Sari2009

Latest Activity

1. Can I bolus this patient? A legal / practice question about sedatives and narcotics

   Sari2009 replied to simvee's topic in MICU

   There is another serious issue at hand here. Any long time ICU nurse is familiar with "nurse dose" of sedation or narcotic. If a lot of nurses are doing this with a particular patient who is requiring a lot of narcotic/sedation and it is not ALL do...

2. Want to return to PICU after 10 years, possible?

   Sari2009 replied to njrunner18's topic in PICU

   ABSOLUTELY! Why not? It is all in how your sell yourself. I will tell you that after being in pediatric criticial care for almost 20 years things have changed but if anything I think they have actually simplified a bit. Meningococcal disease is al...

3. Precedex tubing

   Sari2009 replied to CICURN07's topic in PICU

   In the several years I have used presedex I have always used standart tubing and either a bag or syringe pump depending on the rate. The only exception is if the kid still has a shunt or unrepaired cardiac defect then we filter everything.

4. Travel Assignment in Las Vegas

   Sari2009 replied to Jonzygrl's topic in Travel

   I was staff in Vegas for a few years....I just left recently to travel again. Cross Country Trav Corps has many postings in Vegas. If you decide to go I have a furnished empty 2500 square foot home sitting there while I travel that I would be happy...

5. Would like some advice on children dying....

   Sari2009 replied to ChristaRN's topic in PICU

   Be emotionally available to them and dont be afraid to show while still maintaining composure. It is painfull for everyone but still an honor to comfort a grieving family. Remember there is no right or wrong way to grief and you will see many diffe...

6. Precedex gtts in the PICU

   Sari2009 replied to kessadawn's topic in PICU

   I have had a lot of experience with precedex gtts in the PICU. I personally have not seen much bradycardia and have used it in many post op hearts. You may see some hypotension at higher doses however the half life is so short that if you titrate d...

7. Hybrids and Norwoods

   Sari2009 replied to PICURNROCKS's topic in PICU

   I have cared for many, many norwoods over the years but have just begun working in a PICU that has a very sucsessfull hybrid approach to many congential heart defects. For HLHS babies they stent open the PDA to mantain flow and place bilat PA bands ...