GatorRN21

GatorRN21

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About GatorRN21

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  1. Major Drug Shortages Looming

    I think it is great that your nursing unit prepares most your own infusions. Nurses on our unit have had little training in mixing infusions independently outside of the pharm--we do more training. So, this is a change from our typical everyday prac...
  2. PICU medication dosages to memorize

    Know your code drugs inside and out. I work in a CICU so I know the correct dose and how many mL to draw up of epi (1:100,000 vs 1:10,000), atropine, Cal gluconate, and bicarb (infant vs adult concentration). I know this off the top of my head becau...
  3. What do you guys use for art lines??

    In our CICU, we use the VAMP system on all arterial lines, which is a closed system. VAMP System Unfortunately, the VAMP is only supposed to be placed on arterial lines, so all other lines we still use the open system (stop-cock). But our team rarel...
  4. Managing sedation in an infant with cardiomegly.

    Great question! There is no right answer in this situation! Everyone will have an opinion! Thus, this is always a hot topic among the critical care team. umcRN, I found it good to hear that the nurses have a great deal of autonomy in titrating the ...
  5. Major Drug Shortages Looming

    Thank you for posting this info. I did not know so many drugs are going are going to be on short supply! At our hospital, I feel like every week that I have an e-mail about another change related to the drugs that we use frequently--it's down-right ...
  6. Florida to Philly

    I just moved to Philly from Florida as well. I just moved into my apt last week so don't know many of the areas yet. It seems as though Philly is quite large. The cost of living is much more reasonable compared to other cities. I will be starting sch...
  7. Advice for calling consults

    Hi! I am starting NP school this Fall so I don't have experience with calling consults. But, my boyfriend is a cardiology fellow and I hear him vent about this all the time. The consult service rotation is one of the worse for him- he just gets burnt...
  8. SNP and Nitro

    At our hospital on the post op heart surgery kids, we titrate the nitroprusside first up to 4mcg/kg/min for the systolic BP then once we reach that amount we add on nitroglycerine up to 4mcg/kg/min (not impressed with nitro though). Most kids come ou...
  9. Vent and NGT Question

    Sometimes a kiddo will return from surgery without a NGt in place and is ventilated. The plan usually is to extubate the kid but when would it become time to put a NGt in a kid that hasn't been extubated yet? Last night I was working, the kid return...
  10. HemeOnc???

    Thinking about switching from surgical pediatric patients to HemeOnc speciality. Any suggestions? How long did it take you to get certified? Is working with this patient population very sad or more rewarding? I want to learn more and feel like at my ...
  11. Neuro Checks

    I've been working in an unit that gets many post op neuro patients that require q4h neuro checks. I find it so hard to perform neuro checks on the smaller kiddos and am so scared I'm gonna miss something some time. Little kids rarely let me check the...
  12. "Patient" or "Client"?

    Health care is not like fast food. People know where to get a good hamburger but don't know what type of disease/illness is ailing them. People are able to be customers when going to resturants, lawyers, dry cleaning, etc because they have a specifi...
  13. Elbow Splints, Restraints?

    I take care of a lot of post-op cleft lip/palate kids and post-op protocol is to have elbow splints on. No MD order is needed q24h for the splints. Well another nurse said they were restraints while she was auditing charts. We got to talking about th...
  14. 5 w/o & Rice in Formula

    I've taken care of a few infants in which the parents added rice to the formula becuase they believed their infant had GER. The parents believed it helped treat the GER. None of the infants were dx with GER. I was taught to not add it to formula unti...
  15. child protection issue

    Burns can always be prevented. Any kids with burns are always consulted with social services at our hospital.