I have a recurrent nightmare as an ECMO Primer. For some strange reason my patient is on circuit while being in my garage. There is no one around while the ecmo machine is either "cutting out" or has air entrapment within the pump head. Drives me ...
1. Family members walking barefoot in the patients rooms and down the hallways. 2. Coworkers licking their fingers during/after their lunchbreak. Gross! 3. Loud talkers surrounding my patients rooms when they are trying to sleep. 4. Some rooms in...
One time I was giving report to an RN after a long night. She seemed more preoccupied on who was walking down the hallway, and frequently interrupting my report so she could talk to her dayshift friends about non-work activities. I could tell she w...
I have noticed a huge increase in the "suspected non accidental trauma" patient population recently. Most of them are young infants ranging from 1 month to 2 years of age. It is wearing me down having to take care of these kids and knowing that the p...
My previous employment was with a Transport Team that did both NICU/PEDS. The team consisted of usually one RN and one RT. Both were trained to intubate just in case one was having difficulties. We transported via ground, rotor wing and fixed wing...
VA Hospital in SF brings back memories for me! Did my first clinical rotation there as a student from SFSU. Never forgot the smell! They were very nice people though.
I started out working in the PICU for 8 years and just recently last year got a job on our neonatal/pediatric transport team. So far it has been lots of fun going out to different hospitals by ground or air. The best part is knowing when you have a "...
I took my NCLEX board examination in California in 2001. I also experienced the dreaded 265 questions and passed fine. I had to wait 1 month though to get my results because my fine alma mater had mixed up my transcriptions to the state nursing boa...
I moved from the bay area 5 years ago to work in Portland Oregon. My starting salary was much lower than I was getting in Childrens Hospital of Oakland at that time. Currently I'm employed at a PICU and base salary is about $33/hr with 7 years exp. H...
I don't have any regrets on being a nurse. I luckily work in the PICU with a lot of male RN's and we try to make it fun and get the job done effectively. There are those few however that believe nurses should be like Florence Nightengale and wear whi...
Last night we placed a 2.5kg infant on VA ECMO in the OR due to not being able to come off bypass. The infants cardiac defect was a DORV, coarc of aorta, and VSD. She was bleeding profusely and was a challenge to maintain BP and keep the circuit from...
Hello all... I started out my PICU career in 2001 at Childrens Hospital of Oakland. I loved it there and miss many of my old friends. After not being able to afford a good home in the bay area, my wife and I decided to move north the the great pacif...
In my hospital we also utilize RN's in the PICU and NICU as ECMO specialists and primers. I have done ECMO for about 3 years now and find it very fun and interesting, especially as a primer. Unfortunatley, our number of ECMO patients has been decreas...