sammyrnlv

sammyrnlv has 13 years experience and specializes in pediatrics/PICU.

Latest Activity

1. Taking the BKAT-6 test?

   sammyrnlv replied to jennyboofRN's topic in Nevada

   We don't give the travelers the BKAT. Do you have any PICU experience? Summerlin is a nice hospital. As for travelers, we treat them pretty good. We keep in contact with a couple of them that passed through. They renewed their contracts several times...

2. no one will hire me in Las Vegas--what's the deal???

   sammyrnlv replied to travelcrazyRN's topic in Nevada

   At Sunrise Hospital, we hire new grads to PICU. The next preceptor program will start in July. PM me for more information if you are interested. We do open heart. Our program is 6 months long.

3. List of critical care internships..

   sammyrnlv replied to zram44's topic in MICU

   In Las Vegas, Nev., we have a 6 month preceptor program in PICU. We have openings in July and December. Come on down to Sunrise Hospital in Vegas for an interview!

4. no one will hire me in Las Vegas--what's the deal???

   sammyrnlv replied to travelcrazyRN's topic in Nevada

   If you want to do PICU, come to Sunrise! We have a great preceptor program!

5. Taking the BKAT-6 test?

   sammyrnlv replied to jennyboofRN's topic in Nevada

   What hospital are you at anyway?

6. Taking the BKAT-6 test?

   sammyrnlv replied to jennyboofRN's topic in Nevada

   Hi, kiddo! I give the BKAT to our new nurses in PICU. We don't fire them, but we evaluate what they scored high in and know what to look for. It is a great test that reveals what you know about critical care. It is nothing to be ashamed of if you don...

7. First week in PICU

   sammyrnlv replied to RNNPICU's topic in PICU

   Hey, kiddo, I have 13 years in PICU and I always report a low K; every kid is different and they will shoot arrhythmias at all different measures; some kids do it as little as 3.3; others will let you go to 2.9. When out of the range of what your hos...

8. Sedation Problems on CVVH?

   sammyrnlv replied to gal220RN's topic in PICU

   Fentanyl, versed and vec if you need it (only on tubed kids!). If they are clotting off their lines, they need to go down! When you get to the point that you need CVVH, then they should be tubed and the medical staff should be in control, not the pat...

9. My pt died, lab results question?

   sammyrnlv replied to BinkieRN's topic in General Nursing

   Troponin is usually higher in MI; sounds like sepsis did her in! She was 85, kiddo, don't stress! HOB is always up in most cases. You granted her last request!:nuke:

10. Arterial lines-kids

    sammyrnlv replied to sammyrnlv's topic in Safety

    Thanks! I think you're right; we need to adequately flush lines. Probably need a quick reminder inservice.

11. Arterial lines-kids

    sammyrnlv posted a topic in Safety

    I am a PICU educator that is looking for info on arterial lines-pressure bag vs pump. We have a dr that insists on pumps because she says we are clotting off lines with the pressure bags. (I have not heard about the clotting off part; I think she had...