much the quality of your pen can affect the quality of your day until I started in the Unit. Otherwise coffee is always a crowd pleaser...
  8. scared of being in a code

    FutureNICU- You are suppose to be scared of codes they are one of the few things that are literally a matter of life or death. You will learn to use the fear and it does decrease but they day that a dying kid ( I work in PICU) doesn't scare me a litt...
  9. I made a huge mistake and ruined my life.. long, sorry

    You made a mistake and you admitted it now you need to forgive yourself for it. It will be something that is with you for quite some time but doesn't have to mean the end of your career let alone your life. While every situation is different, I work ...
  10. Atarax IV?

    Check with your institution but, vistaril can be given IV but it is often avoided if possible, however it is on my formulary as IV and I have had some patients recieve IV vistaril.
  11. Non-Clinical Factors that Help Create Positive Outcomes?

    Glad to hear your son pulled through! Where I work we have a general hospital wide orientation followed but nursing specific orientation when we first get hired and then we are given additional instruction throughout our employment. One of the things...
  12. Distractions for patients in cervical traction

    TallTraveler- Unfortunately we see many kids like this (motorbikes should be illegal but I digress) Is the patient in traction or in a C-collar? Depending on the reasons for the immobilization, our doctors sometimes will allow us to put the bed in re...
  13. The scale is 3-15 with extremes at both ends. In our facility 10 and below is a sure way to get the million dollar workup http://www.trauma.org/archive/scores/gcs.html
  14. What should I do?

    I agree, mistakes are just that until you try and cover them up then they become choices be honest. It sounds like you did try and varify the dose after reading it back to the doc and checking with pharm. In my world I sometimes give crazy doses of d...
  15. almost graduating

    I work in peds and do a lot of lifting, best advice is find a job you will love and figure out a way to deal with the rest. Making friends with the stronger people on the unit is always a good idea (I am 6'4 and have a LOT of friends come time to cha...