picucrn

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1. picu room design

   picucrn posted a topic in PICU

   I am looking for feedback on what type of system design you have in your PICUs. We are doing a complete remodel and are trying to decide whether to go with boom systems or headwall or column systems for the outlets, monitor, air/oxygen, suction etc. ...

2. acuity based staffing ratio

   picucrn posted a topic in PICU

   I am looking for any picu that utilizes an acuity based point system to determine staffing needs. What does your unit use to determine staffing? We use a combo matrix/acuity but our facility (in times of economic strife) want us to prove that we real...

3. soluset/buretrol tubing

   picucrn posted a topic in PICU

   We currently use buretrol/soluset tubing on all picu patients under 10yrs. Initiated years ago due to safety concerns, we have simply stuck with this practice. Now we have had smart pumps for many years and want to minimize our soluset usage.. Who us...

4. ebp rsv collection

   picucrn posted a topic in PICU

   We currently are trying to change policy on RSV collection. Over the years we have gotten away from the old cut tip saline lavage pull with syringe method and have gone to using ETT suction caths into Lukey sputum traps. This is much gentle and steri...

5. transpyloric placement

   picucrn replied to picucrn's topic in PICU

   Sorry, i didn't clarify good. We only use snap test Q 2hrs to test for change in tube patency. We always confirm either with bedside u/s or xray. We just do q 2hr check to make sure the tube hasn't migrated or is getting clogged from formula or meds...

6. transpyloric placement

   picucrn posted a topic in PICU

   My picu currently uses transpyloric tubes and have been for while. We check placement via "snap" test, like many other facilities. I am looking for any protocols that incorporate this test or any other placement checks, besides xray.

7. PICU: PALS, ACLS or Both?

   picucrn replied to Vicki_RN's topic in PICU

   :w00t:In my facility pals is required for all areas that care for kids. We also require APLS for all peds critical care (picu, ed) and encourage for all other pediatric areas.

8. PICU Nurses

   picucrn replied to biscuit_007's topic in PICU

   I would be interested in hearing what steps you took as nurses to better the communication and overall relationship with the md's. At my facility we have one intensivist that we struggle with everyday. We have had a great unit for last several years ...